HOLY NAME UNIVERSITY

COLLEGE OF HEALTH SCIENCES

DEPARTMENT OF NURSING
1st SEMESTER S.Y. 2019-2020

ISSUES AND TRENDS

IN NURSING
PRATICE AND EDUCATION
(NCM 107)

Submitted by:
Charlene Marie Solana
Rochelle Torregosa
Elizaben Valloso

Submitted to:
Mrs. Belen Mendez, RN, MAN
Nursing Practice

- is defined as the range of roles, functions, responsibilities, and activities which

registered nurses are educated and authorized to perform.

Nursing Education
- refers to the specific training a nurse receives to be qualified to work with
patients.
- formal learning and training in the science of nursing

ISSUES IN NURSING PRACTICE

The issues Nurses face today:

1. Compensation - when it comes to nurse compensation, regional differences are
to be expected based on cost of living.

2. Workplace Violence - Violence is reported to be the third biggest cause of

injuries for employees in the health and social sector. Violence towards nurses
 can range from a drunken patient attacking them or verbal assault. To be honest,
you shouldn't expect patients to be violent towards healthcare staff but it's a
common occurrence.

3. Short Staffing - Staffing shortages is one of the biggest problems currently

facing nurses. Hospitals are trying to meet their budgets and save costs
wherever they can. But these cost cuts are cutting down on staff and this puts
greater pressure on staff because they have less support and they have to work
more hours.

According to Balita, there is underutilization of nurses in the Philippines leading

to poor health care service to Filipino patients. Instead of the appropriate DOH
ratio of 1 nurse to 10 to 15 patients, a Filipino nurse has to deal with 40 patients
at the very least.

4. Long working hours - Working long hours and doing overtime, have been a big
issue for years. Nurses are repeatedly expected to do 12-hour shifts and do
overtime. This problem mainly stems from staff cuts but nurses are often required
to stay at work when there has been a serious accident.
While many hospitals expect their nurses to repeatedly work long hours, they fail
to understand that nurses need time to recover away from the hospital. Working
as a nurse is physically and emotionally stressful and it's important they have
enough time to rest. When nurses are exhausted at work, they aren't working
their best and this is where accidents can happen.

5. Workplace Hazards - Another of the biggest problems facing nursing is

workplace hazards. Nurses have to regularly work with needles, sharp tools and
heavy equipment. To help avoid accidents, all staff should be trained properly
and always follow rules and regulations to ensure they aren't injured, along with
their colleagues.
Any potential hazards should be seen to immediately. For example, wet floors
can cause serious accidents. As nurses are busy, it's easy to forget to check the
floor for potential dangers but wearing appropriate footwear can help reduce the
chance of an accident happening. Healthcare shoes with effective slip-resistant
grip are excellent on slippery floors and help nurses stay on their feet.

6. Meeting patient expectations - According to a survey carried out by the Nursing

Times, they found that more than half of nurses said that meeting patient
expectations is the biggest problem currently facing nursing.
Patients have very high expectations but because of budget and staffing cuts,
these expectations can't always be met. This puts immense strain on nurses who
usually have lots of patients to look after. Hearing their patients are unhappy with
their level of service can affect morale and put nurses under a great amount of
negative stress.

7. Personal Health - Finally, another problem for nurses is their own personal
health. Working in healthcare is a stressful occupation and can cause stress-
related health problems.

ISSUES IN NURSING PRACTICE (LIST)

 Status of nursing in society in the health care delivery system.
 Renewal of nursing registration
 Diploma Vs. Degree in nursing for registration to practice nursing
 Nursing care standards
 Values reflected in our nursing performances.
 Attitude, human approach.
 Higher education for senior positions in nursing
 Nurse patient ratio
 Different levels of nurses that we need in our country.
 Quality in nursing v/s education and practice.
 Define and delineation of nursing functions at the different level.
 Non availability of health care programme of nurses.
 Noninvolvement of nurses in nursing matters.
 Poor pay structures.
 Lack of security and safety.
 Less promotional opportunities
 Harassment by other personnels
 Inadequate supplies
 There are number of ethical issues related to nursing practice. By very nature of
ethical dilemma, there can never be one correct solution. Still there are number of
ethical issues that nurses are facing today for eg. Don`t resuscitate orders, Starting
and withdrawing life support system,

TRENDS IN NURSING PRACTICE

1. Recruitment and Retention

For nurse managers, recruiting and keeping excellent nurses is going to be a
challenge. Demand for nurses started increasing in 2016 and it isn’t expected to
level off until 2026. The Bureau of Labor Statistics says that more nurses are
needed because of “an increased emphasis on preventive care; growing rates of
chronic conditions such as diabetes and obesity; and demand for healthcare
services from the baby-boomer population, as they live longer and lead more active
lives.” Staffing is always a sticky issue, but as demand for nurse’s rise, keeping
good employees is going to become even more challenging.

For nurses on the floor, increasing demand for the profession will present new
opportunities. It’s a chance for experienced professionals to go where they want,
when they want, for the best positions and the best salaries. Nurse Journal says
the five booming nursing specialties are:

1. Certified Nursing Anesthetist

2. Certified Dialysis Nurse
3. Certified Legal Nurse Consultant
4. Certified Nurse Midwife
5. Nurse Case Manager

2. Technology race
The more things change, the more they stay the same. It doesn’t matter what type
of technology you work with; you know it is going to change. The challenge is to
stay ahead of it. Chief nursing officers, nurse managers, and floor nurses are going
to have stay abreast of technology and adopt the systems that improve patient
care. Nurses have to be trained on the new technology, whether it is enhanced

 EMR/EHR
 Patient glucose monitors,
 Patient scheduling systems, or
 Software platforms that enhance patient/family/provider communication.
Some healthcare organizations may bristle at technology costs, but as the time
savings and quality improvements become clear, adoption increases.

3. Patient culture and communication

The United States has always been a melting pot, and it remains so despite a
rather raucous political climate toward immigration. As a nurse, being culturally
aware and sensitive to the cultural mores of patients is essential. Missteps can
quickly become obstacles to the delivery of care.

 Awareness: Be aware of your own cultural “identifications” in order to control any

personal biases that may interfere with caregiving.
 Acceptance: As a nurse accepts patient conditions, he or she allows patients to
articulate their feelings without judgement, opening themselves to care.
 Asking: Always ask about things you may not know or understand. When in
doubt about how to provide care that complies with the patient’s cultural
requirements, ask the patient.

Possessing “cultural skill” is essential for every provider. It is the ability to collect
information specific to the patient’s culture, and relevant to the presenting health
issue, during the initial assessment. For nurses, it is a function as important to
delivering appropriate care, as gathering blood pressure and temperature readings.

4. Employee Engagement
Nurse Managers and other nurse leaders name employee engagement as one of
the leading healthcare challenges of 2019. Nurses want to work for leading
institutions. They want recognition, support, to be engaged and have a voice in
organizational initiatives.

Employee engagement differs widely from one organization to another, but the
point is this: in a day and age when nurses can select the best employment
because demand is high, it stands to reason they will gravitate to the organizations
that engage them. To maintain a skilled, experienced nursing workforce, healthcare
organizations will have to find a way to give nurses a seat at the table in quality,
safety and other patient care projects. When nurses feel they are part of a bigger
team they feel recognized and that leads to greater job satisfaction and retention.

5. The biggie: better self-care

It’s easy to scoff at the concept of self-care. Working full-time and taking care of
one’s family is challenging to begin with. How is one supposed to add self-care to
the list? It may seem impossible, but the reality is that self-care is one of the most
important things that any nurse can do to preserve longevity in the job. Finding a
way to reduce stress will promote physical, mental, and emotional health and help
to prevent burnout.

Self-care isn’t just a challenge for the individual nurse, it’s a looming issue for
nurse leaders as well. Promoting self-care, and integrating it into the workplace,
can improve mental health and
productivity for the nursing workforce. It can also reduce illness and sick days. It’s
not enough to tell nurses that self-care is important, forward thinking organizations
will help them make it a reality through workplace programs and support.

2019 promises to be another challenging year for healthcare. Only stable, proactive
organizations will attract the best nurses and keep them. The hospitals, health
systems, physician practices, and many other points of care that pay attention to
the very real needs of professional nurses are the ones that will maintain a stable,
highly skilled workforce that delivers excellent care.
 ISSUES IN NURSING EDUCATION

Our Philippine nurses are in high demand globally due to our standardized and unified
BSN curriculum. Sadly, this globalized demand is driving the academe to come up with
new programs that also fit the modern age and needs. This poses a threat to the image
of Philippine nursing abroad, in relation to our economic status as a third–world country.
In addition, this also exacerbates the quality of the nursing and health service in our
own country.
A. Majority of nursing faculty (Clinical Instructor’s and Deans) still lack advanced
education and training
-When one looks into the current state of nursing schools in our country, one could see
the trend that there is a continuous increase in the number of newly opened nursing
schools. From 175 in the early 1990s, it has ballooned to a current 450 registered
schools and colleges of nursing. This mushrooming of new schools is attributed to the
high demand and high–paying jobs that nurses have in developed countries like the
United States and the United Kingdom. Yet when one examines the quality of the
program schools and colleges offer, a feeling of shock and bewilderment comes. For
instance, out of 2,392 faculty surveyed in 2003, only 1,157 [58%] are BSN with MA
units; 539 [22.53%] have MAN and 198 [8.28%] have MAs in other fields.

This alone shows that a majority of nursing faculty still lack advanced education and
training. Alas, this is also reflected in their salaries, because in spite of having a high
demand for clinical instructors, most faculty members [64%] are paid P15,000 and
below. Half of them are paid less than P10,000 a month.
These two factors affect nursing education as new schools open without qualified deans
and faculty members. Less than 1% of the deans of colleges of nursing have doctorate
degrees, and due to the influx of nursing students, hospitals accept more than the
required affiliate nursing students. Sadly, this translates to a high patient–to–nurse ratio
of one patient to two nursing students in the 1990s, to one patient to 15 nursing
students. How then could nursing students afford a quality experience in their practice
when there are too many of them attending to one patient? Even the patient might feel
exasperated by the sheer crowd of nurses attending to him or her.

B. Decrease in the number of passers in the nursing board exam

From 54% in 2001, it has steadily declined to 46% the following year, and in 2003 it was
43%. Although in the more recently concluded exam, the number of successful board
examinees increased, this is not an entirely reliable statistic because of the fact that
there are many doctors who took up nursing as a second course; which also translates
into the loss of qualified doctors who could serve in different community and regional
hospitals in our country.

ISSUES IN NURSING EDUCATION WORLWIDE (LIST)

 Nursing Training schools multiplied.
 Lack of independent building for schools and colleges
 Lack of independent principal for schools and colleges
 Inadequate hostel facilities for students
 Shortage of qualified teachers in nursing
 Inadequate library facilities
 Less promotional opportunities for teachers of both schools and colleges
 Insufficient efforts to prepare nurses for the job they are accepted to perform in their
work field in terms of appropriate skills, knowledge and right attitude and the desired
behaviour patterns reflecting the values for caring.

TRENDS IN NURSING EDUCATION

1. Pedocentric: student is the focus of present day education system.

2. Teacher’s Role: The model of teacher as the pivotal and dominant figure in
education, presenting a variety of information to pupils has practically
disappeared.
3. Activity centered
4. Creative education
5. More community participation
6. More reliance on technology
7. Increase acceptance of non-formal type of education
8. Restructuring traditional programmes
9. Increased opportunity for higher studies

REFERENCES:
https://blog.sfceurope.com/what-are-the-biggest-problems-facing-nursing-today
https://www.nursingce.com/blog/5-challenges-nurses-will-face-in-2019
https://www.uerm.edu.ph/publications/Mediscope/publication20061/34