Although the largest profession in the health care industry is nursing, a larger number of people are getting older and living longer. This means that more people will need nursing care, whether it’s in a hospital, a long-term care facility or at home. It is projected that long-term care facilities will need 66% more RNs by 2020 (Addressing the Nursing). The increase in life expectancy has amplified the complexity of health care because more people are living with chronic conditions. The American Nurses Association reported that “a large cross-sectional study of over 1,000,000 adults revealed that 82% had one or more chronic conditions” and we are seeing an increase of those age 65 and older living with multiple chronic conditions (Mion). Now, more than ever, there is a high demand for the best delivery of medical care.
Sterile technique is required for insertion of an indwelling urinary catheter in the hospital setting, but clean technique can be used for intermittent catheterization in non-acute settings. By itself, sterile technique on insertion doesn't prevent UTI’s. Prevention of UTI’s depends on knowledge of causes, proper care techniques, and early catheter removal. Nurses are taught early on in school that sterile technique helps to reduce infections. It was drilled in our heads the entire time and now to have the evidence tell us that early catheter removal, along with proper technique good hand hygiene is the key to reduce UTI’s.
As time changes so does the nursing profession. From the early 1900’s until now nursing has evolved and has become more complex and well educated. Due to technology, advanced medicine, and having more skills acquired nursing has blossomed into a worthy profession. From caregiving, being a decision maker, communicator, patient advocate, and teacher nursing has more then one role in patient care.
The health care industry is ever changing, requiring the practice of nursing to be continually transformed. Since nurses are in direct, constant contact with patients, we are in a position to facilitate change and it is our duty to be proactive in the processes that have a positive effect in our field. Likewise, it is imperative that nurses be actively involved in education in order to stay abreast of new evidenced based processes that will result in increased positive outcomes while elevating patient care. This paper will discuss initiatives set for the Robert Wood Johnson Foundation Committee (RWJF) on the Future of Nursing and the
This organization was designed to secure the services of prominent members of appropriate professions in the examination of policy matters relating to the health of the public. “The Institute acts to be an adviser to the federal government and, upon its own initiative, to identify issues of medical care, research, and education” (Institute of Medicine [IOM], 2010, p. 5) In October 2010, The IOM (Institute of Medicine) released the report, The Future of Nursing: Leading Change, Advancing Health. This report examines the changing roles of nursing in healthcare, changes in nursing education and
The Impact on Nursing of the 2010 Institute of Medicine Report on the Future of Nursing
A study was done at a 1,300 bed urban facility over a 13-week period. The purpose of the study was to describe the causes of inpatient falls in hospitals (Hitcho, et al., 2004). All falls were reported except falls in the psychiatry service and during physical therapy sessions. During the 13-week period, a total of 183 patients at an average age of 63.4 years old fell. Of the total number of falls 79% were unassisted, 85% happened in the patient room, 59% occurred during the evening or overnight shift, 19% were while walking, and 50% were elimination related (p. 732). In this study it was identified that many patients did not use their call bell before getting up because they did not believe they needed assistance. It was stated that, “perhaps patients need to be better educated on the effects that a new environment, decreased activity, medications, tests, and treatments can have on patients’ energy and ability to ambulate safely” (p. 737). The findings of this study showed that falls not only happen in the elderly, but in the younger population as well. Patients that fall in hospitals are often unaided and are due to elimination needs. To prevent falls and decrease injury rates, more studies need to be done.
In the healthcare facility there are many things that can benefit from change. Bedside rounding with the inclusion of the entire care team would be a beneficial change to any healthcare facility. By doing bedside rounding it promotes patient and family involvement in the exchange of information and planning of their care. This also allows for the interdisciplinary team to be completely involved rather than picking up bits and pieces of information throughout the day from multiple different people. This is also a great opportunity for the patient and their family to ask questions with the entire care team available for answers.
Colon cancer is a lethal disease and remains one of the leading causes of cancer related deaths in the United States (Williams et al, 2016). Despite the overall decline in colorectal cancer (CRC), African Americans (AAs) continue to lag behind and have a higher prevalence, mortality, and the lowest survival rate among any other racial group (Williams et al., 2016). For this reason, some professional organizations recommend screening for AAs start at the age of 45 rather than age 50 (Jackson, Oman, Patel & Vega, 2016). However, endorsement of earlier screening among AAs alone does not equate to an increase in the uptake of CRC screening.
Barker, L. L., Kathy,J., Wahler, K. W., Watson, R and Kibler, J ( 1987) Groups in Process: Introduction to Small Group Communication, 3rd edition. Prentice Hall, Englewood Cliffs, N J
Patients, in any healthcare setting, deserve respect and care that is centered on their unique needs. Nurses and health care are required to assist them to achieve this goal. Changing the health care system will require us to reestablish our
The health care field is ever changing, the article The Future of Nursing: Leading Change, Advancing Health (2010), explains all the changes that need to happen in the health care system (Institute of Medicine, 2010). The recommendations that the Institute of Medicine has for the health care field are ones that are important for the workers as well as the patients. This report applies to my career because being in the master’s program I am furthering my education, which is one of the messages that this article has to the readers (Institute of Medicine, 2010, p. 4). Message one is also relevant to my career because it talks about nurse residency program and I have been in a program for a little over a year (Institute of Medicine, 2010, p. 5). As a nurse doing continuing education is a way of following new trends and developments in information.
With over three million nurses in the United States nurses play an important role in healthcare today. As the future of health care changes the nurses’ role will change as well. In 2008, The Institute of Medicine (IOM) and the Robert Wood Johnson Foundation (RWJF) combined partnership and put together a committee to assess nursing practices and make recommendations for the future transformations in the health care system. This report was released in 2010 and included four key components in which three will be discussed in this paper.
Transitioning from the hospital and working for the local department of Health and Human Services as a registered nurse is a dream job. The position is first shift, no required weekends and absolutely no on call. The days of being requested to come “help on the unit” have completely diminished. Employee insurance is provided with a nominal monthly payment and low copayments for office or emergency care visits. Twelve calendar paid days a year, guaranteed Christmas, Easter and Thanksgiving Day off without the hassle of shift switching. A state retirement and a lifetime pension plan, depending on years of service pension can be transferred to your spouse. Never did the thought occur regarding how the government regulates healthcare delivery and the direct relationship is has on all program funding at local health departments. During my employment at the department of Health and Human Services nearly every year issues arise and nurses are requested to notify local city council members and state officials with a letter or phone call. These notifications are designed to justify or plea importance of programs and request funding be continued. Healthcare delivery is constantly evolving which causes health professionals to question what circumstances lead to healthcare reform, how the nursing profession will be impacted and imagine what the future holds for healthcare in the United States.
According to National Institute of Nursing Research (NINR) their goal “is to enhance nursing science and health care by integrating the biological and behavioral sciences, applying new technologies, promoting health equity, and developing scientist of the future.” NINR seeks to advance nursing science by supporting research on the science of health, which focuses on the promotion of health and quality of life. The science of health is based on the premise that individuals would benefit from being actively involved in maintaining their own health through the prevention of disease and the direct participation in the management of illness. Individuals should be supported in their efforts to understand, interpret, and apply health strategies to