Part 4: Value-informed nursing practice depends on nursing innovation |
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| Institution: | 1. School of Nursing, School of Public Health, University of Michigan, Ann Arbor, MI;2. School of Nursing, University of Michigan, Ann Arbor, MI;3. IntelyCare, Inc., Marblehead, MA;4. College of Nursing, Montana State University, Bozeman, MT;1. Division of Nursing Science, Rutgers University School of Nursing, Newark, NJ;2. Rutgers University School of Nursing, Newark, NJ;1. Professor and Margaret Bond Simon Dean of Nursing, University of Pennsylvania School of Nursing;2. Professor of NursingAssociate Dean for Research & Innovation, University of Pennsylvania School of Nursing;1. University of Tennessee College of Nursing, 1200 Volunteer Blvd., Knoxville, TN 37996, United States;2. Center for Health Policy and Media Engagement, George Washington University School of Nursing, Washington, DC, United States;3. Barbara Glickstein Strategies, New York City, NY, United States;1. Department of Life, Health and Environmental Sciences, University of L''Aquila, L''Aquila, Italy;2. Allergy and Clinical Immunology Unit, Center for the diagnosis and treatment of Osteoporosis, AUSL04 Teramo, Italy;3. Technical group for the coordination of Gender Medicine, Regione Abruzzo, Italy;4. Technical group for the coordination of Gender Medicine, Teramo, Italy |
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| Abstract: | With the adoption of value-based payments which tie reimbursement to patient outcomes and costs, days when nursing is viewed primarily as a cost to hospitals will soon be over. Already the backbone of high-quality care delivery and patient outcomes, nurses are becoming key drivers of health care organizations' financial outcomes, too. The first three articles published in this 6-part series on value-informed nursing practice—practice that considers both the outcomes and the cost of producing the outcomes—described what value-informed nursing practice means, its economic, policy, and ethical impetuses, and how value-informed nursing practice helps improve environmental sustainability of health systems. Here, in Part 4, we focus on the importance of nursing innovation in implementing value-informed nursing practice. We begin by discussing how innovation is connected to value and then examine the false dichotomy, perceived by many, between innovation and evidence-based care. Following this, we examine how health care organizations and systems can support nursing innovation, before concluding with recommendations for nursing educators. |
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