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Current trends and issues in nursing management- part 2

  1. Globalization of the World’s Economy and Society

With the “death of distance” in the spread of disease and the delivery of health care, posing both extraordinary risks and benefits. Now there is potential for rapid disease transmission & potential for dramatic improvements in health due to knowledge transfer between cultures and health care systems. Nursing science needs to address health care issues, such as emerging and remerging infections, that result from globalization. Nursing education and research must become more internationally focused to disseminate information and benefit from the multicultural experience.

  1. The Era of the Educated Consumer, Alternative Therapies and Genomics

Patient is a well-informed consumer – expects to participate in decisions affecting personal and family health care. Previously unavailable information is now public information. Technological advances in the treatment of disease have led to the need for ethical, informed decision making by patients and families. People have knowledge about health promotion as well as disease prevention and also there is an increased acceptance and demand for alternative and complementary health options. The increased power of the consumer creates a heightened demand for more sophisticated health education techniques. Voracious demand for alternative therapies has begun to influence mainstream health care delivery. Increasingly, major health systems are seeking ways to provide both, Western medicine as well as alternative therapies to their patients. Alternative Therapies holds both promise and peril. Although it may unlock behavioral and spiritual components of health and healing, risks of consumer fraud, therapeutic conflict, and patient noncompliance are real. Increase in gene mapping will drive rapid advances in the development of new drugs and the treatment and prevention of disease. Nursing research has the potential to enhance knowledge regarding what constitutes a “healing” therapy. Nursing education and practice must expand to include the implications of the emerging therapies from both genetic research and alternative medicine, while managing ethical conflicts and questions.

  1. Quality assurance in nursing care

Public knows their rights, human rights, commissions , protection acts and process etc, are putting constant pressures on the professionals to deliver their best. Professionals cannot ignore or be careless in discharging duties especially when it concerns people lives and health .Nurse managers have to ensure delivery of quality care by practicing as per standards laid down by their counsels and institutions.

  1. Decentralised approach to care management

This makes each and every nurse responsible and accountable for the care of assigned patients .This approach is found applicable and effective in terms of patients satisfaction, quality care and smooth functioning of the units.The trend in span of authority appears to be towards large numbers. This is not the result of efforts to increase the span but rather to reduce the number of organizational levels for a given structure. Too many organizational levels impede communication. This forces the executive to select subordinates with good potential or proven executive ability.

  1. Interdisciplinary Education for Collaborative Practice

There is a need for coordinated care and a significant increase in the use of midlevel providers, such as ANPs, as part of the health care team. There is an increased collaboration between nursing practice and nursing education.Team-based, interdisciplinary approaches are highly effective for improving clinical outcomes and reducing cost. There is a growing need of teaching methods that incorporate opportunities for interdisciplinary education and collaborative practice.Now a days there is increased emphasis on collaboration between healthcare disciplines. Also there is increased student and nurse mobility (including increased licensure mobility),increased distance (online) learning. Schools of nursing providing ongoing professional development for competence requirements. Also there is an increased teaching of evidence-based practice.