ADVANCED

NURSING PRACTICE
SEMINAR ON
INNOVATION IN
NURSING

SUBMITTED TO, SUBMITTED BY,

MRS.SARANYA.S, R.NITHYA PRIYA,
TUTOR, M.sc (NURSING) 1ST YEAR,
CHN DEPARTMENT, CHN SPECIALITY,
KGNC. KGNC.
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S.NO INDEX PAGE. NO
1. INTRODUCTION 3

2. DEFINITION OF INNOVATION,INNOVATION 3-5

NURSING

3. TYPES OF INNOVATION 5-6

4. PRINCIPLES OF INNOVATION 6

5. CHARACTERISTICS OF INNOVATION 6-7

6. GOALS OF INNOVATION 7-8

7. COMPONENTS OF INNOVATIVE PROCESS 8-12

8. NEEDS FOR INNOVATION &INNOVATION IN 12-13

NURSING

9. INNOVATION IN NURSING 13-26

INNOVATION IN NURSING PRACTICE
INNOVATION IN NURSING EDUCATION
INNOVATION IN NURSING CARE
INNOVATION IN NURSING MANAGEMENT

10. THE ROLE OF NATIONAL NURSING ASSOCIATIONS 26-27

11. NURSING FIELD TODAY THERE ARE MANY 27

INNOVATION

12. REASONS FOR FAILURE OF INNOVATION 28

13. RESEARCH STUDY &JOURNAL ABSTRACT 28-29

14. SUMMARY,CONCULSSION & BIBILOGRAPHY 29-31

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 I .INTRODUCTION:
The only constant feature in this world is change. While all the changes may not lead to progress,
there can be no progress without change. This is true for the individual, institution, organization or
the country. Civilization occurs its existence to change. The success or even survival of an
institution or organization on depends on making necessary changes.

Innovation is the act of conservative thinking, grouping knowledge, skills, attitude into new
original & rational ideas. Innovation is the action of introducing a new method, idea or product.
Innovation a change in the thought process for doing something or “new staff that is made useful”
it may refer to an incremental emergent or radical and revolutionary changes in thinking,
products, processes or organizations. The word “innovation” is often synonymous with the output
of the process.

The fast development of health care sector ,health care 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 is the new role of nurses.

MEANING OF INNOVATION :

INNOVATIONS- the action

INNOVATE -Introduce a
of making new
new methods/ideas
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.

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II. DEFINITION OF INNOVATION:

The intentional introduction and application within a role, group or organization of ideas,
processes, products or procedures, new to the revelent unit of adoption, designed to
significantly benefit the individual, the group, the organization or wider society.

-- [WEST, M.A. AND J.FARR

(1990)]

“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 generally understood as the successful introduction of a new thing or method.

Innovation is new way of doing something.

--LUECKE & KATZ.

Innovation refers to developing and adopting new approaches, technologies, products and
ways of functioning.

Innovation is defined as 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.

DEFINITION OF NURSING:

Nursing ought to signify the proper use of fresh air, warmth, clean – illness, quiet and the
proper selection and administration of diet- all at the least expense of vital power of the
patient.

-FLORENCE
NIGHTINGALE

Nursing is a helping professional and as such provides services which contribute to the health
and wellbeing of people.

-AMERICAN NURSING ASSOCIATION (1965)

Nursing is a healthcare profession focused on the care of individuals, families, and

communities so they may attain, maintain or recover optimal health and quality of life from
birth to death.
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DEFINITION OF INNOVATION IN NURSING:

Innovation in nursing simply means a change in the thought process for doing
something or “ new stuff that is made useful in the care of individuals, families and
communities so they may attain, maintain or recover optimal health and quality of life
from birth to death.

It means finding new information and better ways of promoting health, preventing disease
and better patient care.

Innovation – A dynamic, systematic process that envisions new approaches to nursing

education.

III. TYPES OF INNOVATION:

PRODUCT
INNOVATIO
N
PROCESS
INNOVATION

PRODUCT INNOVATION:

It is the creation and subsequent introduction of a good or service that is either new
or improved on previous goods or services.

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PROCESS INNOVATION:

A process innovation is the implementation of a new way for significantly improved

production or delivery method.

IV. PRINCIPLES OF INNOVATION:

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.

V. CHARACTERISTICS OF INNOVATION:

COMPATIBILITY
RELATIVE
ADVANTAGE COMPLEXITY

TRIALABILITY
FEASIBILITY

OBSERVABILITY

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RELATIVE ADVANTAGE:

It is the degree to which the new idea is considered superior to the old one.

COMPATIBILITY:
It refers to the degree of congruence between the innovation and existing values,
habits past experience and need of the participant.

COMPLEXITY:
It describes the amount of difficulty that participants have in understanding and
subsequently using the innovation of new ideas.

TRIALABILITY:
It is the degree to which the new idea can be pretested or tried on a limited basis.

OBSERVABILITY:
It refers to how visible the innovation is to participants and onlookers.

FEASIBILITY:
It refers to the degree to which the new idea can be tested or tried.

It refers to the degree to which the outcomes are identifiable.

VI.GOALS OF INNOVATION:

 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

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VII. COMPONENTS OF INNOVATIVE PROCESS:

CREATIVITY
ENVIRONMENT
INNOVATION

1. INNOVATION:
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”.

MODELS OF INNOVATION:

i. USER-DRIVEN INNOVATION MODEL

 User –driven innovation focus on the ability of product users to adopt and
customize products, including devices, processes and outcomes.

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  Nurses frequently utilize this model when they adapt policies, procedures, devices,
and environments to meet the immediate needs of patients eg: user-driven
innovation smart drug- infusion pumps.

 User-driven innovators are often very willing to share their designs and ideas in
what are known as innovation communities. This can be achieved by engaging in
various forms of cooperation, such as networks and communities.

 An example of such a community is the innovation learning network. Online

virtual communities are especially useful in offering structures and tools for their
participants.

 These communities can increase the speed and effectiveness with which users and
manufacturers are able to develop, test and diffuse useful innovations.

ii. DISRUPTIVE INNOVATIONS

 Disruptive innovation occurs by thinking differently and asking new and different
questions in each situation.

 This process of disruptive innovation can be fostered and supported by nurse

leaders as they encourage new and different thinking at bedside.

 In disruptive innovation an important question to ask regarding a potentially new

product is: “what is the job to be done?”

 When one considers the “job to be done” instead of the “product to be improved”,
it broadens the field thus allowing for the disruptive innovation.

2. CREATIVITY:

 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.

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  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 between unrelated matters.

3. ENVIRONMENT:

 The context within which innovation and creativity thrives, or conversely.

 Innovation is context driven and must be sensitive to the actual experience of

patients, families, clinicians and other decision makers eg: hospital environment –
neonatal intensive care unit.

 Support from senior leadership is essential to the success of innovation.

 Creating and participating in innovation networks, providing for dedicated work

time to focus on innovative problem solving and bringing the tools of innovation
to the bedside clinician are all needed as part of a concerted effort to create an
environment that supports innovation.

INNOVATION METHODS:
i. IDEO

 The deep dive innovation method includes: observation, storytelling, synthesis,

brainstorming, rapid prototyping and field testing.

OBSERVATION: Research has demonstrated the power of observation to aide in

understanding needs in real environments.

STORYTELLING: Packages the observation and research into vignettes that are easily
shared. The stories combine the facts along with emotion and drama to help create a common
understanding of the challenge being explored.

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SYNTHESIS: Takes all of the observations and stories and defines areas of design

opportunity. Generally a model describing the system being explored and areas that are ripe

for innovation will emerge at this stage.

BRAINSTORMING: Unlocks unexpected opportunities, particularly in an uncritical,

fast-paced environment where wild ideas and creative playfulness are encouraged.

RAPID PROTOTYPING: In this technique used for simple supplies such as those

found in children’s arts and crafts classrooms to create a tangible representation of the

innovation or innovative process for discussion and subsequent iteration.

FIELD OF TESTING: Takes the most promising prototypes out into the field to get

real-user feedback.

ii.TRANSFORMING CARE AT THE BEDSIDE

 Transforming care at the bedside (TCAB) is an innovation method consistent with

the principle of user-driven innovation.

 TCAB draws on several tools to focus creative ideas and test them quickly and

effectively. The use of rapid cycle improvement “snorkels” which address what is

getting in the way of the nurse patient care and “deep dives” which address what the

nurse might do to fix the problem, help bedside nurses identify possible

improvements.

 In using this method nurses identify the issues, suggest multiple possible solutions

(the more the better) and determine which of the ideas to test. A simple pre and post

metric is determined and implemented.

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 INNOVATION PROCESS

STEP 1:
STRATEGIC
THINKING

STEP 2:
STEP 7:
PORTFOLIO
TAKING MANAGEMENT
ACTION

STEP 3:
STEP 6: MAREKET
DEVELOPMENT RESEARCH

STEP 5: STEP 4:
INNOVATION
DEVELOPMENT INSIGHT

VIII.NEED FOR INNOVATION & INNOVATION IN NURSING:

1. NEED FOR INNOVATION :

Innovation - central to maintaining and improving quality of care.

Growing demands in health services.

Global work force shortage.

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2. NEED FOR INNOVATION IN NURSING:

Maintenance of quality health services.

Meeting the increasing demands of healthcare field.

Complete the global workforce shortage.

Increasing advance in the healthcare field.

Emerging clinical/nursing specialties.

XI.INNOVATION IN NURSING:

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:

 Innovation in the clinical practice occurs 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 way we approach care through new collaborative partnerships with
other organizations and healthcare providers, community groups and with
consumers of health services, their families.
 There are number of stages in the diffusion process like knowledge, persuasion,
decision, implementation and confirmation.

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 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
Evidenced based practice
Procedure manual
Emergency Medical services
Job Description
Management and Leadership
Infection control
Triage
Ethics
Forensic nursing specialty
Community based nursing role
Nurse Educator
Nurse anesthetist
Tele nursing

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 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
VARIES INNOVATIONS ARE THERE IN CLINICAL PRACTICE:
COMPUTER ASSISTANCE:
 Maintenance of health record

 Health security card

 Use of ROBOTS

 Reduce error and give certitude to the clinical planning process

WIRELESS TECHONOLOGY:
 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.

EVIDENCE BASED PRACTICE:

 It is combination of professional expertise with available evidence to produce

practice that lead a positive outcome for client
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 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:

 Procedure manual has become mandatory.

EMERGENCY MEDICAL SERVICES:

 To disseminate information about emergency medical services, prehospital care &
emergency department care, as well as to share ideas, problem solving & emergency
departments within the country
 By doing this kind of networking will enhance pre hospital and emergency care in our
country.

JOB DESCRIPTION:
 These are written according to specific practice area and level of responsibility.
 Nurses are also given format of the standards for performance.

MANAGEMENT AND LEADERSHIP:

 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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INFECTION CONTROL:
 To identify available recourses 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:
 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.

ETHICS:
 This is to increase more awareness among nurses that they will be able to apply ethics
principles while caring for patients.
 It significantly increases their knowledge about ethics and improves patient
satisfaction and the litigation rates.
 Many hospitals encourage nurses to attend such conferences and workshops.

FORENSIC NURSING SPECIALTY:

 Forensic psychiatric nurse work with mentally ill offenders and with victims of
crime.
 It is the management of crime victims from trauma to trial

COMMUNITY BASED NURSING ROLE:

 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.
NURSE EDUCATOR:
 They are the leaders and developers of nursing program of the future
 Diabetic nurse educator
 Asthma educator

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 NURSE ANESTHETIST:
 Nurse anesthetist is a registered nurse who got specialization in anesthesia and is
responsible for monitoring , administering anesthesia, to detect equipment fault

TELE NURSING:
 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.

VARIATIONS IN TRADITIONAL ROLE:

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 describes 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.

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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.

PARISH NURSE
 The role focuses on health promotion within the beliefs, values and practices of
various faith communities.

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.

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 SUBSTANTIVE INNOVATION IN NURSING EDUCATION:
TASK GROUP DEVELOPS 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.

 Develop an electronic community where educators can share innovative practices and
engage in ongoing dialogue.

 Gather baseline data about how nurse educators are beginning to frame ideas
surrounding innovation and strategic reform in nursing education.

ORGANIZING FRAMEWORK FOR THE ENTIRE ACADEMIC

PROGRMME
 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.

STRATEGIES FOR USING TECHNOLOGY IN HEALTHCARE

EDUCATION

THE WORLD WIDE WEB:

 The technology based educational resource that is familiar to most people is the
World Wide Web.

 It is clear that the WWW is an exceptionally rich educational resource for both
professional and consumer use.
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  The WWW was first conceived by “TIM BERNERS –LEE and ROBERT
CAILLIAU” there are two scientists worked in Switzerland lab.

 In simple terms, the WWW is a virtual space for information. it is almost impossible
to track the site of the WWW as there are billions of web page in existence with
several million new pages being added every month.

 Knowledge of the WWW is critical for nurses who work with and educate healthcare
consumers.
HEALTHCARE CONSUMERS EDUCATION AND THE WORLDWIDE
WEB:

 Influenced their decisions about how to treat illness.

 Led them to ask questions.
 Led them to seek a second medical opinion.
 Affected their decision about whether to seek the assistance of a healthcare provider
 The ability to identify the information.
 The skills to access the information they need.
 Knowledge of how to evaluate the information they find.
 The ability to use the information they deem valid.

In the role of nurse educator, the nurse can teach clients who access the SAMPLE
WEBSITES

Eg:

1. Medline plus - http://www.nlm.nih.gov/medlineplus

2. Aplastic anemia and MDS international foundation, inc. – http://www.aplastic.org

3. Mayoclinic.com – http://www.mayohealth.org

4. Cancer net – http://www.nci.nih.gov

5. Band-aides and blackboards-

http://www.lehman.cuny.edu/faculty/ifleitas/bandaides/sitemap.html

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 6. Net Wellness – http://www.netwellness.org

PROFESSIONAL EDUCATION AND THE WORLD WIDE WEB

 The WWW provides unlimited resources for nurse to use in practice and in
professional education and development.
 Websites provide access to bibliographic databases, continuing education, online
journals and resources for patient teaching and professional practice.
 It is impossible to list all of the educational opportunities for professional found
on the WWW. The WWW is constantly changing with new sites being added and
others being removed on a daily basis.
Eg.
1. Medline – http://www.nlm.nih.gov/pubs/factshers/medline.html
2. Schoolnurse.com –http://www.schoolnurse.com
3. National institutes of health – http://wwwnih.gov
4. All nursing school.com – http://www.allnursingschools.com
THE INTERNET:
The World Wide Web is merely a small component of a much larger computer network
called the internet. Although the internet does not provide the eye catching web pages and the
multimedia found on the WORLD WIDE WEB.
E-MAIL:
 Electronic mail can provide a simple and efficient way to follow up the clients.
 Nurses however are just beginning to recognize its potential.
 E-mail is a new way to communicating with clients.
 Very different from face to face interaction typically used by nurse.
 It should be noted that little information only.

OTHER FORM OF TECNIQUES IS:

1. Electronic discussion groups
2. Mailings list
3. Blogs

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 4. Other forms of online discussion

ISSUES RELEATED TO THE USE OF TECHONOLOGY:

 Physical problems will occur due to usage of computer
 Lack of resources, access and support.
 Older peoples don’t know how to use the computer
 Poor knowledge in operating computer
 Electronic issues
 Other issues like illiteracy ,poverty, cultural

VIDEOCONFERENCING AND WEB BASED CONFERENCING:

 Connects the students and educators across distance

 Connects diverse student groups

E-LEARNING:

 Adaptation of different distance learning technologies

 Self directed, active learning
 Reinforcing from educator to the subject
 E-learning programs can track completion and create a performance report for
individuals
 E-learning modules are interactive and reality-based

SERVICE –LEARNING:

 Structured learning experience that combines community service with preparation and
reflection
 Achieves a balance between service and learning objective

HIGH FIDELITY PATIENT SIMULATOR:

 Help student practice decision making and problem solving skill and to develop
human interaction
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  Simulation is the third leg in the education and science
 Advanced instructional media

TELE TEACHING:

 Online model of education-learner directly interacts with tutor

 Learner directly interacts with tutor
 Learner oriented learning
 Promotes discovery learning

MICRO TEAACHING:

 Miniature classroom teaching

 Small duration
 Paying full attention to a particular unit and skill
 Content reduced to one unit with a single concept
 Often using as a bed-side teaching strategy

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.
 Certification example: Advanced cardiac life support, Basic life support, certified
emergencynurse,Critical care registered nurse, Neonatal resuscitation program,
Pediatric advanced life support, Cardio thoracic nursing, Emergency and trauma

care,Nursing,Oncology nursing. Renal nursing, Fellowship in family nurse Practice,

Fellowship in Hematology Nursing Fellowship in Respiratory, Nursing, OT technique

and Management, Psychiatric nursing.

NURSING MOBILE LIBRARY:

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  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 CARE:

 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 is discussed.
 Health care systems are increasingly being opposed with chronic patients who need

complex interventions tailored to their individual needs.

 However today health care professionals, organizations and budgets is not

sufficiently prepared to provide this kind of care. As 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

INNOVATIONS IN NURSING MANAGEMENT:

There are many changes occurring in national health services at this time, not just to
economic and findings policies, but also at the very heart of nursing care delivery.

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  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 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, housekeeping, nursing assistance

STAFFING STRUCTURE:

 Benchmarking-organization has varying levels of support in place at the unit level for
the nurse.eg. Nurse unit that has dietary aides.
 JACHO – surveys hospitals for the quality of care provided, sees for the right number
of competent staff to meet the need of the patient

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  Skill mix – it is the percentage of RN staff to other direct cares staff, LPNs and
unlicensed assistive personnel.

PERSONAL MANAGEMENT:

 Use of computer in recording staff files, bio data, accounts.

X.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.

 Providing a space for exchange and discussion of innovations.

 Recognizing nurse innovators.

 Dissemination

XI. NURSING FIELD TODAY THERE ARE MANY INNOVATIONS:

 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.
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  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 becomes the first woman to be elected as fellow of the
statistical society.

XII: REASONS FOR FAILURE OF INNOVATIONS:

1. Poor leadership
2. Poor communication
3. Poor knowledge management
4. Poor participation in team
5. Poor access to information
6. Poor organization
7. Poor empowerment
8. Poor goal definition
9. Poor monitoring of results

XIII.RESEARCH STUDY:

 INNOVATION IN NURSING HEALTH CARE PRACTICE:

EXPANSION OF ACCESS IN PRIMARY HEALTH CARE -Author
Curitiba,pranaa`,brazil (2017sep- oct)

It was analyze the reorganization of the health care practice of nurses as an innovative
strategy for expansion of access in primary care. The method used for this study is
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 qualitative and quantitative study, which interviewed 32 management and care of
nurses and collected data from public reports of production of nursing consultations
from 2010to2014, in a municipality in southern Brazil. Data processing for textual
analysis was performed by IRAMUTEQ software, for simple descriptive analysis, the
program EXCEL 2013 was used. In the innovative care practice class, associated with
awareness of change, related to implementation of the FHS, its challenges and
advantages, the following subclasses were identified: reorganization of schedules,
nursing consultation, physical restructuring of BHUS and shared consultation

XIV.JOURNAL ARTICLE:

 INNOVATION IN NURSING: A CONCEPT ANALYSIS – AUTHOR

NURTEN KAYA ASSOCIATE PROFESSOR, ISTANBUL
UNVIERSITY, HEALTH SCIENCE FACULTY, TURKEY

The healthcare industry has experienced a proliferation of innovations for enhancing

the life expectancy, quality of life, diagnostic, treatment and caring options, as well as
the efficiency and cost effectiveness of the healthcare systems. Information
technology has also played a vital role in the innovation of nursing care. The term in
nursing innovation is widely used throughout nursing and allied health literature;
however, the meaning of the term is not clear. This paper is a report of an analysis of
the concept of innovation in nursing and provides a greater understanding of
innovation and its use in the nursing profession.

 VIRTUAL NURSING AVATARS:”NURSE ROLES AND

EVOLVING CONCEPTS OF CARE” (VOL 21 AUG 15,2016)ANA -
AUTHOR MIRIAM BOWERS ABBOTT,PEGGY SHAW
Advances in computer software have provided interactive tools that perform many of
the duties once in the domain of the nursing profession. Sometimes referred to as
'virtual nursing avatars,' the duties delegated to this technology include facilitating
check-ins for patients and coaching patients as they make lifestyle changes.
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 Researchers continue to develop computer applications for virtual nurse avatars. As
computers and smartphones take on tasks once in the domain of humans, the roles of
nurses will evolve. The arc of this evolution will be determined by the limits of
technology, evolving concepts of care, and changing population needs. In this article,
the authors share examples of nursing avatar applications, discuss concerns about
virtual nurse avatars, reinforce nursing as a caring profession, present avatars as
caring agents, and consider the future of nursing avatars. They conclude that, although
virtual nurse avatars can perform some nursing tasks in an acceptable manner, they
are limited in their ability to make complex judgments and engage in collaboration.

XV.SUMMARY:

Till now we discussed about definition of innovation & innovation in nursing, types

of innovation,principles,characteristics of innovation ,components of innovative

process, needs for innovation &innovation in nursing, goals of innovation in nursing

--innovation in nursing practice, innovation in nursing education, innovation in

nursing care, innovation in nursing management, the role of national nursing

associations, nursing field today there are many innovation reasons for failure of

innovation.

XVI.CONCLUSION:

Here I concluded that, the students get an adequate knowledge about innovation and
innovation in nursing. The nurses are needed to develop their knowledge and skill in
various aspects & they want to putdown the new ideas into their care in clinical
setting. In education also innovation takes a major role to develop in the teaching and
learning. Nurse should identify the new innovative ideas by forthcoming years to
maintain a standard of care to the clients. It also helps the nurse, student nurse, clients
to maintain quality of care.

XVII.BIBILOGRAPHY:

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BOOK REFERENCES:

 Sheber p. Basker(2012), “TEXT BOOK OF ADVANCED NURSING PRACTICE”,

1st edition,emmess publication,page no:764-777.
 Navdeep kaur brar (2015), “TEXT BOOK OF ADVANCED NURSING
PRACTICE”,1st edition,jaypee brother publication,NewDelhi, page no:543-548
 Basvanthappa B.T (2004), “TEXT BOOK OF NURSING EDUCATION”,1 st
edition,jaypee brother publications, NewDelhi,page no:234-238.
 Susan B.Bastable, “TEXT BOOK OF NURSE AS EDUCATOR principles of
teaching and learning for nursing practice”,3rd edition,page no:522-549.
 Basvanthappa B.T (2004), “TEXT BOOK OF FUNDAMENTALS OF NURSING”,1 st
edition,jaypee brother publications, NewDelhi,page no:9-14.
 Potter and perry, “TEXTBOOK OF FUNDAMENTALS OF NURSING”,7 th
edition,Elsevier publication,Nodia.
 Taylor carol (2006), “TEXTBOOK OF FUNDAMENTALS OF NURSING”,
5thedition, published by wolters kluwer health pvt.ltd, NewDelhi.

JOURNAL REFERENCES:

 AMERICAN NUSRSING ASSOCIATION Journal: VOL 21 AUG 15, 2016-

AUTHOR MIRIAM BOWERS ABBOTT, PEGGY SHAW

NET REFERENCES:

 https://www.slideshare.net/Sujatamohapatra/innovation-in-nursing-
41015387
 https://www.scribd.com/presentation/310893850/Innovation-in-Nursing
 https://www.ncbi.nlm.nih.gov/pubmed/28977213
 http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/
ANAPeriodicals/OJIN/TableofContents/Vol-21-2016/No3-Sept-2016/Articles-
Previous-Topics/Virtual-Nursing-Avatars.html
 https://www.omicsonline.org/open-access/innovation-in-nursing

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