3 Favorite Nursing Trends of 2013

Alexandra Wilson Pecci, for HealthLeaders Media , December 17, 2013

But those hospitals that do ask for nurse input on patient safety are rewarded with innovative, empowered nurses. "The best ideas are not coming from the C-suite when it comes to care delivery," says Maureen White, RN, MBA, NEA-BC, FAAN, senior vice president and chief nurse executive of North Shore-LIJ Health System.

White's hospital was selected this fall to participate in the American Association of Critical-Care Nurses' Clinical Scene Investigator Academy to "empower bedside nurses as clinician leaders and change agents." The best ideas, White says, are "coming from front-line staff."

Many hospitals are recognizing this and taking action. Baylor Health Care System has in place ASPIRE (Achieving Synergy in Practice through Impact, Relationships and Evidence), a voluntary professional-development program that awards cash bonuses to bedside nurses who complete it.

Among the projects is one from a clinical transplant research nurse at Baylor Research Institute, which developed a low-health literacy education module that used pictures to help patients with cirrhosis of the liver better understand their condition. It's a great example of how nurses can instigate valuable, significant change. The best ones don't wait around to be given an opportunity; they create it.

2. Nurses as Change Agents
The trend that intrigued me most this year was that of bold, inventive nurses challenging the status quo of their profession, pushing the boundaries, and being "positively deviant."

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2 comments on "3 Favorite Nursing Trends of 2013"

Amy (3/3/2014 at 6:07 PM)
I have been involved in nursing for 30 years, and I have loved the opportunities I have had to educate myself. ABLS, ATLS, FNTC, PALS, ENPC, conferences, etc. I have been a member of AACN for 28 years. Working for a "Magnent" hospital, I have a voice but only if I say what the administration has "coached" me to say in sessions we were required to attend prior to our magnent recertification. I am a PALS instructor and as the newer nurses have come through my class I have been shocked to find that our new nurses do not know how to prepare equipment for intubation, they do not know how to bag-valve-mask a patient. These are respiratory therapy responsibilities. There are many nurses in our intensive care units that have never placed a PIV. Skin care consists of a wipe down with a wet wipe. What happened to turn, cough, and deep breathing? I am worried about the nursing profession. I feel we as nurses have are loosing the ability to give our patients safe care.

Cora Butler (12/30/2013 at 6:31 PM)
I very much appreciated this article and applaud the leadership that is empowering nurses to make a difference by thinking outside the box. Setting the expectation that nurses will become critical thinkers and contribute to patient outcomes is key to cost effective, quality care. It has long been my observation that almost everyone does what they are incented to do and all we have to do as leaders is be wise enough to build the incentives in such a way as to elicit the desired behavior. From this piece it appears that is what some enlightened leadership is doing and I am anxious to hear more about the results. As to the bullying issue, nurse's have characteristically "eaten" their young. There are no doubt many reasons for this, but I suspect among them has been the lack of respect and authority that has accompanied the nursing role in many care settings. Thank you for sharing your 3 Favorite Nursing Trends of 2013. Cora Butler, JD, RN, CHC




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