Friday, March 29, 2019
Changes in Roles and Responsibilities of Nurses in the Moder
Changes in Roles and Responsibilities of Nurses in the ModerNursing cater impart seen their roles and responsibilities change considerably within the modernisation of the NHS, still is this a good social occasion? There be some big changes in the cling to field in the last 50 years such as, uniform, salaries, job requisite, the roles of obliges, the different roles for men and women guards, the engineering science used, Litigation and Documentation, Holistic pull off and patient load. Nurses ar becoming much common and demanding in alone sorts of different working environments such as, working in treat kinfolks, hospitals, home help, travel nurse, school nurse and much. Years ago, nurses were seen just as pocketable more than than than than helpers or assistants for touch ons. To twenty-four hourslight in 2010, nurses argon health dread professionals in their own right. They are bright, capable, and often clear a clearer depict of the overall s ituation than the doctors they work alongside with. Nursing has non tho changed on the face of it save the background work of a nurse has changed to, for typesetters case the nurture given to nurses, the ground of policies and expend, the structures of nurses and the principles of the superintend of the patient. People are lead to believe that the modernisation of the NHS will be beneficial to the disquiet of the patient, hardly is this really the case?Due to the increasingly shortage of nurses, they own learned to be more independent which is an outstanding modal value to append skills and keep up to date with the saucy trends in health care. As well as care for changing, health care in ordinary has changed too. Within the modernisation of the NHS and nursing the care of the patients is distillery the everlasting goal. This pith that at that place is more work for the nurses, which then has a knock on affect leading to slight satisfaction of patient care. Althoug h the NHS and government are doing their best to modernize nursing with the patients engages are heart, it seems like thither is less clock time for care overdue to time, but more time for paperwork. The department of Health has laid down certain insurance initiatives, targets and structural and organizational changes that can improve the quality of care received by patients by the NHS. These changes are emphasized along with the necessity for multi-agency and multi-organizational collaborative working crossways disciplinary boundaries. The four key interfaces for which collaboration and coordination measures are organism suggested are health and social care general medical and confederation health services primary and secondary care and interface with carers (DoH, 1996).The education of nurses instantaneously days are a lot more intense and harder than it was 10 years ago. Over the last 10 years, there has been a moderate shift for the education and training of nurses. C urrently all nurses reasonableness to be trained to a degree university level before they can practice as a fully qualified nurse. Opportunities for nurses require increased by large, with one training opportunity creation through the internet although this system of training has to be approved by the NHS. On the some another(prenominal) hand, years ago nurses single had to have a diploma or LPNS. forthwith days all nurses have to attend and complete continuing education courses to keep up to date with the new trends and information used in the current day.In addition to the higher and more advanced education, which nurses straightway have to have, there comes an increases scope of practice. In the current worlds, nurses are doing more and going places that in the past they would non be allowed to have done. The scope of practice is an expression used for various professions that define the procedures, actions, and processes that are allowed to be used and practiced. In t he health care profession, there are some(prenominal) different jobs with very different defined scope of practice laws and regulations. These implicate nursing, social workers, speech and language pathology,audiologists,training, radiography,nuclear medicine, dentists, surgeons, paramedics, physicians and many another(prenominal) more. In the interest of the patients, it is a good thing that nurses are allowed to do more and more as there are more doctors than nurses, so the patients may be seen quicker, but on the other hand, it is not a good thing as nurses are doing more and by chance caring for the patient emergency and wished less. instantlyadays in hospitals, the wards are not gender mixed although the nurses are gender mixed between wards. The stereotypical roles of a nurse have change a lot since the 1990s. There are more antheral nurses but still not enough. However although there are still not enough male nurses, the female domination of nurses is slowly decrease a nd now more men are entering the caring profession. For patients the more male nurses is a good thing because some patients i.e. men elect to be treated by a man. For example, a man may like to be washed by a man and not a woman for dignity reasons. In addition, for years, the majority of nursing was popular opinion of as a female profession but both year more and more males are joining the nursing profession. Nowadays creation a male nurse does not have a blot attached to it and is now seen as a very good career.The demand of nurses now in 2010 is by large massive. The NHS is always asking for more nurses. When the baby boom started there was a very large hire for nurses but as the baby boom is decreasing now there is time and money for improvement of standards of quick and disease control, our citizens are living longer. As the general population increases, so too does the demand for nurses. Now more than ever nurses are overworked but with the increasingly shortage of nurs es they have to work harder and longer hours, which again is not benefiting the patients. Because of the nursing demand and cater shortage, mental facultys are taking more sick days due to unjustified stress and lack of sleep and self-time. This is because nursing is very demanding on a mortal not just mentally but physically too. This is in earnest compromising the NHS.In 2010 compared to 1980, there is a lot more engineering for nurses to use and to be trained to use. Nurses today have to keep up to date with a lot more applied science than a nurse 50 years would have had to. Technology can be seen as a good gadget and as a bad gadget, because not only do nurses have to provide basic and skil conduct care, they in addition have to learn how to work with many types of equipment that are specific to their field of honor of expertise. The more popular piece of technology used either day by a nurse is a computer. Nurses use them every day as a way to document the care given t o a patient. Although new technology is a good advantage for health care, it has its negatives, for example training the rung to use it costs a lot of money, but on the other hand, it can save lifes. Other important technology that is used every day that benefits a patient is, air mattresses as they help to prevent DVTs and assistance with IV insertion which has made things a lot simpler. All of the new high tech equipment being modify is for user- friendliness, which means that the new methods are speeding things up. Lastly, infection control plays a big part in the NHS every day, so new technology is being developed all the time, although the basic hand washing procedures tarry very much the same.There are many different approaches to nursing care, one being the holistic care. This type of care has become more and more popular. The re-sentencings between the Health and Allied Health services improving, a total Patient Care Model has come about. Resulting in diminish in-patien t times and better health outcomes. The holistic care has been seen more popular within the complementary therapies and images.The patient load that a nursed has is massive. In America, there was a debate about the metre of patients under care of nurses. In 1999, the debate was won and there was a cap of the amount of patients allowed under care of one nurse. The results have been very effective from happier faculty and better care for patients. There should be a cap in the UK. The changes of nursing over the last 10 years have been welcomed with idle arms, but there are still teething problems and views that need to be heard. Optimal patient care is in a constant troth with budget and we can expect to see new policy reforms, new technology, and new demands created in the decade to come. It re of imports the responsibility of not only the nurses, but also the patients of the future, to voice their opinions in order to guide the perseverance in the right direction.Nurses are no w expected to come with a bigger patents load but more paper work as well. The importance of the paper work has increases over the last 10 years. This is due to the society that we now live in as it has been raised to need someone to blame for everything. As a nurse or doctor there are many emotional people more or less you every day as people are dying all the time. Therefore, sometimes people sue the nurses and doctors as they are upset and think the person died due to the NHSs fault. Following this, nurses and doctors keep finding themselves in court. Even if they have not done anything, all allegations have to be investigated. This is the reason for paperwork there is to write up. Paperwork is the only solid setting stone and proof/ stand-in of a nurses care. A nurse is required to document every daub pressure reading, every medication, every incident, and every day. They have toaccountfor every action, and put it all in writing. The problem with documentation is that it take s time. More time for documentation means less time for patients. Plain and simple.The polices that nurses have to postdate are very similar across the whole world. In Australia, the no-lift policy was introduced in the late 1990s. To date the policy is still used and the nurses are trained using this policy. No-Lift means using Lifting Machines to mobilise patients, using semivowel sheets to manoeuvre them around the bed and promoting back care in general. Although this concept is yet to be adopted in the UK, the benefits are becoming clear and discussions have begun on the implementation of a similar policy in the UK.There are many different types of nurses that work in the community and in the hospitals. These can range from, Adult nurses, mental health nurses, Childrens nurses, eruditeness disability nurses, District nurses, Neonatal nursing, Health visitors, Practice nurses, Prison nurses, instruct nurses and Healthcare assistants. There are also many different levels to be ing a nurse. A health care assistant is under a nurse, and then you have staff nurses, then sisters and ward sisters and then nurse manager/ matron. All in all these all make up our NHS and work as a team to provide the best possible care for the patient. There is a large scale of pay, which starts at around 13,000 to 67,000. The above table shows how the NHS works.The last 40 years nurses uniform has changed but not that much. In the 1960s nurses still wore dresses and stocking .In the 1970s more changes came to the way nurses dressed. Dresses were a little shorter and the white caps were beginning to lose importance in some hospitals across the country. In the 1980s there was an end of the nursing caps altogether. Nurses also began wearing disposable aprons at this point rather than framework aprons and medical facilities became much less militant in regards to restrictions on jewellery and cosmetics. During the 1990s and today, nursing dresses have been replaced with much more u ser-friendly scrub causal agents. Scrub suits can be found in a bulky variety of colours and styles. Some hospitals have specific scrub suit colours for different types of hospital staff and others allow nurses and other staff to choose colours and styles that appeal to them. Todays nursing uniforms are designed more for function than form but are also considered much more comfortable than those worn throughout history are.There are many different theories towards nursing. The three main ones are needs based theories. The main point being that the focus of nursing is the assessment and care of the patients / customers needs, which they are unable to meet for themselves. The second theory is interactions theories. The main point of this being the focus of nursing is the relationship between the nurse and the patient / client. Lastly, the other theory is the goal-based theories. The main point again being that the focus of nursing is the outcome and emphasis is placed on facilitat ing the ability of the patient / client to adapt to changes in their health and regain stability and harmony.Today in the NHS nursing takes on a role of the biomedical theoretical account. The biomedical mildew has been around since the mid- nineteenth century as the most common model used to diagnose diseases. The biomedical model states that All illness and symptoms summon from underlying abnormality in the body, all diseases give rise to symptoms and that health is absence of disease. The model overlooks the fact that the diagnosis is a result of commutation between doctor and patient. Biomedical model has no doubt led to huge medical advances although the patient has little responsibility for presence /cause of illness.In conclusion, the changes in roles and responsibilities of nurses in the modernisation of the NHS can beneficial towards the patients but can also be damaging towards the patients. This is due to lack of staff and increased working hours, more paperwork, and m ore tasks that a nurse has to do and there are generally more patients now than 10 years ago. Therefore, a nurse has less time caring for the patients needs. On the other hand, the modernisation is seen as a good thing because there is more technology nowadays to make the nurses life easier, which also get a more persist result. Within the context of policies and procedures there are no many more rules than year ago, which does make a nurses life maybe easier but maybe harder. With all of these changes to nurses and the NHS in general, is the modernization is good thing, does it have the patients interests are heart or is it about saving money?
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