Innovation, Surely Not Me

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Innovation, Surely Not Me?

• By
• Oculoplastic Specialist Nurse
• JOHN COOPER

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c. 1650

• Archbishop James Ussher of the Church of Ireland

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6,000 years of history

• Biblical chronology
• Descendants of Adam
• World created in 4004 BC
• at about lunchtime

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The Grandfather of modern Geology

• 1788
• James Hutton
• Edinburgh, Scotland
• he had a keen eye for rocks..

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Huttons interest led to a question.

• Just how old was the earth?

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4.6 billion years old

• Siccar Point
• Huttons Unconformity
• Sediments formed, eroded, uplifted, contorted
• the earth was considerably older than Adam

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Creativity and innovation, new ways of thinking..

• In order to change their often calls for a
  re-evaluation and perhaps a rejection of routine
  ways of working and thinking, to question
  traditional approaches to problem solving.
• Howkins Thornton 2002

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Government initiative?

• The New NHS (DoH 1997)
• - Introduced the notion of joint-working and
  collaborative work.
• Making a difference (1999)
• - Laid out an agenda for the Modernisation of
  nursing, a new culture.
• The NHS Plan (2000)
• -A more fluid working relationship,
  multidisciplinary team.

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Cheers Tony..

• There are too many old demarcations, especially
  between nurses, doctors and consultants too
  little use of new technology too much
  bureaucracy too many outdated practices too
  great an adherence to the way weve always done
  it rather than the way the public servants would
  like to do if they got the time to think and the
  freedom to act.
• (Blair 2001)

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The challenge.

• The NHS is
• Centralised
• Hierarchical
• Authoritarian
• Closed
• Formal
• Top-Down
• Reactive

• Within the NHS there is..
• Lack of money
• Lack of equipment
• Lack of enthusiasm
• No staff
• Lack of time
• Lack of leadership
• Lack of enterprise

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and heres my challenge,

• Orbital exenteration
• Full thickness Skin Graft
• Squamous Cell Carcinoma
• 4 18 month healing
• Devoid of literature
• Coping strategies

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Adopting a new way of thinking..

• Cavity wounds
• Many dressings available
• Several attempts
• Cost
• Practicality
• Aquacell

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AlternativesVAC Therapy?

• Vacuum Assisted Closure

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Mountain to climb?

• Had a question
• Motivation
• Looked at the present thinking / practice
• Prepared to undermine the thinking or rethink
• Structure a hypothesis
• Research and used a evidence base
• observation

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Why

• Patient need
• Debilitating
• Personal challenge
• New ground
• Reflection
• Advances in wound care
• Holistic practitioner role
• We are carers not robots creative caring
• Team approach

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Surely you are an innovative worker

• Autonomy
• -a feature of sophisticated practice
• Advanced Practice
• -a Higher Level of care
• Accountability
• -to the patient
• Academic
• -the buck does not stop here
• Answer
• -what are the questions

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THANK YOU

• ANY QUESTIONS?