current trends sti
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THE FUTURE OF NURSINGPRACTICE:
TEN TRENDS TO WATCH
Elsa V. Castro, RN, PhD
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1. Changing Demographicsand Increasing Diversity
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2. The TechnologicalExplosion
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3. Globalization of theWorlds Economy andSociety
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5. Shift to Population-Based Careand the Increasing Complexity of
Patient Care
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6. The Cost of Health Care andthe Challenge of Managed Care
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7. Impact of Health Policy andRegulation
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8. The Growing Need forInterdisciplinary Education for
Collaborative Practice
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9. The Current NursingShortage/Opportunities for
Lifelong Learning and WorkforceDevelopment
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10. Significant Advances inNursing Science and Research
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Building A Culture Of
Best Practices
Elsa V. Castro RN, PhD
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Determining the responsibility formanaging rosters and shift work.
Improving your bottom-line financialresults through effective shift workmanagement
The costs and benefits of revamping yourcurrent shift patterns.
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Finding the right balance betweenfinancial costs, employee morale andsafety.
Analyzing fatigue and stress- relatedaccidents reducing health costs.
With today's increasingly mobileworkforce there is an increasedchallenge to maintain key employeesthus to minimize the effects that shift
work has on employees andunderstanding employee work versussocial and family commitments
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Vertical Leveraging
Establishing a skill mix of nursingemployees to provide the highest qualityof patient care at the lowest cost.
Horizontal Leveraging
Cross training to boost productivity
An operating room utilization rate of 80%or higher if the industry rate is 75%
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An average turnover timebetween cases of 15 minutes if
the industry rate is 20 minutes
A reduction of 10% from the
average for industry cost ofsupplies per patient day
A reduction of 50% from the
average for industry rate ofhospital acquired infections
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Quality management is necessaryelement of best practice
Goals and objectives are set, and fullteam support to meet them is
obtained.Performance regarding practices
processes and outcomes is continuallyimproved.
Commitment and accountability forexcellence exist
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New approaches are sought outlearned and adapted
Organizational communication isimproved
Clinical governance is improvedClinical satisfaction is improved
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Building best professionalpractice model
MISSION:Professional nurses and nursing
teams exist to optimize the health of ourpatients and communities.
Identifying best practices orevidence- based innovations that havebeen adopted with success by otherorganizations can facilitate strategicplanning, consequently nurses, planning
to develop a new program need tocarefully examine the existing evidenceand practice prior to beginning planning
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It is the continuous process ofmeasuring service and
practices against the toughestcompetitors or those customersrecognized as industry leaders
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Organization
Vision
Mission
Goals
OrganizationalCulture /Structure
Role Descriptions
Quality Measures
Individual andOrganizational Outcomes
SWOT/Environmental
Scanning
Strategic goals
StrategicPlan
E
X
T
E
R
N
A
L
F
OR
C
E
S
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The Model for
improvement
PLAN
DO
ACT
STUDY
What areWe trying
To accomplish?
How will we know that a changeIs an improvement?What change can we make that will result
In improvement?
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operations
relationships
structure
Practice
outcomes
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We believe many conditions mustwork together in order to nurture aprofessional environment morespecifically the manner in whichbeliefs practice, structure,
relationships and operationsinteract will determine the qualityof outcomes for us well as for those
we serve
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