Innovations in Nursing

LECTURE 1
INNOVATIONS IN NURSING
JOHER B. MENDEZ, JR,, R.N, M.D.
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BEFORE UNDERSTANDING
ENTREPRENEURSHIP IN NURSING,
LET’S UNDERSTAND THE CURRENT
TRENDS IN THE NURSING PROFESSION
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LECTURE COVERAGE
▸ Characteristics of Innovation
▸ Principles of Innovation
▸ Innovation in terms of:
▸ Nursing Education
▸ Nursing Practice
▸ Nursing Administration
▸ Nursing Research
▸ Emerging trends
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Emerging
Opportunities
Objectives
❑ Upon completion of this discussion, the participants
should be able to:
• Discuss the many nursing opportunities available upon

graduation.
• Discuss advanced nursing practice and other nontraditional
nursing roles.
• Identify various opportunities for certification.
• Review hospital and nonhospital based nursing practice.
• Identify directions for the future.
Nontraditional Emerging Opportunities
❑ For nurses who remain in traditional settings,
opportunities exist to receive certification in specialized
areas.
❑ Certification is the process by which a nongovernmental
agency or association certifies that an individual licensed
to practice a profession has met certain predetermined
standards specified by that profession for practice.
Sample List of Certifying Organizations
❑ ANCC
• American Nurses Association Credentialing Center
❑ NAPNAP
• National Association of Pediatric Nurse Associates and
Practitioners
❑ ACCN
• Association of Critical Care Nurses
❑ AWONN
• Association of Women's Health Obstetrics and Neonatal
Nurse
Sample List of Certifying Organizations
❑ NANN
• National Association of Neonatal Nurses
❑ WOCN
• Wound, Ostomy, and Continence Nurses Society
❑ AANA
• American Association of Nurse Anesthetists
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Possible Areas of Specialization
❑ Neonatal ❑ Renal
❑ Pediatric ❑ Critical care
❑ Adult medical/surgical ❑ Emergency room
❑ Women's health ❑ Clinical nurse specialist
❑ Obstetrics/gynecology ❑ Nurse practitioner
❑ Psychiatry ❑ Nurse anesthetist
❑ Dermatology ❑ Nurse midwife
❑ Case management ❑ Nursing informatics
Traveling Nurse (US Setting)
❑ Travels to various locations throughout the United States
❑ Usually works in 3-month assignments on the same unit
❑ May receive a similar or higher salary compared to
salaries of fellow employees
❑ Needs to be aware of differing nursing methodologies
and licensure requirements from state to state
Traveling Nurse
❑ Requires a license for each state in which he or she will
practice
❑ Should ensure that contract says exactly what the
assignment will be regarding expectations of the
institution and agency
Representative for Pharmaceutical Company,
Home Care, or Nursing Agency
❑ Affords the nurse a perspective on corporate America and
the workings of the business world
❑ Often involves salary enhancements or perks
❑ Allows for a certain level of independence
❑ May present difficulties in meeting sales quotas,
providing for customers, or surviving the ups and downs
of the business world
Case Manager
❑ This new delivery of care method includes providing and
coordinating care across the continuum of prevention,
wellness, acute care, rehabilitation, long-term, hospice,
and respite care.
❑ The nurse case manager should have at least a
baccalaureate degree and expert clinical skills; should
possess knowledge of the health care system, health care
finances, and legal issues; and should be an effective
communicator.
Nurse Entrepreneur
❑ Many nurses are becoming entrepreneurs in a variety of
consultative, educational, and technical areas.
❑ Advantages:
• Independence
• Job satisfaction
• Flexibility
• Choice
Nurse Entrepreneur
❑ Disadvantages:
• Competition
• Volatility
• Lack of provided benefits
• Must learn to develop and follow a business plan
Advanced Practice/Expanded Role Emerging
Opportunities
❑ Advanced practice nursing builds on the foundation of
professional nursing practice and responds to the
developing health care needs of the United States.
❑ In advanced practice nursing, the nurse may:
• Assess patients, synthesize and analyze data, and understand
and apply nursing principles at an advanced level
• Provide expert guidance and teaching
• Work effectively with patients, families, and other members of
the health care team
• Manage patient's physical and psychosocial health-illness status
Advanced Practice/Expanded Role Emerging
Opportunities
• Use research skills
• Analyze multiple sources of data, identify alternative
possibilities as to the nature of a health care problem, and
select appropriate treatment
• Make independent decisions in solving complex patient care
problems
• Perform acts of diagnosis and prescribe therapeutic measures
consistent with the area of practice
• Recognize limits of knowledge and experience, plan for
situations beyond expertise, and consult with or refer patients
to other health care providers as appropriate
Advanced Practice Nursing: Types of Expanded
Roles
❑ Wound, ostomy, continence nurse specialist
• Clinical expert in managing patients with ostomies, alterations
in skin integrity, and wounds
❑ Flight nurse
• Provides care to infants, children, and adult patients while
performing a variety of therapeutic interventions requiring
independent decisions; also provides education to outlying
communities and serves as a volunteer in emergency
situations
Roles
❑ Nurse anesthetist: certified registered nurse anesthetist
(CRNA)
• Takes care of the patient’s anesthesia needs before, during,
and after surgery and other procedures, either alone or in
conjunction with other health care professionals
❑ Certified nurse midwife (CNM)
• Delivers newborns; also provides health education, including
teaching of self-care skills and preparation for childbirth and
childrearing
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Roles
❑ Clinical nurse specialist (CNS)
• A registered nurse with an advanced nursing degree, master’s
degree, or doctorate who is an expert in a specialized area of
clinical practice
❑ Nurse practitioner (NP)
• An advanced practice nurse who has education beyond the
bachelor’s degree in a clinical specialty area strongly focused
on primary care, though some subspecialties are hospital-
based
❑ Clinical nurse specialist/nurse practitioner (CNS/NP)
• Combines qualities of both specialties
THANK YOU!

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LECTURE 1

▸ Innovation in terms of:

• Discuss the many nursing opportunities available upon

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