global nurses

8/14/2019 GLOBAL NURSES

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INTRODUCTIONINTRODUCTION

Filipino nurses put their heads highand the whole world of the greatness

of the Filipino spirit resiliency at its

best in Philippine Nursing becausewe are not alone we have new

found partner: DOLE, CFO, DFA,

DOH, PhilHealth and.. we have eachother!


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GLOBAL HEALTH CARE SCENARIO

THE MILLENIUM DEVELOPMENT GOALS (MDGs) : 2015

1. Eradicate extreme poverty and hunger

2. Achieve universal primary education

3. Promote gender equality and empower women

4. Reduce child mortality

5. Improve maternal health

6. Combat HIV/AIDS, malaria and other diseases

7. Ensure environmental sustainability8. Develop a global partnership for development


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GLOBAL HEALTH CARE SCENARIO

GOAL 4: Reduce child mortality Target: reduce under-five mortality rate bytwo-thirds between 1990 & 2015

GOAL 5: Improve maternal health

Target : reduce maternal mortality ratio by

three quarters, between 1990 & 2015

GOAL 6: Combat HIV/AIDS, malaria and

other diseases Target: have halted and begun to reverse the

incidence of malaria and other diseases


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PHILIPPINE HRH

SITUATION

The Philippines is producing more and better human resourcesfor health, compared to most Asian countries

Human resources for health are enormous but unevenlydistributed in the country

The Philippines is a major source of health professionals to othercountries

* leading exporter of nurses to the world

*Second major exporter of physicians

Large exodus of nurses and physicians (as nurses) in recentyears has been unparalleled in the migration history of thecountry


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PHILIPPINE HRH

SITUATION

High unemployment rate for new nurses

Migration of trained nurses

Inward migration to urban centers

High employment in urban areas

Low employment at rural areas

Outward migration abroad

High training expenses of new nurses for localemployment as replacement to those whomigrated abroad


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LOGO

According to the Bureau of Labor and

Statistics, Registered Nursing is amongthe Top Ten Occupations with the Largest

Job Growth


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LOGONurses

Promote health

Prevent diseases

Help patients cope with illness.

Have a unique scope of practice and

can practice independently Collaborate with all members of thehealthcare team to provide the careneeded by each patient as anindividual

Are hands-on health professionals

Focused highly personalized care


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LOGONurses

Serve as advocates for:patients

families

communities.

Develop and manage:nursing care plans

instruct patients and their

families in proper carehelp individuals and group take

steps to improve or maintaintheir health


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1. Ethical Recruitment in bilateral and multilateral

arrangements on foreign deployment of humanresources for health (HRH) that will guide therecruitment and deployment of HRH betweencontracting parties, given the following examples:

1. Philippine -United Kingdom MOU

2. Philippine Saskatchewan (Canada) MOU

3. Philippine Bahrain MOU

4. Philippine Kuwait MOU

5. ASEAN MRA for Nursing


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2. Reciprocity and mutual benefits in bilateral and multilateralarrangements/agreements between the Philippines assending country and countries of destination of Filipino HRHsuch as but not limited to: benefit package that consists ofresources or technical support to health education, training,facilities and systems; priority benefits for the public health

system

1. Philippine Saskatchewan (Canada) MOU

2. Philippine Bahrain MOU

3. Philippine Palau MOU

4. Philippine Viet Nam MOU


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Initial Requirements in the Philippines

Nurses should finished Bachelor of Science in Nursing (BSN)

Then:

Master of Arts in Nursing (MAN)

Doctor of Philosophy (Ph.D)

The field has a wide range of career

opportunities, ranging from entry level Staff

nurse to Doctoral-level researcher


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LOGO

Once you are a professional nurse, you

might choose to focus on a particularspecialty.

specialty options:

Critical Care Nurse

Emergency Nurse

Hospice/Palliative Care Nurse

Labor and Delivery Staff Nurse

Neonatal Nurse


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LOGO

Nephrology Nurse

Nurse EducatorNurse Executive

Oncology Nurse

Orthopedic Nurse Perioperative(O.R) Nurse

Psychiatric Mental Health Nurse

School Nurse

Staff Nurse

Women's Health Nurse

Practitioner


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Nursing has four Advance Practiceclinical professions

Clinical Nurse Specialty

Nurse Anesthetist

Nurse-Midwife

Nurse Practitioner

- each of which requires amasters degree and separatecertification.


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Roles in Service Delivery

As seen in the Project NARS (or Nurses Assigned in

Rural Service): warriors for wellness

Initiator of primary health, school nutrition, maternal

health programs, and first line diagnosis; Teacher of community water sanitation and other

environmental practices

Epidemiologist health surveillance

Health Advocate immunizes children and mothers


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Change Agent promote hygiene and sanitation

and the control of infectious disease like influenza

AH1N1 as well as helminth infestation;

Counselor provides nutritional assessments and

advises patients on the proper diet; provides pre-

marital family planning counselling

Supervisor as Public Health Nurse, supervises

the rural health midwives Logistics manager ensures that logistics are

available for health facility operations (vaccines,

syringes, medicines, etc)


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In hospitals,

Provider of Care carries out treatment plans

Health Teacher instructs patients/relatives on

patient care

Epidemiologist as part of Infection Control Team Health Advocate

Supervisor/Manager supervises team members

and provides needed resources of staff

Leader can lead a whole department later in

his/her career


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LOGO

Role in Health Regulations

Regulatory officer as part of team of regulatoryofficers, assesses compliance of the health facilityto the requirements of the nursing department interms of resources and operational needs

Accreditation officer as part of the team of

accrediting team of PHIC, assesses compliance ofthe health facility to the requirements foraccreditation of the nursing department

Technical assistance provider orients/teacher

health facilities new issuances or requirementsrelated to licensing

Policy Maker/Researcher participates/initiatespolicy development related to licensing


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LOGO

Role in Healthcare Financing

Resource Mobilizer as part of managementfunctions, sources out funds for increased

budgetary allocation/investment for health


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LOGO

Role in Governance

Supervisor/Management assessesperformance of staff

Teacher/Trainer of both facility staff and

patients; gets training needs of staff

Logistics/Finance Manager


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Specific challenging and

rewarding roles assumed bynurses includes:

care provider teacher/ counselor patient advocate leader/manager consultant researcher


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Clinical Nurse Specialists (CNS)

Advanced Practice nurses who hold a Masters orDoctoral degree in a specialized area of nursing

practice. Their area of clinical expertise may be in:

A population (ex. Pediatrics, geriatrics, womens health)

A setting (ex. Critical care, emergency room)

A disease or medical subspecialty (ex. Diabetes,

oncology)

A type of care (ex. Psychiatric, rehabilitation)

A type of health problem (ex. Pain, wounds, stress)


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Nurse Practitioners (NPs)

Advanced Practice Nurses who provide care to patientsthroughout the lifespan, from premature newborns to the

elderly

They perform:

comprehensive and focused physical examinations

diagnose and treat common acute illnesses and injuries

Provide immunizations

Manage high blood pressure, diabetes, depression and other chronic health

problems

Order and interpret diagnostic tests such as X-rays and EKGs, as well aslaboratory tests


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Ambulatory Care

Nurses

Treat patients of all ages with acute orchronic illnesses or injury on an episodic,outpatient basis Treatment includes:- Screening- Triage- patient education

- pain managementcase managementdischarge planning and other interventions to

restore- maintain or promote patients physical health


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Certified Nurse

Anesthetists

Provide anesthesia to patients during surgical

or obstetrical procedures, providing

preoperative and postoperative care as well.In addition to minimizing pain, nurse

anesthetists

Explain procedures and options to theirpatients

Monitor their vital signs, response and

recovery from anesthesia.


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Cardiac Rehabilitation Nurses

Work with adults with cardiovasculardisease or those who are at risk.

Promotes cardiac wellness by:

- helping patients- alter their lifestyles such as:

decreasing stress

eating low-fat

low-cholesterol meals

exercising stop smoking


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CASE MANAGEMENTCASE MANAGEMENT

The primary role of a case manager is to:

- coordinate continuity of care- ensure that patients get the proper treatment at the

proper time

- maximize health and minimizehospitalization


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CASE MANAGEMENTCASE MANAGEMENT

Case management framework:-assessmentplanning-implementation-evaluation-interaction

Specializes in a particular area such as:-HIV/AIDS-rehabilitation or geriatrics


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Clinical Nurse SpecialistsClinical Nurse Specialists

Advanced practice nurses who provide

expert patient care:

facilitate clinical research to improve patient

outcomes

act as role models to less experienced staff Have advanced clinical expertise in a

particular specialty. Depending on that

specialty

Work with patients of all ages and diagnoses


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COMMUNITY / PUBLIC HEALTH NURSE

and COMMUNITY REHAB NURSE Focus is on the population as a whole

Interaction may includes:

- epidemiology- environmental health

- wellness

- health promotion- evaluation of population-focusedprograms

- health maintenance

C i i l C


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Critical Care Nurses

Care involves complex assessment

High intensity interventions involving

sophisticated technology.

Attends to the

psychosocial/emotional needs of

- patients

- families

- significant others


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Diabetes Education

Nurses

Educate patients to monitor their

lifestyle including:

nutrition

exercise blood sugar monitoring to lessen the

need for medication and hospitalization

increase health and well-being


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Forensic Nurses

Work with law enforcement officials as well as

perpetrators and victims of crime.

The specialty includes: death investigators

correctional nurses

nurse attorneys

domestic violence specialists

human rights advocates

sexual assault nurse examiners

Duties may includes: collection of clinical evidence

determination of origin or circumstances of trauma

evaluation and alleviation of crime victims injuries and

rehabilitation of criminals


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LOGO

Gerontological Nurses

Care for the physical andpsychosocial needs of older adults.

Focuses on maximizing:

functional abilities

as well as promoting

maintaining

restoring their physical and mental

health


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LOGOAIDS/HIV Nurses

Delivers:

educationalTherapeutic

supportive interventions for those infected with or affected

by HIV/AIDS.

Deal with the physical and psycho-social aspects ofthe disease

Helping patients minimize their pain

Maximize independence.

Advocate for patients Teach techniques to help prevent the spread of the

disease


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Provide episodic or continuous care in thepatient's place of residence for people of all agesand varied diagnoses.

Care includes:

providing patient and family education

monitoring technical interventions

coordinating referrals

handling other interventions to restore or maintain

patients' physical or psychosocial well-being.Nurses may supervise home health aides.


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Care for the physical and emotionalneeds of dying patients and theirsignificant others.

Interventions may include:pain management palliative care

symptom managementemotional support


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Infection Control NursesInfection Control Nurses

Prevent and track the spread ofinfections by: developing

maintaining strict procedures toprevent infections

investigating how infectionsoriginated and spread

Duties:immunization programs to

developing bioterrorist responseprotocols.


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Intravenous NursesIntravenous Nurses

Experts in infusion therapy suchas:providing fluids,

nutrition

medication or transfusions

The specialty requires knowledge

of:pharmacology

standard nursing practice

infection control and technology


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MED/SURG NURSEMED/SURG NURSE

Care for adults with acute healthconditions, whether in: outpatient facilities

hospitals

long-term care facilities. Elements of care includes:patient education

pain management

case management

discharge planning

interventions to restore or maintainpatients' physical and psychosocial health


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Care for patients with renal diseaseor dysfunction, includes:undergoing dialysis or

transplantation

Focuses on:preventing disease

minimizing dysfunction

restoring function dealing with both the physical and

psychological complications of kidneyfailure.


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Work across the healthcare continuum tohelp patients of all ages deal with: physical

psychosocial response to neurologicalimpairments including: spinal cord injuries

head injuries

movement disorders

CVAs and other neurological diseases anddisorders.

Goal maximize function and independence,while minimizing pain

and discomfort.


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Meet nurses continuing educationneeds.

Providing educational opportunities

outside the academic environmentDevelop, enhance and promote

improved patient care

Professional development lifelong learning attainment of career goals among the

nurses they serve.


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Promote

maintain

restore workers health and safetywithin their place of business.

Deals with productivity:

disability/accessibility ergonomic

workers compensation issues.


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Care for the surgical patient through:Preoperative

Intraoperative

Postoperative procedures

OR nurse performs a number of duties including:patient assessment,

creating a sterile environment

monitoring patients' mental and physical statuscoordination of care and provision of resources


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Provides care for children andadolescents

Focuses on:mental

physical aspect of health andillness.


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Care for: physical psychosocial needs of women: before during after giving birth

Duties may includes: teaching natural childbirth techniques monitoring pregnancies providing physical and emotional support during

labor and delivery promoting healthy mother-child bonding after birth


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Perinatal nurses care for: physical psychosocial needs of women

before

during after giving birth.

Duties may includes: teaching natural childbirth techniques

monitoring pregnancies providing physical and emotional support during

labor and delivery promoting healthy mother-child bonding after birth


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Promote and enhance the mentalhealth of patients of all ages withacute or chronic psychiatric needs.

Intervention includes:use of therapeutic interpersonal skillscase managementdischarge planningdisaster response


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Promote the pulmonaryhealth of individuals

Respiratory Nursing canbe:

preventiveCritical

acute or rehabilitative


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Care for patients of all agesrequiring emergency care

Work to restore:

- vital signs

- to arrest further loss of function- to prevent complications ordeath


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Has the capabilities for providing basicnursing care to any type of patient,among which are:

assessment of:physical conditions

interpretation of the significance of his/herfindings as basis for planning the nursing care

identification of:emotional

social factors and relating these to signs andsymptoms observed


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application of scientific principles in theperformance of nursing techniques

working with patients family so that

they gain understanding of his/herillness and cooperate towards promotingearly recovery of the patient

utilization of laboratory and diagnostic

tests in promoting progress of care andenhancing his/her own usefulness as ahealth teacher and counselor


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knowledge and recognition of:

pharmacological effects of drugs andmedications, their implications for

nursing actions as needed interpretation of doctors orders

concerning medicines and treatmentsand communicating the same

effectively to the patient and carryingthem out promptly and accurately withunderstanding of cause and effects.

T l h T i N


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Telephone Triage Nurses

Using protocols and independent judgment,

provide patient education

advice via the phone to patients of all ages anddiagnoses

They rank patients according to urgency of need,directing them to further care as necessary.

Goal is to advise the patient on:

right level of care at the appropriate time toreduce unnecessary physician's appointments ortrips to the emergency room.

N i I f ti


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Nursing Informatics

Combines nursing and computerscience.

Use computers to build or implementsystems to support or automate

nursing care.By:

Collecting

organizing

measuring and representing data

nurse informaticists improve the efficiencyand quality of patient care.


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Military Nursing

Ensures that soldiers, his family, and othersignificant groups will have:

- adequate personal care

- maintenance, safety, and comfort. Works at different health settings with

various levels of responsibilities.


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Consultants use their nursing expertise tohelp:

attorneys

clients investigators, juries and judges

understand and interpret medical issuesand documents.

Role includes:

legal nurse consultant may include:

testifying on standards of care in depositions

interrogatories or trials

organizing medical records

acting as a liaison with other medical personnel.


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Work with children in their academic settingThey may be responsible for:

mandated services (such as vision andhearing screening)

immunization complianceemergency care

illness and injury prevention

community relations

health counseling

health education, promotion and prevention.


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Career opportunities in nursing educationare better today than ever before.

There is a chronic teacher shortage in all

nursing education programs. Nurses who like to consider teaching as

their field of expertise will have to considersome qualifications.


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Combine their nursing backgroundwith:

business savvy creativity and ingenuity to starttheir own businesses.


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Provide leadership and direction in:

designing and managing care planning and developing policies and

proceduresallocating resources

Seek to improve patient outcomes

and bring about positive staffdevelopment.


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LOGO Just as there is a sense of

greatness in every Filipino

there is also much moresense of Greatness in the

Filipino nurses, NOT JUST

FOR SENDING DOLLARS

HOME BUT IN MAKING THEFILIPINO PROUD OF THE

CARING INNOVATIONS

AND CHALLENGES. The

Filipino nurses are willing to

take in order to serve

BETTER

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