...-l.' Nursing Trends: That I foresee in the year 2020 In the last thirty five years, nursing care has branched out from strictly clinical, hospital and nursing home setting to other areas. Due to strict health insurance payment guidelines, patients today are being sent home from the hospitals faster and sicker. This in turn increases the demand for more nursing care in the home. A lot of today's nurses are filling this need between the patient’s home and the hospital health care team. This trend continues to grow. Due to shorter hospital stay of patients, multiple skilled nurses and advanced technology, many changes will be impacted in Nursing in the year 2020. Some of these changes that will be made in the year 2020 are the following: 1. A shift from hospital to specialty care nursIng. 2. A shift to facing increasingly complex ethical dilemmas 3. A shift from working as a part of a hospital staff to "Dejobbing". Hospital opportunities will continue to rise in specialty areas. Due to advanced technology, critical care nurses will stay in demand to treat patients for conditions that previously would have been fata1. Other specialty areas would continue to be in demand such as preoperative, neurological, emergency and cardiovascular areas. Maternal/child health is another good choice for future nursing. The - .. , the sub specialties of Neonatal Intensive care and Pediatric Oncology...
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...Professor and Class, In my opinion, this is how I believe that we can encourage all nurses to broaden their knowledge of the community to identify health risks, needs and resources...pertinent environmental factors. Nurses can encourage other nurses to join the professional organization such as the American Nurses Association (ANA), where they can subscribe to nursing magazines and journals. According to ANA (2010), registered nurses have three professional resources that inform their thinking and decision-making and guide their practice. They are as follows: Code of Ethics for Nurses with Interpretive Statements, the Essence of the profession and Nursing’s Social Policy Statement. Healthy People 2020 is also another great source for...
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...Wawasan 2020 or Vision 2020 is a malaysian ideal introduced by the former Prime Minister of Malaysia, Mahathir bin Mohamad during the tabling of the Sixth Malaysia Plan in 1991. The vision calls for the nation to achieve a self-sufficient industrialized nation by the year 2020, encompasses all aspects of life, from economic prosperity, social well-being, educational worldclass, political stability, as well as psychological balance. In order to achieve Vision 2020, Mahathir lamented that the nation required an annual growth of 7% (in real terms) over the thirty-year periods (1990–2020), so that the economy would be eightfold stronger than its 1990 GDP of RM115 billion. This would translate to a GDP of RM920 billion (in 1990 Ringgit terms) in 2020.Wawasan 2020 is also the title of an article by William Greider about globalization in Malaysia.Mahathir had outlined nine strategic challenges that Malaysia must overcome to achieve Vision 2020. The first challenge is establishing a united Malaysian nation made up of one Bangsa Malaysia (Malaysian Race). The second challenge is creating a psychologically liberated, secure and developed Malaysian society. The third challenge is fostering and developing a mature democratic society. The fourth challenge is establishing a fully moral and ethical society. The fifth challenge is establishing a matured liberal and tolerant society. The sixth challenge is establishing a scientific and progressive society. The seventh challenge is establishing...
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...So, what is Vision 2020? The Vision 2020 was developed to be a long-term goal for the nation, the goal of Malaysia becoming a “fully developed country” by year 2020 (The Mahathir Years, 2009). In other words, by the year 2020, Malaysia can be a united nation, with a confident Malaysian society, infused by strong moral and ethical values, living in a society that is democratic, liberal and tolerant, caring, economically just and equitable, progressive and prosperous, and in full possession of an economy that is competitive, dynamic, robust and resilient (Wawasan 2020, nd). However, the Vision 2020 equires the Malaysian economy to grow at 7.0% per annum. The 9th Malaysia Plan envisages an annual growth of 6.5%, while the Third Industrial Master Plan targets 6.3% growth for the plan period (Gregore Pio Lopez, nd). Also, Malaysia could not be fully developed until Malaysia has finally overcome the nine central strategic challenges that have confronted us from the moment of our birth as an independent nation. According to Wawasan 2020, it is to be said that one of the challenges of achieving Vision 2020 will be establishing establishing a united Malaysian nation with a sense of common and shared destiny. This must be a nation at peace with itself, territorially and ethnically integrated, living in harmony and full and fair partnership, made up of one 'Bangsa Malaysia' with political loyalty and dedication to the nation. For instance, this can be seen in the big gap between Malay...
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...India’s Bid for Olympics 2020 Hospitality: The Expected attendance to the Olympic event is expect to be around 10 million people worldwide. The major issues concern for delhi hosting the games will be the Chronic power cuts. In order to meet the high energy demands during the games, large scale power production initiatives have to be taken to increase the existing capacity from 7000 Mw to 12000 Mw. In addition to physical preparation, free accommodation for all athletes at the Games Village, as well as free transport and other benefits, such as a free trip to the famed Taj Mahal and a reserved lane for participants on selected highways was provided Resorts & Hotel: There are also many luxary resorts in Delhi which can provide you many extra facilities and comfort and have special packages which one can enjoy. The five star hotel, Hotel Ashok, in New Delhi, has a memorandum of Understanding (MoU) between Indian Olympic Association and India Tourism Development Corporation (ITDC) & was Officially the Games Family Hotel for CWG games ,2010. The Hotel Ashok has more than 500 rooms with 60 executive suites. Even though there many hotels in delhi,there is still a need for more hotels & resorts to accomadate the large no. of people Security: Transport: Indira Gandhi International Airport is modernised, expanded, and upgraded. Costing nearly $1.95 billion ,Terminal 3 has increased airport passenger capacity to more than 37 million passengers a year by 2010. A new runway has...
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...Rugby vs American Football General purpose: to persuade & gain the audiences interest Specific purpose: to get the audience to want to learn more about rugby, and hopefully pass their interest onto their friends and family Thesis: Rugby is everywhere; understanding just a little about the game would bring a common interest between you and the rest of the world Attention: When will our nation (US) get its head out of their asses and realize we are focused on the wrong things for entertainment? Credibility: Over 20 years experience in American football and 12 years experience in Rugby; I believe I have enough time in to be considered a reliable source Preview: I want to share some comparisons with facts and personal experience Main Body A.) I’ll discuss where the two games derived B.) I’ll talk about the differences between injuries, and which game you’re most likely to get injured C.) Lastly, I’ll break down the game by giving you some statistics on how much actual game time action you observe on average during a single game Benefits: 1.) Rugby is a year round sport 2.) The only equipment needed to play rugby are cleats and a mouth guard 3.) Rugby is played on every continent, and in almost every country Solutions: 1.) Use the internet to watch videos and learn more about the rules 2.) Search for nearby teams and look on the schedule for a nearby game 3.) Rent a movie that contains rugby ( ie., Invictus, Forever Strong) Conclusion Action:...
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...population group, risk factors and diseases in various settings (The 8th Global Conference on Health Promotion in Helsinki 2013). Health care is evolving rapidly with education and technology to prevent diseases and promote health of public not only in specific group or to special behavior but also spread to wards national wide and reduce cultural disparities (Institute of medicine of the national academies - Roundtable on the Promotion of Health Equity and the Elimination of Health Disparities) Promotion of Health in Nursing Nursing is the major part of evolving health care system and health promotion is a most important aspect of nursing. Contemporary nursing not focus on single illness or specific group but nursing centered on education of public to improve and promote healthy living. Public health nursing established as a special nursing at this time to providing scientific knowledge to public in preventive health care (ANA evolving public health nursing focus on health promotion). Public health nurses have an inevitable role to achieve improvements in the health and social conditions especially with vulnerable populations in rural communities. Primary, secondary and tertiary heath prevention in community is mainly accomplished by public health nurses. According to institute of Medicine (IOM) want to encourage more advanced practice...
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...framework. The purpose of this paper is to discuss three nursing diagnoses related to AL and his family living in a suburban community in Staten Island, New York. Interventions and outcomes will be expected for each diagnosis and will be integrated into the care plan and educational program specially designed for the chosen family. Family Assessment AL is a 65 year old man with an Italian ethnic background. He is a smoker who has been recently diagnosed with Type II Diabetes Mellitus, mild obesity, and a history of coronary artery disease with one stent last year. His physician stated he is borderline diabetic that could be managed through diet and lifestyle modifications, and could not advance if he is compliant with suggested regimens. He lives in a two-family residence with his wife, and his father who lives in the side apartment downstairs. He has two adult children who live within close range and visit several times a week. Jean Watson’s Theory of Human Caring When caring for a special population group within a community, the nurse must integrate clinical thought to assimilate specifically designed interventions for patients. Nurses must be conscious of their responses and actions that may inadvertently affect the patient’s response. Jean Watson’s Theory of Human Caring uses a contemporary, holistic framework designed by using multiple disciplines to care for individuals and those within a community. Experienced nursing professionals are familiar with Watson’s theory viewing...
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...Health Promotion The Healthy People 2010 report designates nursing as one of the prime proponents of health promotion. Nurses are the largest single group of health care providers in the United States with an estimated 2.6 million registered nurses practicing (ANA) throughout the country. As the largest field of health care providers nurses will have a huge affect on health promotion and health education through community, hospital and legislative based activity. More importantly, health promotion will need to be a greater part of the nursing education curriculum as nursing education has had a heavy emphasis on acute care and health education but only recently has there been an emphasis on health promotion. The World Health Organization [WHO] defines health promotion as the process of enabling people to increase control over, and to improve, their health (WHO, 1986, p. 1). WHO broadly describes health as well being in the social, the mental, the environmental and the physical attributes of an individual or group not just a state from being free from disease. The idea that health promotion can help achieve health by assisting individuals and groups to become more active in their own health by various means such as education, promoting positive lifestyle choices, health screening, social activity and mentoring. The WHO definition of health promotion provides two of the five mission statements for Healthy People 2020 that includes: increasing public awareness and understanding...
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...Assignment Grading Criteria Community and Public Health Nursing Reflection Write a 700- to 1,050-word reflection of the community assessment in which you address the following: • Explain the role of community and public health nursing and community partnerships as they apply to the participating family’s community. • Address the influence of cultural diversity and vulnerable populations as they apply to the participating family’s community. • Explore the epidemiological influences within the participating family’s community. Select one Healthy People 2020 LHI that relates to your participating family’s community. • Develop 3 community nursing diagnoses that relate to the participating family’s community, based on the Community Assessment and Windshield Survey. • Identify 1 potential nursing intervention for each diagnosis (identified above) that could have a positive effect on the selected LHI. • Describe a community health partnership that could positively influence the selected LHI. • Describe how nurses can advocate for communities and involve the communities in change. Note. Remove all personally identifying information such as the family members’ names. Refer to family members by initials only. Format your reflection consistent with APA guidelines. Submit the following with your assignment: • Completed Community Assessment • Clinical Log for time spent conducting the Community Assessment • Community Assessment table and data ...
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...Community Health Nursing Reflection Veronica Hubbard NUR/405 June 25, 2012 Cindy Januale Community Health Nursing Reflection Community health nursing is a specialty field of nursing which care is provided to people in the community setting. A community health nurse can provide care to children and the adult population. As a result of the economic depression, more people in the community are becoming jobless, homeless, low-income, and uninsured. So the need for community health nurses has drastically increased. The child community health nurses’ role is concentrating on health promotion and prevention strategies. According to Contemporary Nurse Journal (2011), “the role is broaden to include multifaceted case management, home visiting, outreach programs, early identification and primary intervention of clients with psychosocial and mental health issues, group facilitation, the traditional one to one client contact and multidisciplinary team function (p. 72). The role for a community nurse in the adult setting is to prevent health problems in at risk individuals, promote disease prevention strategies, to provide care and available resources to needy individuals and families in the community. According to Stanhope and Lancaster (2012), “community health nursing practice is the synthesis of nursing theory and public health theory applied to promoting, preserving, and maintaining the health of populations through the delivery of personal health care services to individuals...
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...Community Health Nursing Reflection NUR/405 Cynthia Januale Community Health Nursing Reflection This assignment was very interesting and unique compared to other assignments that I have had in the past. Visiting and studying the community that I chose gave me quite the insight on various issues that, had it not been for this assignment, I may not have picked up on before. “In any setting, the role of public health nurses focuses on the prevention of illness, injury or disability, the promotion of health, and maintenance of the health of population” (The Role Of Public Health Nurses, 2012, para. 2). In the community I chose to survey, as with any community, the role of community nursing focuses on the items listed above and in addition, I believe that because of the lower to middle income level of this community, focus should also be on better health care accessibility to the residents. Community Nursing Diagnosis’ and Interventions Three possible community nursing diagnoses for the community that I observed were as follows. Risk for accidents related to the poor vision by oncoming traffic as evidenced by the multiple cars lining the streets. Children and others are walking to and from the store and through the neighborhood to the park where they play and oncoming traffic may have difficulty seeing pedestrians because of the amount of cars parked on the side of the road. Possible interventions for this problem include wearing reflective clothing so that they...
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...Family Nursing Diagnoses NUR/405 Family Nursing Diagnoses Community Nursing The community health nurse has a primary role to assess the relationship of variables in the community with how they relate to patients and health. Cultural, religious, ethnic, and personal upbringings are variables that are considered to gain a basic understanding of the community framework. The purpose of this paper is to discuss three nursing diagnoses related to AL and his family living in a suburban community in Staten Island, New York. Interventions and outcomes will be expected for each diagnosis and will be integrated into the care plan and educational program specially designed for the chosen family. Family Assessment AL is a 65 year old man with an Italian ethnic background. He is a smoker who has been recently diagnosed with Type II Diabetes Mellitus, mild obesity, and a history of coronary artery disease with one stent last year. His physician stated he is borderline diabetic that could be managed through diet and lifestyle modifications, and could not advance if he is compliant with suggested regimens. He lives in a two-family residence with his wife, and his father who lives in the side apartment downstairs. He has two adult children who live within close range and visit several times a week. Jean Watson’s Theory of Human Caring When caring for a special population group within a community, the nurse must integrate clinical thought to assimilate specifically designed...
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...IMPACT OF THE IOM REPORT ON NURSING EDUCATION, PRACTICE, AND LEADERSHIP The demands for health care are increasing each day and will significantly increase with the new Affordable Care Act (ACA) now in place, which was passed by the United States Congress and later signed by President Obama in 2010. The passing of the ACA will ultimately allow millions of people who are un-insured to be insured and receive health care. In 2008, the Robert Wood Johnson Foundation (RWJF) and the Institute of Medicine (IOM) committee spent two years evaluating and transforming the nursing profession in order to help ready the future needs of healthcare. Two years later, on October 5, 2010 and just months after the ACA was signed, the IOM published its report named The Future of Nursing: Leading Change, Advancing Healthcare which partially focuses on the transformation of nursing education, practice and leadership roles of nursing. The IOM report focuses on the importance of nurses enhancing their education to meet the expanding technological advances and expansion of the nursing role by pursuing undergraduate and graduate degrees. These opportunities include nursing research, education, and IOM’s main focus, Advanced Practice Registered Nurse (APRN). A key point the committee states is that “nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression" ("IOM Nursing Report," 2010). By achieving a higher level of education...
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...Professional Development of Nursing Professionals In 2010 the United States Government passed into law the Affordable Care Act (ACA). Passage of this act enacted broad sweeping changes across the health care system focusing on expanded coverage, control of health care costs and improvement in the health care delivery system (Kaiser Family Foundation [KFF], 2013). This represents the largest change to the nation’s health care system since 1965 with the creation of Medicare and Medicaid programs (Institute of Medicine of the National Academies [IOM], 2010). As the “largest segment of the health care workforce,” nursing is at the forefront of these historic changes and as such, plays an integral role in the successful implementation of the ACA (IOM, 2010, p. 1). In order for nursing to be the leading agents of change, the nursing discipline itself must undergo a transformation to meet the challenges that lie ahead in the following three categories, nursing education, nursing leadership and nursing practice in the primary care setting. As new medical therapies are being developed at a rapid pace and the sweeping effects of the Affordable Care Act role out, nursing is called upon to take on more complex roles in the care of patients. “To respond to these demands of an evolving health care system and meet the changing needs of patients, nurses must achieve higher levels of education and training” (IOM, 2010, p. 7). In its 2010 article “The Future of Nursing: Leading Change, Advancing...
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