Innovations in nursing

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Innovations in nursing

  1. 1. Innovations in Nursing Bivin Jay B Department of Psychiatric Nursing MB CN, Kothamangalam © Bivin Jay B. ( bivinjb@hotmail.com)
  2. 2. 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 © Bivin Jay B. ( bivinjb@hotmail.com)
  3. 3. 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 © Bivin Jay B. ( bivinjb@hotmail.com)
  4. 4. 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 © Bivin Jay B. ( bivinjb@hotmail.com)
  5. 5. 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 © Bivin Jay B. ( bivinjb@hotmail.com)
  6. 6. © Bivin Jay B. ( bivinjb@hotmail.com)
  7. 7. Innovations in Nursing education © Bivin Jay B. ( bivinjb@hotmail.com)
  8. 8. Handheld computers in nursing education • First personal digital assistant in 1996 • According to ANA (2001) all nurses need to use nursing informatics © Bivin Jay B. ( bivinjb@hotmail.com)
  9. 9. Videoconferencing & web based conferencing • Connects students and educators distance • Connects diverse student groups © Bivin Jay B. ( bivinjb@hotmail.com) across
  10. 10. 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 © Bivin Jay B. ( bivinjb@hotmail.com)
  11. 11. 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 © Bivin Jay B. ( bivinjb@hotmail.com)
  12. 12. 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 © Bivin Jay B. ( bivinjb@hotmail.com)
  13. 13. 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 © Bivin Jay B. ( bivinjb@hotmail.com)
  14. 14. 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 © Bivin Jay B. ( bivinjb@hotmail.com)
  15. 15. Nursing informatics • It integrates nursing science, computer science & information science in identifying, collecting, processing & managing data/information to support nursing practice, administration, education, research © Bivin Jay B. ( bivinjb@hotmail.com)
  16. 16. 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 © Bivin Jay B. ( bivinjb@hotmail.com)
  17. 17. 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 © Bivin Jay B. ( bivinjb@hotmail.com)
  18. 18. 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 © Bivin Jay B. ( bivinjb@hotmail.com)
  19. 19. Innovations in Nursing Practice © Bivin Jay B. ( bivinjb@hotmail.com)
  20. 20. 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 © Bivin Jay B. ( bivinjb@hotmail.com)
  21. 21. 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 © Bivin Jay B. ( bivinjb@hotmail.com)
  22. 22. 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. ( bivinjb@hotmail.com)
  23. 23. Innovations in Nursing administration © Bivin Jay B. ( bivinjb@hotmail.com)
  24. 24. 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 © Bivin Jay B. ( bivinjb@hotmail.com)
  25. 25. 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 © Bivin Jay B. ( bivinjb@hotmail.com)
  26. 26. 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 © Bivin Jay B. ( bivinjb@hotmail.com)
  27. 27. 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. © Bivin Jay B. ( bivinjb@hotmail.com)
  28. 28. 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. © Bivin Jay B. ( bivinjb@hotmail.com)
  29. 29. Computer-based records • Electronic medical records – Computerized physician order entry (CPOE) – Clinical decision support system (CDSS) © Bivin Jay B. ( bivinjb@hotmail.com)
  30. 30. 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. © Bivin Jay B. ( bivinjb@hotmail.com)
  31. 31. 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 © Bivin Jay B. ( bivinjb@hotmail.com)
  32. 32. Innovations in Nursing research © Bivin Jay B. ( bivinjb@hotmail.com)
  33. 33. • 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 © Bivin Jay B. ( bivinjb@hotmail.com)
  34. 34. Expanded dissemination services • CINAHL: Cumulative Index to Nursing & Allied Health Literature • MEDLINE: • Psych-INFO • AIDSLINE • CAERLIT • HEALTH STAR • CHID © Bivin Jay B. ( bivinjb@hotmail.com)
  35. 35. 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. © Bivin Jay B. ( bivinjb@hotmail.com)
  36. 36. Thank You © Bivin Jay B. ( bivinjb@hotmail.com)

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