The Changing Landscape of Acute Care Nursing

Marsha Prater PhD, RN, NEA-BCSenior Vice President and Chief Nursing Officer

Memorial Health System

Illinois League for Nursing Annual MeetingOctober 16, 2015

Memorial Then

Nursing Then

Nursing Now

Overview

Patient ComplexityInterprofessional Care TeamsTechnologyRegulatory RequirementsQuality/Safety AgendaImpact on Academic Preparation

Complex Patient Needs/Shorter LOS

Clinical

Pyschosocial

Cultural

Economic

Therapeutic Regimen

Care Transitions

Interprofessional Care Teams

Roles

Teamwork

CommunicationCollaboration

Coordination

Technology

Data

Devices

Alarms

Safety

Regulatory Requirements

Oversight/Scrutiny

Standards/Rules

Privacy/HIPAA

Social Media

Documentation

Quality/Safety Agenda

Zero DefectsReport CardsSimulation TrainingPatient SatisfactionPerformance Improvement

Impact on Academic Preparation Complex, fast-paced clinical

teaching environment

Fewer acute care patients to meet needs of growing academic programs

Meeting regulatory & safety requirements in addition to clinical content

Impact on Academic Preparation Understanding various

technologies used in clinical settings

Keeping curriculum up to date to reflect rapidly changing nursing roles, skills, accountabilities

Set stage for ongoing academic progression/continuous learning