The Changing Landscape of Acute Care Nursing Marsha Prater PhD, RN, NEA-BC Senior Vice President and Chief Nursing Officer Memorial Health System Illinois League for Nursing Annual Meeting October 16, 2015

Overview Patient Complexity Interprofessional Care Teams Technology Regulatory Requirements Quality/Safety Agenda Impact on Academic Preparation

Complex Patient Needs/Shorter LOS Clinical Clinical Pyschosocial Pyschosocial Cultural Cultural Economic Economic Therapeutic Regimen Therapeutic Regimen Care Transitions Care Transitions

Interprofessional Care Teams RolesTeamworkCommunicationCollaborationCoordination

Technology Data Devices AlarmsSafety

Regulatory Requirements Oversight/Scrutiny Standards/Rules Privacy/HIPAA Social Media Documentation

Quality/Safety Agenda Zero Defects Report Cards Simulation Training Patient Satisfaction Performance 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