Celebrate National Nurses Week 2016!
Editor's note: In celebration of National Nurses Week we asked four of our own RNs to share their thoughts on the trends, challenges, and transitions that will impact nurses and healthcare in the next five years.
1. Shift from retrospective care to predictive care.
Today’s healthcare environment is rich in data, but poor in knowledge. Meanwhile, other professions are using data mining with technological advances including machine learning, natural language processing, semantic analysis and real-time physiological signal processing. Hospitals are just starting to use these tools. We want the computer to sift through large amounts of data to tell us what’s important and what treatments have worked with what disease process or nursing interventions in a completely unbiased process, helping us to recognize patterns and meaning.
"Evidence-based nursing is being limited by randomized clinical trials and studies. Much of what we do and have learned has all been on retrospective data. In the near future, we'll be able to see if a nursing care plan or a case management plan was successful through both qualitative and quantitative data, before the patient leaves the floor/hospital or comes back in for a follow-up appointment or is readmitted. As we in healthcare get better at sharing and transitioning data, we'll be able to have a true continuum of care that looks at the patient across all aspects of health care including at home. It will make current theories and practice more robust and truly deliver quality care. It will change the way we practice nursing. -Karen Lund, RN
2.Use contextual data to drive informed clinical and operational decisions
I think the challenge is how quickly we can incorporate data analysis at the bedside. For us as a nursing community to understand when this type of data is appropriate to promote better patient outcomes and increased job satisfaction, instead of noise [in the form of alarms.] - Linda Graves, MHA, BSN, RN
3. Moving beyond the EHR to Informed Care Everywhere
"Technology has changed how we deliver patient care, assess, and evaluate patients. The introduction of electronic medical records has changed how we capture and share patient information and has enabled more efficient communication."
"I remember receiving critical patient information over the telephone, through pneumatic tubes and via couriers who delivered envelopes with tests and laboratory results. I would send specimens to the laboratory and have to wait for the technician to call me back with the information to relay to the surgeon or anesthesiologist. Now, clinicians can go directly to the electronic medical record and the information is there immediately." - Cathleen Olguin, MBA, BSN, RN, CNOR
I believe the focus will to monitor patients at home or remotely, especially those with chronic conditions such as diabetes, COPD, CHF, etc. in order to identify changes in their condition early so proper interventions can keep them out of the hospital. Nurses may be using their carefully honed assessment and critical thinking skills while seated at a desk miles away from their patients using videoconferencing and data sent from medical devices in the patient’s home to determine how they’re doing. -Cyndi Coyne, RN
Do you agree?
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