Handmaiden to Empowered Practitioner: expanding the image of nursing Helen Connors, PhD, RN, FAAN, ANEF University of Kansas, School of Nursing and Center.

Handmaiden to Empowered Practitioner: expanding the image of nursing

Helen Connors, PhD, RN, FAAN, ANEFUniversity of Kansas, School of Nursing

and Center for Health Informatics

Objectives

• Discuss the changing image of the nurse and the health care team.

• Identify the rationale for transforming nursing education and practice.

• Assess key elements of innovation.

Handmaiden to Empowered Practitioner

That was Then This is Now

The Winds of Change

• Women’s Movement – 1960’s• Education Advancement• Technology and Innovation• Health Care Reform

Women’s Movement

• 1960’s -70’s• Baby Boomers• Career• Hospital- based to

Academic- based• Graduate Education• Were you there?

Education Advancement

• Academic settings• Advanced degrees• Advanced practice• Learning any time any

place

Evolution of Learning

“Learning is happening everywhere at anytime”

Thanks to advances in online, social, and mobile technologies, institutions can provide blended and online learning programs at more scalable, open, convenient, and individualized to ensure greater student achievement.

Landscape Changes in Nursing Education and Practice

Connected Age

Our Learners

Nursing Practice

The Connected Age

• Connecting is about reaching out and bringing in, about building synergies to create a whole that is greater than the sum of its parts.

• Connecting is a powerful metaphor.

• linked and tagged• tweeted and texted• followed and friended

Connections

• Information age– How the Internet provided accessible information

and knowledge to anyone, anytime and any place.

• Connected Age– Metaphor changed to accessing connections

within a networked world or as some refer to it as connected learning (Ito, et al., 2013).

People being connected through “pathways”

• Learning pathways in higher education.

• Learning pathways can be created by the individual or can be guided by other students or faculty.

• Learning pathways are about connecting the dots through connections that can be in the classroom, online or even with people and places outside the traditional academic environment.

New Education Models

• Personalized learning• 4 year Community

Colleges• Sharing of services

across institutions• Niche colleges• Flagship networks• Franchise model- WGU• Global University

New Education Models

• Unbundled learning eco-system

• Competency based and micro-credentialing

• Emphasis on learning outcomes

• Technology-based• Changing faculty roles

Driving Forces to the Connected Age and the Education Revolution

• Information and communication technology (ICT)

• Expansive use of social media and mobile devices that are fueling the Connected Age

• Internet of Things (IoT)

The Education Process

• Information gathering• Information integration• Information synthesis• New knowledge construction • Application of learning

Horizon Report 2015Key Trends Accelerating Higher Education Technology Adoption

• Fast Trends: 1-2 years– Increasing use of blended learning– Redesigning learning spaces

Horizon Report 2015Key Trends Continued

• Mid-Range Trends – 3-5 years– Growing focus on measuring learning– Proliferation of open educational resources

• Long Range Trends- 5 or more years– Advancing cultures of change and innovation– Increasing cross –institutional collaboration

Horizon ReportImportant Developments

Time to Adoption – 1 year or less

–BYOD

–Flipped classroom

Important Developments Continued

Time to adoption 2-3 years– Markerspaces

– Wearable technology

Important Developments Continued

Time to adoption 4- 5 years– Adaptive Learning

Technologies

– The Internet of Things

Landscape Changes in Nursing Education And Practice

Connected Age

Our Learners

Nursing Practice

What About Students?

• ECAR Study of Undergraduate Students and Information Technology http://www.educause.edu/library/resources/ecar-study-undergraduate-students-and-information-technology-2014 ) published in September of 2014

• Snapshot of 75,306 students from 213 higher education institutions about their technology experiences and expectations in higher education

General student technology experiences and expectations

• Technology is embedded into students’ lives, and students are generally inclined to use and to have favorable attitudes toward technology. However, technology has only a moderate influence on students’ active involvement in particular courses or as a connector with other students and faculty.

• Students’ academic use of technology is widespread but not deep. They are particularly interested in expanding the use of a few specific technologies.

• Most students look online or to family or friends for technology support. The minority who use institutional help desks report positive experience

ECAR Study, 2014

Anytime, anywhere access to learning that is enabled by device proliferation

• More students own mobile devices now than ever. Although students rate network performance as generally good, projected increases in connected devices could soon challenge even the most robust campus networks.

• Many students use mobile devices for academic purposes. Their in-class use is more likely when instructors encourage such use; however, both faculty and students are concerned about their potential for distraction.

ECAR Study, 2014

Learning environments• More students than ever have experienced a digital learning

environment. The majority say they learn best with a blend of online and face-to-face work.

• Undergraduates value the learning management system (LMS) as critical to their student experience but rarely make full use of it. Today’s undergraduates want a mobile-friendly, highly personalized, and engaging LMS experience.

• Most students support institutional use of their data to advise them on academic progress in courses and programs. Many of the analytic functions students seek already exist in contemporary LMSs.

• Few undergraduates have taken a massive open online course (MOOC).

ECAR Study, 2014

Landscape Changes in Nursing Education and Practice

Connected Age

Our Learners

Nursing Practice

Connected Health

National Learning Health System

Transform nursing field to prepare nurses to lead change and advance health for all Americans

IOM Report Goal

Driving Forces for Health Reform

• Affordable Care Act• Integrated delivery

systems• Medical (Health) homes• Population health• Value-based care• New payment models• Incentive programs

• Cost control• Quality• Safety• Technology

advancements

• Disruptive innovations are those that force change in industry models, business processes, vendor types, products and services.

• A disruptive innovation is an Innovation that helps create a new market and value network, and eventually goes on to disrupt an existing market and value network.

Clayton Christensen

Disruptive Innovations

Culture of innovation

• Organization's mission, vision, core values

• Leadership• Hiring practices• Metrics• Rewards• Compensation

Personal Attributes

• Know the technology/pedagogy• Seek technology assistance• Be a risk taker• Be creative • Be flexible• Be inquisitive• Be a team player• Be ready for change

• Risk taking• Resources• Widely shared knowledge• Specific targets• Tools and techniques• Rewards and recognition• Rapidly formed relationships

Assessing Your WorkplaceCulture of Innovation

Risk Taking

Resources

Widely shared informaton

Specific TargetsTools and Techniques

Reward System

Team Environment

-5

0

5

+5 = we have outstanding positive skills, systems and experiences on this dimension; promoting innovation

0 = our skills systems and experiences on this dimension have no real impact; neither hamper nor support innovation

-5 = we have outstanding negative skills or recent experiences on this dimension; hampering innovation

Group Work