F UT URI ST I C NURSI NG Nursing Ca re Qua lity Assura nc e - - PowerPoint PPT Presentation

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F UT URI ST I C NURSI NG Nursing Ca re Qua lity Assura nc e - - PowerPoint PPT Presentation

F UT URI ST I C NURSI NG Nursing Ca re Qua lity Assura nc e Co mmissio n F uture o f Nursing 2030 Hig h T e c h to Hig h T o uc h Robert Wood Johnson Foundation/National Academy of Medicine Future of Nursing: Leading Change,


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Nursing Ca re Qua lity Assura nc e Co mmissio n

F UT URI ST I C NURSI NG

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Wa shing to n Sta te De pa rtme nt o f He a lth | 2

Robert Wood Johnson Foundation/National Academy of Medicine Future of Nursing: Leading Change, Advancing Health

Future of Nursing 2030 Seattle Town Hall - August 7, 2019

Quadruple Aim in Health Care Social Determinants of Health Increased Technology Nurse Autonomy/Inter-professional Collaboration Nurses and Self-Care

F uture o f Nursing 2030 Hig h T e c h to Hig h T

  • uc h
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Wa shing to n Sta te De pa rtme nt o f He a lth | 3

  • As much as 30% of what we do we will do differently
  • Ho w we e va lua te pa tie nts
  • Ho w we fo llo w-up
  • Ho w we b ring e xpe rtise in b e twe e n c linic ia ns a nd
  • the r he a lth c a re pro vide rs
  • Ho w we ma na g e pa tie nts a c ro ss se tting s
  • Becoming digitally-enabled is not just about replacing

analogue or paper processes with digital ones

  • I

t is a b o ut re thinking wha t wo rk is do ne , re - e ng ine e ring , le a rning , a nd a da pting

Ne xt E ra o f He a lth Ca re

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Wa shing to n Sta te De pa rtme nt o f He a lth | 4

Na tio na l Ac a de my o f Me dic ine Qua druple Aim

He a lth c a re must b e :

 Sa fe  E

ffe c tive

 Pa tie nt-Ce nte re d  T

ime ly

 E

ffic ie nt

 E

q uita b le

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Wa shing to n Sta te De pa rtme nt o f He a lth | 5

Nursing Spe c ia ltie s/ Se tting s

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So c ia l De te rmina nts o f He a lth

  • Nursing a re e q uippe d to le a d the

re duc tio n o f he a lth dispa ritie s

  • Nurse s a c t a s a dvo c a te s fo r c o mmunity-

inte g ra te d he a lth

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Wa shing to n Sta te De pa rtme nt o f He a lth | 7

Social Determinants of Health

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Recommendations Reform state SOP regulations to support RN participation in the diagnosis process Adopt a common conceptual model of diagnosis Adopt a common language for diagnosis Designate and adopt an appropriate set of RN competencies for diagnosis Interprofessional collaborative teams Expand LPN scope to include full assessment

Wha t Will it T a ke to Addre ss So c ia l De te rmina nts o f He a lth?

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Wa shing to n Sta te De pa rtme nt o f He a lth | 9

 Cognitive Computers  Augmented and Virtual Reality  Scanners at Home  Wearables  Holographics  Artificial Intelligence  3-D Printing  Genomics and Biotechnology  Nanotechnology  Distant Care/Telehealth  Surgical Robots and Androids  Exoskeletons and Neuroprosthetics

T e c hno lo g ie s Sha ping the F uture o f He a lth

https://www.bing.com/videos/search?q=Futur e+Technology+Devices+health+care&&view=de tail&mid=A426FCF5CEA86EA0503DA426FCF5C EA86EA0503D&&FORM=VRDGAR

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https://www.msn.com/en-us/news/technology/the-robot-will-see-you-now-ai-and- health-care/vi-BBPaaoy

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Use Technology Ensure people feel human

  • Be present
  • Listen
  • Create space
  • Communicate
  • Educate healthcare leadership
  • Support policies for a positive work environment
  • Take care of yourself

Must remain true to compassionate nursing care directed by science

Hig h T e c h – Hig h T

  • uc h
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T e c hQua lity = T e c hno lo g y + E q ua lity

Rapid Emerging Technology – Expanding Data collection Privacy and Security issues and Cybersecurity Threats Shortage of Health Care Workers Increasing Patient Expectations Aging Population “Silver Tsunami”

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Nurses need to be ready to lead – nurses must be involved in leading developments and improving systems – Nursing Informatics Nurses’ must be more tech literate Nurses will be involved in care coordination using technology Technology is a tool, not a panacea to good care – there is good and potential harm in these systems

I mpa c t to Nursing

“The Right Balance of Information Science and Nursing Science”

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“Compassion Fatigue” “Burnout”

  • Depression
  • Suicide
  • Substance Use Disorder

https://proqol.org/uploads/ProQOL_5_English_Self-Score.pdf

Nurses are Often Devoured by our Systems

https://www.bing.com/videos/search?q=self+care+nurse+game&&view=detail&mid=924CD7E30B79525EA926924CD7E30B79525EA926&&F ORM=VRDGAR

Nurse ’ s We ll-Be ing a nd Re silie nc e

https://www.bing.com/videos/search?q=nurse+resilience+video&&view=detail&mid=8D506AB1BD1B79BD4A018D506AB1BD1B79BD4A01&&FORM=V RDGAR

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Shana Johnny, MSN, RN Nursing Practice Consultant 360 236-4729 Shana.Johnny@doh.wa.gov Margaret Holm, JD, RN Nursing Practice Consultant 360- 236-4731 Deborah Carlson, MSN, RN Nursing Practice Director 360 236-4725 Deborah.Carlson@doh.wa.gov

Co nta c t

Nursing Practice Email Box: NursingPractice@doh.wa.gov ARNPPractice@doh.wa.gov

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Que stio ns?

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Washington State Department of Health is committed to providing customers with forms and publications in appropriate alternate formats. Requests can be made by calling 800-525-0127 or by email at civil.rights@doh.wa.gov. TTY users dial 711.