Florida National University Ch 13 Future of Nursing Practice E Poster

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Florida National University


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You have to create an E-Poster on what you see as the future of nursing practice and the role of nursing in the emerging health-care environment. You need to predict the future based on present evidence.

The E-Poster needs to include the following:

1. Introduction

2. Statement of the issue

3. Evidence supporting the issue

4. Prediction of the future role of the nurse

5. Conclusion

6. References: minimum of three references from peer-reviewed nursing journals (encourage the use of international journals). Articles need to be within the last 3 years unless historical.

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Chapter 13 Evolution of Nursing as a Profession Copyright © 2015. F.A. Davis Company Early Years • • • • • Nursing occurred in the home Origin of hospitals Physician-directed care Differences in quality care Religious orders vs. city/community based institutions Copyright © 2015. F.A. Davis Company Nursing Defined • Florence Nightingale • Virginia Henderson • Martha Rogers Copyright © 2015. F.A. Davis Company Modern Nursing Role • Nurses are viewed as collaborative members of the health-care team. • Nursing has emerged as a strong profession of its own. • Nurses have a wide range of responsibilities and obligations. • Recent polls demonstrate that nurses are considered the most trusted group of professionals. Copyright © 2015. F.A. Davis Company Early Nurse Leaders • • • • Florence Nightingale Lillian Wald Margaret Sanger Mary Eliza Mahoney Copyright © 2015. F.A. Davis Company Modern Nurse Leaders • Mildred Montag – Associate degree nursing programs – Shift of nursing education from hospital-based environments to institutions of higher learning • Virginia Henderson – “Modern Florence Nightingale” – Advocated for autonomy of nursing practice – Proponent of publicly financed universally accessible health care Copyright © 2015. F.A. Davis Company st 21 Century • Linda Aiken – Research on nurse-patient ratios and patient safety – Development of MAGNET hospitals • Beverly Malone – Deputy Assistant Secretary for Health – Chief Executive Officer of the NLN • Tim Porter-O’Grady – Senior Partner of Tim Porter-O’Grady Associates – Contributed to changes in practice and education – Focus on health systems innovation Copyright © 2015. F.A. Davis Company Political Influences • Nursing advances occurred during the time of social upheaval and change. • Strengthening of public health nursing services • Amendments to the Social Security Act that created Medicare and Medicaid • Development of health insurance companies Copyright © 2015. F.A. Davis Company Political Influences (cont’d) • Civil Rights Act – Guaranteed equal treatment for all individuals – Prohibited gender discrimination in the workplace – Law lacked enforcement • Feminist Movement – National Organization of Women • Development of nursing specialty disciplines Copyright © 2015. F.A. Davis Company Nursing in Times of War • Wars created situations facilitating changes in nursing practice. • Increase in the need for nurses • Enhanced public awareness of nursing’s role within society • Korean War changed nursing practice. – Nurses on the front line – Nurses worked in mobile hospital units. Copyright © 2015. F.A. Davis Company Vietnam War • Nurses were pushed beyond boundaries. • They functioned in mobile hospital units. • They worked without direct supervision of physicians. • They performed emergency procedures. • This created feelings of restriction and unrest when they returned home and had to practice under limitations. Copyright © 2015. F.A. Davis Company Technology • Technology permitted the wide use of life support systems. • Nurses face ethical dilemmas involving the use of technology. • Nurses are active in formulating policies that address ethical issues. • There is renewed interest and support for Hospice nursing. Copyright © 2015. F.A. Davis Company Nursing and the Early 21st Century • Nurses and the World Trade Center disaster – Raised multiple questions regarding nursing’s ability to react and respond to major disasters • Hurricane Katrina – Damages to hospitals – Practicing under unfamiliar and unusual situations • Increased disaster preparedness for nurses Copyright © 2015. F.A. Davis Company Nursing and Health-Care Reform • Nightingale and Wald both demonstrated nursing’s commitment to health-care reform. – Interventions and outcomes research – School nursing – Health promotion/disease prevention • Sanger – Women’s health initiatives Copyright © 2015. F.A. Davis Company 21st Century • The 21st century brings challenges and opportunities. • It is estimated that 434,000 nurses will be needed by the year 2020. • The nursing shortage has increased the demand for nurses. • The Affordable Health Care Act offers opportunities for nurses to take the lead. Copyright © 2015. F.A. Davis Company Nursing and Health Care in the Future • Increased demand for primary health-care providers • Nurses should be permitted to practice to the full extent of their education. • Greater need for advanced practice nurses • Report from the IOM and Future of Nursing – Advocating for BSN education – Promoting educational mobility • Increase in diversity of nursing workforce Copyright © 2015. F.A. Davis Company Conclusion • Higher demand for safe, quality, and effective nursing care • Move toward population/community-based care • Nurses need to become politically active. • Nurses need to join nursing organizations that promote quality care. Copyright © 2015. F.A. Davis Company
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Explanation & Answer


Future of Nursing Practice
Thesis: In United States nurses work under the strict supervision of the physicians, which
reduces their scope of practice.

Statement of the issue


Evidence of supporting the issue


Prediction of the future



Kleinpell, R. M., Hudspeth, R., Scordo, K. A., & Magdic, K. (2012). Defining NP scope of
practice and associated regulations: Focus on acute care. Journal of the American
Academy of Nurse Practitioners, 24(1), 11-18.
Pittman, P., Leach, B., Everett, C., Han, X., & McElroy, D. (2018). NP and PA Privileging in
Acute Care Settings: Do Scope of Practice Laws Matter?. Medical Care Research and
Review, 1077558718760333.
Villegas, W. J., & Allen, P. E. (2012). Barriers to advanced practice registered nurse scope of
practice: Issue analysis. The Journal of Continuing Education in Nursing, 43(9), 403-409.
Bryant‐Lukosius, D., Spichiger, E., Martin, J., Stoll, H., Kellerhals, S. D., Fliedner, M., ... &
Schwendimann, R. (2016). Framework for evaluating the impact of advanced practice
nursing roles. Journal of Nursing Scholarship, 48(2), 201-209.
Spetz, J. (2016). The nursing profession, diversity, and wages. Health services research, 51(2),
Weiss, S. A., Tappen, R. M., & Grimley, K. (2019). Essentials of Nursing Leadership &
Management. FA Davis.

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