inovation in nursing

7/29/2019 Inovation in Nursing

1/59

WELCOME


2/59

INNOVATIONS IN NURSING


3/59

DEFINITION

Innovation is anything that

creates new resources , pro cesses , or

values , or improves a companys existing

resources , processes , or values .

- Chris t iansen et al.


4/59

History of nurses managing with health careindependently and interdependently:-

In home during child birth and plagues. In war caring for the soldiers . In public/community health during

epidemics.


5/59

INNOVATION IN NURSING

Why innovation ?

Creativity is thinking up newth ings. Innovat ion is do ing new

things.

-Theodore Levit t ,(economist )


6/59

Innovat ion is cen tral tomaintain ing and improving

qual ity o f care . And nu rses

innovate to f ind newinform at ion and better ways of

promot ing heal th , prevent ing

d isease and better ways o f care

and cu re.


7/59

The health care sys tem operates in an

environment of constant change and

chal lenge .Changes in demog raph ics

and the burden o f disease con t inue to

present new demands on the heal th

system , placed as i t is on the front l ine

of address ing the global chal lenges o f

disease and del iver ing on theMil lenn ium development goals. Cost

effect iveness , then w i l l con t inue to be

a sign i f icant dr iver of innovat ion.


8/59

INNOVATIONS ACROSS THE

CONTINUUM OF CARE :

Innovat ion in c l in ical p ract ices

occurs across the con t inuum of

care. Advances in med icalequ ipment and techno logy have

formed a sign i ficant d r iver in

changes in c l in ical pract ice ,demanding new sk i lls and

techniques as wel l as new ways of

work ing .


9/59

INNOVATIONS IN HEALTH PROMOTION AND

DISEASE PREVENTION

1. The realm of disease prevention and

health promotion provides a range of

examples of the influence of nursing

in improving population health status

.Nurse are uniquely positioned to

identify risk factors , and promote thebenefits of healthier lifestyles , diets

and avoid risky behaviors.


10/59

FROM INNOVATION TO PRACTICEOnce innovation has been conceived o rdeveloped , the process o f int roducing

i t into p ract ice begins .The two do no t

fo l low as a matter o f course. There area number of com plex factors which w i ll

inf luence whether an innovat ion

trans lates into a change in pract ice ;

factors which inc lude personal

character ist ics and organizat ional

envi ronment into wh ich the innovation

w i ll be int roduced .


11/59

THE ROLE OF NATIONAL NURSINGASSOCIATIONS (NNA)

Promot ing nurs ing as a pro fess ion

w ith a long stand ing and respected

trad i t ion o f creat ing , dr iv ing and

support ing innovat ive app roaches

to health care , and celeb rat ing

nurses innovative achievements.


12/59

Support ing innovative cu l tures inthe workplace , co l labo rat ing w ith

other key p layers to p romote

posi t ive pract ice env ironments ,which have a high readiness for

change and where innovative

ideas can be openly d iscussed.


13/59

Prov id ing inpu t to heal th care

organizat ions , researchers and po l icy

makers on the impl icat ions o f proposed

innovat ions for nu rses , for bo th sho rt -

term implementation and long -term

costs and benef i ts , and contr ibut ing to

discuss ions abou t how theseimpl ications can be effect ively

managed .


14/59

Advocat ing for key innovat ions in

the broader external environment ,

among key opin ion leaders andcommun i ties and w i th in the field of

po l i tical and indus tr ial debate.


15/59

Provid ing a space/forum for

exchange and d iscuss ion o f

innovat ions .Recogn izing / acknow ledg ing

nu rse innovators.

Dissem inat ing nu rs ing innovat ionsto nurses others.


16/59

NURSES IN THE WORKPLACEEvery nurse can p lay a role in

ensur ing that innovat ions are

effect ively imp lemented andadopted , by prov id ing feedback on

their usefulness and app l icabi l i ty ,

contr ibut ing suggestions as tohow innovat ions can be al tered to

make a better FIT with local

c i rcum stances and needs .


17/59

INNOVATIONS IN NURSING EDUCATION1.Expansion and Globalization of

Education :

Demands fo r more and higher levels of

education (r ise in student numbers,pro grammes, diversi ty).

Know ledge-based, techno log ical ly

dr iven society .General Trade Ag reement on Services

(GATS) -cross -bo rder h igher educat ion ,

internet-based d istance learn ing .


18/59

Standardization of Education

Convergence of educat ion s tandards

and qual i ficat ions.

Simpl i f icat ion of comparison and

trans fer of credi t among educat ional

pro grammes e .g. European Credi t

Transfer and Accumulat ion System

(ECTS).


19/59

Greater Flexibility in the HigherEducation Sector Student p rof i le is chang ing -

demog raph ic shi f ts , trend to l i felong

learning. More oppo rtun i t ies to up -grade levels

of know ledge and ski l ls - demand for

cont inuing education. Enter ing and leaving educat ion at

di f ferent poin ts in work l i fe.


20/59

Any time, any p lace, part-t ime or

ful l -t ime educat ion.

New sys tems o f recogn i tion andcert i f icat ion.

Systems to acknow ledge

educat ional ach ievements attainedou ts ide a higher education con text ,

inc luding inform al learn.


21/59

Privatization of Higher Education :

Competi t ion between publ ic and

pr ivate ins t i tut ions to attract studentsgrows.

New provider such as mul t imedia

co rpo rat ion s, mul t inat ionals.


22/59

TRENDS IN NURSING


23/59

Move from teacher-centered tostudent-centered with Focus onEducational Outcomes pro fess ionals capable of evaluat ing

know ledge, thinking cr i t ical ly and

demonstrat ing creat iv i ty in managingcare and health serv ices.

Educators principle function is to

manage the learning environmentrather than be the main condu i t of

informat ion to students.


24/59

Increase Demand for MoreAdvanced Educational Preparation

Pressure to raise the level of basic

nu rs ing/m idw i fery educat ion . Heightened interest in post

graduate stud ies, especial ly at the

master level.

Pract ice-focused docto rate


25/59

More Flexible Educational Systems Allow progression to higher

qualifications e. g. diploma to degree,

practical to registered nurse.

Have different entry points e.g.

through the vocational training

system.

Take account of prior learning.


26/59

Using multiple providers, public and

private.

Diverse delivery modes traditional,

distance or combination.

Full-time, part-time or at own pacebasis.


27/59

Competency Based Curriculum Trend to greater accountability nursing

education Educators need to demonstrate

graduates can perform in accordance with

a level of competence set by theprofession.

Curricula designed around competency

statements or performance-based abilitiesnecessary for contemporary practice.


28/59

National and international work to

identify competencies for entry

into practice and for other

categories of nursing .


29/59

Shared Competencies No one provider owns any set of skills. Within

accepted scopes of practice, discipline roles

change as client needs and context of practice

change.

Central to the notions of flexibility and

adaptability -use of diverse mix of healthcare

providers, promotes interprofessional

collaboration. Claimed benefits include promote more

integrated, co-ordinated care, improved

outcomes, more effective and efficient services.


30/59

3.Changes in Teaching-LearningMethods/ Technologies of Instruction Promotion of self-directed/active learning.

More creative and interactive models e.g.

problem/case based, project work, role

play, developing clinical portfolios.

Use of open-ended problems based on

real life situations that actively engage

students.


31/59

Assessment of learning is multiple anddiverse focus on demonstrating mastery

of learning outcomes.

Integration of educational technology andthe use of distance learning e.g. email ,

electronic presentation, virtual libraries,

online conferencing , web-based

courseware, computer assisted simulation.


32/59

4.Life-Long Learning

Traditional model of concentrated

selective learning over a limited

period of time no longer meetstodays needs.

Continuing competence is receiving

considerable attention as the publicand funders demand accountability

from healthcare providers.


33/59

Why learning through work life?Rapidly altering practice; daily

advances in health sciences and

technology; and reforms inprofessional regulation.

Responsibility of the individual

practitioner, profession, regulators,and employers.


34/59

5.ChallengesChallenges for Education

Becoming comfortable in working in

primary health care, homecare andother forms of community-based care.

Providing a broad and integrated

knowledge base.


35/59

Developing a relevant range ofclinical, communication and

interpersonal skills.

Having the ability to navigate ethical

issues arising daily and in exceptional

situations. Learning to work co- operatively and

collaboratively.


36/59

Options for Action1. Define categories (levels) o fnu rs ing/m idw i fery personnel and

how they relate to each other.

-Scope of practice, role, function,competencies expected of each level

,within the broader tasks of human

resources planning, development andmanagement.


37/59

- Clear career pathways linked to

competency levels, education

preparation and experience.


38/59

2. Mult ip le poin ts o f entry and

educational pathways which d raw on

exist ing resources, strengths, and

inc rease the range o f po tent ial recru i ts.

- Open-ended educational systems

defining routes for educational progress,

- Specific upgrade programmes,

- Shorter programmes for graduates


39/59

3. Estab l ish a sys tem fora) recogn i tion of pr io r learning and

experience, and

b) credi t trans fer.

4. Explo re al ternat ive modes o f

programme delivery

Part-time, distance and e-learning

options


40/59

5. Upg rade quali ty o f faculty , cl in ical

teachers/preceptors

Standards for faculty.

Upgraded competencies in heathprofessions education.

Research skills.

Academic qualifications ineducational sciences,

Improved incentives andRewards.


41/59

6. Establish and maintain relevance incurricula

Orienting curricula toward national priority

health problems. Prepare for new/emerging roles, keeping

pace rapid expansion and change in

knowledge technology, and practice. Linking theory to practice.

Building in periodic evaluation and

revision.


42/59

7. Establ ish p lan fo r impro ving the

qual i ty o f educat ion

Setting standards institutions,

programmes clinical learning sites.

Developing accreditation/quality

processes.

Developing expertise to establish,

implement, maintain and improve the

quality system.


43/59

8. Establish partnerships (national and

international)

Assistance with programme development,implementation and evaluation.

Faculty development.

Faculty and student exchange.


44/59

9. Explore different types of educational

providers

public and private, nationaland international :

Collaborate with diverse educationproviders Public & private; National &

international.

Outreach campuses ofnational/international institutions.


45/59

Partnering in joint educational ventures.

Creating special overseas programmes to

meet needs of international clients.

Assisting with capacity and institutional

building.

Challenges -- relevance & quality;

recognition of qualifications.


46/59

The Future of Nursing Education


47/59

Ten Trends to Watch1. Changing Demographics and IncreasingDiversity

2. The Technological Explosion

3. Globalization of the World's Economyand Society

4. The Era of the Educated Consumer,

Alternative Therapies and Genomics, andPalliative Care.

5. Shift to Population-Based Care and the

Increasing Complexity of Patient Care


48/59

6. The Cost of Health Care and the

Challenge of Managed Care

7. Impact of Health Policy and Regulation

8. The Growing Need for InterdisciplinaryEducation for Collaborative Practice

9. The Current Nursing

Shortage/Opportunities for Lifelong

Learning and Workforce Development

10. Significant Advances in Nursing Science

and Research


49/59

Nursing Informatics

Definition


50/59

Definition

Nursing Informatics (NI) is thespecialty that integrates nursing science,

computer science, and information science

to manage and communicate data,

information, and knowledge in nursing

practice. Informatics facilitates the

integration of data and knowledge to

support patients, nurses, and otherproviders in their decision making in all

roles and settings.


51/59

Standards of Practice

Assessment

Diagnosis

Identification of Outcomes Planning

Implementation

Evaluation


52/59

Solution

An informatics solution may encompass

technology and non-technology products

such as:

Developing a database

Purchasing a new computer application

Creating nursing vocabulary

Design informatics curricula


53/59

Creating a spreadsheet

Tailoring an application to a particular

environment

Designing a research study to describe

required informatics competencies

Describing information flow in a process

redesign

Creating a structure for information

presentation


54/59

Emerging Technology Solutions

National Patient Databases for

comprehensive patient record across

disparate providers

Patient Health Cards contain all medicalrecords and information (advance

directives)

Integration with retail pharmacy (homemeds)


55/59

Advanced biometric access and

security functionality

Voice recognition within electronicmedical records

Hands free communication tools


56/59

Clinical Innovation Leader for Nursing

Qualities and Requirements:


57/59

q

The " Innovat ion Nurse" w i ll also

coord inate exam inat ion o f new medicaltechno logy in areas beyond his /her

immediate area o f expert ise, working

w i th o ther nu rses and members o f theInnovat ion team .

The " Innovat ion Nurse" w i ll be

invo lved in ident i fy ing emergingtechno logy as wel l as develop ing

exper imental methodo log ies to test the

technology .


58/59

The "Innovation Nurse" will provideleadership in the development and

dissemination across national and

regional departments of the findingsof the Innovation and Advanced

Technology Group.


59/59

THANK YOU

inovation in nursing

Documents