Nursing Education and Systematic Practices and Engagement
Systems Based Practice In Nursing Education
Integrated healthcare systems that require coordination across settings as well as across the lifespan of diverse individuals and populations are emerging. Healthcare systems are revising strategic goals and reorganizing services to move more care from the most expensive venues Inpatient facilities and emergency departments to primary care and community settings.
Consequently, nurse employment settings are also shifting, creating a change in workforce distribution and the requisite knowledge and skills necessary to provide care in those settings. Knowledge differentiating equity and equality in healthcare systems and systems-based practice is essential. Nurses in the future are needed to lead initiatives to address structural racism, systemic inequity, and discrimination.
Equitable healthcare better serves the needs of all individuals, populations, and communities.Importantly, an understanding of how local, national, and global structures, systems, politics, and rules and regulations contribute to the health outcomes of individual patients, populations, and communities will support students in developing agility and advocacy skills.
Factors such as structural racism, cost containment, resource allocation, and interdisciplinary collaboration are considered and implemented to ensure the delivery of high quality, equitable, and safe patient care (Plack et al., 2018).
Informatics and Technology In Nursing Education
Informatics has increasingly been a focus in nursing education, correlating with the advancement in sophistication and reach of information technologies, the use of technology to support healthcare processes and clinical thinking, and the ability of informatics and technology to positively impact patient outcomes. Health information technology is required for person-centered service across the continuum and requires consistency in user input, proper process, and quality management.
While different specialty roles in nursing may require varying depth and breadth of informatics competencies, basic informatics competencies are foundational to all nursing practice. Much work will be required to achieve full integration of core information and communication technologies competencies into nursing curricula.
Engagement and Experience In Nursing Education
The future consumers of health care are changing. They are transitioning from passive participants in medically focused acute care environments to engaged participants of healthcare services. They actively participate in managing not only their chronic illnesses but also acute care exacerbations with an increasing focus on prevention and wellness.
Thus, nurses need an understanding of consumer engagement and experience across all settings as an essential component of person-centered, quality care.In today's society, many people seek information and use technology to help make informed decisions about their health. Nurses seek to help patients determine what information to use and how to use it.
Individuals want to know about their options when it comes to healthcare services, which extends to using websites to provide information on provider quality and performance, comparing prices for common procedures, and reviewing the effectiveness of treatments and care approaches (Adler-Milstein & Sinaiko, 2019).
Gaffney (2015) stated that as consumers shouldered more of the financial responsibility for their health care, they became more educated about available options. Studies have shown that patients who are engaged in decision-making regarding their care have better outcomes and lower costs (Gaffney, 2015).
Meaningful practical experiences in health care start with the individual who is actively engaged in the journey throughout the continuum of care. Each interaction between the recipient of care and the nurse or healthcare provider creates an experience.
Practice experience is defined as “the sum of all interactions, shaped by an organization's culture that influences patient perceptions across the continuum of care.” (Wolf, Niederhauser, Marshburn, & LaVela, 2014, p. 8). Within that interactive experience, the attitudes and behaviors of the nurse matter a great deal.
Nurses are identified as one of the most trusted professionals in the United States. Mutual trust is foundational to an interactive and ongoing relationship that will enhance a positive experience of care. Those with positive experiences of care often have better outcomes.
Individual engagement has been described as “the blockbuster drug of the 21st century” (Dentzer, 2013). Who better to engage individuals in their care than nurses? Nursing practice has consistently focused on individual care and ongoing communication with family members and care providers. Sherman points to the fact that effective individual/family involvement leads to safer and higher quality care.
In addition, individual/patient engagement can be directly correlated with increased reimbursement to hospitals based on achieving health outcomes. Nurses in all settings and across the continuum of care contribute to creating a culture that supports full engagement of individuals in their care and in the development of policies, which will provide guidance to the improvement of individual engagement (Sherman, 2014).
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