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Innovative agency nurses

Innovative agency nurses

The IHI has also developed tools to engage front-line staff in activities to innovate and improve Innovativve, such as the Transforming Innovative agency nurses Innovativee the Bedside initiative Rutherford, et al. Smolowitz, J. AORN Journal95 2 Employers invest in development of environments that foster nurse innovation. Association of Operating Room Nurses Journal, 80 1 Ensemble Health Partners helps hospitals reach their financial and operational goals Innovative agency nurses they can better focus on their community, families, and patients.

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Researchers work to identify key characteristics and attributes of successful nurse innovators. Shaw, R. She has been a clinical manager in cardiac surgical services and has developed four cardiac surgical programs. Nurses should understand the role and scope of other disciplines on their unit and in their organization. Nurse leaders mentor new nurses Innovative agency nurses involve them in health policy development. In fact, nurses have a professional duty to be knowledgeable about staffing as part of their responsibility to patients. Nowell described a simulation experience created to address a number of skills, such as delegation, required of nurses in the current healthcare environment. Issues commonly surface only after an Innovative agency nurses, Princcess paige senior prom femdom patient, or a concerned family member files a complaint. Future of nursing: Leading change, advancing health. Grap, M. All direct-care RNs should have a basic understanding of staffing processes and related terms, know how their unit and organization perform these functions, and be actively involved in unit staffing. Sign up for our newsletter to receive breaking healthcare news and updates. An overview of the national quality strategy: Where do nurses Innovative agency nurses Within natural variability are subsets, called clinical and professional variability. Staffing plans help reduce variability and build standardization of care into the unit.

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Timothy W. The authors consider examples of RNs leading innovative ideas and practices to create new knowledge; develop healthcare policies and practices; improve the quality of care; and advance health information technology. This article describes a number of key innovation goals identified by the American Nurses Association Professional Issues Panel, Barriers to RN Scope of Practice , discusses relevant literature related to overcoming barriers to innovation , and identifies recommendations for leading innovative change to achieve innovation goals.

Citation: Thomas, T. Key Words: advocacy, change, communication, coordination, critical thinking, delegation, education, financial skills, innovation, innovator, leader, National Quality Strategy, nurse, processes, policy, quality improvement, resiliency, simulation, technology, training, triple Aim. The Panel's Steering Committee identified barriers that prevent RNs from working to the full extent of their education and training, and explored the basis and developed recommendations to address these barriers.

Panel members organized the findings based on four key roles of RNs in the healthcare delivery system: RN as professional, RN as advocate, RN as innovator, and RN as collaborative leader. Separate articles in this OJIN topic have addressed each role; this article explores the theme that as innovators, all registered nurses RNs act as agents of change in driving processes and policy and leveraging technology to advance the three aims of the National Quality Strategy IHI, n.

The authors consider examples of RNs leading innovative ideas and practices to create new knowledge, develop healthcare policies and practices, improve the quality of care, and advance health information technology. The article describes a number of key innovation goals identified by the American Nurses Association Professional Issues Panel, Barriers to RN Scope of Practice, discusses relevant literature related to overcoming barriers to innovation, and identifies recommendations for leading innovative change to achieve innovation goals.

Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, facilitation of healing, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, groups, communities, and populations.

The recently updated ANA scope and standards of practice document calls for all RNs to be leaders within the profession, working to influence policies and encourage innovation ANA, a.

This section will examine the innovative ideas and practices of nurses who are creating new knowledge, developing healthcare policies and practices, improving the quality of care, and advancing health information technologies. Ideas and achievements of these nurse innovators drive the development of products, processes and policies to improve healthcare. The Agency for Healthcare Research and Quality Guide to Adopting Innovations AHRQ, identifies helpful questions to ask about innovations and suggests ways to make evidence-based decisions about the appropriateness and the potential efficacy of a particular innovation see Table 1.

Agency for Healthcare Research and Quality Public Domain. Creation of New Knowledge Innovative efforts in the healthcare system are often focused on furthering what is described as the Institute for Healthcare Improvement IHI, n. Triple Aim: 1 improving the patient experience of care including quality and satisfaction ; 2 improving the health of populations; and 3 reducing the per capita cost of healthcare. Berwick, Nolan, and Whittington emphasized the importance of simultaneously working toward all three of these aims to effectively reform the United States U.

Department of Health and Human Services, , p. Leaders in the nursing profession have made efforts to protect, promote, optimize and advocate for the health of individuals, families, groups, communities, and populations ANA, a , align well with the goals of the NQS and the Triple Aim. Innovations in Primary Care Innovative research is helping us to identify how skills and knowledge of RNs can be leveraged to improve healthcare delivery in primary care.

Innovative research is helping us to identify how skills and knowledge of RNs can be leveraged to improve healthcare delivery in primary care. Smolowitz, et al. Pittman and Forrest researched the shifting roles of RNs in Accountable Care Organizations ACOs , a delivery model where a group of healthcare providers work collaboratively and are collectively accountable for the cost and quality of the care they provide.

Pittman and Forrest reported that ACOs are using RNs in new and enhanced roles and they suggested that administrators are motivated to use healthcare providers to the full extent of their education and training when responsibility for the risk of providing care shifts from payers to providers. To accommodate evolving and expanding roles, RNs must develop expertise to use data and health information technology HIT to further evidence-based practice; nursing education models must be adapted to prepare nurses for these new roles; and numerous policy and regulatory changes will be necessary Fraher et al.

All of these roles offer opportunities for innovation. The expanded and enhanced roles identified by Pittman and Forrest , Smolowitz et al. Table 2 extrapolated from Pittman and Forrest ; Smolowitz et al. Exemplars of Nursing Innovation: Edge Runners The American Academy of Nursing AAN highlights nurses involved in innovative, nursing-directed practice changes as Edge Runners , and their innovative experiments often produce permanent change AAN, ; Mason et al, These nurse innovators are working to improve outcomes and the patient experience by reimagining and redesigning healthcare and developing innovative models of care Mason et al.

Successful initiatives include programs to promote and protect breast-feeding in vulnerable infants; assist the elderly to remain in their homes; improve caregiver skills; provide affordable and culturally sensitive community and family healthcare services; and strengthen parenting skills AAN, Innovations in quality improvement.

Initiatives such as the NQS guide quality improvement initiatives and the focus on improved patient outcomes as a measure of payment. These innovations are driving significant changes in the delivery of healthcare. Some of these changes are taking place on a national level. Kennedy, Murphy, and Roberts identified a wide range of activities for nurses at the federal level involving CMS and other agencies, including work on the Measures Application Partnership, the National Priorities Partnership, the Federal Advisory Committees, and the workgroups implementing NQS initiatives.

The IHI has also developed tools to engage front-line staff in activities to innovate and improve quality, such as the Transforming Care at the Bedside initiative Rutherford, et al. There are many examples of nurses creating innovative solutions to address healthcare quality. Nurses have implemented innovative measures to address catheter-associated urinary tract infections CAUTI.

For example, Adams, Bucior, Day, and Rimmer developed a protocol that reduced the number of days a urinary catheter remained in the patient, thereby potentially reducing the risk of CAUTI. The American Nurses Association ANA , with support from CMS, convened a technical expert panel to develop an evidence-based tool for use by nurses to prevent CAUTI, decrease placement of indwelling urinary catheters, advance timely removal, and employ evidence-based assessments.

Nurse-managed protocols have also been identified as an effective method of managing patients with diabetes, hyperlipidemia, and hypertension Shaw et al. Moore and Stichler implemented an initiative where nurses develop quality improvement and evidence-based practice projects to improve patient outcomes.

Not all nursing innovations take place on a large scale or use advanced technology. Stausmire and Ulrich suggest an innovative approach to identifying and implementing quality improvement projects on a small, unit-wide scale.

Another nurse-led innovative change related to hospital-acquired pneumonia is the practice of elevating the head of the bed, which reduced the incidence of ventilator-associated pneumonia Grap et al. This is a simple innovation with significant implications for patient outcomes and cost savings. In addition to improving processes or outcomes, some innovative changes can also drive healthcare savings.

One example of such an innovation explored the establishment of a perioperative nurse fellowship program to educate nurses to work in the operating room OR. It is challenging to show a financial benefit to education; this study, which examined a unique program to educate operating room nurses, is an important addition to the literature illustrating quality and cost-effectiveness. Innovative nurses are influencing the development of health policy Advancing health policy.

Eaton describes an innovative approach to influencing policy at the state level, where RNs in Virginia educated the public and state legislators to address needed changes to advance nursing education and to increase salaries to nursing faculty in the state. Innovative approaches have also been used to advance nursing education on the importance of health policy. Turale addresses the importance of having RNs engaged in policymaking, the need to include the process of policy development in the nursing curriculum, and the importance of having nurse leaders mentor new RNs about how to get involved in policy development.

Byrd and colleagues described an innovative series of active learning experiences to educate and motivate nursing students to influence health policy.

Innovation in Health Information Technology Innovations in health information technology can significantly impact quality of care. Innovations in health information technology can significantly impact quality of care. ANA and other nursing organizations have been strong promoters of new technologies, such as telehealth, electronic health records EHRs , and patient registries. Grady addressed the use of telehealth and highlighted the myriad settings where it can be used.

Nurses are engaged in a wide range of innovative efforts concerning EHR and health information technology. Walker-Czyz researched how quality of nursing care was impacted by utilization of an integrated EHR and reported that nurses can utilize integrated EHRs with computerized documentation at the bedside to improve patient care. Others have recently reemphasized the essential role of nurses to successfully implement a technology such as BCMA Vanderboom, et al.

Increasingly, RNs are applying innovative ways to communicate with individuals via cell phones and mobile computer program applications apps to assist patients to follow medication protocols; identify reportable signs and symptoms of illnesses or posttreatment complications; learn about appropriate exercises or dietary sources; or find accurate and reliable sources of information about their health needs Grady, It is imperative that RNs maximize this opportunity to collaborate with technologists and informaticists to create efficient and effective programs that have a positive impact on patient care and population management Blahna, Foundation, Simulation training can cover a wide range of experiences ranging from role-playing to full mission simulation involving a complex task that engages a team Galloway, Several organizations offer resources to advance innovation in simulation training.

The Simulation Innovation Resource Center, a collaborative project of National League for Nursing fosters nurse education to advance the use of simulation in nursing education, offers a Faculty Development Toolkit and templates Simulation Innovation Resource Center, n.

Innovations in Delegation Skills A number of innovations have considered techniques to teach delegation skills to nursing students. Nowell described a simulation experience created to address a number of skills, such as delegation, required of nurses in the current healthcare environment. A panel of experts from various settings e. Important strides have been made in advancing the role of nurses in innovation, but barriers remain.

The Institute of Medicine IOM, report, The Future of Nursing: Leading Change, Advancing Health , called for expanded opportunities for nurses to lead and diffuse collaborative improvement efforts and to innovate in practice and education.

Healthcare organizations are also called to engage nurses to design, develop, purchase, implement, and evaluate health information technology products and other devices. This section will consider skills that may help nurses overcome barriers to innovation. This goal includes the following objectives:. Characteristics of Successful Nurse Innovators One approach to foster innovation in nursing is to understand personal characteristics and attributes of nurse innovators One approach to foster innovation in nursing is to understand personal characteristics and attributes of nurse innovators to determine whether educational levels, certification, training, coaching, or some other variables impact innovative behavior.

Dy Bunpin, Chapman, Blegen, and Spetz noted that there is limited information on the innovative behaviors and characteristics of RNs.

Their research expanded this knowledge by identifying characteristics of RNs who scored higher on an innovation scale, including specialty certification, graduate degrees, and experience in management. In addition, they reported that RNs at medium-to-large hospitals and hospitals that had adopted a mid-level of electronic medical records had higher innovation scores. Dy Bunpin et al. Creating Environments to Foster Innovation Innovation can be fostered by creating environments conducive to creative thinking and expanding the notion of where and when nursing innovation takes place.

Blakeney et al. Nurse leaders must create environments and opportunities for staff innovation; communicate expectations concerning time commitments and acceptable levels of risk; and allow for failures. Nurse managers and leaders play an important role to create an environment that fosters and encourages innovation.

Nurse leaders must create environments and opportunities for staff innovation; communicate expectations concerning time commitments and acceptable levels of risk; and allow for failures Boston-Fleischhauer, Creating opportunities for innovation involves acceptance of risk and the unknown, and fostering creativity and intellectual stimulation Boston-Fleischhauer, Joseph and Huber also emphasized this point, noting that an effective leader will create an environment that will support new mindsets.

An understanding of health policy allows nurses to participate in the creation and implementation of innovative payment models and healthcare delivery systems.

These initiatives include:. RNs must be knowledgeable and educated about health policy topics and initiatives to ensure that nurses fully participate in health policy innovations. Nurse leaders in academia need to develop and implement curricula and continuing education offerings on health policy topics, and clinical nurse leaders need to mentor new nurses about how to engage in policy work Turale, Researchers have identified characteristics associated with effective leadership.

Nurses lead, leverage, and advance innovations and technology from inception and development through implementation and evaluation. Key Words: advocacy, change, communication, coordination, critical thinking, delegation, education, financial skills, innovation, innovator, leader, National Quality Strategy, nurse, processes, policy, quality improvement, resiliency, simulation, technology, training, triple Aim. Nursing Administration Quarterly , 39 2 , Houdini: Make that urinary catheter disappear—Nurse-led protocol. This is an example of how nurses can change industry standards to improve patient care. Direct-care nurses manage help clinical variability in several ways. Discharge time out: An innovative nurse-driven protocol for medication reconciliation.

Innovative agency nurses

Innovative agency nurses

Innovative agency nurses. Innovative, Comprehensive Nurse Staffing Services

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Innovative agency nurses