Nursing Role & Scope - Week 7 - Social Context and the Future of Professional Nursing
Lorraine Melo
Chapter7.pptxSocial Context and the Future of Professional Nursing
Chapter 7
1
Nursing’s Social Contract
Society provides the nursing profession with the authority to practice.
Society grants the profession authority over functions and autonomy over professional affairs.
Profession expected to regulate itself and act responsibly.
This relationship is the essence of nursing’s social contract with society.
Public Image of Nursing (1 of 2)
Actions to promote the real image:
Educate the public.
Describe nurses’ work.
Make known the agency of the registered nurse (RN).
Deal with the fear of angering the physician.
Accept thanks from others.
Be ready to take advantage of openings to promote nursing.
Respond to queries with real stories.
3
Public Image of Nursing (2 of 2)
Actions to promote the real image:
Tell the details.
Avoid using nursing jargon.
Prepare ahead of time to tell your story.
Do not suppress your enthusiasm.
Reflect the nurse’s clinical judgment and competency.
Connect work to contemporary issues.
Respect patient’s confidentiality.
Deal with the fear of failure.
4
The Gender Gap
Women in nursing:
Avoidance of conflict
Multiple roles
Centeredness on service
Men in nursing:
Leadership advantage
Compensation discrepancy
Gender bias
5
Changing Demographics and Cultural Competence
Discrepancy between minority population and minority health professionals and faculties.
Increasing the number of underrepresented minorities in the health professions and improving the cultural competency of providers are key strategies for reducing health disparities.
6
Access to Health Care
Continuity of care
Routine care with provider leads to better health outcomes.
Economic barriers
Poverty poses the greatest risk to health.
Geographic barriers
Rural and urban
Sociocultural barriers
7
Societal Trends
Incivility
Violence in the workplace
Global aging
Consumerism
Complementary and alternative approaches
Disaster preparedness
8
Trends in Nursing
Nurse shortage
Nurse faculty shortage
Nursing practice and workplace environment
Nurse retention
Complexity of nursing work
Nursing education
9
Closing the Education and Practice Gap
Key messages of The Future of Nursing include:
Nurses should practice to the full extent of their education and training.
Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression.
Nurses should be full partners with physicians and other health professions in redesigning health care in the U.S.
Effective workforce planning and policy making require better data collection and an improved information infrastructure.
10
Recommendations from The Future of Nursing (1 of 2)
Remove scope-of-practice barriers.
Expand opportunities for nurses to lead and diffuse collaborative improvement efforts.
Implement nurse residency programs.
Increase the percentage of nurses with a baccalaureate degree to 80% by 2020.
Double the number of nurses with a doctorate by 2020.
Recommendations from The Future of Nursing (2 of 2)
Ensure that nurses engage in lifelong learning.
Prepare and enable nurses to lead change to advance health.
Build an infrastructure for the collection and analysis of interprofessional healthcare workforce data.
