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Current trends and issues in nursing management- part1

Nursing is an art and a science. Nursing is the oldest of arts and youngest of professions. The heritage of nursing includes the successes, advances and units as well as failures, regressions and conflicts. Nursing was distinguished in its early history as a form of community services was originally related to strong instinct to preserve and protect the family. Modern nursing involves many activities, concepts and skills related to basic and social sciences, growth and development. The opportunities for a nursing career are limitless. Nursing has its own identity as profession it is no longer considered as a paramedical science. The issues of nursing profession were identified by various earlier health committees constituted by the union government. There are many issues occurring in nursing management. These were the obstacles to provide proper nursing services to the patients and public at large and off course to the upliftment of the nursing profession at large.


It is defined as the general direction in which something tends to move. Or it is a general tendency or inclination or current style.

Trend is the event that occurs overtime and shows a series of fluctuation in its patterns. (Stanhope Lancaster )

Nursing trends

It is the general direction towards which the different nursing events have moved and are moving, as well as the opinions in and about our profession.


A point or matter of discussion, debate, or dispute or a matter of public concern. It can also be defined as:

  • A misgiving, objection, or complaint
  • The essential point; crux
  • A culminating point leading to a decision


Following are the international trends in nursing profession

o   Health needs of society

o   Awareness of health needs of the society

o   Economic conditions – if money is available to pay for nursing service

o   New developments in medicine

o   New knowledge and procedures developed through research in science

o   Need for specialization in medicine and nursing

o   Opportunities for services and education abroad

o   Changes in nursing education and the role of nursing student

o   Increased industrialization

o   Expansion of community health services

o   Govt. support programmes

o   Increased number of private nursing homes, private hospitals

o   Necessary military services

o   Development of nursing research


  1. Changing Demographics and Increasing Diversity
  2. The Technological Explosion
  3. Globalization of the World’s Economy and Society
  4. The Era of the Educated Consumer, Alternative Therapies and Genomics
  5. Quality assurance in nursing care
  6. Decentralised approach to care management
  7. Interdisciplinary Education for Collaborative Practice
  8. The Current Nursing Shortage/Opportunities for Lifelong Learning and Workforce Development
  9. Continuing nursing education
  10. Evidence based practice
  11. Nursing audits
  12. Collective bargaining
  13. Incentives for the health care professionals
  14. Trend in span of authority
  1. Changing Demographics and Increasing Diversity

With advances in public health and clinical care the average life span is increasing rapidly.

This poses a challenge the health care system’s ability to provide efficient and effective continuing care. There is a significant increase in the diversity of the population which affects the nature and the prevalence of illness and disease, requiring changes in practice that reflect and respect diverse values and beliefs. Disparities in morbidity, mortality, and access to care among population sectors have increased, even as socioeconomic and other factors have led to increased violence and substance abuse. Ethnic and racial diversity of nursing institutes has increased dramatically, creating a rich cultural environment for learning. Older aged students bring varying college and work experiences, as well as more sophisticated expectations for their education. Nursing practice, education, and research embraced and responded to these changing demographics. Nurses are now focusing on spiritual health, as well as the physical and psychosocial health of the population. Nurses must focus on spiritual health, as well as the physical and psychosocial health of the population. There are preparations to confront the challenges associated with today’s more mature student body, educational methods and policies, curriculum, and clinical practice settings. Research priorities need to value and reflect the diversity of the student body, as well as the population in general.

  1. The Technological Explosion

There is reduction in distance through speedy communication. Advances in digital technology have increased the applications of tele-health and telemedicine mobiles, e-line, video conferences, bringing together patient and provider without physical proximity.

Nanotechnology is a new form of clinical diagnosis and treatment, which is capable of detecting a wide range of diseases from very minute specimens. There is computerization for patient care management. Easy reference on directions for patient care, record keeping, reporting, compilation of information, stock monitoring, auditing are some of the functions which computers have taken over ability to use computers for patient care management have become essential qualification for nurses. Accessibility of clinical data across settings and time has improved both outcomes and care management. Electronic recording replace traditional documentation systems. Through the Internet, consumers will be increasingly armed with information previously available only to clinicians. Electronic commerce will become routine for transacting health care services and products. Nurses of the 21st century need to be skilled in the use of computer technology. There is growing evidence of distance learning modalities for continuing professional education, for e.g IGNOU is offering number of speciality courses. Even in nursing education technically sophisticated preclinical simulation laboratories will stimulate critical thinking and skill acquisition in a safe and user-friendly environment. Faster and more flexible access to data and new means of observation and communication are having an impact on how nursing research is conducted.