Download - Global and Local Trends in Nursing
8/6/2019 Global and Local Trends in Nursing
http://slidepdf.com/reader/full/global-and-local-trends-in-nursing 1/28
THEME 3.
GLOBAL AND LOCAL TRENDS IN
NURSING
1
8/6/2019 Global and Local Trends in Nursing
http://slidepdf.com/reader/full/global-and-local-trends-in-nursing 2/28
REFERENCE
� Crisp & Taylor (2005 ) Potter & Perrys
Fundamentals of Nursing(2nd ed.) Elsevier,
Australia.
� Printed article on history of nursing (1998)
FSN closed reserve.
8/6/2019 Global and Local Trends in Nursing
http://slidepdf.com/reader/full/global-and-local-trends-in-nursing 3/28
LOCAL TRENDS IN NURSING
� NURSING-current philosophies in nursing
demonstrate holistic trend in nursing. To deal with
whole person in all dimensions ,in health and illness
and interaction with family and community.
� Nursing trends in Fiji include hospital based-curative
(bedside nursing) and community health nursing
health centers and nursing stations. Other practices
include private home nursing and private agencies .
8/6/2019 Global and Local Trends in Nursing
http://slidepdf.com/reader/full/global-and-local-trends-in-nursing 4/28
Local Nursing practice include :
� Curative Nursing -Bedside nursing in Hospitals
� Preventative Nursing- Community healthnursing
� Mental Health Nursing
8/6/2019 Global and Local Trends in Nursing
http://slidepdf.com/reader/full/global-and-local-trends-in-nursing 5/28
Career Path Academic Qualification
(Fiji )
� Diploma in Nursing Fiji Registered Nurse
� Diploma in midwifery specialized nursing (Midwife)
� Bachelor in Public Health Nursing- Specialized
nursing Community Health� Post graduate diploma in mental health nursing
� Post graduate diploma in I.C.U and C.C.U nursing
� Bachelor of Nursing
� Masters degree in chosen Nursing Discipline
� Doctorate PhD Degree in Nursing
8/6/2019 Global and Local Trends in Nursing
http://slidepdf.com/reader/full/global-and-local-trends-in-nursing 6/28
Aim of education in nursing
� To improve and maintain nursing practice .
� To promote and exercise leadership in
effecting change in health care deliverysystems.
� To fulfill professional learning needs
� To introduce nurses to specialty practice� To teach Nurses new skills and techniques
related to client safety and quality of care
8/6/2019 Global and Local Trends in Nursing
http://slidepdf.com/reader/full/global-and-local-trends-in-nursing 7/28
Education and Career Path
ENROLLED
NURSE
RegisteredNurse
New
Graduate
BeginningClinician
Clinician
SeniorClinician
Clinical Resource Nurse
Nurse Educator Nurse Unit Manager
Academic Advanced Clinician/ Nurse
Practitioner
Nurse Educator
The evolving relationship between education and career path.
8/6/2019 Global and Local Trends in Nursing
http://slidepdf.com/reader/full/global-and-local-trends-in-nursing 8/28
History of nursing in Fiji
� 1983-Miss Werbberburn headed nursing
training in Fiji
� 1897-1st
Fiji trained staff nurse May Andersonworked in Fiji for most of her life
� 1907- 1st 6 Fijian nurses qualified and worked
in the community
8/6/2019 Global and Local Trends in Nursing
http://slidepdf.com/reader/full/global-and-local-trends-in-nursing 9/28
Training Period
� 6 months.
� 1 year
� 18 months .� 2 years .
� 1940-3yrs & 6months.
8/6/2019 Global and Local Trends in Nursing
http://slidepdf.com/reader/full/global-and-local-trends-in-nursing 10/28
Beginning of nursing school
� 1946-first local qualified tutor took over nursing school.
� 1954-Central nursing school was opened
� 1925-establishment of Lautoka nursing school
� 1987-July merged with Tamavua campus to centralizedNursing education at the new Fiji school of nursing
� 1955-alongside of Fiji training of 3 yrs &3 months the NewZealand basic nursing training was established
� 1979-New Zealand curriculum phased out
� 1964-post basic Midwifery &community health nursingtraining were available.
8/6/2019 Global and Local Trends in Nursing
http://slidepdf.com/reader/full/global-and-local-trends-in-nursing 11/28
Continued
1. 1983-Basic Nursing curriculum vitae revised and implemented diploma in nursing
course (Fiji)
� 1987-27th February new Fiji school of nursing opened by Honorable Ratu
Kamisese Mara made possible with the Japanese Government Aid.
� 2004-revised existing Diploma in nursing curriculum to
� revised Diploma in nursing.
� 2002-Fsn in collaboration with James Cook University started the bachelor of
nursing degree programme, coronary care ,Intensive care & peri operative
Nursing
� 2004 - Post graduate mental health course made available
� 2011 Bachelor of Public Health nursing
8/6/2019 Global and Local Trends in Nursing
http://slidepdf.com/reader/full/global-and-local-trends-in-nursing 12/28
MERGER
� 2010- January 1st
� the Fiji school of nursing merged with the
FSMED under the umbrella of FIJI NATIO
NAL
UNIVERSITY with five (5)other colleges.
� So nursing is not static unchanging profession
but progressively growing and evolving as
society changes.
8/6/2019 Global and Local Trends in Nursing
http://slidepdf.com/reader/full/global-and-local-trends-in-nursing 13/28
Migration
� Local nurses are migrating year after year in numbers forgreener pastures to other countries in order to expand theirroles and to have greater independence, autonomy andrespect as members of health care team.
� Poor working condition and poor salary in comparison withoverseas counterparts is also a deciding factor for our localnurses to migrate .
� Specialized nursing such as midwifery is highly recognized bysome of the overseas countries and are highly remunerated(highly paid).
� Greater opportunities in specialization of skills and pursuinghigher education is open to everyone interested.
8/6/2019 Global and Local Trends in Nursing
http://slidepdf.com/reader/full/global-and-local-trends-in-nursing 14/28
Nursings impact on politics and health
policy
� Professional nursing organization such as Fiji nursesassociation work for the improvement of Nursesworking condition, salary and other relevant benefitswhich the nurses demand.
� FNA works in affiliation with the International councilof nurses for the improvement of health standardsand the availability of health care services for allpeople.
� Foster high standards of nursing ,stimulate andpromote the professional development of nurses andadvance their economic and general welfare.
8/6/2019 Global and Local Trends in Nursing
http://slidepdf.com/reader/full/global-and-local-trends-in-nursing 15/28
POLITICS
� Political activism and commitment are part of
professionalism ,and politics are important
aspect of health care delivery.
� Therefore Nurses should view politics as a
reality that includes the art of influence
compromise and social interaction (Crisp
&Taylor,2005).
8/6/2019 Global and Local Trends in Nursing
http://slidepdf.com/reader/full/global-and-local-trends-in-nursing 16/28
Continued
� Nurses have been involved in a different sort
of politics in schools of nursing and also in
health care settings when seeking additional
recourses ,more self direction (autonomy) and
the accountability of authority.The skills
gained in such experiences can be transferred
to the politics of health care policy making .
8/6/2019 Global and Local Trends in Nursing
http://slidepdf.com/reader/full/global-and-local-trends-in-nursing 17/28
Nurses involvement in health care policy &
practice
� As long as nurses maintain involvement in healthcare policy and practice , misinformed outsiders willbe less successful in imposing their will on nursingand nursing practice.
� Other health care providers have made attempts toimpose institutional credentialling,mandatorycontinuing education, curtailment of advancednursing practice and other constraints on the nursingprofession. Nursing should have its own voice indecisions made in these and numerous other areasaffecting the practice and quality of nursing care.
8/6/2019 Global and Local Trends in Nursing
http://slidepdf.com/reader/full/global-and-local-trends-in-nursing 18/28
Future of Nursing
� Nursing requires that nurses individually and
also collectively seek a greater influence on
health care policies affecting nursing practice.
8/6/2019 Global and Local Trends in Nursing
http://slidepdf.com/reader/full/global-and-local-trends-in-nursing 19/28
EVIDENCE BASED NURSING
� Focus is now on evidence based nursing
practice which involves accurate and
thoughtful decision making about health care
delivery for clients.
8/6/2019 Global and Local Trends in Nursing
http://slidepdf.com/reader/full/global-and-local-trends-in-nursing 20/28
GLOBAL TRENDS
� 1990-Western world experienced the major
thrust of health reforms limiting governments
role in the provision of services. Government
public services were privatized as business.
� Private business managers were employed to
run these hospitals.
8/6/2019 Global and Local Trends in Nursing
http://slidepdf.com/reader/full/global-and-local-trends-in-nursing 21/28
NURSING SHORTAGE
� The world shortage of nurses andincreases in the incidence of medical
error has made politicians and healthservice managers appreciate thenecessity of the input of nurses
8/6/2019 Global and Local Trends in Nursing
http://slidepdf.com/reader/full/global-and-local-trends-in-nursing 22/28
continued
� Great emphasis is placed on the workingenvironment of nurses and the need for a healthywork places for nurses.
� 1998-New Zealand minister for health set up aministerial task force on nursing which looked at theexpanding the scope of nursing ,accessing funding,education research ,leadership workforce issues(ministry of health ,1998:998) followed by a reviewundertaken by the nursing council of New Zealandthat looked predominantly at education.
8/6/2019 Global and Local Trends in Nursing
http://slidepdf.com/reader/full/global-and-local-trends-in-nursing 23/28
Continued
� Public concern about nursing in Australia led to the
setting of two national reviews at the same time-the
senate review of nursing report The patient
profession:� Time for action in 2002.
� The national review of nursing education-a joint
review undertaken for the department of health
and aging and the department of education science
and training published in August 2002.
8/6/2019 Global and Local Trends in Nursing
http://slidepdf.com/reader/full/global-and-local-trends-in-nursing 24/28
continued
� The reviews in Australia and New Zealand
indicated a significant level of concern for and
commitment to issues of nursing recruitment
and retention and the need to improve the
culture of the workplace endorsing the
bachelor degree as the appropriate education
for entry to practice.
8/6/2019 Global and Local Trends in Nursing
http://slidepdf.com/reader/full/global-and-local-trends-in-nursing 25/28
continued
� Ministry of health in New
Zealand(2003)released a blue print for the
future saying that primary health care and the
use of nurses in the community is equally
important to Australias health care in future.
8/6/2019 Global and Local Trends in Nursing
http://slidepdf.com/reader/full/global-and-local-trends-in-nursing 26/28
SIGNIFICANT THOUGHT
� You can help shape a new generation of nursing. Thisis the time for optimism and you will be part of thenew generation of health care professionals.
� Nursing practice is dynamic and always changingbecause of new information originating fromresearch, practice trends, technological developmentand social issues affecting clients. So one best way tomeet this consumer expectations is to provideevidence based nursing practice.
8/6/2019 Global and Local Trends in Nursing
http://slidepdf.com/reader/full/global-and-local-trends-in-nursing 27/28
Critical thinking exercises
Get together in your various allocated groupings
Through your past observations of clinicalpractice identify similarities and differences in
these given roles :
a. Clinical Nurse (Staff Nurse)
b. Clinical Instructor/Tutor
c. Nurse educator .
8/6/2019 Global and Local Trends in Nursing
http://slidepdf.com/reader/full/global-and-local-trends-in-nursing 28/28
Critical Thinking exercise
� Outline some career objectives for yourself .
� Decide what you want to do as a professionalnurse .
� Now outline strategies to achieve these goals.