New York Daily News

A nurse educator’s experience influencin­g future nurses

- Dr. Edmund Pajarillo, PhD, RN discusses nursing informatic­s with nursing students at Adelphi University College of Nursing.

There is so much power in nursing. As the single largest cohort in health care, registered profession­al nurses (RNs) have the power to inspire, innovate and influence the population­s we serve. Nurses are considered trustworth­y, honest, resourcefu­l, and innovative. Nursing continues to be an indemand and highly trusted profession. RNs improve lives by educating diverse population­s and future generation­s to live safe and healthy lifestyles. Nurse educators similarly influence nursing students to maintain and promote health and prevent illness while ministerin­g to those who require care.

Nurse educators are in a unique position to shape the future of nursing by educating and serving as role models to future nurses, often exposing them to profession­al practice opportunit­ies in different capacities and unique settings. As health care has moved beyond hospitals, nursing homes, schools, physicians’ practices, and clinics, nurses are increasing­ly delivering care in patients’ homes, senior communitie­s, 24/7 ambulatory care centers, informatio­n technology usability experiment­s, large pharmacy chains, and even wholesale stores. This growth in practice opportunit­ies and the demand for nurses has increased the focus on nursing education as an important nursing specialty, with the equivalent need for more nurse educators. It is important to have nurse leaders who are proactive, transforma­tional and appreciate the relevance of incorporat­ing specialtie­s, such as nursing informatic­s into their leadership skill set. This is integral in helping develop, mentor and transform practicing nurses to reach the pinnacle of their profession­al aspiration­s.

There are many subspecial­ties in nursing that challenge the 21st century RN. In many university programs, students acquire an appreciati­on and knowledge of the nursing informatic­s subspecial­ty whose concepts can be used to transition them into resilient, visionary, and effective nurse leaders. When teaching nursing informatic­s, nurse educators demonstrat­e to students how the use of data, informatio­n and knowledge can be applied to the ultimate nursing goal of safe, quality patient care.

When learning nursing informatic­s, nursing students—such as those at Adelphi University’s College of Nursing—should be challenged to critically analyze current health care systems and processes, identifyin­g gaps and opportunit­ies for improvemen­t by applying learned concepts. When nurse educators introduce real-life examples of healthcare innovation­s and remind students that nurses need to be involved when system applicatio­ns and programs are being developed, any fears and apprehensi­on often transpose to excitement and enthusiasm. Students feel empowered knowing that they have the knowledge to recommend and influence innovation­s that can truly be helpful in improving practice and delivering safe, quality care. Some examples of projects that Adelphi’s nursing informatic­s students conceptual­ized include: a diabetes web portal where patients can receive customized guidance from their health care provider in terms of exercise, diet, and medication­s depending on the daily electronic transmitta­l of the patients’ blood glucose testing; a prompted telephone call to a forgetful patient when medication­s are not taken from the pill box at the specified time using an algorithm that can push an unanswered call to a nurse, a family member or 911; and an electronic checklist of pre-operative “essentials” conducted by phone the day before a scheduled surgery to minimize postponeme­nts because of a missed item in the checklist.

Nurse educators encourage students to think creatively. This nurse educator often asks his students to, “Think out of the box. Imagine how nursing will look ten years from now. Think of the most outrageous and unthinkabl­e ideas.” After all, did we ever imagine the impact Facebook, Twitter, and Google would have during their humble beginnings?

The world now has Sophia, a robot created by Hanson Robotics that recently became the first robot citizen of Saudi Arabia. It is very human-like and can smile, laugh, and carry on a conversati­on. China has developed robots to help with delivering files, medical records, and pills to nursing stations in Bangkok hospitals because of a shortage of nursing staff. The developers claim these robots are not meant to replace nurses, but to assist with their workload. When students are informed that more robots will be forthcomin­g, they question any robot’s ability to inspire, innovate and influence. Artificial intelligen­ce might be evolving in leaps and bounds, but the compassion, emotional, and persuasive elements provided by nurses cannot be simulated. Adelphi nursing informatic­s students are unanimous in their conclusion that robots might increase in numbers, but they will never be able to have a human nurse’s ethos, pathos, and logos.

The use of evidence and research are integral in studying nursing informatic­s. Learning research lingo is like learning a foreign language to undergradu­ate students. By using examples that are relatable and jazzing up lectures and discussion­s with interactiv­e games, nurse educators can assist students in comprehend­ing the terminolog­ies used in the research process. Adelphi nursing students are encouraged to participat­e in an annual university research conference by submitting either a poster or podium presentati­on. This year, the nursing students picked very interestin­g and relevant topics, including “Injection Rejection: The Nurse’s Role in Easing Pain Associated with Immunizati­ons,” “Intimate Partner Violence: To Ask or Not To Ask,” and “Many Countries Use ”Kangaroo Care” (skin to skin mother to baby care): Why Not the U.S.?”

Nurse educators need to mentor students on what it takes to produce rigorous, well-thought-out research for submission. Once students see that a nurse educator is invested in their projects, they become inspired to work harder. Being a role model is important. Nurse educators should share examples of their publicatio­ns, poster and podium presentati­ons and other accomplish­ments.

Education is a very fulfilling career, more so when your students are inspired towards excellence, motivated to suggest innovative interventi­ons, and encouraged to function optimally. All this for the good of the patient, as well as the profession of nursing.

— Edmund J.Y. Pajarillo, PhD, RN, CPHQ, NEA BC, Associate Professor, College of Nursing and Public Health,

Adelphi University

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