1. NURSING IN THE EVER-EVOLVING
JOFRED M. MARTINEZ, RN

2. At the end of this presentation, we will be able to:
1. Define what is health care delivery system.
2. Discuss how current trends will affect your
future nursing practice.
3. Identify social changes and their impact on
nursing.
4. Integrate knowledge of current trends and
issues in society into a more holistic perception
of their influence on the nursing profession.

3. By identifying the forces pushing the future,
rather than those that have contained the
past, you possess the power to
engage with your reality.

4. • A health care system is the organization of
people, institutions, and resources to
deliver health care services to meet
the health needs of target populations.
• The goals for health systems, according to
the World Health Organization, are good health,
responsiveness to the expectations of the
population, and fair financial contribution.

5. • Other dimensions for the evaluation of health
care systems include quality, efficiency,
acceptability, and equity.
• Health care providers are institutions or
individuals providing health care services.

6. There are generally five primary methods of
funding health care systems:
• General taxation to the state, county or
municipality
• Social health insurance
• Voluntary or private health insurance
• Out-of-pocket payments
• Donations

7. • In 2000 the Philippines had about
95,000 physicians, or about 1 PER 800 PEOPLE.
• In 2001 there were about 1,700 hospitals, of
which about 40 percent were government run
and 60 percent private, with a total of about
85,000 beds, or about ONE BED PER 900
PEOPLE.

8. The future holds many new social, political,
and technological changes that will affect
nursing directly and help shape our already
strong profession.

9. HOW CAN NURSING RESPOND
TO THIS TRENDS?

10. • Nursing will assume an undisputed dominant role
in the health care delivery system, resulting in
positions of high self-esteem with better salaries,
incentives, responsibilities, and authority.

11. • Care of the geriatric population will become an
increasingly more prominent nursing specialty.

12. • Nurses will play a major leadership role in
determining and implementing health care
policies.

13. • Nurses will provide the expertise to integrate the
multiple facets of health care, pharmacology,
nutrition, preventive medicine, rehabilitation, and
so forth – and thus provide a holistic care for an
individual client.

14. • Technological advances will assist the nurse in
providing high quality care that is cost effective.

15. • Specific outcome criteria will be important in
determining the quality of care and will become
health care facilities’ overriding concern in the
future.

16. • Emphasis on managed care, as a replacement
for traditional sick care approach, a prevention is
the key in reducing health care costs.

17. • Increasing numbers of nurses will be making
policies and governmental decisions affecting
health care.

18. • Education will become more user friendly as the
trend moves to a service economy in which
knowledge is used.

19. • Nursing professionals will begin sharing health
care beliefs, cultural practices, resources, and
the expanding body of nursing knowledge on an
international level as globalization occurs.

22. With the development of nanotechnology, the
expanding science of technology that examines
or measures information at the molecular level,
nursing will be faced with new ethical concerns.

23. • New nursing care delivery systems must be
developed to incorporate the demands of
advanced technology.

24. • A shift must be made toward lower technology,
higher touch therapeutic interventions to offset
the technological boom.

25. • Therapies must be developed that combine
medical treatments with alternative care
approaches to deal with stress.

26. WHAT IS GLOBALIZATION
AND HOW DOES IT
AFFECT NURSING?

27. • Globalization is the spread of common culture
around the world, with a universal sharing of
attitudes, products, industry, and stocks.
• Nurses will begin to service the world as one
global economy.
 Nurses will need to learn about the health care
beliefs and practices of other cultures and
other nations and at home.

28.  International nursing forums will be required to
meet the need for the sharing of nursing
practices.
 Nursing and health care products,
publications, and methods, and the expanding
body of nursing knowledge will find new
possibilities in a global economy.

29. HOW DO SOCIAL CHANGES
AFFECT NURSING?

30. • ALTERNATIVE HEALTH CARE

31. • MEDICINE AND THE PUBLIC EYE

32. • QUALITY OF CARE

33. • AGING POPULATION

34. • NEW WAVE OF TECHNOLOGY

35. • HEALTH CARE INFORMATION SUPERHIGHWAY

36. • WORK PSYCHOLOGY

37. ~ Nursing is an art: and if it is to be made an
art, it requires an exclusive devotion as hard a
preparation, as any painter's or sculptor's
work; for what is the having to do with dead
canvas or dead marble, compared with having
to do with the living body, the temple of God's
spirit? It is one of the Fine Arts: I had almost
said, the finest of Fine Arts. ~