Bedside Reporting Across the
Board Innovation Proposal
Role of Innovative Nurse Leader
Nurse innovators work to improve patient cares through changes and improvements.
With that being said, nurses have always been considered innovators without the formal title.
There is always new and improved methods and procedures being discovered to maximize
results for patients. Some responsibilities of nurse innovators include research of new methods to
improve patient care, reduce cost to both facilities and patients, and increased efficiency.
Innovators need to be able to collaborate with other healthcare professionals and institutions to
advocate the development of new processes. Some optimal characteristics and skills for a nurse
innovator include having creativity, being a critical thinker, being able to problem-solve and
make tough decisions and being able to effectively communicate (University of Louisiana at
Lafayette, 2020).
A nurse innovator’s position specifically relates to this proposal because the innovation is
directly trying to improve a method to maximize patient’s cares. For this idea to become a
reality, the innovator sat down and brainstormed with stakeholders some different ideas that
could improve patient cares and maximize their outcomes. After much discussion, the decision
of mandating bedside reporting for all different departments was decided upon. Since this facility
already performs care conferences amongst the different interdisciplinary teams, they will simply
move this from a conference room to the bedside if the patient. This allows for open discussion
amongst the team and the patient and their family. In turn, having better communication will
results in the patient understanding their plan of care more thoroughly, all interdisciplinary teams
being on the same page when it comes to discharge planning, and an overall better relationship
between the hospital staff and patients.
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Summary of Community of Practice
The community of practice is a 119-bed hospital that provides primary care and a variety
of specialties. The focus is going to be on inpatient departments like the medical floor, intensive
care unit, and surgical unit but not excluding areas like the emergency department. The medical
and surgical floor hold approximately 50 beds and the intensive care unit holds 10 beds. Within
each department there is typically a charge nurse that manages the floor with addition to the
house supervisor who stations in the emergency department and is a resource for all different
areas. Then typically a director will oversee a couple different departments. Many different
populations are served at this hospital ranging from pediatric to geriatric along with a variety of
races and ethnicities. The town this hospital serves has a population close to 28,400 with the
majority race being white, with the other races and ethnicities include African American,
American Indian, Asian, and Hispanic.
The team members chosen to help move forward this innovation include the chief nursing
officer, the director of the medical/surgical floor and intensive care unit, the nurse educator, and
the project specialist. The chief nursing officer, who acts as a representative and oversees the
nursing staff, is needed as a stakeholder to give this innovation a good start. With her support,
she has the power to ensure that the innovation will reach the necessary departments. Since this
director oversees most inpatient services, her support is also needed to move this innovation
forward. This director is the nursing staff’s “go-to” for larger issues that their charge nurse
cannot assist with. She will be the one to ensure that their staff is implementing the changes set
in place. The nurse educator and project specialist will work together to figure out the logistics of
this innovation and get the “leg work” going. The project specialist will continue to monitor and
review where changes need to be made and if things will need to be adjusted.
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The members involved with this team all share the same value of patient’s care comes
first. Even though everyone is in different positions within the hospital, they still want what is
best for the patient and to maximize their health. This innovation allows for the patient to be
more engaged and informed with their cares. This aligns with the organization’s mission goal
which is to make a positive impact in the lives and health of members of the community by
providing quality services. Allowing for patients to be more involved with their care leads to
more positive outcomes and improves the quality of care.
Internal and External Factors
As it was mentioned above, this organization is focused on making a positive impact on
the community by providing quality care. This hospital is a non-profit and religion based. The
Presentation Sisters are the ones who first initially agreed to open and operate the hospital. Their
mission is routed in the Gospel and is guided by Christian values. Their vision is, “Working
with its partners, Avera shall provide a quality, cost-effective health ministry, which reflects
Gospel values. We shall improve the health care of the people we serve through a regionally
integrated network of persons and institutions” (Avera Health, 2021). More specifically the
values include compassion, hospitality, and stewardship. This innovation incorporates these
values that the organization is based off.
Internal factors are things that an organization can control to help meet objectives such as
staffing, technology, and values. As mentioned above, this institution’s values encompass this
innovation’s idea of promoting hospitality while compassion to patients. This organization’s
leadership is another essential internal factor since it directly impacts their organization’s
culture. The value of employees, the positive nature, and effectiveness of communication are all
outcomes based on the leadership approach. This innovation was prompted because it
encompasses better communication and the appreciation of the different staff members involved