05. The evolution of professional nursing.ppt

7/23/2019 05. The evolution of professional nursing.ppt

1/32

The evolution of

professionalnursing


2/32

History of Medicine

Medical practice can be

dated as far back as the

ancient Egyptians Imphotep was the

physician to King Zozer

and lived in about !"" #$
http://www.channel4.com/history/microsites/H/history/a-b/images/ancientsurgery3.jpg


3/32

History of the non%medical professions

&ursing has e'isted in variousforms in every culture over

millennia( e)g) wet nurses *merica+s first trained nursegraduated in ,-./

0he most significant development

was during war time when1lorence &ightingale laid thefoundation stone for professionalnursing
http://images.google.co.uk/imgres?imgurl=http://www.insidesuccessradio.com/images/people/Nightingale-Florence_Nightingale%2520copy.jpg&imgrefurl=http://www.insidesuccessradio.com/GuestDirectory2.php%3Ftype%3D3%26sortby%3D0&h=480&w=382&sz=47&hl=en&start=1&tbnid=2t4H9uU8NqQPsM:&tbnh=129&tbnw=103&prev=/images%3Fq%3Dflorence%2Bnightingale%26gbv%3D2%26hl%3Den


4/32

History of other professions

2hysiotherapy practice dates backto #$ times( for e'ample inancient 3reece and the practice of

hydrotherapy In ,-45 the 6K recognisedphysiotherapy as a specialisedbranch of nursing

0he polio epidemic was a turningpoint for the physiotherapyprofession and its establishmentin its own right
http://www.ecoinfusion.com.au/e107_images/custom/Roman_bath_2.jpg


5/32

7o what does the history tell us8

0he practice of healthcare and medicine has

been around for a long( long time in various

forms 0he practice of healthcare and medicine has

been consistently valued and has evolved in

accordance with demographic re9uirements

0he various professions have evolved in

accordance with demographic re9uirements


6/32

7o what does the history tell us8


7/32

History of the &H7

0he &H7 was born on :uly ;,45- officially started by *neurin#evan


8/32

0he 0imeline

,45- the &H7 commenced ,4;/ the structure of =&* was discovered

,4!" the first kidney transplant ,4!. the 7almon >eport ,4.- the first test tube baby ,4-" keyhole surgery

,4-- breast screening introduced ,44" internal market introduced "". robotic intervention
http://www.ehealthconnection.com/regions/Tennessee/content/images/robot_web12.jpg


9/32

&ursing uniformsc,-4"

7tudent nurse uniforms

c,4!" from ?oungstown

Hospital *ssocation and

7t) Elizabeth Hospital


10/32

?oungstown 7tate 6niversity student

nurse uniform( ,4!.

0hroughout the ,4!"s and."s( many hospitalsdiscontinued their nursingprograms or partnered with

local universities to providesome of the academictraining) 0hese newprograms with collegesand universities opened up

the profession to a morediverse populationincluding married women(minorities( and men)


11/32

Healthcare professions of today

=octors and dentists

&ursing and midwifery

*llied health professions

Healthcare scientist professions and the

smaller professions

Healthcare support workers

Management( ancillary and other staff
http://images.google.co.uk/imgres?imgurl=http://www.n2na.com/images/re_img.jpg&imgrefurl=http://www.n2na.com/visareq.htm&h=237&w=239&sz=57&hl=en&start=37&tbnid=h7-AAyXYq1eIMM:&tbnh=108&tbnw=109&prev=/images%3Fq%3Dhealthcare%2Bprofessions%26start%3D20%26gbv%3D2%26ndsp%3D20%26hl%3Den%26sa%3DN


12/32

1ields of practice

More than ,; specialties of medical practice withadditional sub%specialties

5 main branches of nursing with enhanced

specialisation in practice @ multiple sub%specialties *round , allied health professions with multiple

sub%specialisms

Aver /" healthcare scientist professions with a host

of sub%specialisms 2rimary( secondary and tertiary care settings

Integrated services e)g) with social care


13/32

$hanges in practice

*t one time( nurses and

other professionals couldn+t

take blood pressures @ this

was a medical procedure

Be now have highly skilled

practitioners who undertake a range ofprocedures and are also responsible

for diagnosis e)g) advanced

practitioners in cervical cytology
http://images.google.co.uk/imgres?imgurl=http://www.wales.nhs.uk/sites3/documents/582/nurse%2520taking%2520blood%2520pressure.jpg&imgrefurl=http://www.wales.nhs.uk/sites3/page.cfm%3Forgid%3D582%26pid%3D15281&h=354&w=342&sz=15&hl=en&start=4&tbnid=vmO1X9w74mo0bM:&tbnh=121&tbnw=117&prev=/images%3Fq%3Dblood%2Bpressure%26gbv%3D2%26hl%3Den


14/32

Bhat does this say about current

healthcare practice8 Its comple'C

Its reliant on a range of

practitioners in differentsettings and sectors with

the appropriate skills

0echnology advancesand will continue to

advance


15/32

Healthcare workforce @ a recent

history 0he ,44"s saw serious

workforce shortages

Health 7elect $ommitteeen9uiry into workforceplanning in ,444

&H7 2lan produced in""" @ a ," yearstrategy


16/32

&H7 2lan Headlines

More staff( better paid

Modernisation of

workforce andservices

Improved outcomes

$ritical targets


17/32

0he Key Borkforce Messages

MORE

STAFF

WORKING

DIFFERENTLY


18/32

Borkforce AbDectives

,;"(""" more staff =oubling in applicants and !"F more

trainees E'plosion of new roles

@ =elegated tasks e)g) prescribing@ E'tended roles e)g) nurse endoscopist@ &ew roles e)g) advanced practitioner

2ositive staff survey results Gower vacancy and sickness absence rates Aver 4"F of staff on new pay systems


19/32

Bhere are we now8

&ew workforce planning crisis@ 3raduates in some professions unable to

find a Dob in their vocation &ew Healthcare 7elect $ommittee

En9uiry in ""!

&ew attempts to ring%fence educationand training and strengthen workforceplanning


20/32

7winging pendulum


21/32

2olicies since the &H7 2lan

2ayment by >esults@ 0ariff%based commissioning system

$hoice and $ompetition@ 7tronger patient opinion and voice

2ractice #ased $ommissioning@ 7tronger role in primary care

$ommissioning a 2atient Ged &H7@ MaDor reorganisation

*ll have had an impact on workforce))


22/32

* world class &H7

1air @ e9uitable to all

2ersonalised @ tailored to the needs of the

individual

Effective @ outcome%focused7afe @ public confidence


23/32

Eight defined areas of care

Maternity and newborn

$hildren+s health

2lanned care Mental health

7taying healthy

Gong term conditions *cute care

End of life

to


24/32

0he focus on workforce

0he &H7 employs over ,)/ million people

."F of costs are staffing

0he &H7 spends over 5 billion annually oneducation and training

&eed to overhaul the system and strengthenworkforce planning and commissioning

education and training &eed effective clinical leadership

&eed to avoid repeats of the boom and bust


25/32

Bhat are we aiming to achieve

Be need a workforce with the rightskills in the right 9uantity in the rightplace at the right time

* workforce that is appropriatelyeducated and trained to deliver theservice

* workforce that can deliver 9uality care

to patients


26/32

How is the workforce planned8

&ot dissimilar to history @ its based ondemographic re9uirements( however thehealthcare arena is significantly more comple'today

Borkforce planning is designed around thepatient

#ased on the skills and competencies to deliverthe re9uired services

2lanned in harmony with finance and services


27/32

/ current key priorities in &B

,- week wait @ where are the workforce

gaps8

2ublic health and health promotion @ what arethe workforce needs in terms of education

and service delivery

Health ine9ualities @ some significantly

deprived areas % need to ensure appropriate

workforce with correct skills is available


28/32

#lurring of professional boundaries

0he average patient sees over 5" different

people associated with delivering their care

during a single episode of care * patient is often assessed more than once

Many of the professions have overlapping

skills and roles in patient care

Many of the professions dispute who should

be carrying out particular roles


29/32

Borkforce modernisation

Modernised roles focused on delivering the carepathways and targets

* workforce that demonstrates the appropriate

attitudes and aptitudes #reaking down of professional barriers where

appropriate

* fle'ible workforce

* workforce that embraces continued professionaldevelopment( advancing technology and evidence%based practice)


30/32

)* workforce capable ofdelivering world class

healthcare in the ,stcentury


31/32

?ou know you work for the &H7

when =iscussing dismemberment over dinner

seems perfectly normal

?ou firmly believe unspeakable evils willhappen when someone says


32/32

Date post:	17-Feb-2018
Category:	Documents
Upload:	anelubla
View:	217 times
Download:	0 times

05. The evolution of professional nursing.ppt

Documents