Issues options nursing (3)

Issues and Challenges in

Nursing

Prof Ed B Rillon 2012

Objectives

1. Analyze the priority issues in nursing today.

2. Discuss possible options for said issues confronting the profession.

What is Nursing

Nursing is a therapeutic interpersonal process, a scientific discipline. Its thru its caring aspect that the dazzling array of technologies is countered (Watson 2007).

Watson’s ‘Caritas’ Caring Science1. Humanistic- altruistic values- practice of loving

kindness and equality with self and others;2. Enabling faith and hope-being present

authentically3. Sensitivity to self-others- on going spiritual

development;4. Developing authentic trusting caring relations5. Allowing expression of positive -negative

feelings, listening to Another’s story

Watson’s Caritas---

6.Creative problem solving process;7.Relational teaching-learning /inner

subjective meaning’8. Creating healing environments9. Assistance with basic needs-

sacred acts; and10 Openness to existential-spiritual

unknowns- allowing for MYSTERY AND MIRACLES.

Watson’s Proposal

Nurses must reclaim Nursing Arts which have scientific basis. Modalities are: Intentional touch (TLC therapeutic

healing)Visualization or imageryMusic therapyMassagePet therapy and Other biological interventions

Donna Cardillo -A Daybreak for Beginning Nurses

Nursing care comes in many forms. Sometimes it is the ability to make someone feel physically comfortable by various means,Other times it is the ability to improve the body’s ability to achieve or maintain health. But oftenIt is an uncanny yet well honed knackto see beyond the obvious and address in some way, the deeper needs

of the human soul.

Caring is the most abstract of all concepts in nursing.

ISSUES

1. Lack of health workers to include nurses in poor remote rural areas.

AnalysisRoot Causes:

A. Personal- orientation of nurses too focused in hospitals not public health.

Desire of parents for children to go abroad and nurse herself.

48% in hospitals 28% in academic institutions

17% public health

B. a working environment that allows exploitation of nurses,oppression and violation of fundamental rights. E.g. The rape of “Florence”

C. no plantilla positions for nurses at BHU.

2. Low wages and poor working conditionsRoot causes:

a. RA 9173 (Nursing Act of 2002) and RA 7305 (Magna Carta of Public Health Workers not fully implemented.

Min. for PHN = SG 15 (P25,000/mo)

Reality= SG 11 after 10 yrs.Private sector= P6-8,000mo

w/in range of min. wage.

Magna Carta benefits given in piece meal partially not entirely. Hazard pay, SA, overtime pay, night shift differential, holiday pay,laundry allowance. (Diminished under “cost saving” measures to augment hospital operations. LGUs= funds not available.

3. Heavy WorkloadNCMH- Nurse patient ratio= 1:200 Others 1:30 Understaff= overtime or 16 hrs straight Over and above these= lack of equipment and basic medical supplies. If there are,patients pay under users scheme.

Conflict in patient service interest vis a vie income generation policy.

WorkloadPublic Health Setting

1:40,00 (standard= 1:15,000 popuation)

(tev hard to reach areas)

4. Unfair labor practice- Volunteerism

Root causes:A. unfair demand for hospital experience for hiring.B. Too many nurses- 200,000 available nurse manpower

5. Health a vital social service but not a state priority

2011 Health Budget Php 33 billion= 2.5% of total

national budget.

Less than one peso a day allocation per Filipino.Ibon Primer Series(2008)

OPTIONS

P’noy Nurses Agenda ( in support for universal access to health for the Filipino )P- Positioning nurses as frontline

leaders in Primary Health CareN- Nursing Law and MAGNA CARTA full implementationO- Operationalization of

government programs and projects for nurses

Y- Yearning for Phil complimentary laws and policy on Health Budget allocation of 5% from GDP.

Additional Root Causes

Fast growing population= 2.2 % 70% poor (61 M)

Option = obvious

POVERTY ( Poverty Trap)

The environment of the nurse is also creating poverty in the profession.

Conclusion

The core value of nursing is CARING.

The NURSE as a patient advocate has to share the responsibility for the creation and promotion of an environment necessary for good health esp. to the underserved and poor communities.

THANK YOU