Question

I need new and unique answers, please. (Use your own words, don't copy and paste), Please Use your keyboard (Don't use handwriting) Thank you..

Imagine your hospital unit has implemented a new care pathway, but after a couple of years appears to be no improvement in patient outcomes. Some staff members say the process is too much work and want to go back to the old system. What do you say to staff members?

Answer 1

Ans) On the basis of the conclusions and critical reflection, we would like to make some recommendations.

- First, nursing staff should be more involved in the first place in order to understand whether the technology has any relevance for the user or the end-user (patient/client), and subsequently when it is developed. This is a condition sine qua non, which is generally known but often omitted due to lack of financial recourses or time constraints.

- Second, as nursing staff frequently mentioned malfunctioning technologies, this means that new technologies should be thoroughly pilot-tested in daily practice before they are even introduced. Technologies should be pilot-implemented in daily practice. This is the standard procedure for many clinical guidelines. A determinant analysis is performed with the final draft of the guideline by asking the potential users for example to "test" the final draft in daily practice for a brief period of time. The guidelines are adapted to the results and the results show what innovation strategies should be developed for national dissemination, adoption and implementation.

Third, involving nursing staff in analysing which specific determinants play a role is important to enhance the likelihood of addressing the right determinants. As these determinants are identified by the nurse-users themselves, they may be able to have a profound influence on the success of the innovation process. Many theories can provide a starting point for developing innovation strategies to change the determinants that have been shown to be relevant for the successful introduction of the technology, and these should be prioritised. Subsequently, the potential users, in this case nursing staff, should be involved in organising and operationalising the theory into practical strategies. Involving nursing staff, for example in choosing the kind of training required is crucial, since nurses are best at indicating what they don't know or which important skills they are missing.