chapter 14 week 12cano

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Looking to the Future

Chapter 14

Nursing’s Public Image

25 years ago, society perceived nurses in gender-linked, task-oriented terms.
Popular media has improved somewhat in their portrayal of nurses.

Professional
Organizations

The American Nurses Association
(ANA)

American Nurses Association

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

ANA’s Social Policy Statement

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

American Nurses Association (cont'd)

Stimulates and promotes the professional development of nurses
Advances nurses’ economic and general welfare

Benefits to Membership

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

The National League for Nursing
(NLN)

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

National League for Nursing (cont'd)

Accreditation Commission
Accredits colleges and schools of nursing
Test services
Publications
Advocacy

NLNAC (National League for Nursing Accrediting Agency)
has become
ACEN (Accreditation Commission for Education in Nursing)

The National Organization for Associate Degree Nursing
(NOADN)

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

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

Other Organizations

NSNA (National Student Nurses Association)

Associate degree, baccalaureate, and diploma program students are eligible.
Conferences, career development board reviews

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.

National Institute for Nursing Research

Federal agency
Supports and conducts basic and applied research
Supports research training of nurse scientists

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

Health Care

Technologically advanced
Highly sophisticated
Very expensive

Health-Care System Changes

Historical perspective
Managed care
Health insurance

Current Concerns

Fragmentation
Many are uninsured
High and rising costs
Quality and safety

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 health- care outcome

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

Changing Competencies

Critical thinking skills
Understanding of systems
Care management

Changing Competencies (cont’d)

Team-building and communication skills
Negotiating, collaborating, conflict management skills
Cultural competency

Changing Competencies (cont’d)

Flexibility
Technological competence
Business skills

Communicating
Nursing’s Role

Tri-Council

ANA, NLN, AACN, AONE
Designed a campaign to communicate the contributions of nurses

Three Areas

Nurses as resource people
Nurses as health-care coordinators
Nurses as expert practitioners

Using Nursing Influence

Carry your license.
Use your special training and experience.
Become a double agent.
Network with and empower colleagues.

Using Nursing Influence (cont’d)

Eliminate “the enemy within.”
Focus on operations.
Organize as a supportive group.

In the Future

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

Conclusion

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.

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.