8/14/2019 GLOBAL NURSES
1/65
8/14/2019 GLOBAL NURSES
2/65
INTRODUCTIONINTRODUCTION
Filipino nurses put their heads highand the whole world of the greatness
of the Filipino spirit resiliency at its
best in Philippine Nursing becausewe are not alone we have new
found partner: DOLE, CFO, DFA,
DOH, PhilHealth and.. we have eachother!
8/14/2019 GLOBAL NURSES
3/65
GLOBAL HEALTH CARE SCENARIO
THE MILLENIUM DEVELOPMENT GOALS (MDGs) : 2015
1. Eradicate extreme poverty and hunger
2. Achieve universal primary education
3. Promote gender equality and empower women
4. Reduce child mortality
5. Improve maternal health
6. Combat HIV/AIDS, malaria and other diseases
7. Ensure environmental sustainability8. Develop a global partnership for development
8/14/2019 GLOBAL NURSES
4/65
GLOBAL HEALTH CARE SCENARIO
GOAL 4: Reduce child mortality Target: reduce under-five mortality rate bytwo-thirds between 1990 & 2015
GOAL 5: Improve maternal health
Target : reduce maternal mortality ratio by
three quarters, between 1990 & 2015
GOAL 6: Combat HIV/AIDS, malaria and
other diseases Target: have halted and begun to reverse the
incidence of malaria and other diseases
8/14/2019 GLOBAL NURSES
5/65
PHILIPPINE HRH
SITUATION
The Philippines is producing more and better human resourcesfor health, compared to most Asian countries
Human resources for health are enormous but unevenlydistributed in the country
The Philippines is a major source of health professionals to othercountries
* leading exporter of nurses to the world
*Second major exporter of physicians
Large exodus of nurses and physicians (as nurses) in recentyears has been unparalleled in the migration history of thecountry
8/14/2019 GLOBAL NURSES
6/65
PHILIPPINE HRH
SITUATION
High unemployment rate for new nurses
Migration of trained nurses
Inward migration to urban centers
High employment in urban areas
Low employment at rural areas
Outward migration abroad
High training expenses of new nurses for localemployment as replacement to those whomigrated abroad
8/14/2019 GLOBAL NURSES
7/65
LOGO
According to the Bureau of Labor and
Statistics, Registered Nursing is amongthe Top Ten Occupations with the Largest
Job Growth
8/14/2019 GLOBAL NURSES
8/65
LOGONurses
Promote health
Prevent diseases
Help patients cope with illness.
Have a unique scope of practice and
can practice independently Collaborate with all members of thehealthcare team to provide the careneeded by each patient as anindividual
Are hands-on health professionals
Focused highly personalized care
8/14/2019 GLOBAL NURSES
9/65
LOGONurses
Serve as advocates for:patients
families
communities.
Develop and manage:nursing care plans
instruct patients and their
families in proper carehelp individuals and group take
steps to improve or maintaintheir health
8/14/2019 GLOBAL NURSES
10/65
1. Ethical Recruitment in bilateral and multilateral
arrangements on foreign deployment of humanresources for health (HRH) that will guide therecruitment and deployment of HRH betweencontracting parties, given the following examples:
1. Philippine -United Kingdom MOU
2. Philippine Saskatchewan (Canada) MOU
3. Philippine Bahrain MOU
4. Philippine Kuwait MOU
5. ASEAN MRA for Nursing
8/14/2019 GLOBAL NURSES
11/65
2. Reciprocity and mutual benefits in bilateral and multilateralarrangements/agreements between the Philippines assending country and countries of destination of Filipino HRHsuch as but not limited to: benefit package that consists ofresources or technical support to health education, training,facilities and systems; priority benefits for the public health
system
1. Philippine Saskatchewan (Canada) MOU
2. Philippine Bahrain MOU
3. Philippine Palau MOU
4. Philippine Viet Nam MOU
8/14/2019 GLOBAL NURSES
12/65LOGO
Initial Requirements in the Philippines
Nurses should finished Bachelor of Science in Nursing (BSN)
Then:
Master of Arts in Nursing (MAN)
Doctor of Philosophy (Ph.D)
The field has a wide range of career
opportunities, ranging from entry level Staff
nurse to Doctoral-level researcher
8/14/2019 GLOBAL NURSES
13/65
LOGO
Once you are a professional nurse, you
might choose to focus on a particularspecialty.
specialty options:
Critical Care Nurse
Emergency Nurse
Hospice/Palliative Care Nurse
Labor and Delivery Staff Nurse
Neonatal Nurse
8/14/2019 GLOBAL NURSES
14/65
LOGO
Nephrology Nurse
Nurse EducatorNurse Executive
Oncology Nurse
Orthopedic Nurse Perioperative(O.R) Nurse
Psychiatric Mental Health Nurse
School Nurse
Staff Nurse
Women's Health Nurse
Practitioner
8/14/2019 GLOBAL NURSES
15/65
Nursing has four Advance Practiceclinical professions
Clinical Nurse Specialty
Nurse Anesthetist
Nurse-Midwife
Nurse Practitioner
- each of which requires amasters degree and separatecertification.
8/14/2019 GLOBAL NURSES
16/65
8/14/2019 GLOBAL NURSES
17/65
Roles in Service Delivery
As seen in the Project NARS (or Nurses Assigned in
Rural Service): warriors for wellness
Initiator of primary health, school nutrition, maternal
health programs, and first line diagnosis; Teacher of community water sanitation and other
environmental practices
Epidemiologist health surveillance
Health Advocate immunizes children and mothers
8/14/2019 GLOBAL NURSES
18/65
Roles in Service Delivery
Change Agent promote hygiene and sanitation
and the control of infectious disease like influenza
AH1N1 as well as helminth infestation;
Counselor provides nutritional assessments and
advises patients on the proper diet; provides pre-
marital family planning counselling
Supervisor as Public Health Nurse, supervises
the rural health midwives Logistics manager ensures that logistics are
available for health facility operations (vaccines,
syringes, medicines, etc)
8/14/2019 GLOBAL NURSES
19/65
Roles in Service Delivery
In hospitals,
Provider of Care carries out treatment plans
Health Teacher instructs patients/relatives on
patient care
Epidemiologist as part of Infection Control Team Health Advocate
Supervisor/Manager supervises team members
and provides needed resources of staff
Leader can lead a whole department later in
his/her career
8/14/2019 GLOBAL NURSES
20/65
LOGO
Role in Health Regulations
Regulatory officer as part of team of regulatoryofficers, assesses compliance of the health facilityto the requirements of the nursing department interms of resources and operational needs
Accreditation officer as part of the team of
accrediting team of PHIC, assesses compliance ofthe health facility to the requirements foraccreditation of the nursing department
Technical assistance provider orients/teacher
health facilities new issuances or requirementsrelated to licensing
Policy Maker/Researcher participates/initiatespolicy development related to licensing
8/14/2019 GLOBAL NURSES
21/65
LOGO
Role in Healthcare Financing
Resource Mobilizer as part of managementfunctions, sources out funds for increased
budgetary allocation/investment for health
8/14/2019 GLOBAL NURSES
22/65
LOGO
Role in Governance
Supervisor/Management assessesperformance of staff
Teacher/Trainer of both facility staff and
patients; gets training needs of staff
Logistics/Finance Manager
8/14/2019 GLOBAL NURSES
23/65
Specific challenging and
rewarding roles assumed bynurses includes:
care provider teacher/ counselor patient advocate leader/manager consultant researcher
8/14/2019 GLOBAL NURSES
24/65
Clinical Nurse Specialists (CNS)
Advanced Practice nurses who hold a Masters orDoctoral degree in a specialized area of nursing
practice. Their area of clinical expertise may be in:
A population (ex. Pediatrics, geriatrics, womens health)
A setting (ex. Critical care, emergency room)
A disease or medical subspecialty (ex. Diabetes,
oncology)
A type of care (ex. Psychiatric, rehabilitation)
A type of health problem (ex. Pain, wounds, stress)
8/14/2019 GLOBAL NURSES
25/65
Nurse Practitioners (NPs)
Advanced Practice Nurses who provide care to patientsthroughout the lifespan, from premature newborns to the
elderly
They perform:
comprehensive and focused physical examinations
diagnose and treat common acute illnesses and injuries
Provide immunizations
Manage high blood pressure, diabetes, depression and other chronic health
problems
Order and interpret diagnostic tests such as X-rays and EKGs, as well aslaboratory tests
8/14/2019 GLOBAL NURSES
26/65
Ambulatory Care
Nurses
Treat patients of all ages with acute orchronic illnesses or injury on an episodic,outpatient basis Treatment includes:- Screening- Triage- patient education
- pain management- case management- discharge planning and other interventions to
restore- maintain or promote patients physical health
8/14/2019 GLOBAL NURSES
27/65
Certified Nurse
Anesthetists
Provide anesthesia to patients during surgical
or obstetrical procedures, providing
preoperative and postoperative care as well.In addition to minimizing pain, nurse
anesthetists
Explain procedures and options to theirpatients
Monitor their vital signs, response and
recovery from anesthesia.
8/14/2019 GLOBAL NURSES
28/65
Cardiac Rehabilitation Nurses
Work with adults with cardiovasculardisease or those who are at risk.
Promotes cardiac wellness by:
- helping patients- alter their lifestyles such as:
decreasing stress
eating low-fat
low-cholesterol meals
exercising stop smoking
8/14/2019 GLOBAL NURSES
29/65
CASE MANAGEMENTCASE MANAGEMENT
The primary role of a case manager is to:
- coordinate continuity of care- ensure that patients get the proper treatment at the
proper time
- maximize health and minimizehospitalization
8/14/2019 GLOBAL NURSES
30/65
CASE MANAGEMENTCASE MANAGEMENT
Case management framework:-assessmentplanning-implementation-evaluation-interaction
Specializes in a particular area such as:-HIV/AIDS-rehabilitation or geriatrics
8/14/2019 GLOBAL NURSES
31/65
Clinical Nurse SpecialistsClinical Nurse Specialists
Advanced practice nurses who provide
expert patient care:
facilitate clinical research to improve patient
outcomes
act as role models to less experienced staff Have advanced clinical expertise in a
particular specialty. Depending on that
specialty
Work with patients of all ages and diagnoses
8/14/2019 GLOBAL NURSES
32/65
COMMUNITY / PUBLIC HEALTH NURSE
and COMMUNITY REHAB NURSE Focus is on the population as a whole
Interaction may includes:
- epidemiology- environmental health
- wellness
- health promotion- evaluation of population-focusedprograms
- health maintenance
C i i l C
8/14/2019 GLOBAL NURSES
33/65
Critical Care Nurses
Care involves complex assessment
High intensity interventions involving
sophisticated technology.
Attends to the
psychosocial/emotional needs of
- patients
- families
- significant others
8/14/2019 GLOBAL NURSES
34/65
Diabetes Education
Nurses
Educate patients to monitor their
lifestyle including:
nutrition
exercise blood sugar monitoring to lessen the
need for medication and hospitalization
increase health and well-being
8/14/2019 GLOBAL NURSES
35/65
Forensic Nurses
Work with law enforcement officials as well as
perpetrators and victims of crime.
The specialty includes: death investigators
correctional nurses
nurse attorneys
domestic violence specialists
human rights advocates
sexual assault nurse examiners
Duties may includes: collection of clinical evidence
determination of origin or circumstances of trauma
evaluation and alleviation of crime victims injuries and
rehabilitation of criminals
8/14/2019 GLOBAL NURSES
36/65
LOGO
Gerontological Nurses
Care for the physical andpsychosocial needs of older adults.
Focuses on maximizing:
functional abilities
as well as promoting
maintaining
restoring their physical and mental
health
8/14/2019 GLOBAL NURSES
37/65
LOGOAIDS/HIV Nurses
Delivers:
educationalTherapeutic
supportive interventions for those infected with or affected
by HIV/AIDS.
Deal with the physical and psycho-social aspects ofthe disease
Helping patients minimize their pain
Maximize independence.
Advocate for patients Teach techniques to help prevent the spread of the
disease
8/14/2019 GLOBAL NURSES
38/65
Provide episodic or continuous care in thepatient's place of residence for people of all agesand varied diagnoses.
Care includes:
providing patient and family education
monitoring technical interventions
coordinating referrals
handling other interventions to restore or maintain
patients' physical or psychosocial well-being.Nurses may supervise home health aides.
8/14/2019 GLOBAL NURSES
39/65
Care for the physical and emotionalneeds of dying patients and theirsignificant others.
Interventions may include:pain management palliative care
symptom managementemotional support
8/14/2019 GLOBAL NURSES
40/65
Infection Control NursesInfection Control Nurses
Prevent and track the spread ofinfections by: developing
maintaining strict procedures toprevent infections
investigating how infectionsoriginated and spread
Duties:immunization programs to
developing bioterrorist responseprotocols.
8/14/2019 GLOBAL NURSES
41/65
Intravenous NursesIntravenous Nurses
Experts in infusion therapy suchas:providing fluids,
nutrition
medication or transfusions
The specialty requires knowledge
of:pharmacology
standard nursing practice
infection control and technology
8/14/2019 GLOBAL NURSES
42/65
MED/SURG NURSEMED/SURG NURSE
Care for adults with acute healthconditions, whether in: outpatient facilities
hospitals
long-term care facilities. Elements of care includes:patient education
pain management
case management
discharge planning
interventions to restore or maintainpatients' physical and psychosocial health
8/14/2019 GLOBAL NURSES
43/65
Care for patients with renal diseaseor dysfunction, includes:undergoing dialysis or
transplantation
Focuses on:preventing disease
minimizing dysfunction
restoring function dealing with both the physical and
psychological complications of kidneyfailure.
8/14/2019 GLOBAL NURSES
44/65
Work across the healthcare continuum tohelp patients of all ages deal with: physical
psychosocial response to neurologicalimpairments including: spinal cord injuries
head injuries
movement disorders
CVAs and other neurological diseases anddisorders.
Goal maximize function and independence,while minimizing pain
and discomfort.
8/14/2019 GLOBAL NURSES
45/65
Meet nurses continuing educationneeds.
Providing educational opportunities
outside the academic environmentDevelop, enhance and promote
improved patient care
Professional development lifelong learning attainment of career goals among the
nurses they serve.
8/14/2019 GLOBAL NURSES
46/65
Promote
maintain
restore workers health and safetywithin their place of business.
Deals with productivity:
disability/accessibility ergonomic
workers compensation issues.
8/14/2019 GLOBAL NURSES
47/65
Care for the surgical patient through:Preoperative
Intraoperative
Postoperative procedures
OR nurse performs a number of duties including:patient assessment,
creating a sterile environment
monitoring patients' mental and physical statuscoordination of care and provision of resources
8/14/2019 GLOBAL NURSES
48/65
Provides care for children andadolescents
Focuses on:mental
physical aspect of health andillness.
8/14/2019 GLOBAL NURSES
49/65
Care for: physical psychosocial needs of women: before during after giving birth
Duties may includes: teaching natural childbirth techniques monitoring pregnancies providing physical and emotional support during
labor and delivery promoting healthy mother-child bonding after birth
8/14/2019 GLOBAL NURSES
50/65
Perinatal nurses care for: physical psychosocial needs of women
before
during after giving birth.
Duties may includes: teaching natural childbirth techniques
monitoring pregnancies providing physical and emotional support during
labor and delivery promoting healthy mother-child bonding after birth
8/14/2019 GLOBAL NURSES
51/65
Promote and enhance the mentalhealth of patients of all ages withacute or chronic psychiatric needs.
Intervention includes:use of therapeutic interpersonal skillscase managementdischarge planningdisaster response
8/14/2019 GLOBAL NURSES
52/65
Promote the pulmonaryhealth of individuals
Respiratory Nursing canbe:
preventiveCritical
acute or rehabilitative
8/14/2019 GLOBAL NURSES
53/65
Care for patients of all agesrequiring emergency care
Work to restore:
- vital signs
- to arrest further loss of function- to prevent complications ordeath
8/14/2019 GLOBAL NURSES
54/65
Has the capabilities for providing basicnursing care to any type of patient,among which are:
assessment of:physical conditions
interpretation of the significance of his/herfindings as basis for planning the nursing care
identification of:emotional
social factors and relating these to signs andsymptoms observed
8/14/2019 GLOBAL NURSES
55/65
application of scientific principles in theperformance of nursing techniques
working with patients family so that
they gain understanding of his/herillness and cooperate towards promotingearly recovery of the patient
utilization of laboratory and diagnostic
tests in promoting progress of care andenhancing his/her own usefulness as ahealth teacher and counselor
8/14/2019 GLOBAL NURSES
56/65
knowledge and recognition of:
pharmacological effects of drugs andmedications, their implications for
nursing actions as needed interpretation of doctors orders
concerning medicines and treatmentsand communicating the same
effectively to the patient and carryingthem out promptly and accurately withunderstanding of cause and effects.
T l h T i N
8/14/2019 GLOBAL NURSES
57/65
Telephone Triage Nurses
Using protocols and independent judgment,
provide patient education
advice via the phone to patients of all ages anddiagnoses
They rank patients according to urgency of need,directing them to further care as necessary.
Goal is to advise the patient on:
right level of care at the appropriate time toreduce unnecessary physician's appointments ortrips to the emergency room.
N i I f ti
8/14/2019 GLOBAL NURSES
58/65
Nursing Informatics
Combines nursing and computerscience.
Use computers to build or implementsystems to support or automate
nursing care.By:
Collecting
organizing
measuring and representing data
nurse informaticists improve the efficiencyand quality of patient care.
8/14/2019 GLOBAL NURSES
59/65
Military Nursing
Ensures that soldiers, his family, and othersignificant groups will have:
- adequate personal care
- maintenance, safety, and comfort. Works at different health settings with
various levels of responsibilities.
8/14/2019 GLOBAL NURSES
60/65
Consultants use their nursing expertise tohelp:
attorneys
clients investigators, juries and judges
understand and interpret medical issuesand documents.
Role includes:
legal nurse consultant may include:
testifying on standards of care in depositions
interrogatories or trials
organizing medical records
acting as a liaison with other medical personnel.
8/14/2019 GLOBAL NURSES
61/65
Work with children in their academic settingThey may be responsible for:
mandated services (such as vision andhearing screening)
immunization complianceemergency care
illness and injury prevention
community relations
health counseling
health education, promotion and prevention.
8/14/2019 GLOBAL NURSES
62/65
Career opportunities in nursing educationare better today than ever before.
There is a chronic teacher shortage in all
nursing education programs. Nurses who like to consider teaching as
their field of expertise will have to considersome qualifications.
8/14/2019 GLOBAL NURSES
63/65
Combine their nursing backgroundwith:
business savvy creativity and ingenuity to starttheir own businesses.
8/14/2019 GLOBAL NURSES
64/65
Provide leadership and direction in:
designing and managing care planning and developing policies and
proceduresallocating resources
Seek to improve patient outcomes
and bring about positive staffdevelopment.
8/14/2019 GLOBAL NURSES
65/65
LOGO Just as there is a sense of
greatness in every Filipino
there is also much moresense of Greatness in the
Filipino nurses, NOT JUST
FOR SENDING DOLLARS
HOME BUT IN MAKING THEFILIPINO PROUD OF THE
CARING INNOVATIONS
AND CHALLENGES. The
Filipino nurses are willing to
take in order to serve
BETTER