current trends sti

8/14/2019 Current Trends sti

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THE FUTURE OF NURSINGPRACTICE:

TEN TRENDS TO WATCH

Elsa V. Castro, RN, PhD


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1. Changing Demographicsand Increasing Diversity


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2. The TechnologicalExplosion


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3. Globalization of theWorlds Economy andSociety


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5. Shift to Population-Based Careand the Increasing Complexity of

Patient Care


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6. The Cost of Health Care andthe Challenge of Managed Care


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7. Impact of Health Policy andRegulation


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8. The Growing Need forInterdisciplinary Education for

Collaborative Practice


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9. The Current NursingShortage/Opportunities for

Lifelong Learning and WorkforceDevelopment


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10. Significant Advances inNursing Science and Research


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Building A Culture Of

Best Practices

Elsa V. Castro RN, PhD


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Determining the responsibility formanaging rosters and shift work.

Improving your bottom-line financialresults through effective shift workmanagement

The costs and benefits of revamping yourcurrent shift patterns.


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Finding the right balance betweenfinancial costs, employee morale andsafety.

Analyzing fatigue and stress- relatedaccidents reducing health costs.

With today's increasingly mobileworkforce there is an increasedchallenge to maintain key employeesthus to minimize the effects that shift

work has on employees andunderstanding employee work versussocial and family commitments


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Vertical Leveraging

Establishing a skill mix of nursingemployees to provide the highest qualityof patient care at the lowest cost.

Horizontal Leveraging

Cross training to boost productivity

An operating room utilization rate of 80%or higher if the industry rate is 75%


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An average turnover timebetween cases of 15 minutes if

the industry rate is 20 minutes

A reduction of 10% from the

average for industry cost ofsupplies per patient day

A reduction of 50% from the

average for industry rate ofhospital acquired infections


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Quality management is necessaryelement of best practice

Goals and objectives are set, and fullteam support to meet them is

obtained.Performance regarding practices

processes and outcomes is continuallyimproved.

Commitment and accountability forexcellence exist


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New approaches are sought outlearned and adapted

Organizational communication isimproved

Clinical governance is improvedClinical satisfaction is improved


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Building best professionalpractice model

MISSION:Professional nurses and nursing

teams exist to optimize the health of ourpatients and communities.

Identifying best practices orevidence- based innovations that havebeen adopted with success by otherorganizations can facilitate strategicplanning, consequently nurses, planning

to develop a new program need tocarefully examine the existing evidenceand practice prior to beginning planning


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It is the continuous process ofmeasuring service and

practices against the toughestcompetitors or those customersrecognized as industry leaders


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Organization

Vision

Mission

Goals

OrganizationalCulture /Structure

Role Descriptions

Quality Measures

Individual andOrganizational Outcomes

SWOT/Environmental

Scanning

Strategic goals

StrategicPlan

E

X

T

E

R

N

A

L

F

OR

C

E

S


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The Model for

improvement

PLAN

DO

ACT

STUDY

What areWe trying

To accomplish?

How will we know that a changeIs an improvement?What change can we make that will result

In improvement?


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operations

relationships

structure

Practice

outcomes


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We believe many conditions mustwork together in order to nurture aprofessional environment morespecifically the manner in whichbeliefs practice, structure,

relationships and operationsinteract will determine the qualityof outcomes for us well as for those

we serve

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