WELCOME

INNOVATIONS IN NURSING

DEFINITION
Innovation is anything that creates new resources , processes , or values , or improves a companys existing resources , processes , or values . Christiansen et al.

History of nurses managing with health care independently and interdependently:-

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

epidemics.

INNOVATION IN NURSING Why innovation ?

Creativity is thinking up new things. Innovation is doing new things. -Theodore Levitt , (economist)

Innovation is central to maintaining and improving quality of care . And nurses innovate to find new information and better ways of promoting health , preventing disease and better ways of care and cure.

 The

health care system operates in an environment of constant change and challenge .Changes in demographics and the burden of disease continue to present new demands on the health system , placed as it is on the front line of addressing the global challenges of disease and delivering on the Millennium development goals. Cost effectiveness , then will continue to be a significant driver of innovation.

INNOVATIONS ACROSS THE CONTINUUM OF CARE :

Innovation in clinical practices occurs across the continuum of care. Advances in medical equipment and technology have formed a significant driver in changes in clinical practice , demanding new skills and techniques as well as new ways of working.

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 the benefits of healthier lifestyles , diets and avoid risky behaviors.

FROM INNOVATION TO PRACTICE

Once

innovation has been conceived or developed , the process of introducing it into practice begins .The two do not follow as a matter of course. There are a number of complex factors which will influence whether an innovation translates into a change in practice ; factors which include personal characteristics and organizational environment into which the innovation will be introduced .

THE ROLE OF NATIONAL NURSING ASSOCIATIONS (NNA)

Promoting

nursing as a profession with a long standing and respected tradition of creating , driving and supporting innovative approaches to health care , and celebrating nurses innovative achievements.

 Supporting

innovative cultures in the workplace , collaborating with other key players to promote positive practice environments , which have a high readiness for change and where innovative ideas can be openly discussed.

 Providing

input to health care organizations , researchers and policy makers on the implications of proposed innovations for nurses , for both shortterm implementation and long-term costs and benefits , and contributing to discussions about how these implications can be effectively managed .

 Advocating

for key innovations in the broader external environment , among key opinion leaders and communities and within the field of political and industrial debate.

 Providing

a space/forum for exchange and discussion of innovations . Recognizing / acknowledging nurse innovators. Disseminating nursing innovations to nurses others.

NURSES IN THE WORKPLACE

Every

nurse can play a role in ensuring that innovations are effectively implemented and adopted , by providing feedback on their usefulness and applicability , contributing suggestions as to how innovations can be altered to make a better FIT with local circumstances and needs.

INNOVATIONS IN NURSING EDUCATION

1.Expansion and Globalization of Education : Demands for more and higher levels of education (rise in student numbers, programmes, diversity). Knowledge-based, technologically driven society. General Trade Agreement on Services (GATS) -cross-border higher education, internet-based distance learning.

Standardization of Education
Convergence

of education standards and qualifications. Simplification of comparison and transfer of credit among educational programmes e .g. European Credit Transfer and Accumulation System (ECTS).

Greater Flexibility in the Higher Education Sector

Student profile is changing demographic shifts , trend to lifelong learning. More opportunities to up-grade levels of knowledge and skills - demand for continuing education. Entering and leaving education at different points in work life.

Any time, any place, part-time or full-time education. New systems of recognition and certification. Systems to acknowledge educational achievements attained outside a higher education context, including informal learn.

Privatization of Higher Education :

Competition between public and private institutions to attract students grows. New provider such as multimedia corporations, multinationals.

TRENDS IN NURSING

Move from teacher-centered to student-centered with Focus on Educational Outcomes

professionals

capable of evaluating knowledge, thinking critically and demonstrating creativity in managing care and health services. Educators principle function is to manage the learning environment rather than be the main conduit of information to students.

Increase Demand for More Advanced Educational Preparation

Pressure to raise the level of basic nursing/midwifery education. Heightened interest in post graduate studies, especially at the master level. Practice-focused doctorate

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.

Using multiple providers, public and private. Diverse delivery modes traditional, distance or combination. Full-time, part-time or at own pace basis.

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 the profession. Curricula designed around competency statements or performance-based abilities necessary for contemporary practice.

National and international work to identify competencies for entry into practice and for other categories of nursing .

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.

3.Changes in Teaching-Learning Methods/ 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.

 Assessment

of learning is multiple and diverse focus on demonstrating mastery of learning outcomes. Integration of educational technology and the use of distance learning e.g. email , electronic presentation, virtual libraries, online conferencing , web-based courseware, computer assisted simulation.

4.Life-Long Learning

Traditional model of concentrated selective learning over a limited period of time no longer meets todays needs. Continuing competence is receiving considerable attention as the public and funders demand accountability from healthcare providers.

 Why

learning through work life? Rapidly altering practice; daily advances in health sciences and technology; and reforms in professional regulation. Responsibility of the individual practitioner, profession, regulators, and employers.

5.Challenges
Challenges for Education

Becoming comfortable in working in primary health care, homecare and other forms of community-based care. Providing a broad and integrated knowledge base.

Developing a relevant range of clinical, communication and interpersonal skills. Having the ability to navigate ethical issues arising daily and in exceptional situations. Learning to work co- operatively and collaboratively.

Options for Action

1. Define categories (levels) of

nursing/midwifery 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 and management.

Clear career pathways linked to competency levels, education preparation and experience.

2. Multiple points of entry and educational pathways which draw on existing resources, strengths, and increase the range of potential recruits. - Open-ended educational systems defining routes for educational progress, - Specific upgrade programmes, - Shorter programmes for graduates

3. Establish a system for

recognition of prior learning and experience, and b) credit transfer. 4. Explore alternative modes of programme delivery Part-time, distance and e-learning options
a)

5. Upgrade quality of faculty, clinical teachers/preceptors

Standards

for faculty. Upgraded competencies in heath professions education. Research skills. Academic qualifications in educational sciences, Improved incentives and Rewards.

6. Establish and maintain relevance in curricula 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.

7. Establish plan for improving the quality of education Setting standards institutions, programmes clinical learning sites. Developing accreditation/quality processes. Developing expertise to establish, implement, maintain and improve the quality system.

8. Establish partnerships (national and international) Assistance with programme development, implementation and evaluation. Faculty development. Faculty and student exchange.

9. Explore different types of educational providers public and private, national and international : Collaborate with diverse education providers Public & private; National & international. Outreach campuses of national/international institutions.

 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.

The Future of Nursing Education

Ten Trends to Watch

1. Changing Demographics and Increasing Diversity 2. The Technological Explosion 3. Globalization of the World's Economy and Society 4. The Era of the Educated Consumer, Alternative Therapies and Genomics, and Palliative Care. 5. Shift to Population-Based Care and the Increasing Complexity of Patient Care

6. The Cost of Health Care and the Challenge of Managed Care 7. Impact of Health Policy and Regulation 8. The Growing Need for Interdisciplinary Education for Collaborative Practice 9. The Current Nursing Shortage/Opportunities for Lifelong Learning and Workforce Development 10. Significant Advances in Nursing Science and Research

Nursing Informatics

Definition
Nursing Informatics (NI) is the specialty 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 other providers in their decision making in all roles and settings.

Standards of Practice

Assessment Diagnosis Identification of Outcomes Planning Implementation Evaluation

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

 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

Emerging Technology Solutions National Patient Databases for comprehensive patient record across disparate providers Patient Health Cards contain all medical records and information (advance directives) Integration with retail pharmacy (home meds)

Advanced biometric access and security functionality Voice recognition within electronic medical records Hands free communication tools

Clinical Innovation Leader for Nursing

Qualities and Requirements:

The

"Innovation Nurse" will also coordinate examination of new medical technology in areas beyond his/her immediate area of expertise, working with other nurses and members of the Innovation team. The "Innovation Nurse" will be involved in identifying emerging technology as well as developing experimental methodologies to test the technology .

 The

"Innovation Nurse" will provide leadership in the development and dissemination across national and regional departments of the findings of the Innovation and Advanced Technology Group.

THANK YOU