Innovations in nursing

Innovations in Nursing

Bivin Jay B
Department of Psychiatric Nursing
MB CN, Kothamangalam
© Bivin Jay B. ( bivinjb@hotmail.com)

Innovation
• Innovation is the act of conservative thinking,
grouping knowledge, skills, attitude into new
original & rational ideas.
• The generation of new ideas or application of
existing ideas to a new situation resulting in
improvement in organization
• Innovation is the action of introducing a new
method, idea or product

Need for innovation in nursing
• Maintenance of quality health services
• Meeting the increasing demands of healthcare
field
• Compete the global workforce shortage
• Increasing advances in the healthcare field
• Emerging clinical/nursing specialities


Characteristics of innovation
• Relative advantage
– Superiority of a new idea over the old one

• Compatibility
– Degree of congruence between the innovation and
existing values, habits, pas experiences & need of the
participants

• Complexity
– Degree of difficulty in application of the new idea

• Feasibility
– Degree to which the new idea can be tested or tried
– Degree to which the outcomes are identifiable

Principles
• Innovation is to analyze the opportunities or
sources
• Innovation is both conceptual and perceptual
• It should be simple and focused
• Effective innovation start small and they aim to do
one specific thing
• Successful innovation aim at being the best from
the very beginning


Innovations in Nursing education


Handheld computers in nursing education
• First personal digital assistant in 1996
• According to ANA (2001) all nurses need to
use nursing informatics


Videoconferencing & web based
conferencing
• Connects students and educators
distance
• Connects diverse student groups


across

E-learning
• Self/learner paced learning strategy
• Adaptation of different distance learning
technologies
• Self directed & active learning
• Refocusing from educator to the subject
• Eg: EdX & Course era


Service-learning
• On the job training
• Structured learning experience that combines
clinical services with preparation and reflection
• Achieves a balance between service and
learning objective


High fidelity patient simulator
• Advanced instructional media
• Help student practice decision making and
problem solving skill and to develop human
interaction
• Simulation is the third leg in the chair of
education and science


Tele teaching
• Online/telephonic model of education
• Availability of the teacher is the major
advantage
• Learner directly interacts with tutor
• Learner oriented learning
• Promotes discovery learning


Micro teaching
•
•
•
•

Miniature to the classroom teaching
Limited duration
Paying full attention to a particular unit/skill
Content reduced to one unit with a single
concept/idea
• Often using as a bed-side teaching strategy


Nursing informatics
• It integrates nursing science,
computer science &
information science in
identifying, collecting,
processing & managing
data/information
to
support nursing practice,
administration, education,
research

Specialty nursing courses
Advanced cardiac life support training
Basic Life support training
Certified emergency nursing

Critical care nursing
Neonatal resuscitation program
Fellow ship in Family nurse practice
Nurse practitioners- Midwifery & psychiatric Nurse practitioner
course

Staff & student recruitment
• New methods like OSCE &OSPE
• Objective
– Examiner use a checklist for evaluating the trainee

• Structured
– Every trainee sees the same problem & performs
the same task in same time frame

• Clinical
– The task are representative of those faced in real
clinical situation

Nursing mobile library
• Access to health care information for nurses
working in remote area
• To reduce the gap between the desperate
need for nursing information and its availability
• E-library/virtual libraries


Innovations in Nursing Practice


Computer assisted nursing care
•
•
•
•
•

Maintenance of health records
Biometric Health records
Health security card
Use of ROBOTS
Reduce error and give certitude to the clinical
planning process


Wireless technology
• Nurse have immediate telephone
contact with employees and with
patient
• Direct and accurate communication
between Nurse and Physician
• E.g. In south Africa nurses uses their
mobile phone to support people
living with HIV/AIDS


Evidence based practice
•

It is combination of professional expertise with
available evidence to produce practice that lead a
positive outcome for client
Steps:

•
–
–
–
–
–

Identify a knowledge need & formulate an answerable
clinical question
Locate the best available evidence
Critically evaluate the evidence
Integrate the evidence with patient’s unique biology,
preferences and values
Evalate

Innovations in Nursing administration


Areas of innovations in nursing
administration
•
•
•
•
•
•
•
•

Management theory & leadership principles
Time management
Decision making & problem solving
Teaching & performance strategies
Identifying and achieving patient goals
Documentation as an instrument
Performance evaluation
Quality assurance

Manual based procedures
• Procedure manual has become mandatory.
• Makes the nursing process/care uniformity
• Structured activities based on manuals/written
guidelines based on the hospital policy
• Resources are utilized effectively


TRIAGE based emergency care
• Triage has become mandatory in the accident
and emergency
• Able to prioritize the patients those who come
to causality and are able to treat the sick and
vulnerable one as early as possible.
• Caring becomes more need-oriented and
patient-centered

Awareness on nursing ethics
• This is to increase more awareness among
nurses that they will be able to apply ethics
principles while caring for patients.
• It significantly increase their knowledge
about ethics and improves patient
satisfaction and the litigation rates.
• Many hospitals encourages nurses to attend
such conferences and workshops.

Magnet Hospital Status
• Introduced in 1980’s.
• “Magnet
Nursing
Services
recognition
program” for excellence in Nursing ServicesAmerican Nurses, credentiality centres (ANCC)
• The hospital must create and promote a
professional practice culture in all aspects of
nursing care.


Computer-based records
• Electronic medical records
– Computerized physician order entry (CPOE)

– Clinical decision support system (CDSS)


Advantages
• Affordable & integrated.
• For improving patient care.
• Powerful practice management system for
practices of any size.
• Fast, flexible, Easy to use schedule for
increasing productivity.
• Clinical desktop for improving enterprise work
flow.
• Electronic document management system for
eliminating paper charts.

Outsourcing programs
• Outsourcing is subcontracting a process to a
third party company
• It helps to provide core job-care giving
• Transcription services
• Electronic medical record maintanance
• Medical billing and coding services
• Entry level recruitment, security, house keeping,
nursing assistance

Innovations in Nursing research


• Evidence based Nursing practice
• Increased focus on outcome research
Outcome research is research designed to
assess and document the effectiveness of health
care services
• Promotion or research utilization
Translate research findings into practice
and nurses at all levels are encouraged to
evidence in evidence based patient care


Expanded dissemination services
• CINAHL: Cumulative Index to Nursing & Allied
Health Literature
• MEDLINE:
• Psych-INFO
• AIDSLINE
• CAERLIT
• HEALTH STAR
• CHID

Resisters in innovation
• Afraid of failures; of opposition; of the
unknown.
• Lacking adequate and correct information.
• Reluctant to experiment.
• Bound by custom & tradition.
• Unaware of our strengths for achievement.


Thank You


Innovations in nursing

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