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7/29/2019 Inovation in Nursing
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WELCOME
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INNOVATIONS IN NURSING
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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.
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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.
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INNOVATION IN NURSING
Why innovation ?
Creativity is thinking up newth ings. Innovat ion is do ing new
things.
-Theodore Levit t ,(economist )
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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.
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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.
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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 .
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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.
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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 .
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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.
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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.
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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 .
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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.
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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.
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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 .
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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 .
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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).
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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.
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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.
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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.
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TRENDS IN NURSING
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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.
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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
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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.
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Using multiple providers, public and
private.
Diverse delivery modes traditional,
distance or combination.
Full-time, part-time or at own pacebasis.
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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.
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National and international work to
identify competencies for entry
into practice and for other
categories of nursing .
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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- Clear career pathways linked to
competency levels, education
preparation and experience.
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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
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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
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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.
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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.
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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.
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8. Establish partnerships (national and
international)
Assistance with programme development,implementation and evaluation.
Faculty development.
Faculty and student exchange.
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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.
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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.
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The Future of Nursing Education
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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
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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
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Nursing Informatics
Definition
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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.
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Standards of Practice
Assessment
Diagnosis
Identification of Outcomes Planning
Implementation
Evaluation
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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
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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
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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)
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Advanced biometric access and
security functionality
Voice recognition within electronicmedical records
Hands free communication tools
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Clinical Innovation Leader for Nursing
Qualities and Requirements:
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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 .
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The "Innovation Nurse" will provideleadership in the development and
dissemination across national and
regional departments of the findingsof the Innovation and Advanced
Technology Group.
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THANK YOU