Why Nurses Are Key to Medical Innovation | Ben Gran | TED

I love nursing.

And I also love innovation.

However, often when I speak about innovation

within the field of nursing,

I’m met with:

"Ugh."

And it's understandable.

Innovation in technology within the health care sector

is growing really fast.

And sometimes it can be a little bit difficult to keep up

with the new technologies.

And now, as a new professional within the field,

I'm slowly starting to relate a little bit more to this response.

Us nurses are already really busy.

We're not offered the opportunity to innovate,

and quite frankly, we're not paid enough.

However,

if we could change this attitude of innovation earlier on,

during nursing education,

I believe we could have our future nurses innovate

in a way to improve the working quality for health care professionals,

which in turn will improve patient care.

This is the key to making our future nurses the stakeholders

within the future development of the health care system.

So what is innovation?

It's a bit of an ambiguous word

that can mean a lot of different things to many different people.

But simply put, innovation is looking at a problem,

understanding it and trying to make it better.

And if you make it better, that's innovation.

Innovation can be applied to something which already exists,

or it can be used to develop something completely new.

But before we go deeper into this topic,

let me tell you all a story

which inspired me to have this speech here today.

When I started my final internship for my nursing studies at the end of 2020,

I had an interview with the ward manager on the first day.

One of the questions which she asked me was,

"So, Ben, where do you see yourself going in the next five to 10 years?"

Honestly, I had to think about it for a little while.

And then I told her,

"Well, to be honest, I don't think I can be a nurse forever.

It's really hard work.

Like, really, really hard.

Both physically and emotionally.

But I am passionate about health care

and would love to pursue a future career in health care innovation and technology."

And yes, I know some you might think it’s a little bit strange for a near-graduate

to be planning on leaving his career on the first day of his internship.

And, you know what she said?

Well, she said,

"Oh, I see.

I'm not too sure about this whole innovation thing.

I'm not really a big fan."

Whoa, whoa, whoa, OK.

I was taken aback.

See, that's what I wanted to do.

The egotistical part of me wanted to say,

“What do you mean, you don’t like innovation?

You don't want to improve the working quality for health care professionals,

which, in turn, will improve patient care?”

Well, I didn't say that, obviously.

Instead, I asked her one simple question.

And that was:

"Why?"

And what she told me gave me the biggest light-bulb moment.

She said,

“Well, too often a businessperson or an engineer comes to me

with a new technology or innovative idea.

And more often than not, it's not very user-friendly,

or it just adds more to our workload."

OK.

So I'm standing there and I'm thinking,

Ding!

This is the moment that I realized that there's a huge disconnect

between the developer and the end user within the health care sector.

In fact, this isn't the first time I've gotten this kind of response.

Throughout my studies and now my career,

I've often recognized that there's a bit of a frustration factor

whenever new technologies or processes are introduced.

So on our days full of making reports,

taking patients' vitals,

communicating with doctors, physiotherapists, family members,

taking patients' vitals again and charting

and God, am I forgetting something?

Well, that's honestly on a good day.

But most of the time we're covering for our colleagues

who are away on sick leave due to burnout,

taking on extra administrative roles

because hospitals are trying to save money.

And answering call bells.

The call bells.

Especially to independent patients

who all of a sudden can't do anything for themselves anymore.

So if there's anybody out there who knows a nurse,

which most of you probably do,

go ahead and ask them to share a story with you about call bells

and these kinds of patients.

They’re often quite amusing, but at the time,

oh, so frustrating.

So, yeah,

adding a new technology or process on top of all of this,

especially when going through beta stage flaws,

only adds on to the headache.

And you see, nursing is changing.

It's not the same that it was 20 to 30 years ago.

Neither is the health care system,

and it seems like education has not quite caught up.

A lot of new technologies are being introduced

and most of nurses' time still being spent completing mundane and repetitive tasks.

In addition to this, we're seeing an aging population,

we're seeing an increase in the cost of care,

patients' needs are more demanding

and a shortage in health care staff.

However, we could have these repetitive and mundane tasks of charting

aided by AI and technologies as small as a ring taking patient's vitals.

This would hopefully leave more time for nurses to communicate

and provide care for their patients,

but also give them an opportunity to solve problems within their organizations.

In fact, the World Health Organization estimates

that by 2030

there's going to be a global health care shortage

with nine million those being nursing-specific.

This is caused by experienced nurses coming towards their retirement,

a poor retention rate of new professionals

and less people entering the field altogether.

It's not looking very good.

So we're at a point now where we can no longer wait

and see if these advancements will happen in the health care sector.

We’re at a point now where these advancements, technologies have to happen.

But who are the ones

who should be driving these advancements and technologies?

Well, the answer is, frontline health care workers, nurses.

We're the ones who have been using all of the technologies

which have been introduced thus far.

We work with them every day, see where their flaws are,

and some of us might have pretty good ideas on how to make them better.

But most importantly,

us nurses are the ones who truly understand

what aspects of our jobs can be replaced with future technologies.

If we can combine

the frontline experience of nurses

with the innovative approaches of businesspeople and engineers,

just imagine

the improvements we could see.

We could actually start solving the problems nurses face every day

by including them, the end user,

within the development phase.

So that comes now to my main question.

How do we solve this multi-dimensional issue?

It is quite a big one.

Well, a good start would be by looking into our education system.

From my experience, going through my bachelor degree in nursing,

they take a bunch of nursing students

where a nurse in the front of the class teaches them about nursing.

And it makes sense.

But what this does is it creates a nursing bubble within the university,

and sometimes it can be a little bit difficult

to penetrate through that barrier.

What it does is it narrows your path

to where what you learn is only useful for that profession

without exploration and problem solving within the industry.

As a nursing student going through a bachelor's degree,

you're merely handed the tools and taught how to use them.

There's very little emphasis on being able to look at that tool and thinking,

"Aha, this would work much better if it was made like this."

And here's the thing.

Universities are networking havens.

We're literally working in establishments

where we have people working on business and marketing,

IT, engineering, design, culture, health care.

And that is only the tip of the iceberg.

As a student,

I was lucky enough to be a part of a group

who were really keen on extracurricular innovation projects.

We had a diverse group of students,

myself a nurse, two industrial designers,

a cultural manager and a health tech engineer.

This experience taught me so much about the importance of networking

and how to work within a multi-professional team.

And I couldn’t help but think

that every single student should have an opportunity like this

and solve real-life problems.

But most importantly,

it showed me that we needed each other to make this project become alive.

During the same time,

we also established a nonprofit

which looked at enriching the innovative and entrepreneurial culture

amongst the university students.

I was lucky to have an experience like this,

and I should acknowledge

that there are the beginnings of innovation education

within nursing studies,

but it's at its infancy stage

and not held as a priority within the classroom.

So if there's any nursing educators out there,

in fact, all educators who aren't already doing this, is to --

if there's one thing I would like to ask

is that you let your students out of that bubble.

Make them professionally mix and match, interact, network

and work on projects with students going through different courses

within your university.

From my experience in the projects that I did with my colleagues,

I can see a huge benefit in this kind of cross-course collaboration.

What might come out of it can be truly special,

and the connections you get from them can last a lifetime.

Now, when you really think about it,

how can we develop easily adoptable technologies for nurses

if we never get a chance to learn how to really sit down

and work within a multi-professional team?

So in our future careers as health care professionals,

when we come across a potential problem,

we can draw from those past experiences and networks we gained as students

to at least get started with innovation process.

Now there are many barriers nurses and health tech developers face

within the health care sector.

Educating our nurses about innovation

and what's to come in the future of the health care system,

we can slowly start to make them the stakeholders within the strategy.

However, education is not an end-all solution.

The solution lies in a more integrative approach where education, technology,

governance, leadership, laws, finances are all taken into consideration.

But these are all entire TEDx Talks in themselves

and outside of my personal experience.

So if there's anybody out there listening who's an expert within the field,

I would like to invite somebody to come up here

and speak about how we can start solving these issues.

We need to get this ball rolling

because time is seriously starting to run out.

And now, for myself as a new professional within the field,

if there's a message that I would like to share,

that is that if you’re a start-up, innovator, businessperson, engineer

or anybody working on a health care-related technology or service,

is to get in contact with the nurse.

Ask us how can this product or service be made better

to suit our needs better.

Trust me, we want to help.

That's kind of why we're nurses to begin with.

And while I'm on the topic,

I would also like to encourage nurses and students to get more involved.

Find like-minded people in societies.

These might be part of the hospital you're working for

or within your local university.

And if you have a business or innovation idea, share it.

Speak to people and find other services within your community.

There are health care-related hackathons, incubators

and other kinds of services to help you construct these ideas better.

Now, studies have shown

that innovation empowers nurses

when it looks at ways of improving patient care,

technologies and processes.

However, this is only possible with financial support,

health care leaders promoting an environment

where intellectual creativity is promoted

and employees get the recognition and prestige that they deserve.

However.

Time and time again,

when I've spoken to nurses as a student

and now as a professional,

it seems like there's something preventing nurses from achieving this.

There's something fundamentally preventing nurses from innovating more.

Well, nurses are overworked,

burning out, underpaid,

often unappreciated with their own organizations,

especially within the public sector.

But most importantly,

we aren't offered the opportunity to truly demonstrate our potential.

Now, as AI and technologies assume many tasks

of nurses in the near future,

we need to educate and facilitate our future nurses

to be the stakeholders

within the future development of the health care system.

Our future nurses will be the health care information integrators,

health care consultants, health coaches

and providers of human care,

supported by these technologies and AI,

not replaced by them.

After all ...

One of the first human interactions you have in life

is with a nurse in the maternity ward.

And one of your last will be with a nurse by your bedside.

The way we support our nurses in society is a choice.

So please help us nurses

so we can help you innovate.

Let's build a better future together.

Thank you.

(Applause)