As U.S. baby boomers age and the older population doubles by 2030, unprecedented numbers of older adults will need and benefit from nursing care that is evidence-based and tailored to their needs and preferences. To address this need, Massachusetts General Hospital developed the RN Residency: Transitioning to Geriatrics and Palliative Care program. Guided by two national curricula, the RN Residency program was designed to expand the disease model of geriatrics to a functional, emotional, and social perspective of aging, in which palliative care is an integral component. This article describes the RN Residency program, which was designed to improve the effectiveness of nursing assessment, interventions, and outcomes for older adults and their families.
To advance the development of point-of-care technology (POCT), the National Institute of Biomedical Imaging and Bioengineering established the POCT Research Network (POCTRN), comprised of Centers that emphasize multidisciplinary partnerships and close facilitation to move technologies from an early stage of development into clinical testing and patient use. This paper describes the POCTRN and the three currently funded Centers as examples of academic-based organizations that support collaborations across disciplines, institutions, and geographic regions to successfully drive innovative solutions from concept to patient care.
The goal of this article is to provide a practical guide to unlocking the power of innovation within the nursing community. First the three intersecting components of the innovation process (the innovation itself, creativity, and the environment) are explored. Next conceptual perspectives, drawn from the work of both von Hippel and Christensen, are reviewed. This is followed by a description of innovation methods with particular emphasis on IDEO’s innovative processes and the Transforming Care at the Bedside initiative. Finally, specific examples of organizational structures to support innovation within healthcare institutions and across healthcare communities are highlighted. Throughout the article examples of healthcare innovation will be highlighted to illustrate the principles described in the article.
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