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The Contemporary Nurse (Influences on nursing ((Power and politics,…
The Contemporary Nurse
What is it?
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Encompasses health promotion and prevention, education and management extending to providing primary care - providing referrals and prescribing medication
What happens if we revert back to the contemporary view of nursing?
- lose holistic and multidisciplinary, patient-centred approach
- no patient advocacy
- other health professionals take over the role of the nurse
- become task oriented and not critical thinkers
- not use evidence-based practice
How does this affect me?
- nurses need to be politically active
- they need to advocate for their profession
- need to be a part of research
- participate in audits for workplace safety
- mentor and support new staff
- demonstrate professionalism always
Influences on nursing
Social, economic and political influences
- Health reforms: political, legal, the funding and provision of healthcare, incidence and prevalence of disease, emerging areas of health concern, changes to population, demographics, patterns of illness and advances in technology
- Nursing shortages, workplace changes
- Evidence based practice and research
- Political factors and the state of the international and national economy will influence funding policies and expenditure patterns
Other
- Age of nursing workforce
- Gender
- Public image
- Location and type of care delivered
- Patient characteristics
- Changes in Healthcare
- Consumer expectations and involvement
Political/ legal/ economic factors
The attitudes of patients, communities and society also change as social, financial and physical environments change
Socio-cultural/ political influences
- Historically male dominated
- No voting
- Feminism 1960's raised women's social status
- Hospital-based education
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- Political power: large numbers, trusted professionals - leading to one nursing voice
- Power in knowledge: openly voicing concerns within the hospital system requires confidence and confidence is knowledge based
- Advocacy: nurses support an individual or group of individuals when the individuals are considering action
- Whistleblowing: the difficult decision to disclose negative practices of a colleague, requires support. It is the nurses responsibility to raise awareness of negative practices
The Future
- Technology is improving (telehealth, new jobs)
- more global travel
- more importance in preventative medicine
- more private nursing
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