FUTURISTIC NURSING

FUTURISTIC NURSING
 Introduction:
Nursing profession has a rich history characterized by
compassion, dedication and service. It exists today has
come a long way, withstanding the ups and downs that
social, political, economic religious, cultural,
technological changes have put forward. As society's
culture continues to experience change, the profession
of nursing is undergoing continuous evolution.
 
 The art of using the latest technology &
science to promote quality of life as defined by
patients and families through out their life
experiences from birth to the end of life.
DEFINITION
 It is time for nursing to question and redefine its
role within system and take steps to bring about
the future that he nursing profession is to
achieve.
THE FUTURE OF NURSING HOLDS A
MYRAIDS OF CHANGES AND
CHALLENGES
 These changes and challenges include both
external forces as well as influences from
within the profession as the role of the
nurse is further defined. The changes are
inevitable and should be embraced. It is the
responsibility of nurses to shape the future
rather than merely react to the shifts in the
tide.
CONTD….
 Nurses will be positioned to appropriately
respond if they adopt an attitude of expectancy,
recognize challenges as opportunities, and are
adequately prepared to take an active role in
shaping the future of profession.
CONTD…….
 Futuristic nursing can be classified in terms of
nursing education, practice, administration and
research and amalgamation of all four
components which might occur in the years to
come
ADVANCES IN TECHNOLOGY

 The explosive growth of technology will continue

to have an impact on health care delivery. The
advancements in telemedicine will link clinicians
with patients across great distances. The growth
of this technology will change the way nurses
function, and lead to the development of new
nursing roles.
CONTD…
 Electronic medical records are expected to
replace conventional modes of documentation. X-
ray films will be a thing of the past; x-ray images
will be transmitted by computers and saved on
floppy disc for retrieval and reviewing. As
consumers become more educated about health
promotion, there will be an elevated demand for
alternative and complementary health care
choices.
CONTD…
 The promotion of advanced directives, organ
donation, and comfort measures for the terminally
ill will lead to elevation in hospice care providers.
Care modalities which include pain management,
spirituality assessment and bereavement counseling
will be incorporated into health care organizations
and nursing education curriculums. Nursing
research will greatly contribute in developing and
implementing these therapy options.
DEMOGRAPHIC,EPIDEMIOLOGY TRENDS AND HEALTH CARE SATISTICS

 These help us recognize health care needs for

society and give information for future
planning of cost effective services. Increasing
life span is a driving force for the development
of improved services for the elderly.
CONTD…
 End of life care has received more attention over
the last few years, but nursing research into this
area needs to be further developed and findings
disseminated. In many societies immigrant issues
have created the need for better cultural
understanding of health care needs and require
resources for care.
FLOW OF RESOURSES
 Where is the money going and where is it likely
to go? Money flowing into health care in the
community will be a driving force for changes in
that area, but a blocked flow will be a restraining
force to preventive health care services. Nursing
input and political power can impact that flow to
provide effective health care programs and
services.
SUPPLY OF MANPOWER AND COMPEITION

 Manpower shortages or surpluses in health care

professions impact the utilization of nurses and
advanced practice nurses. Who are our
competitors for delivery of services and
resources? This is a particularly important area in
times of nursing shortage to be sure that less
qualified health care workers are not used to
substitute for the sake of expedience and reduced
costs.
CONTD…
 . How can we develop competitive and marketing
strategies? How can we form coalitions to reduce
competition? At the same time we need to
explore whether more collaborative programs of
care can be developed effectively, so that we are
not holding on to outmoded ideas of the
profession but can develop newer modes, such as
advanced practice nursing, to work in
interdisciplinary collaboration.
CONTD….
 Collaborative rather than competitive strategies
can strengthen quality of care by better utilizing
the expertise of each participant.
ROLE DELINEATION, ROLE CONFUSION

 Are the jobs keeping up with the expectations of

nurses and with advanced practice nursing? How
are supports worker jobs defined? How do
professional standards interact with reality? How
many people are required to do the job? Can one
person realistically do the job? How can job
satisfaction be increased in this era of high stress
in the workplace?
PUBLIC OPINION

 Nurses need to be aware of the public perception

of their role. Development of coalitions and
supporters within communities and media can be
a driving force for advanced nursing practice.
Consumer or professional opposition can provide
barriers to practice, and be a restraining force.
GLOBILIZATION

 Factors contributing to globalization include

advances in information technology and
communications, international travel and
commerce, the growth of multinational
corporations. Future nurses will face the challenge
of maintaining a holistic approach to client care in
in an environment of growing specialization.
Focus on health promotion, maintenance, and
revitalization will continue to grow.
NURSING PRACTICE
 The Practice in a cost containment environment
(cost-effective and high quality care)
 The mission of health care is being redefined.
 Environment for bed side care are changing.
 Care is shifting from hospital based to
community based care.
CONTD…
 Hospital nursing will continue to become more
selective and specialized.
 Collaborative, interdisciplinary practice models
will come into vogue in all setting.
 Communication, computers and information
networks will erase boundaries created by
distance and inaccessibility to physical facilities.
 Greater emphasis will be placed on the ethical
component of care. 
 The change in health care delivery systems has
also afforded nurses a wider range of
functionality. Although independence have been
cultivated through expanded roles.
CONTD..
 Trends towards downsizing and the current
nursing shortage have increased the use of non-
licensed personnel in many healthcare areas. This
will continue to force the nursing profession to
identify, clarify, and communicate its scope of
practice.
NURSING FUTURE CHALLENGE

 The change in health care delivery systems has

also afforded nurses a wider range of
functionality. Although independence have been
cultivated through expanded roles.
CONTD…

 Trends towards downsizing and the current

nursing shortage have increased the use of non-
licensed personnel in many healthcare arenas.
This will continue to force the nursing profession
to identify, clarify, and communicate its scope of
practice.
ADVANCES IN TECHNOLOGY

 The explosive growth of technology will continue

to have an impact on health care delivery. The
advancements in telemedicine will link clinicians
with patients across great distances. The growth
of this technology will change the way nurses
function, and lead to the development of new
nursing roles. Electronic medical records are
expected to replace conventional modes of
documentation.
CONTD…
 X-ray films will be a thing of the past; x-ray
images will be transmitted by computers and
saved on floppy disc for retrieval and
reviewing. As consumers become more
educated about health promotion, there will be
an elevated demand for alternative and
complementary health care choices.
 The promotion of advanced directives, organ
donation, and comfort measures for the
terminally ill will lead to elevation in hospice
care providers. Care modalities which include
pain management, spirituality assessment and
bereavement counseling will be incorporated into
health care organizations and nursing education
curriculums.
WORK ENVIRONMENT
 Nursing's dissatisfaction with the workplace
environment is another issue that must be faced
when considering the profession's future. This
dissatisfaction was multifaceted and included
issues such as workplace violence, inability to
attend continuing education programs due to
heavy workloads, exhaustion, and inability to
provide safe patient care.
CONTD.....
 Mee and Robinson (2003) state that "nurses need
work environments with strong professional
practice models that value their work and
recognize their impact on patient outcomes.
 Working conditions for nurses are also changing.
There is a gradual change towards shorter and
more convenient hours of duty, better
accommodations and higher salaries.
NURSING SHORTAGE
 Manpower shortages in health care professions
impact the utilization of nurses and advanced
practice nurses. This is a particularly important
area in times of nursing shortage to be sure that
less qualified health care workers are not used to
substitute for the sake of expedience and reduced
costs
CONTD…
 . At the same time we need to explore whether
more collaborative programs of care can be
developed effectively, so that we are not holding
on to outmoded ideas of the profession but can
develop newer modes, such as advanced practice
nursing, to work in interdisciplinary
collaboration.
CONTD…
 Collaborative rather than competitive strategies
can strengthen quality of care by better utilizing
the expertise of each participant.
COSTS CONTROL CHALLENGE :
 

 In 1970s, 1980s, and 1990 governmental budget

deficits reached all-time high. Government
spends re money on health care system. Societies
poor, homeless, elderly, substance abuse, AIDS
and mentally ill patients are increased into
country. The major question yet to be answered is
“How can we pay for health care for these people
and the numbers are expected to be increased.
CONTD…
 The central and state governments are seeking to
answer that question. The next decades will see
hospital closing is record numbers, pressures
continuing to mount from business community
forcing changes in financial health Care reforms.
NURSING AND EDUCATION

 Most professions provide a single route for the

educational preparation of its practitioners.
However the development of nursing as a
profession has resulted in major educational
routes that prepare graduates to write the
National Council Licensure Examination
(NCLEX) for registered nurses.
 Nursing Assistant: Individuals called nursing
assistant provide care to the patient in hospitals
and long-term care facilities. Certified Nursing
Assistant (CNA) works under the directions of
RN or licensed Practical nurse. The training
course may conduct at many settings-high
schools, long term care facilities, hospitals,
community colleges, and privately operated
hospitals.
 Practical Nurse Education: The practical nurse
or vocational nurse now new comes into the
health care delivery system. They could perform
basic nursing procedure at home itself. The
general curriculum for these people to take 7
years to complete. They have educational
preparations at high schools, technical schools,
hospitals, junior or community colleges,
universities or independent agencies.
 Diploma Education: Diploma program
administered by hospitals and also referred to as
hospital based programs. The programs vary in
length from 24-36 months. They are affiliated
with a college or universities.
 Associate degree education: The movement toward in
1972, today associate degree nursing program prepare
more graduate for licensure as RN’s than do any other
program.
 Baccalaureate Education: This program that occur in 4.5
years in colleges or universities. The program existed as
a quasi autonomous branch of the university’s school of
medicine. In recent years the nature of baccalaureate
education has changed they permit a degree of
specialization at the same level .
 Masters program: After baccalaureate degree
students are granted Masters Degree in nursing
after completion of 2 years program The
research-based Master of Science in Nursing
(MScN) program provides the basis for
leadership in professional Nursing and the
foundation for doctoral studies.
 M Phil: This program is of 1 year (full time) or 2
years (part time) after the completion of M.Sc.
nursing.
 Doctoral programs: Nurses with doctoral
degrees are expected to have tremendous job
demand over the next ten years. These programs
prepare nurses for careers in health
administration (a PhD is the preferred degree for
nursing executives), clinical research, and
advanced clinical practice. The programs take
from four to six years to complete, so they
represent a significant commitment on your part.
 In a doctoral program everyone receives training
in research methods (including statistics and data
analysis), the history and philosophy of nursing
science, and in leadership skills.
 Changing roles and functions of the nurse as
perceived in the globe.
 The nurses in India are also prepared and more
privileged to face the changes and ready to accept
the challenging roles and functions of the nurse
as perceived in the globe because of the
development in the education and training
system.
 The following roles and positions perceived as in the
globe are given below.  
a . Nurse educator works in schools of nursing, staff
development departments. They provide the
educational programme for student’s nurses and nurses,
teach clients about the self-care and home care.
b. Clinical nurse specialist specializes in managing
specific diseases and they function as clinicians,
educators, managers, consultants and researchers
 Nurse practitioners are certified to provide health
care to clients in out-patient
 Nurse educator works in schools of nursing, staff
development departments. They provide the
educational programme for student’s nurses and
nurses, teach clients about the self-care and home
care
 d. Certified nurse-midwife are certified by the
American College of Nurse-Midwives to provide
independent care for women during normal
pregnancy, labor and delivery.
e . Nurse anesthetist , having advance training in
anesthesiology, provides surgical anesthesia to the
client under the supervision of an anesthesiologist
during minor surgery baccalaureate degrees or
master’s degree
 f. Nurse administrators manage client care within
the healthcare agencies in a middle level or upper
level management position.
g . Nurse researcher with Doctoral degree
investigate nursing problem to improve care and
to define and expand the scope of nursing
practice. Advancements in science increase health
needs of the society and thereby expect changes in
the role of nurses and thus increases.
 THE NURSING PROFESSION IN 21ST
CENTURY
This is a time of confusion within health care
systems all around the world. The economic
downturn in the global society has impacted on
health care. In many places services have been cut
and access to services reduced. In addition, new
diseases such as AIDS, Cancer SARS and the
threat of bio-terrorism have entered our lives.
 New technologies and treatments occur rapidly,
but are often expensive and these advances can
be difficult to finance. Patients are moved out of
hospital rapidly, and those that remain are more
acutely ill than they have been in the past. Those
discharged patients often need more assistance at
home and in the community than in previous
years, and those services can also be expensive
 Nurses are a vital part of the health care system,
but nursing shortages have appeared in many
areas,
 The nursing profession needs to begin to
recognize new trends and patterns in 21st century
that are emerging in health care.
 NURSING RESEARCH
1. Research priority will be outcome measurement studies
that demonstrate cost effective care.
2. Emphasis will be on collaborative, multi-
disciplinary and multicenter research studies.
3. Development of stronger Evidence base through rigorous
methods and multiple, confirmatory strategies. Future
directions for nursing Research Nursing research continue
to develop at a rapid pace and will undoubtedly flourish in
the 21st century .
 The priority of nursing research in the future will
be promotion of excellence in the nursing
science. Towards this end nurse researchers and
practicing nurses will be sharpening their
research skills and using the skills those skills to
address emerging issues of importance to
profession and its client.
 High focus on EBP: Concerted efforts to use
research findings in practice are sure to continue
and nurses at all levels are encouraged to engage
in evidence-based patient care. In turn
improvements will be needed both in quality of
nursing studies and in nurses skills in locating,
understanding, and using relevant study results.
 Development of stronger Evidence base
through rigorous methods and multiple,
confirmatory strategies: Practicing nurses are
unlikely to adopt an innovation based on weakly
designed or isolated studies. Strong designs are
essential and confirmation is usually needed through
replication (i.e. intentional repeating) of studies with
different clients in different clinical settings and at
different times to ensure that findings are robust.
 Expanded local Research in health care
settings:
 In current evidence based environment there is
likely to be an increase of small and localized
research designed to solve immediate problems.
It ensures that evidence from these small projects
become available to other with similar problems
CONTINUING EDUCATION FOR 21ST CENTURY

 One need only scan a newspaper or read a weekly

magazine to be astounded by the
number of stories about new medical
breakthroughs, disease processes, emerging
threats of disease, or innovations in medical and
health care technology.
 The World Health Organization warns us to
prepare for a potential worldwide Bird Flu
epidemic, terrorists threaten us with chemical,
biological and nuclear weapons, and new
protocols for ACLS are released. How is a
working nurse to keep up?
WORKING CONDITIONS

 Working conditions for nurses are also changing.

There is a gradual change towards shorter and
more convenient hours of duty, better
accommodations and higher salaries .
 PATIENTS BILL OF RIGHTS
 After the development of the “Patients Bill of
Rights”, the nurses are also accountable for
patients care and have legal responsibilities for
the patient .
FUTURE OF NURSING CAREERS

 Predictions are that in 10 or 20 years, it will look

nothing like it does today! With new technologies
and drugs, changes in insurance and health care
policies, and the shortage in nurses, the
profession will have to reinvest itself.
 Many nursing functions will be automated. For
example, documentation and updating patient
records, smart beds to monitor vital signs, bar
codes, and automatic medicine carts could reduce
the time and errors in dispensing medications,
and voice-activated technology would eliminate
the need to constantly write things down.
 Other nursing task such as serving meals will be
taken over by aides. This would give nurses more
time to provide a human touch to their patients.
 As a result of nursing shortages, healthcare
facilities will be forced to use their nurses
judiciously. Nurses will spend more time at the
bedside as educators and care coordinators to
refocus on the patient. With the lengths of patient
stays shortening, nurses will have to make the
best use of a shrinking amount of time hospital
stays.
 Nurses will also spend more time in
administration and supervision positions. They
will need to know how to access knowledge and
transfer it to the patient and their loved one.
NURSING EDUCATION

 Nursing education provides the basic building

blocks of medical, scientific, and nursing
knowledge, but competence in the nursing
profession requires an ongoing process of
continuing education. Continuing education for
nurses is necessary for the nurse to remain up to
date with the latest practice issues and it is
necessary for patient’s safety as well.
 Some states have made continuing education for
nurses mandatory and require a certain number of
course credit hours be attained before license
renewal, or require certain mandatory course
subjects, while other states leave it to the nursing
professional themselves to accept a personal
responsibility for their own continued learning.
Regardless of whether nursing continuing
education.
JOURNAL REFERENCE
 The only thing that is constant is change” Lord
Krishna in the “Geetha”
 Futuristic nursing can be classified in terms of
nursing education, nursing Practice, nursing
Research, nursing administration and an
amalgamation of all the four components which
might occur in years to come.
 Clearly, nursing's future does indeed include
manifold opportunities and challenges. The
profession must not be complacent but it must
become proactive in shaping its future, otherwise
someone else will do it for us. We can say that
“The time is short, resources are scarce, and
issues are critical"
MODEL FOR FUTURISTIC NURSING

Quality Oriented
education and
holistic health
care
TELEMEDICINE
 Telemedicine is the use of telecommunication
and information technologies in order to provide
clinical health care at a distance. It helps
eliminate distance barriers and can improve
access to medical services that would often not be
consistently available in distant rural
communities. It is also used to save lives in
critical care and emergency situations.
 Although there were distant precursors to
telemedicine, it is essentially a product of 20th
century telecommunication and information
technologies. These technologies permit
communications between patient and medical staff
with both convenience and fidelity, as well as the
transmission of medical, imaging and heath
informatics data from one site to another.
 Early forms of telemedicine achieved with
telephone and radio have been supplemented with
videotelephony, advanced diagnostic methods
supported by distribute client/server applications,
and additionally with telemedical devices to
support in-home care.
 Telemedicine can be broken into three main
categories: store-and-forward, remote monitoring
and (real-time) interactive services
 Store-and-forward telemedicine involves
acquiring medical data (like medical images,
biosignals etc.) and then transmitting this data to
a doctor or medical specialist at a convenient
time for assessment offline. It does not require
the presence of both parties at the same time.
Dermatology(cf: teledermatology), radiology, and
pathology are common specialties that are
conducive to asynchronous telemedicine
 A properly structured medical record preferably
in electronic form should be a component of this
transfer. A key difference between traditional in-
person patient meetings and telemedicine
encounters is the omission of an actual physical
examination and history.
 The 'store-and-forward' process requires the
clinician to rely on a history report and
audio/video information in lieu of a physical
examination.
 Remote monitoring, also known as self-
monitoring or testing, enables medical
professionals to monitor a patient remotely using
various technological devices. This method is
primarily used for managing chronic diseases or
specific conditions, such as heart disease,
diabetes mellitus, or asthma.
 These services can provide comparable health
outcomes to traditional in-person patient
encounters, supply greater satisfaction to patients,
and may be cost-effective.
 Interactive telemedicine services provide
real-time interactions between patient and
provider, to include phone conversations, online
communication and home visits.
 Many activities such as history review, physical
examination, psychiatric evaluations and
ophthalmology assessments can be conducted
comparably to those done in traditional face-to-
face visits. In addition, “clinician-interactive”
telemedicine services may be less costly than in-
person clinical visit.
TELENURSING
 Telenursing refers to the use of
telecommunications and information technology
in order to provide nursing services in health care
whenever a large physical distance exists
between patient and nurse, or between any
number of nurses
 As a field it is part of telehealth, and has many
points of contacts with other medical and non-
medical applications, such as telediagnosis,
teleconsultation, telemonitoring, etc.
 Telenursing is achieving significant growth rates
in many countries due to several factors: the
preoccupation in reducing the costs of health
care, an increase in the number of aging and
chronically ill population, and the increase in
coverage of health care to distant, rural, small or
sparsely populated regions.
 Among its benefits, telenursing may help solve
increasing shortages of nurses; to reduce
distances and save travel time, and to keep
patients out of hospital. A greater degree of job
satisfaction has been registered among telenurses.
SPACE NURSING
 Space Nursing Society
(SNS) is an international
space advocacy
organization devoted to
space nursing and the
contribution to space
exploration by Registered
Nurses. SNS is an affiliated,
non-profit special interest
group associated with the
National Space Society.
 Founded in 1991, the SNS
has over 400 members
from around the world
including Australia,
Canada, England,
Germany, Greece,
Scotland and the United
States
 The SNS provides a forum for the discussion and
exploration of issues related to nursing in space
and its impact upon the understanding of
earthbound nursing through conference
participation and its newsletter Expanding
Horizons.
 The information being learned in the microgravity
environment of space has tremendous applications
for the bed-bound patient on earth.
 Bedrest is considered analogous to some of the
reactions the astronauts have experienced in
space, which include inner ear fluid shifts, loss of
plasma volume, muscle atrophy, demineralization
and calcium/bone loss.
 If one were to consider the issues of confined
spaces, closed ecological systems with little
personal space, and psychological-social
interactions, there are many earth-bound
counterparts that could benefit from what is being
learned via space research
E NURSING
 e-nursing is a computerized system designed to
develop competence in the fundamentals of
Nursing and proficiency in the clinical skills
essential to the profession.
 It enhances the methodology and process of
learning and presents study content in ways that
grab and sustain attention.  Its objective is to
insure the quality of learning.
REFERENCES
 .Futuristic Nursing, www.scribd.com
 En.wikipedia.org
 www.healthguidance.org
 Potter and Perry, Fundamentals of Nursing,6th
edition,Mosby publishers,P 22-23
Thank you