FUTURE OF NURSING Stimulating improvement & accountability Marieke J. Schuurmans, PhD, RN Professor of Nursing Science/Care for older people UMC Utrecht/Hogeschool Utrecht

INCREASING DEMAND FOR HEALTH CARE demographic change changing patterns of health and disease rising expectations of public and service users increased access and choice shift to delivery of more care in community settings continuing social inequality advances in care and treatment advances in technology for communications and care Front line Care Report by the Prime Minister’s Commission on the Future of Nursing and Midwifery in Engeland (2010)

FUTURE OF NURSING REPORTS Nurses are at the heart of delivering the high quality, compassionate care that everyone wants. They play a key role in determining the quality of health and social care and enabling people to make personal choices in a range of health, social and community settings. They are also vital in improving public health, health promotion and illness prevention – crucial elements of future health care. Front line Care Report by the Prime Minister’s Commission on the Future of Nursing and Midwifery in Engeland (2010)

OPPORTUNITIES FOR NURSES TODAY Enhance the quality of care across settings Advance patient safety Improve health systems Remove barriers tot high quality care Reduce health disparities Analyse issues in health Partner creatively and effectively M. Hill (2010)

NURSES nurses and you never see them … … until you need them!

nurses in the Netherlands What do they do? What are the results of their care?

NURSING The unique function of the nurse is to assist the individual, sick or well, in the performance of those activities contributing to health or its recovery (or to peaceful death) that he would perform unaided if he had the necessary strength, will or knowledge. And to do this in such a way as to help him gain independence as rapidly as possible V. Henderson, 1966, p15

like loving patronizing according to the latest medical insights..

Inhoudelijk debat in de verpleegkunde Debate: Patient oriented versus task oriented Need driven versus diagnosis driven Presence versus performance FOCUS OF NURSING Medical model versus psychosocial model

Hoog tijd

Nurses (FN 2010) set in collaboration with patients their own professional goals, enhance data collection on outcomes enhance information infrastructure to improve quality of care, effective workforce planning and policy making

Stimulating improvement & accountability Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression Nurses should practice to the full extent of their education and training Nurses should be full partners, with physicians and other health care professionals, in redesigning health care The Robert Wood Johnson Foundation (RWJF) and the Institute Of Medicine (2010) LEADERSHIP PARTNERSHIP