global and local trends in nursing

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THEME 3.

GLOBAL AND LOCAL TRENDS IN

NURSING

1



REFERENCE

� Crisp & Taylor (2005 ) Potter & Perrys

Fundamentals of Nursing(2nd ed.) Elsevier,

Australia.

� Printed article on history of nursing (1998)

FSN closed reserve.



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 .



Local Nursing practice include :

� Curative Nursing -Bedside nursing in Hospitals

� Preventative Nursing- Community healthnursing

� Mental Health Nursing



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



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



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.



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



Training Period

� 6 months.

� 1 year

� 18 months .� 2 years .

� 1940-3yrs & 6months.



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.



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



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.



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.



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.



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).



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 .



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.



Future of Nursing

� Nursing requires that nurses individually and

also collectively seek a greater influence on

health care policies affecting nursing practice.



EVIDENCE BASED NURSING

� Focus is now on evidence based nursing

practice which involves accurate and

thoughtful decision making about health care

delivery for clients.



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.



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



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.



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.



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.



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.



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.



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 .



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.

global and local trends in nursing

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