Resources
Collection of two pagers on current 2021 projects.
Nurses Role in Video Group Clinics. How doesw this link to Workforce transformation and disruptive innovation?
Nurses’ role in VGCs.
Context.
The current Coronavirus pandemic can be viewed as a disruptive change characterizing the complex VUCA world our healthcare exists in. This shift alongside the challenges to the decrease in the nursing and health workforce (WHO 2020) and the increase in the demand for care workload require a rethink on who does what and how.
More than 20 years ago Jason Hwang and Clayton M. Christensen (2008) explored the need to shift how we see health work and the workforce “Legacy institutions of health care delivery are jumbled mixtures of multiple business models struggling to delivery value out of chaos.”
Our VGC and nurses approach is underpinned by the ideas of disruptive innovation. Christensen et al (2009) which outlined the health system workforce changes and challenges to such innovation and described the layers of workload, stratifying the complexity and so the clinical competency needed and outlining solutions to the crisis.
The rethinking of the healthcare model has now led to rethinking of the health workforce model which has in turn brought us to development of advanced practitioners, the introduction of technology based healthcare, competency based education, and for this work the work of the 21st Century nurse and their role in VGCs.
The approach is that we shift our view and move from looking at the task or service we have historically seen and towards what Christenson describes as the ‘job to be done’ (Christenson et al 2009). This job not the task. It is the end point through the patients eyes. Our approach is therefore is seeing VGC outcomes;
1) through the patients eyes (person centred),
2) with economic systems eyes for sustainability (cost and future focused) and
3) delivered by ‘poly professionals’ (competency based not defined by traditional professionally boundaries).These poly professionals may be nurses delivering new work using traditional nursing values.
Additionally the place of the patient and of technology in the future has been explored for Europe to 2035 and highlights the rise of information held by patients and use technology in healthcare.
What about nurses and VGCs?
Research within Will disruptive Innovation Cure healthcare has shown us that health work can to stratified into tiers and so the workforce needed to deliver this care in a complex system can be too.
Diagram One Disruptions of Health Care Professions
Christensen et al describe thew way that work could be managed (appendix) and this is summarised in relation to VGCs in diagram two.
Diagram Two.
Expanding the use of VGCs and having nurses led this work will ensure that quality is maintained in a patient centred and efficient way.
References
Christensen et all (2009) Will Disruptive Innovations cure Healthcare. HBR accessed 16/11/21 https://hbr.org/amp/2000/09/will-disruptive-innovations-cure-health-care
Hwang J and Christensen CM (2008) Disruptive Innovation In Health Care Delivery: A Framework For Business-Model Innovation. HEALTH AFFAIRS ~ Vol 2 7, No 5 p1329 http://ww.marc-lemenestrel.net/IMG/pdf/1_hwang_christensen_healthcare.pdf
Joint Action Health workforce (2016) Drivers of change to the skills and competences of the future health workforce in Europe Health care services. POLICY BRIEF 3: HEALTH CARE SERVICES – MAY 2016 http://portal.healthworkforce.eu/wp-content/uploads/2016/06/JAHWF_WP6_D062-HS-briefing-3-Health-care-services-Final-May-2016.pdf
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