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The contribution of nurses in future proof health care

The contribution of nurses in future proof health care EFPC Conference 9-10 September, 2013, Istanbul Marieke J. Schuurmans, PhD, RN Chair Nursing Science University Medical Center Utrecht/Professor Care for Older People University of Applied Sciences Utrecht. 2033.

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The contribution of nurses in future proof health care

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  1. The contribution of nurses in futureproof health care EFPC Conference 9-10 September, 2013, Istanbul Marieke J. Schuurmans, PhD, RN Chair NursingScience University Medical Center Utrecht/Professor Care for Older People University of Applied Sciences Utrecht

  2. 2033

  3. DEMOGRAFIC MILESTONE

  4. Demographic changes • Changing patterns of health and disease • Increasing expectations of service users • Increasing need for choice • Shift to care close to home • Increased opportunities in treatment and care • Increase in technology and communication • Lasting social inequality Front line Care Report by the Prime Minister’sCommission on the Future of NursingandMidwifery in Engeland (2010) http://cnm.independent.gov.uk

  5. Extraordinarychallenges in health care

  6. NURSING The uniquefunction of the nurse is to assist the individual, sick or well, in the performance of thoseactivitiescontributingto health or its recovery (or topeacefuldeath) that he wouldperformunaidedif he had the necessarystrength, will or knowledge. Andto do this in such a way as to help himgainindependence as rapidly as possible“ V. Henderson, 1966, p15

  7. FUTURE OF NURSING REPORTS Nurses are at the heart of delivering the high quality, compassionate care thateveryone wants. Theyplay a keyrole in determining the quality of health andsocial care andenablingpeopleto make personal choices in a range of health, socialand community settings. They are alsovital in improving public health, health promotion andillness prevention – crucialelements of future health care. Front line Care Report by the Prime Minister’sCommission on the Future of NursingandMidwifery in Engeland (2010) http://cnm.independent.gov.uk Nurses are the largestand most flexible component of the health care work force

  8. NURSES CAN Bridge the gap betweencoverageand access, coordinateincreasingly complex care for a wide range of patients www.thefutureofnursing.org/iom-report • Improve the quality of care through the chain (across settings) • Improve care systems • Address patient safety • Remove barriers to high quality care • Reduce health inequalities • Analysehealth issues • Establish creative and effective cooperation (partnerships) M. Hill (2010)

  9. 1 NURSING CARE SHIFT FROM HOSPITAL TO HOME

  10. SELFMANAGEMENT IS IT! 2TRANSITION FROM PROVIDING CARE TO ENHANCING PATIENTS ABILITY TO SELFMANAGE CHANGE OF PARADIGM SELF MANAGEMENT

  11. HEALTH The abilitytoadapt and self manage in the face of social, physical, and emotional challenges. BMJ, 2011

  12. FRAME WORK ..ratherthanpatientdependency ‘causing’nursing action, nursing actions cancausepatientstobecome more or lessdependent(Miller, 1984)

  13. 3 INDEPENDENT WITHIN A TEAM

  14. 4 FOCUSSING ON RESULTS PREVENTION

  15. DAILY FUNCTIONING & QUALITY OF LIFE Diseases that have strong negative correlation with the ability to: • self care • move/transfer • have contacts with others Most negative influence quality of life (Netuveli et al, 2005, 2006) Limitations in daily functioning 4x more impact on quality of life than disease itself (Netuveli et al, 2005)

  16. POPULATION BASED

  17. 5 CLINICAL REASONING EVIDENCE BASED

  18. 6 TECHNOLOGY

  19. CARE INNOVATION FIRST DO NOT HARM

  20. 7 PARTNER IN POLICY Leadership & partnership

  21. 8 GENERALISTS & SPECIALISTS

  22. 9 NURSING = BACHELOR

  23. 3 Nursingeducation: can we allagreethat a bachelor’sdegreeshouldbe the minimum level for entry intopractice?

  24. FUTURE THE FUTURE IS ALWAYS DIFFERENT THAN THE PAST COULD IMAGINE (P. Schnabel, 2007)

  25. THE FUTURE IS NOW

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