Innovation in Nursing - NJHA in Nursing. ... • State the Final Problem Incomplete Data Entries ......

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Innovation in Nursing Andrei Cernasov, PhD Copyright Innodesa Inc. 2008 - 2017

Transcript of Innovation in Nursing - NJHA in Nursing. ... • State the Final Problem Incomplete Data Entries ......

Page 1: Innovation in Nursing - NJHA in Nursing. ... • State the Final Problem Incomplete Data Entries ... PowerPoint Presentation Author: andrei.n.cernasov

Innovation in Nursing

Andrei Cernasov, PhD

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TEAM Picatinny/ARDEC SnapshotCopyright Innodesa Inc. 2008 - 2017

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Defense Innovations

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Fundamentals of Innovation

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Everyone Loves Innovation !!

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Everyone Loves Innovation ?!

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Everyone Loves Innovation ?!

IncrementalInnovation Radical

Innovation

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Everyone Loves Innovation ?!

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The Definition of Innovation

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A Device or Process that is New, Non-Obvious and Useful to Many

Definition of Innovation

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A Device or Process that is New, Non-Obvious and Useful to Many

Definition: Innovation

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Everyone is Creative !!

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Let’s Solve an Important Problem !!

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Problems

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Problems

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How????

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Think Outside the Box!!!

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The Biology of Innovation

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Biology of Innovation

• What is the “Box”?• “Box” Special Effects• “Box” Hardware• Changing the “Box”

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What is the “Box”?

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“Box” Special Effects

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How many inches in a league?

Metric System

“Box” Special Effects

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A Travelling Salesmen Problem!!

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Three travelersarrive at a hotel and rent three rooms for $10 each

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$30

They give the clerk $30 and go to their rooms

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The clerk realizes that, since they travel as a group, the travelers are entitled to a $5 discount

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The clerk gives the bellboy $5 to give back to the travelers

$5

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$2$1

$1

$1

The bellboy returns $1 to each traveler and keeps $2 for himself

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$2$9

$9

$9

So each traveler pays $9 for his room and the bellboy pockets $2

“Box” Special Effects

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$2$9

$9

$9

3 X $9 + $2 = $29Where is the 30th dollar?

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“Box” Hardware

• Genetics• The Neuron• The Speed of Thought• The World Model

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Johann Sebastian Bach

Carl Philipp Emanuel (son)

Johann Christian (son) Wilhelm Friedemann (son)

Johann ChristophFriedrich (son)

Johann Baptist Strauss Johann Baptist II (son of Johann)

Josef(son of Johann)

Eduard (son of Josef)

Johann Eduard (son of Eduard)

Genetics

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Archie Manning Eli Payton

Genetics

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Relationship Average IQ Correlations Number of Pairs Tasted

Identical Twins 0.86 4672

Same Sex Fraternal Twins 0.60 5533

Siblings 0.47 26473

Parent-Offspring 0.42 8433

Half-Siblings 0.35 200

Cousins 0.15 1176

McGue, Bouchard, Iacono, Lykken - 1993

Familial IQ Correlations - Reared Together Biological Relatives

Genetics

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• Basic Building Block• Average Brain has roughly 100 billion neurons• Each Neuron has, on the average, 7000 Synapses• Signals Travel at 1 to 100 meters/second• Synapse Time 2 ms to 0.5 s.• Brain Power Use: 20 W

The human brain is Very Energy Efficient

The Neuron

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• Basic Building Block• Average Brain has roughly 100 billion neurons• Each Neuron has, on the average, 7000 Synapses• Signals Travel at 1 to 100 meters/second• Synapse Time 2 ms to 0.5 s.• Brain Power Use: 20 W

The human brain is VERY, VERY SLOW!!!

The Speed of Thought

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10000 Hours Rule

“The emerging picture from studies is that 10,000 hours of practice is required to achieve the level of mastery associated with being a world-class expert – in anything”

Original quote comes from neurologist Daniel Levin.

The Speed of Thought

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10000 Hours of Play & Practice

The Speed of Thought

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Neural Model Building

Neural Networks Set (The “Box”)

Sensor Triggered Recall & Adjustment

10,000 Hours

The Speed of Thought

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• At any given time we are operating within the constraints of our current set of interconnected neural networks, i.e. our World Model

• This set contains a functional summary of our past experiences. This IS “The Box”!

• The “Box” is an efficient model of the surrounding world..

The World Model

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• At any given time we are operating within the constraints of our current set of interconnected neural networks, i.e. our World Model

• This set contains a functional summary of our past experiences. This IS “The Box”!

• The “Box” is an efficient model of the surrounding world..

Patient Model

HospitalModel

Academic Model

The World Model

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• At any given time we are operating within the constraints of our current set of interconnected neural networks, i.e. our World Model

• This set contains a functional summary of our past experiences. This IS “The Box”!

• The “Box” is an efficient model of the surrounding world..

Patient Model

HospitalModel

Academic Model

Family ModelSocial

Model

BeyonceModel

The World Model

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• Neuroplasticity• Sleep and Creative Thinking• Mind Wondering and Creative Thinking• Conclusions

Changing the “Box”

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• Violinists and Braille readers have a physically larger representation of their left fingers on their somatosensory (touch) cortex

• The auditory cortex of experienced Musicians can be 25% or more larger than that of non-musicians

Neuroplasticity

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Drivers: 16 Mean Age: 44Range: 32 to 62Experience: 1.5 to 42Training: 2 years

London Cab Drivers Study

Eleanor A. Maguire – Navigation related structural change in the hippocampi of taxi drivers – University College London 2000

Neuroplasticity

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Kalina Christoff – Experience sampling during fMRI reveals default network and executive system contributions to mind wanderingPNAS – May 26, 2009 – vol 106 no. 21

• Neural patterns of Mind Wandering without meta-awareness similar to those observed during Creative Thinking experiments

• Parallel operation of Executive and Default networks

Mind Wandering and Creative Thinking

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Mozart Einstein Galileo Darwin Newton

Leonardo Neil Simon Tchaikovsky Poincare Maxwell

Mind Wandering and Creative Thinking

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• When a new problem is submitted to the brain the network library (the “Box”) is scanned for existing encoded solutions

• If no stored solution is found the problem is dropped or the building of a new neural network (new Model) commences

The Tower of Hanoi• Only one disk may be moved at a time.• Each move consists of taking the upper disk from one of the

poles and sliding it onto another pole, on top of the other disks that may already be present on that pole.

• No disk may be placed on top of a smaller disk.

Sleep and Creative Thinking

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Sleep-Dependent Memory Consolidation – Robert Stickgold, Nature October 2005

Sleep and Creative Thinking

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August Kekule Elias Howe

Srinivasa Ramanujan Robert Louis Stevenson Stephen King

Dr. Otto Loewi

“Salem’s Lot”

Sleep and Creative Thinking

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• “Think Outside the Box” is an Oxymoron to be replaced by “Expand Your Box”• “Expand Your Box” requires the development of new neural networks• Building neural networks requires time (days to years) and inflow of new

information. This information can be acquired through collaboration among creative people - Teams

• Leading edge creativity is a full time activity. Competing neural nets will cannibalize idle developing nets through synapse pruning

• Creative potential is enhanced during Mind Wondering (relaxed idling)New World Model systems (neural networks) are consolidated into the memory matrix during Sleep Cycles

• Occasionally full problem simulations, including solutions, are performed during Sleep Cycle sets (weeks to years)

• Creativity can be enhanced through the reduction of non-creative stimuli

Conclusions

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Problems, Needs and Opportunities

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Problems, Needs and Opportunities

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Problems

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Problems

Problem – measured by the departure of the Current Negative Outcome from an Expected Positive Outcome

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Problems

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Problems

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Problems Process

• Identify Perceived Problem• Define Real Problem• Find Root Cause of the Problem• Define Underlying Contradiction• State the Final Problem

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Problems Process

• Identify Perceived Problem• Define Real Problem• Find Root Cause of the Problem• Define Underlying Contradiction• State the Final Problem

Incomplete Data Entries

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Problems Process

• Identify Perceived Problem• Define Real Problem• Find Root Cause of the Problem• Define Underlying Contradiction• State the Final Problem

Incomplete Data Entries Task Overload

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Problems Process

• Identify Perceived Problem• Define Real Problem• Find Root Cause of the Problem• Define Underlying Contradiction• State the Final Problem

Incomplete Data Entries Task Overload Compliance Requirements

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Problems Process

• Identify Perceived Problem• Define Real Problem• Find Root Cause of the Problem• Define Underlying Contradiction• State the Final Problem

Incomplete Data Entries Task Overload Compliance Requirements Legal Tasking vs. Resourcing

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Problems Process

• Identify Perceived Problem• Define Real Problem• Find Root Cause of the Problem• Define Underlying Contradiction• State the Final Problem

Incomplete Data Entries Task Overload Compliance Requirements Legal Tasking vs. Resourcing Unbalanced Resource Allocation

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Problems Process

• Identify Perceived Problem• Define Real Problem• Find Root Cause of the Problem• Define Underlying Contradiction• State the Final Problem Unbalanced Resource Allocation

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