New Trends and Innovation of

Medical-Surgical Nursing
specialty
By

Rasha Mohamed Elmetwaly

lecturer of Medical-Surgical Nursing
Faculty Of Nursing
Ain Shams University
2021
 Outlines
• Introduction
• The key pillars for improvement in medical surgical
nursing
• Improvement in medical surgical nursing education
• Improvement in medical surgical nursing research
• Improvement in medical surgical nursing practice
 Introduction
Introduction
Innovation is the
generation of new ideas
or application of exiting
ideas to a new situation
resulting in improvement
in the organization
 Introduction ( cont.)
• Medical surgical nursing skills are the
backbone of health care delivery system as
they contribute in patients care within the
all nursing speciallities . Medical Surgical
Nurses should be up to date and educate on
all of the latest technology and procedures
in the nursing field and hold one of the most
demanding and challenging careers in
nursing
The Key Pillars for Improvement In Medical Surgical
Nursing is to Improve and Keep up with
Innovations in:

Nursing education

Nursing research

Nursing practice
 1- New Trends regarding
Medical-Surgical Nursing
“Education”
- Nurses should achieve diverse and higher
levels of education and training through an
improved educational system
 COMPETENCY BASED EDUCATION (CBE)

Competency-based education aims to make

students more competent through acquisition of
the required competencies (knowledge, skills,
attitude and ethical values) and further
development of the already acquired
competencies.

7
What are the keys for improvement on
nursing education?

Teacher

Learner/
Student

Curriculum
Learning
environment

Methods of
teaching
and
evaluation
E- learning/Distance learning:
is an online system allow students and staff
to communicate effectively. Students can
access their course from their home through
using technologies such as ipade, mobile phones,
social networking tools.
Blended Learning is a combination of offline
(face-to-face, traditional learning)
and online learning in a way that the one
compliments the other
 Concept-Mapping
is a graphic organized instructional tool
that represent relationships between ideas,
images, or words that assists students to:
- Connect between different nursing concepts.
- Formulate relations and new ideas.
- Improve critical thinking and decision making
for solving problem.
 Jigsaw Classroom
It is a method of organizing classroom activity
that makes students dependent on each
other to succeed .It breaks classes into groups
and breaks assignments into pieces that the
group assembles to complete the (jigsaw)
puzzle .
 For evaluation
• Use valid and reliable competency assessment
method for practice. e.g.

– Virtual labs
– High-Fidelity Simulation
– Objective structured clinical examination (OSCE).
– Objective structured practical examination (OSPE).
– Objective structured video examination (OSVE)
– Digital or Electronic Portfolio
 Virtual Labs
• A virtual laboratory is an interactive environment for
creating and conducting a life like simulated
experiments on the computer screen by combine
animations, illustrations, and videos.
– Give students the opportunity to perform a task or conduct an
experiment.
– Simulate physical laboratory experiments.
– Improve thinking skills.
 High-Fidelity Simulation
• Simulation based education is a powerful educational
intervention and innovation to increase nurses
learner competence, teamwork, self-confidence
measured in the learning laboratory. Students Learn
to enhance their own ability to handle a similar
situation in real life.
 (OSCE) & (OSPE)
OSCE and OSPE are multi-station, objective
examination for clinical subjects used for
evaluating students’ clinical/practical skills e.g.
history taking, physical examination, wound
dressing, drugs administration, giving a health
education, checking vital signs, communication,
attitude, simple procedures etc. using agreed
checklists.
 Objective structured video examinations (OSVE)

• It is a short learning videos (often 3-5 min) that is

designed to meet a specific learning outcomes.

• It is effective in cases scenario-based learning.

• This method is learner-centered with intense
interaction between participants as they build their
knowledge and work together as a group to examine
the case.
 Digital or Electronic portfolio
• Electronic Portfolios are a creative means of
organizing, summarizing, and sharing student
achievements as files, text, images ,etc., on web.
• It used as part of student evaluation along with
other assessment tools such as standardized tests.
2- Innovation and New Trends
Nursing Research
 Expended Dissemination of Research
Findings
• Expanded Dissemination of Research Findings
and Increased Visibility of Nursing Research
through access of scientific and reliable web
sites e.g., Egyptian Knowledge Bank , Google
scholar , Research gate.
• The Egyptian Knowledge Bank (EKB) is an online
library archive and resource that provides access
to learning resources and tools for educators,
researchers, students, and the general public of
Egypt.
• Online Library resources includes :
– Elsevier
– SAGE Online Journals
– Scopus
– Springer Journals
– E-Books
– Wiley
– Cambridge University Press
• Google Scholar It is a simple way to search
for scholarly literature. Search across
many disciplines and sources:
–Articles, Theses, Books, Abstracts, etc..,
• Access: https://scholar.google.com.eg
• Research Gate is available to consumer,
students, researchers and scientists from all
scientific fields, ….etc.
• The researcher can set up and present his
historical, earlier and recent work or
publications.
 EVIDENCE BASED RESEARCH
▪ Involves collecting, evaluating and implementing
evidence to improve patient care and outcomes.
• It Arising from well conducted and reviewed research
studies, ideally conducted in clinical areas.
 Precision(personalized) Nursing :

• Is nursing care based on patient needs. So, the

nurse researchers should develop more tools
related to health data collection and improve
the ability of data analysis to provide clinical
nurses with a prospective guide.
 Current Trends in Nursing Research

• Searching new therapeutic modalities

• Nano Technology Research

• Gen therapy research

• Stem cell transplantation research

• Gene therapy is a technique for correcting defective
genes responsible for disease development by
inserting a “normal” gene into the genome to replace
an “abnormal” one.
• Current trends in gene therapy affect nursing
practice and research. The nurses are required to
have advanced knowledge, adherence to ethical
and regulatory guidelines of gene transfer and
safety and standardized techniques for patients’
care
• Marrow injury can occur because of primary
marrow failure, destruction or replacement of
marrow by disease, or intensive chemical or
radiation exposure.
• Expanding research in this area and prevalence of
this trend lead to increase demand for specialized
training nurse.
3-New Trends in Medical Surgical
Nursing specialty Practice
 New trends in Nursing Practice

Using New Trends Technology in practice is

an important tool for improving nursing
performance, providing quality of health
care and patient’s safety .
 Nanotechnology application and covide-19

• Nanotechnology could help the fight

against COVID-19 through different
approaches, such as avoiding viral
contamination by:
• (a) design of infection-safe personal
protective equipment (PPE).

• (b) development of a nano-based

vaccination to cellular immune
responses.
Cont., Nanotechnology application and covide-19

• The CDC (U.S. Centers for Disease and

Control and Prevention, 2020) estimates up to
40% of infected individuals with Covid -19 do
not experience symptoms.

design of highly specific and sensitive

nano-based sensors to quickly identify
the infection.
 Electronic Health Record
• EHR systems are patients’ chart in digital format
built to share patients’ data between healthcare
providers and organizations including:
– Laboratory investigations
– Medical imaging
– Medical history
– Allergy
– Treatment
– Diagnosis
 Less Invasive and More Accurate Tools for
Diagnostics and Treatment

Capsule endoscopy Continuous glucose- Pain-Free Blood Testing

that can safely be monitoring (CGM) System Technology Patient can
admia nurse in implanted in the upper be able to draw blood by
arm or in the abdomen to
primary care settings read glucose levels without them self than simply take
nistered orally by to finger pricks and with it to the clinical lab.
collect esophageal longer staying inside the
cells for analysis body (90 days) .
 - Robots to Assist Nurses

What is Robot :
A reprogrammable , multifunctional manipulator designed
to move material ,parts ,tools or specialized devices through
various programmed motions for the performance of variety of
tasks (British Automated and Robot Association,2017).

In Japan, a robot has been developed as

an assistant to lift up and move patients from
beds to wheelchairs and reduce debilitating lifting
injuries.
 Uses of Robots in nursing
Practice
1 - Monitor patients vital
2 - Remind signs
the patients to take their pills
3 - Remaining healthy muscle tissue for
stroke patients by offering range of motion
exercise.
4 - Help paraplegic patients to move in and
out of bed
5 - Submit medical data into a centralized
medical IT
system
 Tele-Nursing Application

Tele-nursing
refers to the use of telecommunication and information technology
for providing nursing services in health care facility whenever a
geographical distance exists between patient and nurse, or between
any numbers of nurses
Application of Tele-nursing It is applied
- in homecare management of patients who are immobilized , who
have ailments, such as chronic obstructive pulmonary disease,
diabetes, congestive heart disease, etc. May stay at home and be
assisted by a nurse via video-conferencing ,internet, videophone.
- IN home care management of patients post-surgical situations
New Technology for Patient Assessment