the road less travelled – expanding new avenues - anec _vasuthevan.pdf · the road less travelled...
TRANSCRIPT
The Road less Travelled
Collaboration, Continuity & Competence in terms of:• Professional Growth• Nursing Leadership
Professional Growth
2005
Resurrection
NEA Chapters
2009
Interim Board
Atlantic Philanthropies Funding
2010
NEA CEO & Office
Growth of NEA
2012
Self Sustaining NEA Chapters
Workshops
2015
Handing over to leaders developed within NEA
Journey of Influence, Learning & Activism
34 years and still developing1981
Started as a Curriculum Committee by the late Prof UysPrevious chairs include:• Prof Uys• Ms Kingsley• Prof A. van der
Merwe• Prof Mogotlane• Prof Gwele
Collaboration
• Public and Private sector nurses
• Employers
• Sponsors – Juta, Survival Technology, Pearson
• NEA & FUNDISA
• South African Nursing Education Network (SANEN) – All stakeholders including SANC, DENOSA and now the CNO Office
• Annual Nursing Education Conference – NEA, FUNDISA, CPAS, PHEPSA
• International Organizations• National League of Nurses (NLN)• International Council of Nurses (ICN through the ICN Education Network)• Sigma Theta Tau International (STTI) – task groups
Continuity
• Nurse Educator Development• Theme workshop• Symposia• Annual Conference• Newsletter
• Research Development – Novice Researcher Programme
• Influencing Nursing Education Policy• Nursing Education Standards• Public Colleges Position Paper as part of SANEN• Responses to various regulations and health related policy documents• Meeting with the Director General as part of SANEN
Competence
• Development of nurses involved in education and training
• Information sharing on key nursing education initiatives
• Participation in policy development
• Developing novice researchers
• Maintaining an active community of nurses interested in education
Learnings
• Professional development is individually driven.
• Huge benefits outside work
• Fast track your development through professional work
• Leadership opportunities
• Networking and collaboration opens new doors
• Professional association is voluntary, but it pays off
Nursing Leadership Journey
Group Nursing & Quality
Nursing Education
Nursing Practice
Infection Prevention
Quality
Collaboration in Nursing & Quality
From • Working in silos due to reporting
structure• Independent projects• Blaming & shaming• Duplication of effort• Artificial boundaries• Knowing and understanding your
own patch• Nursing trying to be everything
To• Cross functional integration
• Integrated projects • Joint responsibility• Efficiency & effectiveness• Nursing community• Working and learning together• Use other functions to support
nursing
Continuity
• Creating more awareness across functions between education, practice, infection prevention and quality
• Common nursing platform
• Strengthening nursing as the core business of the organization
• Continuous quality improvement and joint problem solving in patient care
• Enhancement of professionalism and image of nursing
• Promoting research
• Ensuring practice drives education
Competence
• Continuing Professional Development Strategy
• Clinical Education Model Implementation
• Evidence based practice – Best Practice Spotlight Organization
• Unit Manager Development programmes
• Leadership Development for Nurse Managers(iLEAP)
• Talent management - Shadowing & Training Young Leaders (STYL.com)
• Student Leadership
• In house conferences and publication
• Culture of lifelong learning
Professional Journey Pillars
Personal
Development
Professional Growth
Work Opportunities
Support System
Expanding new avenues
• Landscape of our changing world
• Healthcare demands
• Future of nursing
• Informing health policy
• Response required by nursing education
Our world is changing……Music
• Apple the largest US retailer above Wal-Mart
• From 1 million songs sold over 5days to 25 billion songs sold in March 2013
Books
• Amazon Kindle penetration faster than Apple’s iPod
• 1.7 e books sold for each paper book on Amazon
Movies
• 40% of movie consumption performed on demand, 15% through streaming platforms
Our world is changing…..
TV Series
• 29% of top US TV series dominantly viewed on demand
• Netflix
Classifieds
• More than 65% of classified look ups were performed on line in the US
News
• Google news has twice the number of hits as the Wall Street Journal
Trends in the Healthcare Sector• Shifting Demographics
• Growing, ageing, sicker, and transforming population
• Cost explosion• Continuing increasing cost of healthcare
• Demand supply mismatch• Higher imbalance in provision and quality of care
• New business models• Ongoing innovation in care delivery
• Digitalization of healthcare• Big data, mobility and technology reshaping healthcare
• Shifts in health systems• Government reforms reshaping healthcare models
Global Health Worker Shortage
• WHO suggests a health worker density (including doctors and nurses) of 25 per 10 000
• 4.3 million more health workers are necessary to combat current global health staff shortage with more than 800 000 of these workers needed in Africa alone
Nursing Challenges
• Nursing shortage
• Increased legislation influencing agency utilization
• High turnover of staff – age group 25 – 40 years
• Escalating salaries
• Diminished quality of nursing
• Increased expectations of patients
• Doctor demands
Nurse Leader’s Dilemma
• Fighting fires
• Maximum inputs with minimal results
• Dilemma of costs versus safety and quality of patient care
• Increased administration, reporting and regulation
• Increased management, minimal leadership
• Continual change in focus and priorities
• Financial management
• Qualitative versus quantitative approach
• Fighting for survival at the best of times
Future of Nursing – Expanding new avenues
• Staffing
• Technology
• Non traditional nursing careers
• Monitoring the quality of care
• Nursing Executives in the Boardroom
• Task Shifting
• New cadres of workers
Staffing Models
• Full time equivalent footprints
• Flexible staffing components
• Agency utilization
• Tools for managing efficiency
• Staff predictor tools
• Automated scheduling systems
• LEAN Management principles for staffing efficiencies
Do we adequately prepare our nurses for the proposed changes in staffing models?
Technology• Automation of key processes will free up nurses to focus on patient care• Electronic health records• Hand held devices for capturing data especially clinical and quality
outcomes• Paperless hospitals• Electronic Intensive Care Units• eBilling systems• Patients check in on line for hospital admissions• Electronic patient satisfaction/experience surveysAre nurses able to make informed decisions about automation in healthcare?How can we educate differently?
Non traditional nursing careers
• Forensic nursing
• Telenursing
• Nursing informatics
• Legal nursing
• Cruise ship nursing
• Travel health nursing
Time for out of the box thinking on nursing specialties!
Quality of Care
• Increased monitoring of patient care and experience by external parties
• Ranking and rating of hospitals based on quality of care
• Continuous measuring of the cost of care
• Nurses driving quality of care
• Nurse consultants doing clinical rounds
• Clinical career ladders for nurses:• Nurse intensivists to oversee intensive care units
Fact or myth:“Nursing is a clinical profession that moves further away from the patient with educational achievement.”
Nursing Executives in the Boardroom
Are we playing not to lose?or
Are we playing to win?
Do we understand the rules of the game?
Task Shifting
• Task shifting to tackle health worker shortages
• Process of delegation, where tasks are moved to less specialized health workers
• Allows for the efficient use of human resources
• Task shifting cannot be done without maintaining the quality
Many tasks are delegated to nurses?
Who do nurses delegate their tasks to?
New Cadres of Workers
• Operating department assistants
• Renal Technicians
• Phlebotomists
• ICU Technicians
• Clinical Associates
• Doulahs
How do we work together?
Informing Health Policy
• Political astuteness• Development of nurses while in training• Lobby politicians on key issues, writing letters to the mayor
• Engaging in policy advocacy
• Exerting influence in public policy
• Effectiveness of media advocacy to transmit key messages from the profession
• Professional organizations can play a role
Are we connecting our nursing initiatives to the main political agenda?
Who do we communicate to?
Key Takeaways
• Prepare for an environment of lower spending and increasing cost pressures
• Consider new nursing models to compete effectively and to serve different customer segments
• Consider the role of technology in driving the future of healthcare
• Prepare nurse leaders to work in a resource competitive environment
• Know the numbers
• Education that is relevant
• Prepare to work with new cadres of healthcare workers
• Communicate, collaborate and focus
Turbulent Times Build Great LeadersRobin Sharma
The 5 Rules
• Speak with candor
• Prioritize
• Adversity breeds opportunity
• Respond versus react
• Kudos for everyone
Life begins at the end of your comfort zone
Neale Donald Walsch