healthcare system nursing

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    NURSING IN THE EVER-EVOLVING

    JOFRED M. MARTINEZ, RN

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    At the end of this presentation, we will be able to:

    1. Define what is health care delivery system.

    2. Discuss how current trends will affect your

    future nursing practice.

    3. Identify social changes and their impact on

    nursing.

    4. Integrate knowledge of current trends andissues in society into a more holistic perception

    of their influence on the nursing profession.

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    By identifying the forces pushing the future,

    rather than those that have contained thepast, you possess the power to

    engage with your reality.

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    A health care system is the organization of

    people, institutions, and resources to

    deliver health care services to meet

    the health needs of target populations.

    The goals for health systems, according to

    the World Health Organization, are good health,

    responsiveness to the expectations of thepopulation, and fair financial contribution.

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    Other dimensions for the evaluation of health

    care systems include quality, efficiency,

    acceptability, and equity.

    Health care providers are institutions orindividuals providing health care services.

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    There are generally five primary methods of

    funding health care systems:

    General taxation to the state, county or

    municipality Social health insurance

    Voluntary or private health insurance

    Out-of-pocket payments Donations

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    In 2000 the Philippines had about

    95,000 physicians, or about 1 PER 800 PEOPLE.

    In 2001 there were about 1,700 hospitals, of

    which about 40 percent were government run

    and 60 percent private, with a total of about

    85,000 beds, or about ONE BED PER 900PEOPLE.

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    The future holds many new social, political,

    and technological changes that will affectnursing directly and help shape our already

    strong profession.

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    HOW CAN NURSING RESPOND

    TO THIS TRENDS?

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    Nursing will assume an undisputed dominant role

    in the health care delivery system, resulting in

    positions of high self-esteem with better salaries,incentives, responsibilities, and authority.

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    Care of the geriatric population will become an

    increasingly more prominent nursing specialty.

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    Nurses will play a major leadership role in

    determining and implementing health care

    policies.

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    Nurses will provide the expertise to integrate the

    multiple facets of health care, pharmacology,

    nutrition, preventive medicine, rehabilitation, andso forth and thus provide a holistic care for an

    individual client.

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    Specific outcome criteria will be important in

    determining the quality of care and will become

    health care facilities overriding concern in thefuture.

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    Emphasis on managed care, as a replacement

    for traditional sick care approach, a prevention is

    the key in reducing health care costs.

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    Increasing numbers of nurses will be making

    policies and governmental decisions affecting

    health care.

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    Education will become more user friendly as the

    trend moves to a service economy in which

    knowledge is used.

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    Nursing professionals will begin sharing health

    care beliefs, cultural practices, resources, and

    the expanding body of nursing knowledge on aninternational level as globalization occurs.

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    With the development of nanotechnology, the

    expanding science of technology that examinesor measures information at the molecular level,

    nursing will be faced with new ethical concerns.

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    New nursing care delivery systems must be

    developed to incorporate the demands of

    advanced technology.

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    A shift must be made toward lower technology,

    higher touch therapeutic interventions to offset

    the technological boom.

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    Therapies must be developed that combine

    medical treatments with alternative care

    approaches to deal with stress.

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    WHAT IS GLOBALIZATION

    AND HOW DOES ITAFFECT NURSING?

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    Globalization is the spread of common culture

    around the world, with a universal sharing of

    attitudes, products, industry, and stocks.

    Nurses will begin to service the world as oneglobal economy.

    Nurses will need to learn about the health care

    beliefs and practices of other cultures and

    other nations and at home.

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    International nursing forums will be required to

    meet the need for the sharing of nursing

    practices.

    Nursing and health care products,publications, and methods, and the expanding

    body of nursing knowledge will find new

    possibilities in a global economy.

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    HOW DO SOCIAL CHANGES

    AFFECT NURSING?

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    ALTERNATIVE HEALTH CARE

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    MEDICINE AND THE PUBLIC EYE

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    QUALITY OF CARE

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    NEW WAVE OF TECHNOLOGY

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    HEALTH CARE INFORMATION SUPERHIGHWAY

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    WORK PSYCHOLOGY

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    ~ Nursing is an art: and if it is to be made an

    art, it requires an exclusive devotion as hard a

    preparation, as any painter's or sculptor's

    work; for what is the having to do with dead

    canvas or dead marble, compared with having

    to do with the living body, the temple of God's

    spirit? It is one of the Fine Arts: I had almost

    said, the finest of Fine Arts. ~