FUNDA WEEK 5

Hospital Nursing or Institutional Nursing

Devoted to comprehensive patient care in hospitals and related healthcare facilities.

Positions Occupied by Nurses in Hospitals

1. Staff nurse

2. Head Nurse / Charge Nurse

3. Nurse Supervisor

4. Assistant Nurse Director or Assistant Chief Nurse

5. Nurse Director or Chief Nurse

Responsibilities of the Hospital Nurse

Provides Bedside Care

Gives Health Education

Conducts Assessment

Does Coordinating and Collaborating Activities

Maintains Hospital Safety

Initiates Discharge Planning

Specializes in Variety or Areas

Advantages of Hospital Nursing

➢     Presence of supervisors when the need for consultation arises

➢     Kept updated with new trends in medicine and nursing

➢     More staff development programs are available

➢     Opportunity to work in different areas

➢     Allowed to have two days off, sick leaves, holidays and vacations with pay

Disadvantages of Hospital Nursing

➢     Possibility of understaffing due to limited budget.

➢     Lesser time to improve nursing skills  due to bulk of work

➢     More administrative problems

➢     Nurses usually feel burned-out and overworked

Community Health Nursing

➢     field of nursing whose focus of care is

○      Health Education

○      Prevention of illnesses/diseases

○      Treatment and care of the family’s and community’s health problems.

Advantages of Community Health Nursing

➢     Health conditions of the community can easily be monitored by the nurse.

➢     It maximizes the effort of the nurse to improvise, coordinate, and appreciate the role in nation-building

Disadvantages of Community Health Nursing

➢     Limited to exposure to chronic & communicable diseases

➢     More hazards are present

➢     No fixed working hours

➢     Facilities and development of skills are limited

➢     Nurse must be outgoing not an introvert

School Health Nursing

➢     A specialized practice of professional nursing that advances the well-being, academic success, and life-long achievement of students.

Responsibilities of the School Nurse

➢     organizes, implements & evaluates the school health programs

➢     promotes health & safety in the school environment

➢     intervene with actual & potential health problems

➢     actively collaborates with other personnel & agencies

➢     loves children and should be able to work well with them.

Occupational Health Nursing

➢     It is a specialty practice that provides for & delivers health & safety programs & services to workers, worker populations and community groups

➢     1958 – INDUSTRIAL NURSING was changed to OCCUPATIONAL HEALTH NURSING to reflect the broader and changing scope of practice within the specialty.

Advantages of Occupational Health Nursing

➢     Nurse practices autonomy

➢     Goes off-duty on weekends

Disadvantages of Occupational Health Nursing

➢     Nurse must be fully aware of his/her legal responsibilities as he gives immediate care to patients with serious injuries

➢     Nurses usually bargain individually for their salaries. Pay is less than hospital pay.

Independent Nursing Practice

Nurses practice autonomously outside traditional healthcare settings.

Nursing Education

Focuses on teaching knowledge and skills for professional nursing practice.

Positions of the Nurse

1. Faculty/Clinical Instructors – for the Undergraduate & Graduate programs

2. Level Chairpersons

3. Clinical Supervisor

4. Administrative Officer

5. Dean

Private Duty Nursing

Provides various services to patients, including companionship and bathing.

Categories of Private Duty Nurse Practicioners

1. General Private Duty Nurse – provides basic nursing to any type of patient and his family

2. Private Duty Nurse Specialist

Advantages of Private Duty Nursing

➢     Has opportunities to make real friends through close association with the family and patient.

➢     Has the chance to travel and see the world

➢     Owns time, adjusts work and private life

➢     Has the chance to be updated with new knowledge or procedures

➢     Can give the best care and see its results.

Disadvantages of Private Duty Nursing

➢     Patient can become dependent on the nurse

➢     less replacement for holidays / vacations

➢     less hospital personnel friends

➢     less assistance from the HN

➢     poor participation in professional activities

➢     no retirement, insurance and medical benefits

Military Nursing

Navy Nursing

Army Nursing

Air Forces/Flight Nursing/Aero-space nursing

Navy Nursing

➢     nursing field that provides high-quality nursing care for sailors, marines and service members - and their families - wherever duty calls.

Army Nursing

Nursing field whose mission is to provide responsive, innovative, and evidenced-based nursing care integrated on the Army Medical Team to enhance readiness, preserve life and function, and promote health and wellness for all those entrusted to their care.

Air Force/Flight?Aero-space Nursing

nurse is responsible for patients, military or otherwise, who have been evacuated from battle areas to the nearest installation for treatment.

Clinic Nursing

Involves a wide range of nursing tasks in a clinic setting, including assessments and health teachings.

Entrepreneurial Nursing

➢     Field of nursing that ventures into new opportunities in the world of business

➢     Requires the nurse to be capable of planning, organizing, financing, and operating his own business.

➢     Requires the nurse to work outside of an organization

➢     Responsible for indirect processes of care in his roles

Advanced Practice Nursing (APN)

➢     umbrella term for nurses who have specialized education in the post-graduate level.

Specialized nursing practice with advanced education and clinical competencies.

Nurses in this Field must have acquired the

1. expert knowledge base

2. complex decision-making skills

clinical competencies for expanded practice

PROPOSED REVISION OF THE PHILIPPINE NURSING PRACTICE REFORM ACT OF 2011

(APN) is a “nurse who acquired substantial theoretical knowledge and decision making skills in the specialty area of nursing practice and proficient clinical utilization of this knowledge in implementing independent and inter-dependent nursing interventions” (Senate Bill 2720, 2016)

APN Fields of Specialization

●      Nursing Informatics

●      Renal Nursing

●      Oncology Nursing

●      Nurse-Midwife

●      Nurse Anesthetist

●      Gerontologic Nursing

●      Nurse Practitioner or Independent Nurse Practitioner

Reasons for Amendment

1. It could be the answer to the increasing number of unemployed nurses and dearth of physicians especially in rural areas

2. With the advanced skills and training, there could be an increase in the morale and job satisfaction of nurses

3. Professional autonomy will be observed