FUTURE OF NURSING

Stimulating improvement & accountability

Marieke J. Schuurmans, PhD, RN

Professor of Nursing Science/Care for older people

UMC Utrecht/Hogeschool Utrecht

INCREASING DEMAND FOR HEALTH CARE

• demographic change• changing patterns of health and disease• rising expectations of public and service users• increased access and choice• shift to delivery of more care in community settings• continuing social inequality• advances in care and treatment• advances in technology for communications and careFront line Care Report by the Prime Minister’s Commission on the Future of Nursing and Midwifery in Engeland

(2010) http://cnm.independent.gov.uk

FUTURE OF NURSING REPORTS

Nurses are at the heart of deliveringthe high quality, compassionate care that everyonewants.

They play a key role in determining the qualityof health and social care and enabling people tomake personal choices in a range of health, social andcommunity settings.

They are also vital in improvingpublic health, health promotion and illness prevention– crucial elements of future health care.

Front line Care Report by the Prime Minister’s Commission on the Future of Nursing and Midwifery in Engeland (2010) http://cnm.independent.gov.uk

OPPORTUNITIES FOR NURSES TODAY

• Enhance the quality of care across settings• Advance patient safety• Improve health systems• Remove barriers tot high quality care• Reduce health disparities• Analyse issues in health• Partner creatively and effectively

M. Hill (2010)

NURSES

371.000 nurses and you never see them …

… until you need them!

440.000 nurses in the NetherlandsWhat do they do?What are the results of their care?

NURSING

The unique function of the nurse is to assist the

individual, sick or well, in the performance of those

activities contributing to health or its recovery (or to

peaceful death) that he would perform unaided if

he had the necessary strength, will or knowledge.

And to do this in such a way as to help him gain

independence as rapidly as possible

V. Henderson, 1966, p15

like loving patronizingaccording to the latest medical insights ..

Inhoudelijk debat in de verpleegkundeDebate:

• Patient oriented versus task oriented

• Need driven versus diagnosis driven

• Presence versus performance

FOCUS OF NURSING

Medical model versus psychosocial model

Hoog tijd

Nurses (FN 2010) set in collaboration with patients their own professional goals,

enhance data collection on outcomes enhance information infrastructure to

improve quality of care, effective workforce planning and policy making

Stimulating improvement & accountability

• Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression

• Nurses should practice to the full extent of their education and training

• Nurses should be full partners, with physicians and other health care professionals, in redesigning health care

The Robert Wood Johnson Foundation (RWJF) and the Institute Of Medicine (2010)

LEADERSHIP

PARTNERSHIP