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Medical surgical nursing 

Current trained in medical surgical nursing

1• population changes- over the last
decades the democratic profile of acquiring nursing care has change dramatically.

Increase with number of people infected with HIV , Hospital services to elderly has also significantly increases. All of these factors impact greatly on nursing care which leads to changing role of nurses.

2• advanced nursing practice- professional nursing is adapting to meet changing Health Care needs and expectation one method is advance practice role which has developed in In response to need for improved distribution of Healthcare services.

The nurse who function in advance practice role provide direct care to patients through independent practice or practice within health agency.

This new role amended to give nurse authority to perform function that words previously restricted to practice of medicine so now nurse must be skilled in decision making, interviewing, observation , physical assessment and examination, evaluation outcome of care and implementing measures to promote cost effectiveness.

3•Healthcare reform - over the years Healthcare become increasing expensive, insurance premium have client and business have been less inclind to offer health benefits to all through government programs.

4• computerisation - use of computerized record has helped in a speed Record Keeping and allows nurse to spend more time with their client.

Institutions are using computer in many ways such as ordering supply and services, storing and providing immediate access to diagnostic test result document nursing access and care and development individualized client of care.

5• expansion of knowledge- medical surgical nurse assume diverse roles and Barry responsibility so they must have a special skill to look after the special needs of clients.

The nurse acquire skill of understanding the behaviour pattern and ability to promote problem solving skill individual family and groups.

There are different specialist area within acute care setting which provide numbers medical surgical opportunity like, advance nursing, cardiovascular nursing, orthopedic nursing, infection control nursing, genetic nursing and Oncology nursing.
6• Evidence based practice - it is concept use to improve care to achieve client outcome effectively uses research finding that are grounded in science along with client services to guide clinical practice there by practice being directed by tradition.

7• consumer orientation - main goal of medical surgical nurse is promotion of health, prevention of illness, restoration of health when illness occur.
During care given to client she is oriented to clients, physical ,emotional, spiritual and psychological nature.
8• Ethical concern - it is important trend which is growing among patients and nurses.
Ethical issues sprout when question arises ask to who is right and who is right to prevail.
nurses applied ethics during care for terminally ill or care for dieing patient.she should be aware of the rights of patient and different ethics.

Change in role of medical surgical nurse 

Vast role of medical surgical nurse are as follow:

1• care givers - increased education of nurses research and development of knowledge causes a shift in role of nurses from dependent to independent and collaborating.

2• Educator - nurse access learning needs, plans and implement teaching strategies to meet those needs.

3• Advocate - Nurse actively promote patients right to autonomy and free choice.thus speaking for patient and protecting patient right for self-determination.

4• Leader and manager - All nurses practice leadership and manage time, people and resources.