Question

Nursing Leadership Class

Week One Discussion: Change & Innovation in Nursing

Initial Post:  

1. Obtain a scholarly nursing journal on Innovation and Change in Clinical Nursing Practice or Nursing Education. Download the article (you will post it for your peers to review)

2. Write your Literature Review (almost like an abstract), summarizing the key concepts presented in the article (you do not need to report statistical findings or elaborate on the type of research conducted). Make sure to identify the problem/need for change/rationale for change, the setting (practice or education) identified, and how the results/findings could be implemented in the identified setting. Limit to 1-2 paragraphs- quality over quantity!

3. Attach the article to your discussion post

Respond to at least ONE peer, and include the following:

1. After reviewing the article, identify 3 salient (relevant) points presented in the article in terms of the change proposed and the setting for the change, include a rationale/evidence for each point. For example, if you review an article about the implementation of simulation in nursing education to simulate clinical preparedness, you might conclude that: According to __________ (year), 65% nursing students in the study reported that simulation helped them learn psychomotor tasks better than the classroom environment and they felt more prepared when performing those skills in the clinical setting. When the simulation has been included in the curriculum at Stratford, it helped me feel better prepared and more confident during the clinical for the course.

2. Develop a research question (not a PICOT question) based upon the findings/results of the article.  For example, if you review an article about the implementation of simulation in nursing education to stimulate clinical preparedness, your research question could focus on the implementation of simulation in new grad unit-based orientation programs.  Reference: Writing a Research Question (click the link to go to the web page).

Answer 1

1. Black ER, Weiss KD, Erban S, Shulkin D. Innovations in patient care: changing clinical practice and improving quality. Jt Comm J Qual Improv. 1995;21(8):376‐393. doi:10.1016/s1070-3241(16)30167-5

2. Review of literature:

Generally innovation is defined as a new method and/or practice device. Practice is regarded as a practise; habit or custom, repeated action for gaining skill, the resulting condition of being skilled, knowledge put into action and the exercise of profession. Without nurses and midwives, health and social care would come to a standstill because nurses and midwives are fundamental to high-quality healthcare. There is hardly an intervention, treatment or healthcare programme in which we do not play a significant part.The provision of quality nursing care across the world started the journey in this way. Today nursing and midwifery and associated providers of services by the nursing profession play a vital and pivotal role in the development, delivery and sustainability of huge, varying and dynamic healthcare markets and systems across the globe. To innovate and change within these organizations requires support and the utilisingof the various toolkits or frameworks to aid the process and evaluate the impact of change. Innovation requires vision, structure, strategy and engagement with associated partners and stakeholders to evaluate the impact of care and services in order to improve care and services. Liberating nursing and nurses/midwives to innovate and enhance practice through transformation and change will not and does not occur in isolation.  A key theme in reviewing contribution to the QIPP agenda is the challenge of introducing innovation in clinical practice and through structure and processes increasing effectiveness to enhance the patient experience.

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