New Dimensions in Nursing

8/3/2019 New Dimensions in Nursing

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NEW DIMENSIONS IN

NURSINGPREPARED BY:

ABBI Q. GUTIERREZ, RN



NEW DIMENSIONS IN NURSING

Paradigm Shift

Globalization

Empowerment

Global Competitiveness



NURSING YESTERDAY & TODAY



“Impact of the birth of JESUS CHRIST and His

teaching on society and the care of the sick”.

BENEDICTINE monasteries’ rule:

- “The care of the sick is to be placed above

and before every other duty, as if indeed

Christ were being directly served by waiting upon them.”



Hospitals outside the monasteries were built.

- “brothers & sisters”

19th century: rapid growth of hospitals andcommunity nursing associations

“HOLISTIC APPROACH”

Florence Nightingale: Needs of the spirit are ascritical to health as the individual organs whichmake up the body.



PARADIGM SHIFT



DEFINITION

YESTERDAY TODAY

Nursing is

caring.

Nursing encompasses autonomous and collaborative care of

individuals of all ages, families, groups and communities,

sick or well and in all settings. Nursing includes the

promotion of health, prevention of illness, and the care of ill,

disabled and dying people. Advocacy, promotion of a safe

environment, research, participation in shaping health policy

and in patient and health systems management, and

education are also key nursing roles.

Last Updated on Monday, 12 April 2010

- International Council of Nurses

"the act of utilizing the environment of the patient

to assist him in his recovery”

“The unique function of the nurse is to assist theindividual, 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"



WHO WERE/ARE THE NURSES?

YESTERDAY TODAY

•Male Catholic monks

•Men and women serving

punishments (Drunk, obnoxious men,

prostitute and other criminal women)

•Nuns and the military•FLORENCE NIGHTINGALE

•REGISTERED NURSE

Facilities or areas in which nurses typically

are employed include:

•Hospitals

•Clinics or Offices•Nursing Homes

•Home-health

•Public Health

•Occupational Health or Industrial Nurse

•Leadership positions

•Teaching positions at hospitals, colleges

and Universities



QUALIFICATIONS

YESTERDAY TODAY

•Physically strong

•Have certain powers of

resistance

•Tall and strong

•Not clumsy

•Well formed and havinggood looks is an advantage

•Has had lot of experiences of

the world

•Physically fit

•Intellectually capable

•Emotionally stable

•Spiritually guided



ROLES

YESTERDAY TODAY

•Religious service

•To attend the sick and obey

matron’s orders •Follow direction of physicians

•“MINISTRY”

-Nurses Christian Fellowship

•Key management roles

in healthcare

•Independent/collabor

ative

•Nursing specialties



GLOBALIZATION

NATIONAL GOV’T &

corporate policies shapes:

- trade, capital flows, & foreign

investment throughsupranational decision-

making organizations



GLOBALIZATION



GLOBALIZATION

“Before nurses can take a larger role in the

collaborative work of 21st-century health issues,

they must see the new world and themselves as

they are, not through the often rosy spectacles of

the past. “



GLOBALIZATION

Advanced practice in a globalizing environment

means adopting nontraditional and unfamiliarperspectives and methods.

It requires new skills, going beyond the

individual to obtain organizational and policy-

influencing abilities.



EMPOWERMENT

AUTONOMY



EMPOWERMENT

FLORENCE NIGHTINGALE

Nursing during the Civil War

increased the need for nurses.



EMPOWERMENT

CLARA BARTON

She lobbied presidents and

senators to allow nurses to

form an organization.



EMPOWERMENT

MARGARET SANGER

A true activist that pushed

the idea of “Birth Control”



POWER

Electricians

Mathematicians

Sociologists



POWER

Having control, influence, or domination over

something or someone (Chandler, 1992)

The ability to get things done, to mobilize

resources, to get and use whatever it is that a

person needs for the goals he or she is

attempting to meet (Kanter, 1993, p. 166)



POWER

Power includes caring practices by nurses which

are used to empower patients (Benner, 2001)

One of the characteristics of a profession is that

professionals have power over the practice of

their discipline which is often referred to as

professional autonomy (Laschinger, Sabiston, &

Kutszcher, 1997).



Nurses need power to be able to influence

patients, physicians, and other health careprofessionals.

Powerless nurses are ineffective nurses.

Lack of nursing power may also contribute to

poorer patient outcomes (Manojlovich &

DeCicco, in review).



Power and Empowerment in Nursing:Looking Backward to Inform the Future

1. Control Over the Content of Nursing Practice

2. Control Over the Context of Nursing Practice

3. Control Over the Competence of Nursing

Practice



GLOBAL COMPETITIVENESS

Present Curriculum – hailed as a blueprint for

excellence and has been adopted by many Asian

and western countries.

- in parallel with the global

standards of nursing care and practices.





THANK

YOU!!!

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New Dimensions in Nursing