1. Chapter 16 Trends in Community-Based Nursing
Presented by Sarah Covington, RN, MSN

2. Trends in Community-Based Nursing
# 1 Discuss how current trends in community-based nursing will affect the role of the nurse in the future.
Cost containment
Advances in technology
Advances in knowledge
Demographic shifts
Increasing need for geriatrics
Computer based documentation,
Medicare driven insurance, new regs from medicare coming out.
Baby boomers,
Evidenced based practice.
Increases in home based care.
Take control of their own destiny. Must be politically involved.
Education changes (DNP). BSN entry. Increased reliance on APN

3. Trends in Community-Based Nursing
# 2 Determine how market driven economic policy affects the delivery of nursing care.
One third of a company’s profits go to health care.
Insurance company driven, not national policy
Right vs Privilege
Market driven
14% of gnp.
Shift from traditional nursing role to that of primary care provider.
Increased use of non Licensed personnel.
Cultural awareness as we become more mobile.
Shift to outpatient as primary setting of care
Increased users as population ages.

4. Trends in Community-Based Nursing
# 3 Discuss the implications of technologic development on health care in general and on the nursing profession specifically.
Globalization
Tele-nursing
Documentation
Information access
Communications and world wide web. Internet access to information and data around the world.
Nurses doing triage and advising over the phone or computer
Medicare now prefers electronic submission of data. Penalized if not done that way.
NNIS reports
Web search for up to date journal articles. Real time data. Identity theft. Why we have HIPAA.

5. Trends in Community-Based Nursing
# 4 Identify trends in knowledge explosion related to alternative therapies, and relate the value of these therapies to client care.
Pharmacogenomics
Complementary therapies
Alternative systems
Mind-Body therapies
Biologically bases therapies
Manipulative and body based methods
Energy therapies
Human genome project
Homeopathic ,naturopathic, and chinese medicine Accupuncture, hypnosis
Mind/body behavioral therapy, meditation prayer, art
Biological herbs, foods, vitamins used by many naturapaths
Manipulatives massage, chiropractic
Energy Reiki, therapeutic touch.

6. Trends in Community-Based Nursing
# 5 Outline how the shift in demographics affects the role of the nurse.
Increase in people with chronic conditions
Increasing age of population as a whole
Increase in diversity of the population
Pie charts on page 443,

7. Trends in Community-Based Nursing
# 6 Discuss the importance of the nursing competency of civic responsibility.
Control of nursing destiny/future
Collaboration
Seamless care
Role of advocate
8 nurses in the legislature
WSNA role as advocate and lobbiest.
Volunteer work. Mission work

8. Trends in Community-Based Nursing
# 7 Relate future trends in nursing to the components of community-based nursing.
PEW competencies
Chapter 1 box 1-2 review with students.

9. Trends in Community-Based Nursing
# 8 Develope a plan for your personal goals in your future in nursing in community-based care.
Is hospital based nursing community based?
Practice areas
Doctors without borders
politics