APA format
Read Chapter 14
1-Do you think it is important for nurses to be involved in their professional organizations? Why or why not?
2. The Affordable Care Act (“ObamaCare”) has been both praised and vilified. Debate the pros and cons of this legislation and of health-care reform in general.
3. What is your vision of nursing’s future? How will you contribute to shaping it?
4. Interview a nurse educated in a diploma program at least 20 years ago.
a-How did that nurse’s education differ from your education today?
5. Locate the website of a professional organization related to nursing. Bring a copy of the organization’s mission, membership criteria, and standards of practice.
6. Ask five people of different ages and gender who do not work in the health-care field what they think most nurses do. Compile their answers with the answers your classmates collected and summarize them. Compare the summary to what you know nurses actually do.
a-Were the answers realistic?
b-Did they over- or underestimate the responsibilities most nurses have?
c-Did they recognize the wide variety of things nurses do?
d-Was there a difference by age or gender of the person answering the question?
e-What do the results tell you about the public’s image of nursing?
f-What do you think influences their image the most? Explain your answer.
7. Describe the nurse of the future.
a-What does he or she do?
b-Do you think nursing will become a more powerful force in health care?
c-Why or why not?
Chapter 14
Looking to the Future
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Nursing’s Public Image
• 25 years ago, society perceived nurses in genderlinked, task-oriented terms.
• Popular media has improved somewhat in their
portrayal of nurses.
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Professional
Organizations
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The American Nurses Association
(ANA)
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American Nurses Association
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Works for improvement of health-care standards
Promotes availability of health-care services
Fosters high standards for nursing
Promotes the rights of nurses in the workplace
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ANA’s Social Policy Statement
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The social context of nursing practice
The nature and scope of nursing practice
Specialization in nursing practice
Regulation of nursing practice
The ethics of nursing practice reviewed by the
House of Delegates
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American Nurses Association (cont’d)
• Stimulates and promotes the professional
development of nurses
• Advances nurses’ economic and general welfare
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Benefits to Membership
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The primary voice of nursing in the U.S.
Continuing education
Representation in the workplace and political arena
Position statements on contemporary issues of
importance of nurses
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The National League for Nursing
(NLN)
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National League for Nursing
• Membership is open to other health professionals
and interested consumers, not just nurses.
• Participates in test services, research, and
publication
• Lobbies actively for nursing issues
• Currently working with the ANA and other nursing
organizations on health-care reform
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National League for Nursing (cont’d)
• Accreditation Commission
– Accredits colleges and schools of nursing
– Test services
– Publications
– Advocacy
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NLNAC (National League for Nursing Accrediting Agency)
has become
ACEN (Accreditation Commission for Education in Nursing)
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The National Organization for Associate Degree Nursing
(NOADN)
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National Organization for Associate Degree
Nursing
• Associate degree nursing programs prepare the largest
number of new graduates for RN licensure.
• Began in 1986
• Organizational Affiliate of ANA as of 2013
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Role of NOADN
• Strong educational programs
• Dynamic education of students in a variety of
settings
• Emphasis on lifelong learning
• Continued articulation with colleges and universities
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Other Organizations
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NSNA (National Student Nurses
Association)
• Associate degree, baccalaureate, and diploma
program students are eligible.
• Conferences, career development board
reviews
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American Academy of Nursing
• Leaders in nursing practice, education,
administration, and research
• Mission to advance health policy and practice
• New members are nominated and elected.
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National Institute for Nursing
Research
• Federal agency
• Supports and conducts basic and applied
research
• Supports research training of nurse scientists
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Specialty Organizations
• Nurses may join specialty organizations as well.
– Provide nurses with information regarding
standards of practice and evidence-based practice
within specialty areas
– Focus on specific practice areas or interest groups
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Health Care
• Technologically advanced
• Highly sophisticated
• Very expensive
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Health-Care System Changes
• Historical perspective
• Managed care
• Health insurance
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Current Concerns
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Fragmentation
Many are uninsured
High and rising costs
Quality and safety
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Health-Care Reform
• Universal insurance coverage
• Better bridges between hospital, home care,
nursing homes, ambulatory care
• More preventive care
• Reduced disparities in health care and healthcare outcome
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Issues: Nursing Today
• Preventing patient care errors, including medication
errors
• Emphasis on outcomes
• Changing competencies
• Improved infection control
• Inadequate staffing increases patient mortality
• Aging nursing workforce
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Changing Competencies
• Critical thinking skills
• Understanding of systems
• Care management
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Changing Competencies (cont’d)
• Team-building and communication skills
• Negotiating, collaborating, conflict
management skills
• Cultural competency
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Changing Competencies (cont’d)
• Flexibility
• Technological competence
• Business skills
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Communicating
Nursing’s Role
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Tri-Council
• ANA, NLN, AACN, AONE
• Designed a campaign to communicate the
contributions of nurses
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Three Areas
• Nurses as resource people
• Nurses as health-care coordinators
• Nurses as expert practitioners
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Using Nursing Influence
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Carry your license.
Use your special training and experience.
Become a double agent.
Network with and empower colleagues.
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Using Nursing Influence (cont’d)
• Eliminate “the enemy within.”
• Focus on operations.
• Organize as a supportive group.
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In the Future
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More holistic, patient-centered care
Seamless transitions from hospital to extended care at home
Eliminate health disparities
Universal health-care insurance
Equalizing emphasis on prevention, acute care, long-term
care, mental health
• Healthier environment
• Global health concerns
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Conclusion
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Nursing has a rich and exciting future.
Nursing is cyclical.
Nursing is diverse.
Nursing deals with individuals, their health, and
their environments.
• To meet the needs of the future, nurses need to
become involved in advocacy and research.
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Conclusion (cont’d)
• Nurses need to take the lead in movement toward
a clearer identity and role delineation of the
profession.
• To achieve nursing goals, the value of nursing and
acceptance of its professional status must be
recognized.
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