Resources
Nurse Wellbeing.
The I'm Fine Project brings art and nurse wellbeing together and can be useful in teaching, in reflection or just in inspiration.
https://www.paintingsinhospitals.org.uk/im-fine-project
Nurses Role in Video Group Clinics. How does this link to Workforce transformation and disruptive innovation?
Nurses’ role in Virtual Group Consultations (VGC).
Context.
The 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.
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