Clinical Practice Experience (CPE) Record

Clinical Practice Experience (CPE) Record

Clinical Practice Experience (CPE) Record

Phase 1

 [Your Name]

Western Governors University

D030: Advancing Evidence-Based Innovation in Nursing Practice

Dr. Course Instructor Name

Month DD, YY

Clinical Practice Experience (CPE) Record

Life and all aspects of life are changing significantly over time and one of the industries that is experiencing robust changes in the healthcare industry with technology playing a central role in driving change. For healthcare organizations and nurse leaders to keep pace with these changes, they have to emphasize the aspect of innovation which is the basis for maintaining competitive advantage and enhancing individual and organizational performance in specific areas. Therefore, nurse leaders must take on the role of nurse innovators to assess current situations, identify opportunities, come up with innovative ideas, design implementation strategies, and implement these ideas to keep pace with industry’s dynamics. Therefore, nurse leaders as described by Hodgson et al. (2021) must not only have compelling nurse leadership skills but also be innovative to maintain their relevance in the industry. For the nurses to identify opportunities, create ideas, and implement then to achieve the desired standards, they must collaborate with key internal and external stakeholders.

CPE Schedule Table

In the healthcare industry, change is not spontaneous and it is driven by certain factors within or outside an organization or the industry. When faced by challenges or when presented by opportunities, nurse leaders must identify the challenge or opportunity and forge a pathway to addressing the challenge or exploiting the opportunity. Innovation requires critical thinking, experience, collaboration, and brainstorming to develop rational ideas that will support a change process. Therefore, while a nurse innovator may have the desire and drive to innovate, it is imperative to ensure that the idea, process, or tool is understood and fairly acceptable by all stakeholders. In maintaining a systematic process of innovation, a CPE schedule is critical as it outlines the key activities required to achieve the desired objective, the time required for each activity, and the timeline for the whole innovative process which stems from idea generation to implementation of the idea. Therefore, Table 1 below the CPE schedule that will facilitate the exploration of the role of a nurse innovator in collaboration with key stakeholders.

Table 1: CPE Schedule

Table 1 above provides a summarized breakdown of key activities that a nurse innovator must emphasize when coming up with an innovative idea and implementing it in collaboration with other players within and outside the healthcare system. The summary outlines key activities for the three phases of the process, expected completion dates, and expected time for each activity.

The Role of a Nurse Innovator

Scope of Practice

Nursing is one of the most complex and sensitive professions around and requires nurses to constantly conduct assessment, evaluations, and find ways of addressing current problems or leveraging opportunities in an ever-changing environment. A nurse innovator is an extension of a nurse leader, as the leader takes a step further to initiating desired innovative practices in an environment. According to Williams et al. (2016), a nurse innovator is a registered nurse that takes the role of change agent to drive a policy or a process by leveraging available opportunities like technological advancements. They cultivate and advocate for the creation and development of processes, and concepts that help elevate healthcare. In achieving their objectives as innovators, they must build strong and productive partnerships with institutions, agencies, and other healthcare professionals to enhance collaboration. Therefore, at any given point of an innovative process, a nurse innovator will collaborate with other nurses, multidisciplinary teams, and interdisciplinary teams to achieve desired outcomes.

Roles

A nurse can strategically be a leader with an extended role of innovation. As a nurse leader who is also a nurse innovator, there are many roles that such a nurse performs. One of the key roles of a nurse innovator is consultations with employees and other stakeholders to generate data that will guide an innovative idea. In role modeling, Cianelli et al. (2016) indicate that an innovator must foster collaboration and shared governance. This stimulates commitment and dedication to a change process that is stirred by an innovative idea. As a consultant, a nurse innovator provides critical data to the employees and management supporting a specific idea. Further, through the implementation of the idea, a nurse innovator will also be liable to providing further instruction and support to the employees.

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A nurse innovator has the responsibility of conducting research to support innovative ideas. Innovative thinking process is spurred by research (Cianelli et al. 2016). A nurse innovator must therefore perform the role of conducting research to acquire as accurate data as possible to support a decision or a process. As a researcher, a nurse innovator will design an evaluation strategy for solving current and future problem when it comes to the adoption of a change. Further, Williams et al. (2016) indicate that research, as a responsibility for a nurse innovator aid in the development and testing of academic collaboration and interprofessional practice models.

Other than consultation and research as the roles and responsibilities for nurse innovators, training is another role they perform to achieve desired outcomes. According to Cianelli et al. (2016), training is critical when making a safe and divergent environment that promotes critical thinking. In that aspect, it is a requirement for employees to receive initial and continuing training for them to think different and ask questions that will further innovative activities. Therefore, a nurse innovator may function as a trainer, helping employees learn new ways of doing things and the use of available data to effect change. Change, which also involves innovative activities, is best achieved when a nurse innovator works collaboratively with other employees within an organization. To maintain productivity of collaborative teams, a nurse innovator must ensure that the members of the team are adequately trained on the innovative activity or process to enhance success. Therefore, the nurse innovator automatically assumes the training role within the organization to effectively drive innovation.

Required Knowledge and Skills

For a nurse to perform or assume the role of an innovator, there are several skills that the nurse must portray. A study by Williams et al. (2016) found that a registered nurse assuming innovator role must be knowledgeable about nursing scope of practice and applicable nursing standards, be committed to discovery, learning and education. Basically, it is expected that a nurse must have nursing knowledge to be effective as an innovator. Thomas, Seifert, and Joyner (2016) also indicate that a nurse innovator must be knowledgeable on the general nursing practice, health information technology, and healthcare policies. Study further identified the need for a nurse innovator to develop and expand their skills beyond their training as nurses.

For a nurse innovator, a key area of focus is on the development of leadership skills. According to Thomas, Seifert, and Joyner (2016), effective leadership is central in fostering innovation. Among these skills include the ability to make decisions given challenging situations, effective communication skills, team empowerment, strong emotional intelligence, and creativity. Personal integrity, pursuance of excellence, critical thinking, conflict management, team building and management, and ability to uphold professional ethical values have been found as effective skills that a nurse must possess to lead others (Hargett et al. 2017). A nurse innovator must uphold these skills to work with others as innovative processes or activities are only successful if implemented through collaboration. The development and expansion of these skills and knowledge increases a nurse innovators capacity to identity opportunities, implement ideas, and collaborate with others to enhance success.

Innovation Stakeholders

As demonstrated so far, for the success of innovative actions or processes, an innovator must work alongside other people within and outside the innovation circle. Collaboration and shared governance enhances problem sharing, effective decision-making, idea generation, and successful implementation of an idea. Therefore, a nurse innovator must foster collaboration to promote innovation (Cianelli et al. 2016). A nurse innovator must therefore identify key stakeholders in an innovative process and define why it is important to include them in the process. The goal of the innovative process is to implement an information communication technology that will revolutionize provider-patient communication and reduce physical contact especially with the COVID-19 pandemic while maintaining quality. Therefore, the key stakeholders as described by Ritz, Althauser, and Wilson (2014) will revolve around the 4Ps: Provider, Patient, Policymakers, and Payers. Table 2 below therefore outlines the key stakeholders both internal and external.

Table 2: Innovation Stakeholders

While the key healthcare stakeholders have been classified as the 4Ps, in implementing an IT infrastructure to support effective communication and consultations between healthcare providers and patients without making visits to the clinic, there are other key stakeholders beyond the 4Ps, Listed as others, this groups of stakeholders is primarily focused on the aspects of implementing a technological innovation to enhance remote interactions between providers and their patients. Each of the listed stakeholders has a role in the development of an innovative idea and its implementation.

Conclusion

Nurse innovators are important when it comes to a change process that involves a new discovery, process, or tool. Innovators, as demonstrated are an extension of leader who are change agents and therefore share the basic characteristics, knowledge, and skills of leaders. Influencing change is challenging but the report expands on the need for a nurse innovator to promote collaboration in identifying and implementing innovative ideas as failure will result o fallout of key stakeholders whom the innovator can utilize as a resource to support an innovative venture. Stakeholders contribute significantly in identifying innovative policies, interventions, processes, or ideas and form the basis for a successful innovative process or its failure. Applying appropriate innovator skills and competencies, a nurse leader can initiate a change process and guarantee its success.

References

Cianelli, R., Clipper, B., Freeman, R., Goldstein, J., & Wyatt, T. H. (2016). The innovation road map: A guide for nurse leaders. https://www.nursingworld.org/globalassets/ana/innovations-roadmap-english.pdf

Hargett, C. W., Doty, J. P., Hauck, J. N., Webb, A. M., Cook, S. H., Tsipis, N. E., Neumann, J. A., Andolsek, K. M., & Taylor, D. C. (2017). Developing a model for effective leadership in healthcare: a concept mapping approach. Journal of healthcare leadership, 9, 69–78. https://doi.org/10.2147/JHL.S141664

Hodgson, N. A., Ladden, M., Madigan, E., Mishan, A., & Montalvo, W. (2021). Emerging roles for research intensive Ph. D. prepared nurses as leaders and innovators: Views from funders/sponsors. Journal of Professional Nursing, 37(1), 207-211. https://doi.org/10.1016/j.profnurs.2020.10.003

Ritz, D., Althauser, C., & Wilson, K. (2014). Connecting health information systems for better health: leveraging interoperability standards to link patient, provider, payor, and policymaker data. JLN Web. https://www.r4d.org/wp-content/uploads/Connecting-Health-Information-Systems-for-Better-Health.pdf

Thomas, T. W., Seifert, P. C., & Joyner, J. C. (2016). Registered nurses leading innovative changes. OJIN: The Online Journal of Issues in Nursing, 21(3), 3. https://www.doi.org/10.3912/OJIN.Vol21No03Man03

Williams, T. E., Baker, K., Evans, L., Lucatorto, M. A., Moss, E., O’Sullivan, A., … & Zittel, B. (2016). Registered nurses as professionals, advocates, innovators, and collaborative leaders: Executive summary. Online journal of issues in nursing, 21(5). https://www.doi.org/10.3912/OJIN.Vol21No03Man05

Clinical Practice Experience (CPE) Record

MBA 690 Syllabus.pdf – Graduate Course Syllabus

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