Download - Innovations in nursing
Innovations in Nursing
Bivin Jay B
Department of Psychiatric Nursing
MB CN, Kothamangalam
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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
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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
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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
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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
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Innovations in Nursing education
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Handheld computers in nursing education
• First personal digital assistant in 1996
• According to ANA (2001) all nurses need to
use nursing informatics
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Videoconferencing & web based
conferencing
• Connects students and educators across
distance
• Connects diverse student groups
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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
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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
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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
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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
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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
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Nursing informatics
• It integrates nursing science,
computer science &
information science in
identifying, collecting,
processing & managing
data/information to
support nursing practice,
administration, education,
research
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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
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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
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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
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Innovations in Nursing Practice
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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
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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
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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 © Bivin Jay B. ( [email protected])
Innovations in Nursing administration
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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
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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
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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
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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.
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Magnet Hospital Status
• Introduced in 1980’s.
• “Magnet Nursing Services recognition program” for excellence in Nursing Services- American Nurses, credentiality centres (ANCC)
• The hospital must create and promote a professional practice culture in all aspects of nursing care.
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Computer-based records
• Electronic medical records
– Computerized physician order entry (CPOE)
–Clinical decision support system (CDSS)
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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.
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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
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Innovations in Nursing research
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• 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
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Expanded dissemination services
• CINAHL: Cumulative Index to Nursing & Allied Health Literature
• MEDLINE:
• Psych-INFO
• AIDSLINE
• CAERLIT
• HEALTH STAR
• CHID
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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.
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Thank You
© Bivin Jay B. ( [email protected])