INTRODUCTION

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

DEFINITION:
 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.

NEED OF INNOVATION:
1. Innovation to central to maintaining and improving quality of care.
2. Growing demands in health services.
3. Global workforce shortage.

TYPES OF 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.
 Process Innovation- A process innovation is the implementation of a new way for
significantly improved production or delivery method.

CHARACTERISTICS OF INNOVATION:
 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.
 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.

PRINCIPLES:
 Innovation is to analyse the opportunities or sources.
 Innovation is both conceptual and perceptual.
 It should be simple and focused.
 Effective innovation starts small and they aim to do one specific thing.
 Successful innovation aims at being the best from the very beginning.
INNOVATION IN NURSING EDUCATION:
 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 objective.
 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.

USING NURSING CERTICATION:

 Advanced cardiac life support example - Basic life support.
 Certified emergency nurse.
 Critical care registered nurse.
 Neonatal resuscitation program.
 Paediatric advanced life support.
 Cardio thoracic nursing.
 Emergency and trauma care nursing.
 Oncology nursing.
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.

INNOVATION IN CLINICAL PRACTICE AREA:

1. Computer assistance-
• Maintenance of health records.
• Health security card.
• Use of ROBOTS.
• Reduce error and give certitude to the clinical planning process.

2. Wireless technology-
• Nurse have immediate telephone contact with employees and with patient.
• Direct and accurate communication between Nurse and Physician.
• E.g. In south Africa nurses uses their mobile phone to support people living with HIV/AIDS.

3. Evidence based practice- It is combination of professional expertise with available evidence

to produce practice that lead a positive outcome for client.
• Steps:
a. Identify a knowledge need and formulate an answerable clinical question.
b. Locate the best available evidence.
c. Critically evaluate the evidence.
d. Integrate the evidence with patient’s unique biology, preferences and values.
e. evaluate.

4. Patient classification by activity & acuity of illness-

• This will provide more nurses for each shift.
• INC says 1:9 / shift.
• In areas where they are unable to use that ratio, an activity study is done & they come to a
conclusion about the number of needed staff nurses.

5. Infection control-
• To meet the annual JCAH educational requirement.
• 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 needs to have Hospital infection control committee & policy.

6. Management & leadership- Nursing leaders and managers are exposed to different
management principles relevant to nursing practice. They are as follows:
 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.

7. Job description-
• These are written according to specific practice area and level of responsibility.
• Nurses are also given format of the standards for performance.

8. Procedure manuals-
• Procedure manual has become mandatory.

9. Emergency medical services-

• 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.

10. 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.

11. 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.

12. 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.

13. Nurse researcher-

Nurse researcher is pivotal to the profession and discipline because it directs the future path
of nursing
14. Nurse educator-
• They are the leaders and developers of nursing program of the future.
• Diabetic nurse educator.
• Asthma educator.
 15. 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 judgement and provision of nursing direction or care in specific client
situation. 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.
16. Nurse practitioner- Nurse serves as a primary care provider and consultant for individuals,
families or communities.

17. Certified nurse midwife- Independent management of women’s health care. should pass the
national certification examination conducted by ACNM.

18. Clinical nurse specialist- Clinical expertise in a defined area of nursing practice for a
selected client population or clinical setting.

19. Nurse administrator- Nurse administrator unites the leadership perspective of professional
nursing with various aspects of business and health administration.

INNOVATION IN ADMINISTRATION AND MANAGEMENT:

1. Use of computer- Computerized physician order entry (CPOE) Clinical decision support
system (CDSS).
2. 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.
3. Leadership for change- It is an action learning programme to develop nurses as effective
leaders and managers.
4. Innovation in research
Types of research
- Qualitative research.
- Quantitative research.

 Using nursing research to promote EBP

Requires integration of best research evidence with clinical expertise and patient value and
needs in the delivery of quality, cost effective care.
INNOVATION IN PRIMARY AND COMMUNITY HEALTH CARE

 Innovation in health promotion and disease prevention-

Nurses are uniquely positioned to identify risk factors, provide information about how to
manage these risks and promote the benefits of healthier lifestyles, diet and avoid risky
behaviour.
 Application of telenursing in home care-
The programme targets families living in rural areas who often find it difficult to repeatedly
travel to a distance medical centre for necessarily follow up.

 Causes for not attempting innovation-

- Afraid of failures; of opposition; of the unknown.
- Lacking adequate and correct information.
- Reluctant to experiment.
- Bound by custom & tradition.
- Unaware of our strengths for achievement.

 Nursing innovation are key to improvement and progress in health systems worldwide

SUMMARY:
According to a report by ICN (2009), innovation in nursing applications is extremely important for
improving health, preventing diseases, describing and avoiding risk factors, developing healthy life
standard attitudes, and qualifying the care and treatment methods; because innovation helps updated
knowledge, method.
CONCLUSION:
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. Nursing innovation are key to
improvement and progress in health systems worldwide.
 TIPS, NURSING SECTION.

PRESENTATION
ON
INNOVATIONS IN NURSING.

SUB: ADVANCED NURSING PRACTICE.

SUBMITED TO, SUBMITTED BY,

MRS, GARGI MAITY. PINKI DEB.
(ASSOCIATE PROFESSOR). ROLL NO- 04.
TIPS, NURSING SECTION. M.Sc. NURSING 1 ST SEM.
TIPS, NURSING SECTION.

DATE OF SUBMISSION: / /2021.

 BIBLIOGRAPHY

 Basheer P Shebeer, A Concise Text Book of Advanced Nursing Practice,

EMMES Medical Publishers-2017; 2nd edition, chapter no: 9, (Innovations in
nursing) page no: 723-731.

 Soni Samanta, “Text book of Advanced nursing practice”; JAYPEE

BROTHERS MEDICAL PUBLISHERS (P) LTD 2016, 1 st edition, Unit:09,
page no: 656-669.

 Basvanthappa B.T, “Nursing education”; 1st edition; JAYPEE BROTHERS

MEDICAL PUBLISHERS (P)LTD 2004; page no: 234-238.

 https://ILN-public.pbwiki.com/.