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Presented by
Jalpa Patel.
F.Y. MSC NURSING STUDENT
? The fast development of health care sector
? healthcare personnel have new challenges
? worldwide nurses are engaged in innovative
activities on a daily basis to improve patient
care outcomes and to reduce cost to
healthcare system.
? Resulted in significant improvement in health
of patients, Community and healthcare
systems.
? Nursing research are the new role of nurses
Innovate- introduce new
methods/ideas
Innovation- the action of making
new idea/ method
starts with good idea it is refers to the
process of turning that good idea into
something that is implementable and
achievable, and hopefully will bring about
better health promotion, disease
prevention and better patient care.
Innovation
Generation
Of New
Ideas
Application
Of Existing
Ideas To
New
Situation
Resulting In
Improvement To
A Service,
programme,
structure,
product And/or
System
nursing
innovation
finding new
information
preven
ting
disease
better patient
care
better
ways of
promoti
ng
health
? DEFINITION “ Innovation is anything that
creates new resources , processes , or values
, or improves a company’s existing resources
, processes , or values .” - Christiansen et al.
? 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.
? Innovation - A dynamic, systematic process
that envisions new approaches to nursing
education.
? Innovation refers to developing and adopting
new approaches, technologies, products and
ways of functioning.
? In nursing, it means finding new information
and better ways of promoting health,
preventing disease and better patient care.
? Innovation is act of constructive thinking,
grouping knowledge, skill, attitude in to new
original and rational ideas like…critical
thinking – Imagination – plan – Action –
Achieve – Objectives.
? By Luecke & Katz : Innovation is generally
understood as the successful introduction of
a new thing or method.
? Innovation is new way of doing something.
innovation in nursing practice, education and management.pptx
? Innovation is a process that brings creativity
to measurable outcomes, actions, products,
or processes “innovation is something
different that has impact. The often
unspoken goal is to solve a problem” .
? Most of us are capable of being creative. Yet
many of us don’t recognize our own
creativity, whether it is in the artistry of
one’s cooking or the way in which we plan
and deliver care to elderly residents in a
long-term care facility. Some innovation
methods, such as non-judgmental
brainstorming, prototype building, and story-
telling that are discussed below, are designed
to restore this sense of playfulness and
creativity
? Creative people frequently solve problems
with a process called divergent thinking. This
thought process, which is the most commonly
accepted indicator of creative capacity,
involves the ability to make mental
connections between unrelated matters.
Divergent thinking is not as valued in
healthcare as convergent thinking.
Convergent thinkers, sometimes known as
“linear thinkers,” like data and puzzles. They
value getting the correct or conventional
answers. Healthcare disciplines generally
socialize their members to be excellent
convergent thinkers.
? The context within which innovation and
creativity thrives, or conversely withers, is
the environment. In the quality-driven, yet
risk-averse healthcare field, a field with
unrelenting operational pressure, it is
difficult to encourage creativity and
innovation. There is no down-time, no break
from the paramount focus on patient care.
Yet, creative insights do emerge from this
pressure and providers’ concern for patients.
? Innovation, by its nature, often involves a
process of trial-and-error in which mistakes
are frequent and from which much is
learned. Some organizations create
protective environments, such as incubators,
insulating innovation teams from operational
pressures; others create permissive “learning
environments” within mainstream structures.
? To maintain the quality of care
? To improve the quality of care
? To find new information
? To find new way of promoting health
? To find new way of promoting illness
? To find better way of care & cure
? To conform to the regulation
? To reduce the energy consumption
?By the Hand out
? 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
? Maintenance of quality health services
? Meeting the increasing demands of
healthcare field
? Compete the global workforce shortage
? Increasing advance in the healthcare field
? Emerging clinical/nursing specialities
We can broadly classify these into the
following :
? Innovation in nursing practice
? Innovation in nursing education
? Innovation in nursing care
? Innovation in nursing management
innovation in nursing practice, education and management.pptx
? Innovation in the clinical practice occur
across the continuum of care. Clinical
practice demanding new skills and
techniques as well as the new ways of
working. Similarly changes in the availability
and effectiveness of drug-based treatments
have also brought about significant shifts in
the clinical practice.
? Innovations are a way we approach care
through new collaborative partnerships with
Other organizations and healthcare providers
, community groups and with consumers of
health services, their families and carers.
? There are number of stages in the diffusion
process:
like…Knowledge, persuasion, decision,
implementation and confirmation.
This process begins with the involved
knowledge becoming aware of the
innovation and then forming a view
about it
Decision is made about whether it
should be pursued
The innovation is implemented and
experimented with.
In a confirmation stage new method
become part daily activity or practice,
replacing the former approach.
? Varies innovations are there in clinical
practice:
? Computer Assistance
? Wireless Technology
? Evidence Based Practice
? Procedure Manual
? Emergency Medical Services
? Job Description
? Management and Leadership
? Infection control
? Triage
? Ethics
? Forensic Nursing Speciality
? Community Based Nursing Role
? Nurse Educator
? Nurse Anaesthetist
? Tele Nursing
? Variations in Traditional Role
? Hospice Nurse
? Informatics nurse specialist
? Occupational health opportunity
? Quality manager
? Case manager
? Flight nurse
? Telephone triage nurse
? Travel nurse
? Nurse practitioner
? Certified nurse midwife
? Clinical nurse specialist
? Nurse administrator
? Maintenance of health records
? Health security card
? Use of ROBOTS
? Reduce error and give certitude to the
clinical planning process
? 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
? It is combination of professional expertise
with available evidence to produce practice
that lead a positive outcome for client
? Steps:
? Identify a knowledge need and 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
? evaluate
? Procedure manual has become mandatory.
? To disseminate information about
emergency medical services, pre hospital
care & emergency department care, as
well as to share ideas, problem solving &
develop relationships among many
emergency departments within the
country.
? By doing this kind of networking will
enhance pre hospital and emergency care
in our country.
? These are written according to specific
practice area and level of responsibility.
? Nurses are also given format of the
standards for performance.
Nursing leaders and managers are
exposed to different management principles
relevant to nursing practice. They are as
follow :
? 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
? To identify available resources which in the
Hospital while maintaining good patient
care.
? Infection control has become Paramount
importance.
? Segregation of waste has become mandatory
in all the hospitals.
? Every hospital need to have Hospital
infection control committee & policy.
? Triage has become mandatory in the accident
and emergency and thereby they are able to
prioritize the patients those who come to
causality and are able to treat the sick and
vulnerable one as early as possible.
? 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.
? Forensic psychiatric nurse work with
mentally ill offenders and with victims of
crime
? It is the management of crime victims from
trauma to trial
? People in communities in partnership with
health care professionals will define the
health needs to be met and maintain
control of strategies for meeting those
needs
? They are the leaders and developers of
nursing program of the future
? Diabetic nurse educator
? Asthma educator
? Nurse anesthetist is a registered nurse
who got specialization in anesthesia and is
responsible for monitoring , administering
anesthesia, to detect equipment fault
? Tele nursing is nursing practice that occurs
through the utilization of telecommunication
and includes the use of nursing knowledge,
skills and abilities; the application of critical
thinking and nursing judgment and provision
of nursing direction or care in specific client
situation
? HOSPICE NURSE
The nurse works holistically with clients and
family.
? INFORMATICS NURSE SPECIALIST
Nursing specialty whose activities center or
management and processing of health care
information
? OCCUPATIONAL HEALTH OPPORTUNITIES
Nurse designs and implement a program of
health promotion and disease prevention for
employees
? QUALITY MANAGER
Quality management nurses research and
describe findings and look for opportunities to improve
care
? CASE MANAGER:
Case manager co-ordinate resources to
achieve health care outcomes based on quality, access
and cost.
? FLIGHT NURSE:
Military and civilian flight nurse
? TELEPHONE TRIAGE NURSE
The practice nurse interacts with clients on
telephone to assess needs, intervene and evaluate
? TRAVEL NURSE
Assignment usually for a minimum time.
Extra allowance will be provided
? NURSE PRACTITIONER
Nurse serves as a primary care provider and
consultant for individuals, families or communities
? CERTIFIED NURSE MIDWIFE
Independent management of women’s health
care. should pass the national certification
examination conducted.
? CLINICAL NURSE SPECIALIST
Clinical expertise in a defined area of nursing
practice for a selected client population or clinical
setting.eg- OT nurse, ICU nurse, Dialysis nurse,etc.
? NURSE ADMINISTRATOR
Nurse administrator unites the leadership
perspective of professional nursing with various
aspects of business and health administration
INNOVATION IN NURSING EDUCATION
Development of computer-assisted
thinking: in order to enhance students active
thinking, faculty members at international
University Of Health and Welfare developed
the CAT( Computer Assisted Thinking)
program. The CAT program is different from
CAI (Computer Assisted Instruction),which
mainly ask the users to choose correct
answer.
There are two functions in the CAT
programme:
? One is to keep the students action log each
time they use programme
? The other is to serve as medical dictionary.
An analysis comes that the students
demonstrated little skill in inferential thinking. Their
observations were very concrete. Its helps the
students to develop their abstract thinking.
? Substantive innovation in nursing education:
Task group develop four strategies.
? Distribute an online survey that asks faculty to
share their perceptions about the current state
of innovation in nursing education.
? Formulate specific questions, shared with deans
,directors and chairpersons of nursing
programmes, that are designed to thoughtful
dialogue at any forum where faculty engage in
conversations about thinking and learning, such
as faculty meetings and retreats.
? Develop an electronic community where
educators can share innovative practices and
engage in ongoing dialogue.
? The fourth strategy: The purpose of this to
gather baseline data about how nurse educators
are beginning to frame ideas surrounding
innovation and strategic reform in nursing
education.
? These strategies might be embedded in individual
courses or used as an organizing framework for
the entire academic programme, such include:
? Creative use of technology, including CD-ROMs,
personal digital assistants (PDAs), computer assisted
instruction.
? Use concept mapping to promote higher level thinking
skills.
? Integrate educational theories, including learning
styles, multiple intelligences into our educational
practices.
? Use gaming in classroom and clinical settings.
? Employ integrative exercises and tests as teaching
tools.
? All the ideas were recorded and the
information was analysed later.Such as:
? HANDHELD COMPUTERS IN NURSING
EDUCATION
? First personal digital assistant in 1996
? According to ANA (2001) all nurses need to use
nursing informatics
? VIDEOCONFERENCING AND WEB BASED
CONFERENCING
? Connects students and educators across distance
? Connects diverse student groups
? E-LEARNING
? Adaptation of different distance learning
technologies
? Self directed, active learning
? Refocusing from educator to the subject
? SERVICE-LEARNING
? Structured learning experience that combines
community service with preparation and
reflection
? Achieves a balance between service and learning
objectiv
HIGH FIDELITY PATIENT SIMULATOR
? Help student practice decision making and
problem solving skill and to develop human
interaction
? Simulation is the third leg in the stool of
education and science
? TELE TEACHING
? Online model of education-learner directly
interacts with tutor
? Learner oriented learning
? Promotes discovery learning
MICRO TEACHING
? Miniature classroom teaching
? Small duration
? Paying full attention to a particular unit and skill
? Content reduced to one unit with a single
concept
? NURSING INFORMATICS
? Integrates nursing science, computer science and
information science in identifying, collecting,
processing and managing data and
information to support nursing practice,
administration, education, research
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
? STAFF AND STUDENT RECRUITMENT
? Objective because examiner use a checklist for
evaluating the trainee
? Structured, because every trainee sees the same
problem and performs the same task in same
time frame
? Clinical, because the task are representative of
those faced in real clinical situation
innovation in nursing practice, education and management.pptx
? This literature review focuses on substitution
related innovation in nursing care of patients
in six industrialized countries.
? Difference between primary and secondary
care oriented countries in the kind of
innovation implanted are discussed.
? Health care systems are increasingly being
opposed with chronic patients who need
complex interventions tailored to their
individual needs.
? However today’shealth care
professionals,organizations and budgets are
not sufficiently prepared to provide this kind
of care.as a results ,health care policy
reduce the health care cost and the improve
the quality of care.
? Care is provided by health personnel at the
lowest cost level, giving advance nursing
practice,hospital-at-home care and
integrated care.eg…DOTS therapy
? Examples:
? They used adhesive towel hooks and covered
rubber bands to mark daily progress for each
patient in hallways.This information is
documented in their charts for future references.
? This is an example of the wonderful care this
team provides to our patients and to each other.
innovation in nursing practice, education and management.pptx
? There are many changes occurring in national
Health Services at this time, not just to
economic and finding policies, but also at
the very heart of nursing care delivery.
? USE OF COMPUTER
? Computerized physician order entry (CPOE)
? Clinical decision support system (CDSS)
ELECTRONIC MEDICAL RECORDS
? 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.
? Integrated, Internet – based solution that
securely connects clinics and patients.
? Electronic document management system for
eliminating paper charts.
? LEADERSHIP FOR CHANGE
? It is an action learning programme to develop
nurses as effective leaders and managers
? OUTSOURCING
? outsourcing is subcontracting a process to a third
party company
? it helps to provide core job-care giving
? transcription
? electronic medical record
? medical billing and coding services
? entry level recruitment, security, house keeping,
nursing assistance
? STAFFING STRUCTURE
? Benchmarking:
Organization has varying levels of support in
place at the unit level for the nurse.eg. Nursing unit
that has dietary aides
? JCAHO:
Surveys hospitals for the quality of care
provided. sees for the right number of competent staff
to meet the need of patient
? Skill mix:
It is the percentage of RN staff to other
direct care staff, LPNs and unlicensed assistive
personnel
? PERSONAL MANAGEMENT
? Use of computer in recording staff
files,biodata,accounts
The Role of National Nursing Associations :
National Nursing Association (NNAs)
represents fostering and supporting
innovation. The NNAs provide the leadership
by:
? Promoting nursing is a profession with
supporting innovative approaches to health
care and nurse’s innovative achievements.
? Supportive innovative cultures in the
workplace, collaboration with high readiness
for change and innovative ideas can be
openly discussed.
READINESS TO CHANGE
? Some individuals and organizations are more
ready to affect changes than others.
? This depends often on the degree of felt
security.
? In turn, it depends on the knowledge
? skill
? attitude
? self confidence
? tolerance to stress
? motivation of the individuals
It also depends on the security to change. If
there is optimal feeling of security , then the
acceptance of change will be possible.
Change is crucial. Change is a must for
progress.
? Providing a space for exchange and
discussion of innovations
? Recognizing nurse innovators.
? DISSEMINATION
Planned, formal communication of
information about the innovation, through formal
channels
? Every nurse can play a role in ensuring that
innovations are effectively implemented and
adopted.
? Through their professional conduct and
relationship with colleagues, nurses can play
in creating a working environment.
? In their leadership positions, nurses are well
placed to disseminate information about
innovations.
? In leadership roles, is encouraged and
supported among peers and more junior
staff.
? Everyday nurse are developing new and
innovative approaches to improve
healthcare services and healthcare outcome
for local people.
? Florence Nightingale’s work provides a great
example of leadership in innovation.
? She was also an innovator in the collection ,
tabulation, interpretation and graphical
display of descriptive statistics.
? In 1860, Florence Nightingale become the
first woman to be elected as fellow of the
statistical society.
? Poor leadership
? Poor communication
? Poor knowledge management
? Poor participation in team
? Poor access to information
? Poor organization
? Poor empowerment
? Poor goal definition
? Poor monitoring of results
? INTRODUCTION OF INNOVATION IN NURSING
? DEFINITION OF INNOVATION IN NURSING
? SOURCES OF INNOVATION IN NURSING
? GOALS OF INNOVATION IN NURSING
? CHARACTERISTICS OF INNOVATION IN
NURSING
? PRINCIPLES OF INNOVATION IN NURSING
? NEEDS OF INNOVATION IN NURSING
? INNOVATION IN NURSING
? ROLE OF NURSING ASSOCIATION
? NURSE IN WORKPLACE AS- INNOVATORS
? NURSE AS INNOVATORS – FLORENCE
NIGHTINGALE
? REASON FOR FAILURE OF INNOVATION
After the end of this topic students will
be able to know about the definition of the
innovation in nursing, sources of innovation,
goals, principles, innovations in nursing care,
role of national nursing association, nurse in
the workplace innovator, nurse as a
innovator- Florence nightingale, reason for
failure if innovation.
? Basvanthappa B. T.; “Nursing Education”;
1st edition; reprinted in 2004;
? Jaypee Brothers Publications; New Delhi. Pp 234-238
? Bigge L. Morris ; “ Learning theories for
teachers “; 3rd edition; 1964;
? happer & Row publishers; London.
? Gandhi M. K., “The Problems of Education,”
1st Edition, 1962, Navjivan
? Kaur Navdeep and Rawat HC “Text book of
Advanced Nursing Practice” 1st
edition (2015), Jaypee Brothers Medical
Publishers (p) Ltd,page no.543 to 548.
? Centre for the Integration of Medicine and
Innovative Technology (CIMIT). (2009).
Retrieved March 8, 2009
from www.cimit.org/.
? Innovation Learning Network (ILN).
(n.d.). Welcome to the innovation learning
network. Retrieved March 8, 2009
from http://iln-public.pbwiki.com/
? Nightingale Nursing Times, vol 5,no.2.May
2009.
? Gerontology journals.Org/cgi/45/1/68
? www.slideshare.com.
innovation in nursing practice, education and management.pptx

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  • 1. Presented by Jalpa Patel. F.Y. MSC NURSING STUDENT
  • 2. ? The fast development of health care sector ? healthcare personnel have new challenges ? worldwide nurses are engaged in innovative activities on a daily basis to improve patient care outcomes and to reduce cost to healthcare system. ? Resulted in significant improvement in health of patients, Community and healthcare systems. ? Nursing research are the new role of nurses
  • 3. Innovate- introduce new methods/ideas Innovation- the action of making new idea/ method starts with good idea it is refers to the process of turning that good idea into something that is implementable and achievable, and hopefully will bring about better health promotion, disease prevention and better patient care.
  • 4. Innovation Generation Of New Ideas Application Of Existing Ideas To New Situation Resulting In Improvement To A Service, programme, structure, product And/or System
  • 6. ? DEFINITION “ Innovation is anything that creates new resources , processes , or values , or improves a company’s existing resources , processes , or values .” - Christiansen et al. ? 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.
  • 7. ? Innovation - A dynamic, systematic process that envisions new approaches to nursing education. ? Innovation refers to developing and adopting new approaches, technologies, products and ways of functioning. ? In nursing, it means finding new information and better ways of promoting health, preventing disease and better patient care.
  • 8. ? Innovation is act of constructive thinking, grouping knowledge, skill, attitude in to new original and rational ideas like…critical thinking – Imagination – plan – Action – Achieve – Objectives. ? By Luecke & Katz : Innovation is generally understood as the successful introduction of a new thing or method. ? Innovation is new way of doing something.
  • 10. ? Innovation is a process that brings creativity to measurable outcomes, actions, products, or processes “innovation is something different that has impact. The often unspoken goal is to solve a problem” .
  • 11. ? Most of us are capable of being creative. Yet many of us don’t recognize our own creativity, whether it is in the artistry of one’s cooking or the way in which we plan and deliver care to elderly residents in a long-term care facility. Some innovation methods, such as non-judgmental brainstorming, prototype building, and story- telling that are discussed below, are designed to restore this sense of playfulness and creativity
  • 12. ? Creative people frequently solve problems with a process called divergent thinking. This thought process, which is the most commonly accepted indicator of creative capacity, involves the ability to make mental connections between unrelated matters. Divergent thinking is not as valued in healthcare as convergent thinking. Convergent thinkers, sometimes known as “linear thinkers,” like data and puzzles. They value getting the correct or conventional answers. Healthcare disciplines generally socialize their members to be excellent convergent thinkers.
  • 13. ? The context within which innovation and creativity thrives, or conversely withers, is the environment. In the quality-driven, yet risk-averse healthcare field, a field with unrelenting operational pressure, it is difficult to encourage creativity and innovation. There is no down-time, no break from the paramount focus on patient care. Yet, creative insights do emerge from this pressure and providers’ concern for patients.
  • 14. ? Innovation, by its nature, often involves a process of trial-and-error in which mistakes are frequent and from which much is learned. Some organizations create protective environments, such as incubators, insulating innovation teams from operational pressures; others create permissive “learning environments” within mainstream structures.
  • 15. ? To maintain the quality of care ? To improve the quality of care ? To find new information ? To find new way of promoting health ? To find new way of promoting illness ? To find better way of care & cure ? To conform to the regulation ? To reduce the energy consumption
  • 17. ? 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
  • 18. ? Maintenance of quality health services ? Meeting the increasing demands of healthcare field ? Compete the global workforce shortage ? Increasing advance in the healthcare field ? Emerging clinical/nursing specialities
  • 19. We can broadly classify these into the following : ? Innovation in nursing practice ? Innovation in nursing education ? Innovation in nursing care ? Innovation in nursing management
  • 21. ? Innovation in the clinical practice occur across the continuum of care. Clinical practice demanding new skills and techniques as well as the new ways of working. Similarly changes in the availability and effectiveness of drug-based treatments have also brought about significant shifts in the clinical practice.
  • 22. ? Innovations are a way we approach care through new collaborative partnerships with Other organizations and healthcare providers , community groups and with consumers of health services, their families and carers. ? There are number of stages in the diffusion process: like…Knowledge, persuasion, decision, implementation and confirmation.
  • 23. This process begins with the involved knowledge becoming aware of the innovation and then forming a view about it Decision is made about whether it should be pursued The innovation is implemented and experimented with. In a confirmation stage new method become part daily activity or practice, replacing the former approach.
  • 24. ? Varies innovations are there in clinical practice: ? Computer Assistance ? Wireless Technology ? Evidence Based Practice ? Procedure Manual ? Emergency Medical Services ? Job Description ? Management and Leadership ? Infection control ? Triage ? Ethics ? Forensic Nursing Speciality ? Community Based Nursing Role
  • 25. ? Nurse Educator ? Nurse Anaesthetist ? Tele Nursing ? Variations in Traditional Role ? Hospice Nurse ? Informatics nurse specialist ? Occupational health opportunity ? Quality manager ? Case manager ? Flight nurse ? Telephone triage nurse ? Travel nurse ? Nurse practitioner ? Certified nurse midwife ? Clinical nurse specialist ? Nurse administrator
  • 26. ? Maintenance of health records ? Health security card ? Use of ROBOTS ? Reduce error and give certitude to the clinical planning process
  • 27. ? 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
  • 28. ? It is combination of professional expertise with available evidence to produce practice that lead a positive outcome for client ? Steps: ? Identify a knowledge need and 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 ? evaluate
  • 29. ? Procedure manual has become mandatory.
  • 30. ? To disseminate information about emergency medical services, pre hospital care & emergency department care, as well as to share ideas, problem solving & develop relationships among many emergency departments within the country. ? By doing this kind of networking will enhance pre hospital and emergency care in our country.
  • 31. ? These are written according to specific practice area and level of responsibility. ? Nurses are also given format of the standards for performance.
  • 32. Nursing leaders and managers are exposed to different management principles relevant to nursing practice. They are as follow : ? 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
  • 33. ? To identify available resources which in the Hospital while maintaining good patient care. ? Infection control has become Paramount importance. ? Segregation of waste has become mandatory in all the hospitals. ? Every hospital need to have Hospital infection control committee & policy.
  • 34. ? Triage has become mandatory in the accident and emergency and thereby they are able to prioritize the patients those who come to causality and are able to treat the sick and vulnerable one as early as possible.
  • 35. ? 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.
  • 36. ? Forensic psychiatric nurse work with mentally ill offenders and with victims of crime ? It is the management of crime victims from trauma to trial ? People in communities in partnership with health care professionals will define the health needs to be met and maintain control of strategies for meeting those needs
  • 37. ? They are the leaders and developers of nursing program of the future ? Diabetic nurse educator ? Asthma educator ? Nurse anesthetist is a registered nurse who got specialization in anesthesia and is responsible for monitoring , administering anesthesia, to detect equipment fault
  • 38. ? Tele nursing is nursing practice that occurs through the utilization of telecommunication and includes the use of nursing knowledge, skills and abilities; the application of critical thinking and nursing judgment and provision of nursing direction or care in specific client situation
  • 39. ? HOSPICE NURSE The nurse works holistically with clients and family. ? INFORMATICS NURSE SPECIALIST Nursing specialty whose activities center or management and processing of health care information ? OCCUPATIONAL HEALTH OPPORTUNITIES Nurse designs and implement a program of health promotion and disease prevention for employees
  • 40. ? QUALITY MANAGER Quality management nurses research and describe findings and look for opportunities to improve care ? CASE MANAGER: Case manager co-ordinate resources to achieve health care outcomes based on quality, access and cost. ? FLIGHT NURSE: Military and civilian flight nurse ? TELEPHONE TRIAGE NURSE The practice nurse interacts with clients on telephone to assess needs, intervene and evaluate ? TRAVEL NURSE Assignment usually for a minimum time. Extra allowance will be provided
  • 41. ? NURSE PRACTITIONER Nurse serves as a primary care provider and consultant for individuals, families or communities ? CERTIFIED NURSE MIDWIFE Independent management of women’s health care. should pass the national certification examination conducted. ? CLINICAL NURSE SPECIALIST Clinical expertise in a defined area of nursing practice for a selected client population or clinical setting.eg- OT nurse, ICU nurse, Dialysis nurse,etc. ? NURSE ADMINISTRATOR Nurse administrator unites the leadership perspective of professional nursing with various aspects of business and health administration
  • 43. Development of computer-assisted thinking: in order to enhance students active thinking, faculty members at international University Of Health and Welfare developed the CAT( Computer Assisted Thinking) program. The CAT program is different from CAI (Computer Assisted Instruction),which mainly ask the users to choose correct answer.
  • 44. There are two functions in the CAT programme: ? One is to keep the students action log each time they use programme ? The other is to serve as medical dictionary. An analysis comes that the students demonstrated little skill in inferential thinking. Their observations were very concrete. Its helps the students to develop their abstract thinking. ? Substantive innovation in nursing education: Task group develop four strategies. ? Distribute an online survey that asks faculty to share their perceptions about the current state of innovation in nursing education.
  • 45. ? Formulate specific questions, shared with deans ,directors and chairpersons of nursing programmes, that are designed to thoughtful dialogue at any forum where faculty engage in conversations about thinking and learning, such as faculty meetings and retreats. ? Develop an electronic community where educators can share innovative practices and engage in ongoing dialogue. ? The fourth strategy: The purpose of this to gather baseline data about how nurse educators are beginning to frame ideas surrounding innovation and strategic reform in nursing education.
  • 46. ? These strategies might be embedded in individual courses or used as an organizing framework for the entire academic programme, such include: ? Creative use of technology, including CD-ROMs, personal digital assistants (PDAs), computer assisted instruction. ? Use concept mapping to promote higher level thinking skills. ? Integrate educational theories, including learning styles, multiple intelligences into our educational practices. ? Use gaming in classroom and clinical settings. ? Employ integrative exercises and tests as teaching tools. ? All the ideas were recorded and the information was analysed later.Such as:
  • 47. ? HANDHELD COMPUTERS IN NURSING EDUCATION ? First personal digital assistant in 1996 ? According to ANA (2001) all nurses need to use nursing informatics ? VIDEOCONFERENCING AND WEB BASED CONFERENCING ? Connects students and educators across distance ? Connects diverse student groups
  • 48. ? E-LEARNING ? Adaptation of different distance learning technologies ? Self directed, active learning ? Refocusing from educator to the subject
  • 49. ? SERVICE-LEARNING ? Structured learning experience that combines community service with preparation and reflection ? Achieves a balance between service and learning objectiv HIGH FIDELITY PATIENT SIMULATOR ? Help student practice decision making and problem solving skill and to develop human interaction ? Simulation is the third leg in the stool of education and science
  • 50. ? TELE TEACHING ? Online model of education-learner directly interacts with tutor ? Learner oriented learning ? Promotes discovery learning MICRO TEACHING ? Miniature classroom teaching ? Small duration ? Paying full attention to a particular unit and skill ? Content reduced to one unit with a single concept
  • 51. ? NURSING INFORMATICS ? Integrates nursing science, computer science and information science in identifying, collecting, processing and managing data and information to support nursing practice, administration, education, research
  • 52. 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
  • 53. ? STAFF AND STUDENT RECRUITMENT ? Objective because examiner use a checklist for evaluating the trainee ? Structured, because every trainee sees the same problem and performs the same task in same time frame ? Clinical, because the task are representative of those faced in real clinical situation
  • 55. ? This literature review focuses on substitution related innovation in nursing care of patients in six industrialized countries. ? Difference between primary and secondary care oriented countries in the kind of innovation implanted are discussed. ? Health care systems are increasingly being opposed with chronic patients who need complex interventions tailored to their individual needs.
  • 56. ? However today’shealth care professionals,organizations and budgets are not sufficiently prepared to provide this kind of care.as a results ,health care policy reduce the health care cost and the improve the quality of care. ? Care is provided by health personnel at the lowest cost level, giving advance nursing practice,hospital-at-home care and integrated care.eg…DOTS therapy
  • 57. ? Examples: ? They used adhesive towel hooks and covered rubber bands to mark daily progress for each patient in hallways.This information is documented in their charts for future references. ? This is an example of the wonderful care this team provides to our patients and to each other.
  • 59. ? There are many changes occurring in national Health Services at this time, not just to economic and finding policies, but also at the very heart of nursing care delivery. ? USE OF COMPUTER ? Computerized physician order entry (CPOE) ? Clinical decision support system (CDSS) ELECTRONIC MEDICAL RECORDS ? Affordable & integrated. ? For improving patient care. ? Powerful practice management system for practices of any size.
  • 60. ? Fast, flexible, Easy to use schedule for increasing productivity. ? Clinical desktop for improving enterprise work flow. ? Integrated, Internet – based solution that securely connects clinics and patients. ? Electronic document management system for eliminating paper charts. ? LEADERSHIP FOR CHANGE ? It is an action learning programme to develop nurses as effective leaders and managers ? OUTSOURCING ? outsourcing is subcontracting a process to a third party company
  • 61. ? it helps to provide core job-care giving ? transcription ? electronic medical record ? medical billing and coding services ? entry level recruitment, security, house keeping, nursing assistance ? STAFFING STRUCTURE ? Benchmarking: Organization has varying levels of support in place at the unit level for the nurse.eg. Nursing unit that has dietary aides
  • 62. ? JCAHO: Surveys hospitals for the quality of care provided. sees for the right number of competent staff to meet the need of patient ? Skill mix: It is the percentage of RN staff to other direct care staff, LPNs and unlicensed assistive personnel ? PERSONAL MANAGEMENT ? Use of computer in recording staff files,biodata,accounts
  • 63. The Role of National Nursing Associations :
  • 64. National Nursing Association (NNAs) represents fostering and supporting innovation. The NNAs provide the leadership by: ? Promoting nursing is a profession with supporting innovative approaches to health care and nurse’s innovative achievements. ? Supportive innovative cultures in the workplace, collaboration with high readiness for change and innovative ideas can be openly discussed.
  • 65. READINESS TO CHANGE ? Some individuals and organizations are more ready to affect changes than others. ? This depends often on the degree of felt security. ? In turn, it depends on the knowledge ? skill ? attitude ? self confidence ? tolerance to stress ? motivation of the individuals It also depends on the security to change. If there is optimal feeling of security , then the acceptance of change will be possible. Change is crucial. Change is a must for progress.
  • 66. ? Providing a space for exchange and discussion of innovations ? Recognizing nurse innovators. ? DISSEMINATION Planned, formal communication of information about the innovation, through formal channels
  • 67. ? Every nurse can play a role in ensuring that innovations are effectively implemented and adopted. ? Through their professional conduct and relationship with colleagues, nurses can play in creating a working environment. ? In their leadership positions, nurses are well placed to disseminate information about innovations.
  • 68. ? In leadership roles, is encouraged and supported among peers and more junior staff. ? Everyday nurse are developing new and innovative approaches to improve healthcare services and healthcare outcome for local people.
  • 69. ? Florence Nightingale’s work provides a great example of leadership in innovation. ? She was also an innovator in the collection , tabulation, interpretation and graphical display of descriptive statistics. ? In 1860, Florence Nightingale become the first woman to be elected as fellow of the statistical society.
  • 70. ? Poor leadership ? Poor communication ? Poor knowledge management ? Poor participation in team ? Poor access to information ? Poor organization ? Poor empowerment ? Poor goal definition ? Poor monitoring of results
  • 71. ? INTRODUCTION OF INNOVATION IN NURSING ? DEFINITION OF INNOVATION IN NURSING ? SOURCES OF INNOVATION IN NURSING ? GOALS OF INNOVATION IN NURSING ? CHARACTERISTICS OF INNOVATION IN NURSING ? PRINCIPLES OF INNOVATION IN NURSING ? NEEDS OF INNOVATION IN NURSING ? INNOVATION IN NURSING
  • 72. ? ROLE OF NURSING ASSOCIATION ? NURSE IN WORKPLACE AS- INNOVATORS ? NURSE AS INNOVATORS – FLORENCE NIGHTINGALE ? REASON FOR FAILURE OF INNOVATION
  • 73. After the end of this topic students will be able to know about the definition of the innovation in nursing, sources of innovation, goals, principles, innovations in nursing care, role of national nursing association, nurse in the workplace innovator, nurse as a innovator- Florence nightingale, reason for failure if innovation.
  • 74. ? Basvanthappa B. T.; “Nursing Education”; 1st edition; reprinted in 2004; ? Jaypee Brothers Publications; New Delhi. Pp 234-238 ? Bigge L. Morris ; “ Learning theories for teachers “; 3rd edition; 1964; ? happer & Row publishers; London. ? Gandhi M. K., “The Problems of Education,” 1st Edition, 1962, Navjivan ? Kaur Navdeep and Rawat HC “Text book of Advanced Nursing Practice” 1st edition (2015), Jaypee Brothers Medical Publishers (p) Ltd,page no.543 to 548.
  • 75. ? Centre for the Integration of Medicine and Innovative Technology (CIMIT). (2009). Retrieved March 8, 2009 from www.cimit.org/. ? Innovation Learning Network (ILN). (n.d.). Welcome to the innovation learning network. Retrieved March 8, 2009 from http://iln-public.pbwiki.com/ ? Nightingale Nursing Times, vol 5,no.2.May 2009. ? Gerontology journals.Org/cgi/45/1/68 ? www.slideshare.com.
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