The role of nurse scientists are explained

1. Nurse scientists as Knowledge brokers
Dr. Latha Venkatesan
Principal
Apollo College of Nursing
Chennai 600 095
Email: latha6901@yahoo.com

2. Introduction
•Nurse scientists
•Knowledge brokers
•Cadres
•Customers

3. What are the Requirements to Become a Scientist?
• Extensive knowledge in one or more
specialty areas. performing research,
• Developing solutions to problems
• Running experiments.
• Many scientists apply for grants in order
to support their research activities.
• Scientists generally work for government
agencies, universities, and private
laboratories.

4. What Type of Scientist Could I Become?
• There are many types of scientists, some may choose to specialize in one field and others
choose several. Some of the types of scientists that exist are:Archaeologist, specializing in
archeology
• Agronomist, specializing in soil and crops
• Astronomers, specializing in the study of galaxies, planet, and stars
• Biologist, specializing in living organisms
• Botanist, specializing in plants
• Chemist, specializing in chemistry
• Cytologist, specializing in the study of cells
• Epidemiologist, specializing in the study of diseases
• Ethologist, specializing in the study of animal behavior
• Geneticist, specializing in the study of inherited traits
• Geologist, specializing in the study of the earth's history
• Marine biologists, specializing in the study of ocean plants and animals
• Meteorologist, specializing in the study of the weather and climate
• Microbiologist, specializing in microscopic plants and animals
• Paleontologist, specializing in fossils
• Physicists, specializing in the study of energy and matter
• Seismologist, specializing in the study of earthquakes

5. What are the Education Requirements to Become a Scientist?
• A four-year bachelor's degree may be sufficient
for many scientist positions.
• However, if you want to work independently or
perform industrial research a doctoral degree is
often required. This is the highest degree a
student can earn and usually consists of an
additional four to eight years of college study
after your bachelor's degree.

6. Knowledge Brokering......
• Knowledge brokering links researchers and decision
makers, facilitating their interaction so that they are
able to better understand each other's goals and
professional culture, influence each other's work, forge
new partnerships, and use research-based evidence.
• Brokering is ultimately about supporting evidence-
based decision-making in the organization,
management, and delivery of health services

7. Knowledge workers
• It's vital that nurse managers develop
knowledge worker skills related to data
gathering, analysis, and identifying
clinical trends and patterns.

11. A digital revolution
• As unit leaders, nurse managers need to equip
themselves with skills to harness the power of electronic
data systems and rapidly translate patient findings and
information into knowledge that informs and produces
quality patient-care outcomes.
• They must champion electronic technology initiatives on
their units and develop approaches to instill excitement,
education, and empowerment that assist unit staff to
gather clinical data and identify patterns for delivering
more efficient and effective patient-care services

12. What do you see?

13. What do you see?

14. SMAC...The future of any profession...
•Social networking
•Mobile governance
•Analytics.. Big data analytics
•Customer centricity

15. ‘Work’ time division-Intent
Research
Education
Service

16. What happened actually…
Research
Education
Service
Compilation of annual performance review

17. Customers of Nursing
• Patients
• Families
• Doctors
• Payers – Insurance agencies
• Policy makers

18. Possible Inflated Gap
Nursing Knowledge
Production
&
absorption
Technical
changes
Risk/benefit
analysis
Non-
captured
utilization

20. Theories to guide

21. Lessons Learned…
Changing the Research Cycle
Conduct Disseminate
UtilizePublish
Plan Do
Act Study

22. Where is the problem?
• Problem of time-clinical work
• Personnel required to do research
• Lab research
‘not my cup of tea’
• Funding process-daunting
• Apathy towards research
• Trying to imitate the west

23. Constraints…..
• Confidence levels in
research methodology
• Authority to change
practice
• Organizational support
• Funding
• Poor research
infrastructure
• Research done by
academics
• Evidence is unimportant
to practice
• Knowing the evidence
versus the realities of
practice
• Significant recruitment
and retention problems

24. Helpful ways…….
•Systematic reviews
•Cochrane reviews
•Prospero

25. How to create a research atmosphere?
Convert the enormous
challenges of a busy
hospital into an enormous
opportunity?

26. Key areas to improve
Research
Clinical
service
Research
Education
Research
laboratory
Research
governance
Funding

27. This applies to research too…

28. Ways in which nurse scientists can
influence nursing practice
• Man power planning
• Sets standards for practice
• Sets the nursing process format
• Designs systems of nursing care delivery
• Process flow mapping
• Waste reduction

29. National Accreditation standards for Nursing excellence
 NE 1 : There is evidence of a transformational leadership
at all levels of the HCO.
 NE 2 : Structured nursing empowerment is evident.
 NE 3 : Excellence in nursing practice is evident in terms
of clinical outcomes.
 NE 4 : EBP guides all aspects of nursing structures &
processes.
 NE 5 : Quality indicators of nursing are identified,
described and measured empirically.

30. Current NANE....
1. Nursing Resource Management (NRM)
2. Nursing Care of Patient (NCP)
3. Management of Medication (MOM)
4. Education, Communication and Guidance (ECG)
5. Infection Control Practices (ICP)
6. Empowerment and Governance (EG)
7. Nursing Quality Indicators (NQI)

31. Valid current research….
• Cost effective analysis
• Best practices
• Infection control
• Quality improvement/
• Risk analysis and risk reduction
• Bench marking/ National standards
• Product development
• Validation of documentation tools
• patient satisfaction
• Patient reported outcome measures

32. Critical communicators
• Communication in airline industry
• Communicating with patients
• Communicating in special situations
• Communicating with patients with impaired
communication
• Communication during disasters
• Communicating with policy makers

33. Communication board

35. Products research

36. Research for process excellence
• Impact of bubble gum chewing in the post
operative period upon the return of bowel
sounds
• Effectiveness of cling sheet in prevention
of hypothermia in newborns

37. • Skill gap analysis among Novice Nurses at Apollo
Specialty Hospitals.
• Level of response of Nurses towards call bell complaints
• Comparison of level of job stress, job satisfaction and
degree of burnout between Nurses in oncology and
general wards
• Effectiveness of Nursing induction training programme
on selected nursing interventions among newly joined
Nurses
Studies On Professional responses

38. Clinical Pathways
A Clinical Pathway is a plan of care, drafted in advance
for predictable patient groups which is developed and
used by multidisciplinary team.
It forms part of the written documentation, includes
outcomes to be achieved and the capacity for recording
and analyzing variance.

39. Four Main Components of CP
A timeline
The categories
of care or
activities and
their
interventions,
Intermediate
and long term
outcome
criteria, and
The variance
record (to allow
deviations to be
documented
and analyzed).

40. Clinical pathways

41. Studies on Clinical Pathway
• Effectiveness of Clinical pathways for patients
undergoing Cholecystectomy upon the
knowledge & Practice of Nurses & patients
outcome
• Effectiveness of Clinical pathways for patient
undergoing Transurethral Resection of
Prostate upon knowledge & practice of Nurses
& patient outcome

42. • Effectiveness of Clinical Pathway for Postnatal
Mothers with Vaginal Delivery upon the
knowledge & practice of nurses & maternal
Outcome
• Clinical pathways for Neonatal Hyper
bilirubinemia upon the knowledge & practice of
Nurses & Neonatal outcome
Studies on Clinical Pathway

43. Studies on Clinical Pathway
•Efficacy of Clinical Pathways for
Acute Gastro Enteritis upon the
Knowledge & practice of Nurses &
children’s outcome
• TKR, CABG, MI….
•LSCS, IUI, IVF, Hysterectomy

44. When to use the Kano Model
• Project Selection
– Lean Six Sigma
– Design for Six Sigma
• New Product Development
• New Service Development
• Determine Market Strategies

45. Lean Six Sigma..

46. Studies On Process Mapping

47. Studies On Process Mapping
•Admissionprocedure,discharge
procedure, vital signs, transfer ,hand
over and take over

48. Process Mapping on
Pre operative, intra operative , postoperative care , radiation therapy
Naso gastric tube insertion and feeding
Cardiac monitoring and administration of cardiac drugs
Ostomy care
pap smear
Care of patients with ventilator, suctioning and CVP Line
Arterial blood gas analysis and oxygen administration
Barrier nursing and personal protective equipments

49. Process Mapping On
•Catherization, catheter care and
perineal care
•Chemotherapy, epiduralanaesthesia,
assist with MLC Procedures
•Hot application, cold application and
post burn exercises

50. Time and Motion Study

51. • Nursing workflow in oral medication
administration by nurses.
• Nursing workflow in monitoring ECG by
nurses
• Nursing workflow on monitoring and
recording vital signs by nurses

52. Performance indicator
1 3 5 7
2 4 6 8
9 10
11 12
13 14
15 16
31
30 29
28 27
26 25
23 21 19 17
24 22 20 18
August
Month
performance

53. Key Elements
• Identify the Voice of the Customer
• Translate Voice of the Customer into Critical to
Quality Characteristics (CTQs)
• Rank the CTQs into three categories:
– Dissatisfier - Must be’s – Cost of Entry
– Satisfier – More is better – Competitive
– Delighter – Latent Need – Differentiator

54. Kano Model
Delighters
Excited Quality
Dissatisfier
Must-be
Expected Quality
“Didn’t know I
wanted it but I
like it.”
“Cannot increase
my satisfaction, but
can decrease.”
Dissatisfaction
Satisfaction
Service
Performance
Service
Performance
Satisfier
One Dimensional
Desired Quality

55. Lessons Learned…
Necessary Joint Infrastructure
– Office of Nursing Research
– Research internship (work
time/credits/CEU’s)
– Nurse scientists mentors
– Evidenced-based practice champions for
change
– Grand rounds
– Journal clubs,Annual research symposium
– Environment where questioning practice is
valued
– Small grants

56. Learning Style N P
Visual 50 26.17
Auditory 66 34.55
Kinesthetic 65 34.03
Combined 10 19.17
Frequency and Percentage Distribution of Learning styles of B.Sc (N)
Students (N=191)

57. Learning Styles I Year (n=97) IV Year (n=94)
Visual 23 23.7% 27 28.7%
Auditory 32 32.98% 27 28.17%
Kinesthetic 38 39.17% 27 28.17%
Combined
Visual, Auditory
01 1.03% 2 2.12%
Visual, Kinesthetic 01 1.03% 1 1.06%
Auditory Kinesthetic 01 1.03% 3 3.19%
Visual, Auditory, Kinesthetic 01 1.03% - -
Comparison of Learning style of I yr and IV yr B.Sc(N)
Students

58. Benefits
Evidenced based
care
Standardization
of care
Reduction in
documentation
Focus on patient
outcomes
Standardization
of reporting
systems
Expected to help
reduce costs by
shortening
hospital stays
Easy to identify
gaps in care

59. Benefits
Multidisciplina
ry
Tool for further
clinical and
epidemiologica
l research
Decrease risk of
patient
complications
and
readmission
Decrease errors
Enhance
patient
education
Improve
patient
satisfaction
Enhance legal
advantages and
reduce liability

60. What can... YOU & OTHER NURSES DO?
– regularly read research journals
– read critical reviews of research
– attend professional conferences
– Practitioner as researchers
– incorporate research findings into the
curriculum
– encourage research utilization
– prepare integrative research reviews with
class content

61. Thank You