FUTURISTIC NURSING

INTRODUTION:
Future is full of mystery, no one can guess, predict about the future and actual of future may
differ from the prediction. But one can be successful in future by systemic planning, maximum
implementation of planning as the future is based on the past and present. Many new trends in
nursing are likely to develop in the near future.
Futuristic means “expecting the future”. Futuristic nursing implies expectation of changes in
different areas of nursing profession in future and creating in preferred future for nursing based
on what we today are and using challenges as stepping stone for creating a desired future.

DEFINITION:
“ACCORDIING TO SISTER ELIZABETH DEVIS”
“We are in a new place, we are not on the age of old place we are not pushing the envelope,
we are in totally a new and developed so the rules have changed even fundamental premise of
the old ways of thinking is no longer applies”

“The art of using the latest technology the science to promote quality of life as defined by
patients and families throughout their life experiences from birth to the end of life.”

Vision of the future nursing

❖ Addition new disease and the threat of bioterrorism
❖ New treatment and Technology
❖ Patients are moved out of hospital rapidly those that remain are more acutely ill.
❖ Those discharged patients need more assistance at home

Changes in Healthcare practice

Demonstrable shifts are occurring in the causes of mortality from infectious disease and
chronic diseases for example AIDS and related illness are the major cause of death obesity is
also the predisposing cause of number of illness due unhealthy dietary habits lack of exercise
and stress these kinds of health problems are especially suited to nursing expertise in care.
• Nurse will pay in increase important role in educating people about Wellness and self-
care.
• Nurse will play an instrumental in educating the public about how to be involved in
the development of sound public policies concerning these issues.
• Nurse will become political active as voter Campaign worker and political candidate.
• Nurses will also assume leadership in helping people and prevent illness.
• The health care delivery system will be completely restricted in the near future.
PORTER O’GRADY has suggested that nursing will shift away from dependent, illness
fixed and narrowly defined roles.
 Current Role Next century role
• Dependent • Interdependent
• Illness fixed • Health based
• Narrowly defined • Flexible application
Responsibility Accountability
• Care and safety • Health prescription
• Institutionally defined • Community defined
• Prescribed determined • Self-client

Function Function
• Direct care • Policy
• Physician dominated • Legislation
• Policy based • Team interactive
• Standards defined

Future Trends in Nursing

• Service (practice) education.
• Practice (nursing care) research administration.
• Clinical nurses’ specialist.
• Nurse practitioner academic administration
• Adult nurse practitioner.
• Family nurse practitioner master education
• Acute care nurse practitioner.
• Doctoral program in nursing.
• Geriatric nurse practitioner.
• Bachelor of science in management/ pediatric nursing practitioner health care.
• Women health nurse practitioner certificate in forensic nursing
• Certified in legal nurse consulting
• Certified nurse midwife.
• Certified registered nurse anesthetic administration.

Other areas for practice in service:

❖ Mobile nursing / Health care Education
❖ Space nursing Certified nurse practitioner
❖ Licensed practical nurse
❖ Arrow nursing
❖ Masters of science in nursing/ Masters of health administration.

SERVICE EDUCATION
SERVICE {PRACTICE} EDUCATION
Because of increasing educational opportunities for nurses, the growth of nursing as a
profession, and a greater concern for job enrichment.
It includes three broader areas: -
• Practice (nursing care)
 • Research
• Administration

PRACTICE (NURSING CARE)

Graduate education prepares nurses for advanced practice in a variety of specialized roles
in primary, secondary and tertiary settings.

1) Clinical Nurse Specialist: -

The Clinical Nurse Specialist is an Advanced Practice Nurse with nursing expertise in a
specialized area of practice and may work in any practice setting. The C.N.S. may also
assume administrative and management roles. The C.N.S. functions as an expert clinician,
educator, case manager, consultant and researcher to plan and improve quality of care
provided to the client and family.
The Clinical Nurse Specialist should have following eight characteristics: -
❖ Clinical judgment
❖ Clinical enquiry
❖ Facilitator of learning
❖ Collaboration
❖ Systems thinking
❖ Advocacy or moral agency
❖ Caring practices
❖ Response to diversity

NURSE PRACTITIONER 
Nurse Practitioner provides health care to clients usually in an outpatient, ambulatory care,
or community-based setting.  Nurse Practitioner Nurse provides care to the clients with
complex problems and provide a more holistic approach, attending to symptoms of non-
pathologic conditions, comfort and comprehensiveness of care.  Nurse Practitioner have
legal authority to implement patient management by ordering diagnostic tests and treatments
and prescribing medications.

a). Adult nurse practitioner (A.N.P.): -

provides primary, ambulatory care to adults with a non-emergent acute or chronic
illness and in some settings tertiary care. The role includes case management,
consultation, leadership, education, research and health policy development.

b). Family Nurse Practitioner (F.N.P): -

Family Nurse Practitioner provides primary ambulatory care for families, usually in
collaboration with a family care physician. The F.N.P. meets the family ‘health care
needs, manages some illness by providing direct care, and guides or counsels the family
as needed.

c) Acute Care Nurse Practitioner (A.C.N.P): -

Acute Care Nurse Practitioner is a registered nurse with a graduate degree in nursing
who is prepared for advanced practice using a collaborative model to provide direct
services to adult patients who are acutely or critically ill in a variety of setting such as
hospital or specialty clinic. The A.C.N.P. is a generalist, usually based in internal
medicine, focusing on the care of the hospitalized patient.
d) Geriatric Nurse Practitioner (G.N.P.): -
Geriatric Nurse Practitioner are trained in the specialized needs of the ageing adults,
with emphasis on health promotion, health maintenance and functional status. Age of
the client is usually 65 and older.

e) Paediatric Nurse Practitioner (P.N.P.): -

Paediatric Nurse Practitioner provides specialty care for children from birth to 21
years of age. Paediatric Nurse Practitioner practice in hospital ambulatory care,
emergency care and physicians’ offices.

f) Women’s Health Nurse Practitioner (W.H.N.P.): -

Women’s Health Nurse Practitioner provides ambulatory care to womb.

CERTIFIED NURSE MIDWIFE  C.N.M.

Certified Nurse Midwife is a registered nurse who has advanced educational preparation
in midwifery which includes theory and extensive supervised clinical experiences in
prenatal care, management of labour and delivery, postpartum care of the mother and the
infant, family planning, pap smears and treatment for vaginal infections.  C.N.M. practices
with a health care agency that provides medical consultation, collaborative management
and referral.  C.N.M. practices in all 50 states in the United States, Great Britain, Canada
in hospitals and in birthing centres and in the home, but it has not yet started in India.

CERTIFIED REGISTERED NURSE ANESTHETIST (C.R.N.A): -

Certified Registered Nurse Anaesthetist is a registered nurse who has advanced educational
preparation, including classroom and Laboratory instruction and supervised clinical
practice in the delivery of anaesthesia to client in a variety of practice settings, including
hospitals, ambulatory surgical centres, birthing centres and clinics. C.R.N.A. takes care of
patient’s anaesthesia needs before, during and after surgery.

The role includes: -

• Performing physical assessment

• Participating in pre-operative teaching
• Preparing for aesthetic management
• Maintaining anaesthesia intra operatively
• Overseeing recovery from anaesthesia
• Following the patient’s post-operative course from recovery room to patient
care unit.

OTHER AREAS FOR PRACTICE IN SERVICE

MOBILE NURSING:
Mobile nursing is a service agency that provides home teaching and care for patients
with varied needs and health problems.

BENEFICIARIES OF MOBILE NURSING: -

❖ Patients discharged early from hospitals.
❖ Patients suffering from chronic and acute medical problems.
❖ Surgical patients.
 ❖ Patients requiring I.V. therapy.
❖ The elderly Respiratory patients.
❖ The seriously ill. Patients in need of medication management
❖ Hospice concept Ventilator dependent
❖ Assistance with bathing, dressing, meals, transportation, light housekeeping

SPACE NURSING
❖ Space Nursing Society (SNS) Founded in 1991, over 400 members from
around the world.
❖ Space Nursing provides a forum for the discussion and exploration of issues
related to nursing in space and its impact upon the understanding of earth-
bound nursing through conference participation.
❖ Cardiac monitors originated with space program.
❖ Ultrasound studies assessing bone loss in astronauts abroad the space station
could help nurse’s better care for patients with osteoporosis.

FUNCTIONS OF SPACE NURSING: -

❖ Evaluate emergency plans.
❖ Use of medications in space. 
❖ Telemedicine opportunities. 
❖ Performing surgery in space. 
❖ Developing a condition database to evaluate the risk of certain accidents or
illness during a flight.

FORENSIC NURSING
Nurse should be Specialized training in forensic evidence collection, criminal
procedures, legal testimony expertise.  Liaison between the medical profession and that
of the criminal justice system.  Came about in 1992 during the first ever national
convention of sexual assault nurses.

ARROW NURSING
Services provided by arrow nursing are: -

❖ Administration and stoppage of blood services.

❖ Clinical laboratory services.
❖ Activities services
❖ Dental services
❖ Housekeeping services
❖ Mental health services
❖ Nursing services
❖ Occupational therapy services.
❖ Pharmacy services.

DISASTER NURSING
Readiness and preparedness in responding to immediate community needs during and
after a catastrophic event.  Medical history and physical assessment, psychosocial
assessment and referral to mental health services.
HOSPICE NURSING
Observing, assessing, and recording symptoms for terminally ill patients.  social
worker, home-care aide and physical, occupational, or speech therapist.

RESEARCH
Research is directed towards building a body of nursing knowledge about “human
responses to actual or potential health problems”.

❖ The vision for nursing in the 21st century is the development of scientific
knowledge base that enables nurses to implement on evidence-based practice.
❖ Evidence Based Practice incorporates critical thinking and research utilization
competencies.
❖ It stresses the use of research findings, and as appropriate, quality improvement
data and affirmed experiences to support a specific.

AIM OF RESEARCH IN FUTURE: -

❖ To create a research culture. 
❖ Provide high quality educational programme to prepare a workforce of nurse
scientist.
❖ Develop a sound research infrastructure.
❖ Obtain sufficient funding for essential research
ASPECTS OF FUTURE OF NURSING
▪ Nursing Education
▪ Nursing Services
▪ Nursing Administrations

Nursing Education
Future direction for nursing education
In 1993 three measures organizations issued statements and reports about nursing
education for the 21st century

1. Schools should recruit diverse students and facilities that reflect the multicultural
nature of society.
2. Curricula and learning activities should develop students critical thinking skill.
3. Curricular should emphasize students’ abilities to communicate from interpersonal
families and interdisciplinary colleagues.
4. the number of Advanced practice nurse should be increased and curricula should
emphasize Health Promotion and health maintenance skills for all nurses.
5. Emphasis should be placed on community-based care, increased accountability,
state-of-the-art clinical skills and increase information management skills.
6. Cost effectiveness of care should be focus in nursing curricula.
7. Faculty should develop programs that facilitate programs articulation and carrier
mobility.
8. Continuing development activities should support excellence in practice teaching
and research.
Future Direction for Medical Education
❖ Student Centered Learning
❖ Adaptive Curriculum
❖ Teaching Innovations
❖ System Approach
❖ Fitness to Practice
❖ Medical Education and Research.

Student Centered Learning

Harden highlighted the importance of student-centered learning as being pivotal to thinking

about learning and teaching. He suggested that medical institutions include a bank of
learning objects (e.g., x-ray images, videos) curricula maps, virtual patients and guided
learning that is responsive to the learning needs of individual students.
Adaptive Curriculum
An adaptive curriculum modifies and personalizes learning by designing teaching and
learning experiences in response to the specific needs of the individual students. Harden
explained that concepts of "just for me learning" and "just in time learning" are
accommodated by technology when the learner is ready, the teacher will appear via
technology.

Teaching Innovations
Innovations in medical education extend to curriculum technology assessment and
professionalism. The curriculum model of the future should be student centered problem or
task based, inter professional, community based and elective driven with core and student
selected components.

System Approach

Aretz stressed the need for medical education programs to prepare graduates who are
responsible to both the needs to the health system, in which they will function and needs of
patients they will treat.
Fitness To Practice
According to Walt on, fitness to practice is an issue with which all medical schools are
currently grappling. Overall, we are probably handling the issues of knowledge and clinical
skills quite well. There is still debate about what it really means, what its components are
and what we need to do much better.
Medical Education Research
In order to validate the effectiveness of new teaching approaches medical education research
must emphasis appropriate methodology. Parideaux said that very little research is
undertaken of our teaching programs in medical schools.
Causes Of Change In Nursing Education
• Changing demographics
• Globalization
• Changing era shift to population-based care and increasing complexity of patient care
• Impact of health policy
• Nursing shortage
• Cost of healthcare and change of managed care
• Collaborative practice

Nursing services
Advanced technology
Achievement in telemedicine will change the way nurses’ function, and lead to the
development of new nursing roles. As consumers become more educated about health
promotion, there will be an elevated demand for quality care and alternative and
complementary healthcare choices.
• Achievement in medicines has resulted in longer life expectancies and changes in
views on end of life and palliative care. The promotion of Advanced directive organ
donation and comfort measures for the terminally ill will lead to elevation in hospice
care provider.
• Nurses will spend considerably more time as health teachers.
• The relationship between physician and nurses will take on new dimension as nurses
become better educated the knowledge gap between nurses and physicians will
decreased
• In the future all the nurses will be expected to have clinical investigative. ability.
• Nurses and physician will collaborate in program to prevent illness and maintain health
rather than seek patients only when they are ill.

Nursing Administration
▪ Role in planning
▪ Transitions of illness to health
Role In Planning
Perhaps this is the most significant role for the future for which nurse must be prepared in her
Responsibility in the planning forum of Health Care delivery much nursing in the past had been
of clinical services now the nurse manager is well prepared to assume leadership and take
responsibility for making key decisions in groups.

Transitions Of Illness to Health:

In the past nurses have been exposed to patients when illness has Orchid already a major
responsibility of the nursing in the future will be to focus on Preventing Illness, maintaining
health and changing those like conditions that have contributed to illness.
Future Challenges of Nursing
• Placement in terms of education experience both to be given their due importance.
• Overcoming the concept of a nurse is a nurse identifying resources and appropriately
demonstrating competencies.
• Uniformity of entrance into education and service to overcome discrepancies.
• Placement positions and promotion based on the capacity education and skill and
efficiency.
• Research dissemination and application with due importance to the finding rather than to
the methodology.
• Joint research sponsorship institutional research with cooperation within the members.
• Increase in Indian authors and publications of nursing lecturer to be encouraged.

Nursing Shortage In Future

According to Dr. Peter Buerhaus in Australia
shortage of registered nurse by 2025 be as high as 500000.
Demand of registered nurse is expected to grow by 2% are 3% each year.
Chart: National supply and demand projection for FTE [FULL TIME EQUIVALENT]
registered nurses 2000-20220

Effects Of Nursing Shortage in Future

❖ Increase nurse’s patient loads.
❖ Nurse will do much more population based on Community Health Care.
❖ Hospital will be reserved only for sickest.
 ❖ Increased risk of spreading infection to patient and staff.
❖ Increased risk for occupation injury.
❖ Increased stressed.
❖ Increases the risk of error.
❖ Increases deaths.

Solution to nursing shortage in future

Regents Blue Ribbon Task Force on the future of Nursing
In April 2001, New York State Board of Regents named a Blue-Ribbon Task Force on Future
of the Nursing, chaired by Regent Diane. The Regents Blue Ribbon Task Force has a critical
role in addressing the current nursing shortage, solutions to the problem and the long-term
future of nursing. The leaders from education, health care government were the members of
the Task Force. The task force has released their findings and recommendations for resolving
those looming health care crises.
The task force recommends the following solutions to the nursing shortage:
Recruitment: Expand the nursing workforce by recruiting additional numbers of men, non-
practicing nurses and recent high school graduates.
Education: Provide additional academic and financial support systems to increase and pool
of nursing school graduates and creates career leaders.
Technology: Increase the application of labor-saving technology to eliminate unnecessary,
duplicative
paperwork and communication of patient information, thereby improving workplace
conditions.
Data Collection: Develop a reliable central source of data on the future need for nurses in the
workforce upon which employers, policy makers, researchers and base public policy and
recourse allocations.
Clarify existing laws and regulations: The existing laws are to be clarified to the nurses.

Evidence based practice

• Goal is to achieve cost-effective high-quality patient care based on scientific inquiry.
• Nurses need to understand research process involved.
• Nursing care should not be based on opinions past experiences but on the result of
scientific research
CHANGING ROLE OF NURSES
• Care provider.
• Educator
• Advocate
• Manager
• Leader
 • Collaborator
• Researcher
• Rehabilitator
• Communicator

Technological Advancement
• Telemedicine
• Nanotechnology
• Robotic Nursing
• Futuristic cyber nursing
TELEMEDICINE
The term tele medicines in short refer to the utilization of Telecommunication Technology
for medical diagnosis treatment and patient care telemedicine is rapidly developing
application of clinical medicine swear medical information is transferred via telephone the
internet or other network for the purpose of inserting and something remote medical
procedures or examination.
IMPACT OF TELEHEALTH NURSING
• Telehealth is direct communication between the patients and the provider.
• It integrates information and technology to facilitate Health Care delivery.
• Telehealth removes time and distance barrier via video phones video camera.
• The telehealth contributes to positive outcomes in terms of self-management and
compliance.
NANOTECHNOLOGY
Nanotechnology is use of atomic and molecular structure as core building to create new
products and devices. Nanotechnology is helping to considerably improve, even revolutionize
many technologies and industry sector: information technology home land security, medicine,
transportation among many other
Nanotechnology and Nursing

These includes Main three fields:

❖ New pharmaceuticals and drug delivery mechanism.

❖ Patient monitoring devices.
❖ Regenerative science.
Nanotechnology provides significant ways of diagnosing treatment and treating Prime
position to influence and advocate for safe use of this new technology.

Robot nursing
❖ Robot nurse help in hospitals.
❖ Her body is developed by Samsung.
❖ Her brain by robot hosting.com.
 ❖ She has face recognition camera voice recognition microphone arms and hands.
❖ Another responsibility is taking with those patients who do not have any visitor
therefore they will not feel lonely.

Futuristic cyber nursing

❖ Patients’ chemistry hematology report will be there with a small hand-held device.
❖ Nurses will verbalize order into the hand held which goes directly to pharmacy which
fill the order automatically
❖ Most diagnosis will have a system for auto care plants upon patient admission
❖ Nodes getting laptop and using internet to do their jobs

In future

❖ When you arrive at work your ID tag is automatically detected and you are clocked in
as you walk through the door.
❖ The patient is being monitored by automatic vital signs.
❖ Nurse will carry pocket computer on their uniform belt to record data.
❖ Patients have a bad side computer to assess educational tools and progressive off their
recovery stay.
❖ Nurse will assignment verbally into hand-held device that convert into the readable
notes.
Future and health care system
❖ Length Of Stay in Hospital Will Be Shorter
❖ Preparing The Client for Recovery Will Be the Major Aspects of The Nurse Role
❖ To Provide Effective Care Nurses Will Need to Increase Their Knowledge
Physiological and Psychological Functioning Technology Monitoring System Client
Care and Computer
❖ Seriously Ill Patient Confined to A Hospital Bed Will Require Intensive Care
Administration by Professional
❖ Nurse Will Administer Medicine Using Computer Driven Equipment’s
❖ Nurse Will Focus on Wellness and Prevention
❖ They Will Also Have to Keep Abreast of The Most Recent Research
❖ Nurse Will Teach Children About Exercise Nutrition Safety and Other Habit Are
Learned.

Summary
Future of nursing is of great scope the nurses can make use of the great scope for their
professional advancement and to safeguard their lives so today we discussed about
definition of futuristic nursing meaning of futuristic nursing and telemedicine robotic
nursing and technological advancement
BIBLIOGRAPHY

SONI SAMTA; Textbook of Advance Nursing Practice. first edition 2012 Page no 5.10 513

KAUR KAMALJIT; Textbook of nursing Management and Services. First edition 2013 Page
no. 349-352

SHEBEER. P. BASHEER. S. YASMEEN KHAN - Advanced Nursing Practice 2nd edition

2017 Page no. 59 to G3

BRAR KAUR NAVDEEP. HE RAWAT; Advanced Nursing Practice 1st edition Page no
945-984,1010, 1026.

POTTERPA, PERRYAG MOSBY; Fundamental of Nursing 6th edition. page no. 256 257

Net reference
❖ www.nursing center .com
❖ www.forensincnursing.com
❖ www.nap.educ/open book
 GOVT COLLAGE OF NURSING
JAGDALPUR
Subject: - Advanced Nursing Practice
Seminar
ON
FUTURISTIC NURSING

Submitted To, Submitted By,

MISS. POOJA NETAM MRS. SHWETA DAS
MSC. NSG. DEMONSTRATOR MSC. NSG. 1ST YEAR
MEDICAL SURGICAL NSG GOVT. COLLEGE OF NSG
GOVT. COLLEGE OF NSG JAGDALPUR
JAGDALPUR