3 Favorite Nursing Trends of 2013

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

Positive deviance in nursing—bending or tweaking rules or guidelines in the interest of improving patient care—was examined by Jodie Gary, Ph.D., RN, assistant professor of nursing at the Texas A&M University Health Science Center College of Nursing, in the American Journal of Nursing. "It's departing from any sport of policy, procedure, [or] routine… intentionally but honorably, using some sort of creativity," Gary told me, and it's doing so with the intention providing patient-centered care.

I've written about two examples of nurses who are breaking the mold to create new models of patient care: Nancy Bergstrom, Ph.D., RN, FAAN, whose research has called into question 50 years of standard pressure ulcer prevention, and Sharon Schindler Rising, CNM, MSN, whose "disruptive designs" include the Centering model of group healthcare.

But my absolute favorite column of the year was about a program from MIT's Little Devices Lab called MakerNurse, a nationwide hunt for DIY, "MacGyver nurses" who are creating new devices and workarounds to fix healthcare problems and improve patient care.

3. Making Nursing Safer and Healthier
This year was a landmark for nurse safety, thanks to the national interdisciplinary standards for safe-patient handling released by the ANA and its partners in April. The standards advocate, among other things, an increased use of technology, such as ceiling lifts to assist in moving, lifting, and repositioning patients.

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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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