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

翻译人员: MOSAAB MOHMED zEINELABDIN MOHAMED 校对人员: sylvia feng

I love nursing.

我喜欢护理。

And I also love innovation.

我也喜欢创新。

However, often when I speak about innovation

然而，当我经常谈到创新时

within the field of nursing,

在护理领域内，

I’m met with:

我遇到了：

"Ugh."

“呃。”

And it's understandable.

这是可以理解的。

Innovation in technology within the health care sector

医疗保健领域的技术创新

is growing really fast.

增长非常快。

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

有时跟上可能有点困难

with the new technologies.

与新技术。

And now, as a new professional within the field,

而现在，作为一个新 的该领域的专业人士，

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

我慢慢开始联系对这个回应多一点。

Us nurses are already really busy.

我们护士已经很忙了。

We're not offered the opportunity to innovate,

我们没有被提供创新的机会，

and quite frankly, we're not paid enough.

坦率地说，我们的报酬还不够。

However,

然而，

if we could change this attitude of innovation earlier on,

如果我们能更早地 改变这种创新态度，

during nursing education,

在护理教育期间，

I believe we could have our future nurses innovate

我相信我们可以让 我们未来的护士创新

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

在某种程度上，提高医疗保健专 业人员的工作质量，

which in turn will improve patient care.

这反过来将改善患者护理。

This is the key to making our future nurses the stakeholders

这是制作的关键我们的未来 是利益相关者的护理

within the future development of the health care system.

在未来的发展中的医疗保健系统。

So what is innovation?

那么什么是创新呢？

It's a bit of an ambiguous word

这是一个有点模棱两可的词

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

这对许多不同的人可能意味 着很多不同的事情。

But simply put, innovation is looking at a problem,

但简单地说，创新正在看一个问题，

understanding it and trying to make it better.

理解它并试图让它变得更好。

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

如果你让它变得更好，那就是创新。

Innovation can be applied to something which already exists,

创新可以应用于已经存在的东西，

or it can be used to develop something completely new.

或者它可以用来开发全新的东西。

But before we go deeper into this topic,

但在我们深入探讨这个话题之前，

let me tell you all a story

让我给大家讲一个故事

which inspired me to have this speech here today.

这启发了我今天在这里发表这 个演讲。

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

当我开始我的最后一次实习时对于 我在2020年底的护理学习，

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

第一天我和病房经理进行了面谈。

One of the questions which she asked me was,

问题之一她问我是，

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

“那么，本，你认为未来5到10 年自己会走向何方？”

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

老实说，我不得不考虑一会儿。

And then I told her,

然后我告诉她，

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

“好吧，说实话，我不认为 我能永远当护士。

It's really hard work.

这真的很辛苦。

Like, really, really hard.

就像，真的，真的很难。

Both physically and emotionally.

无论是身体上还是情感上。

But I am passionate about health care

但我对医疗保健充满热情

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

并希望在医疗保健创新和技术领域 从事未来的职业。

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

是的，我知道有些人可能会认为这对 一个即将毕业的人来说有点奇怪

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

计划在实习的第一天 离开他的职业生涯。

And, you know what she said?

而且，你知道她说了什么吗？

Well, she said,

嗯，她说，

"Oh, I see.

“我懂了。

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

我对此不太确定整个创新的事情。

I'm not really a big fan."

我不是真正的忠实粉丝。”

Whoa, whoa, whoa, OK.

哇，哇，哇，好的。

I was taken aback.

我吃了一惊。

See, that's what I wanted to do.

看，这就是我想做的。

The egotistical part of me wanted to say,

我自负的部分想说，

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

“你是什么意思，你不喜欢创新？

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

你不想改善工作医疗 保健专业人员的质量，

which, in turn, will improve patient care?”

反过来，会改善病人护理吗？”

Well, I didn't say that, obviously.

好吧，显然我没有这么说。

Instead, I asked her one simple question.

相反，我问了她一个简单的问题。

And that was:

那是：

"Why?"

“为什么？”

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

她告诉我的给了我 最大的灯泡时刻。

She said,

她说，

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

“好吧，很多时候一个 商人或者工程师来找我

with a new technology or innovative idea.

用新技术或创新的想法。

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

而且通常情况下， 它不是很用户友好，

or it just adds more to our workload."

或者它只会增加我们的工作量。”

OK.

好的。

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

所以我站在那里，我在想，

Ding!

叮！

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

这是我意识到的 那一刻存在巨大的脱节

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

在开发人员和最终用户之间在 医疗保健部门内。

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

其实这不是第一次 我得到了这样的回应。

Throughout my studies and now my career,

在我的整个学习 和现在的职业生涯中，

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

我经常认出有一点令人沮丧的因素

whenever new technologies or processes are introduced.

每当新技术或流程介绍。

So on our days full of making reports,

所以在我们忙于做报告的日子里，

taking patients' vitals,

采集患者的生命体征，

communicating with doctors, physiotherapists, family members,

与医生沟通，物理治疗师、 家庭成员、

taking patients' vitals again and charting

再次记录患者的生命体征并绘制图表

and God, am I forgetting something?

上帝啊，我是不是忘记了什么？

Well, that's honestly on a good day.

好吧，那真是美好的一天。

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

但大多数时候我们 正在为我们的同事掩护

who are away on sick leave due to burnout,

因倦怠而休病假的人，

taking on extra administrative roles

承担额外的管理角色

because hospitals are trying to save money.

因为医院正在努力省钱。

And answering call bells.

并接听电话铃。

The call bells.

呼叫铃声。

Especially to independent patients

特别是对于独立患者

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

突然什么都做不了的人为自己了。

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

所以如果有人出去 那里谁认识护士，

which most of you probably do,

你们中的大多数人可能会这样做，

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

继续并要求他们分享跟你讲一 个关于电话铃的故事

and these kinds of patients.

以及这些类型的患者。

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

他们通常很有趣，但当时，

oh, so frustrating.

哦，真令人沮丧。

So, yeah,

是的，

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

添加一项新技术或在所有这些 之上进行处理，

especially when going through beta stage flaws,

尤其是在经过的时候 测试阶段的缺陷，

only adds on to the headache.

只会增加头痛。

And you see, nursing is changing.

你看，护理正在发生变化。

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

和以前不一样了20到30年前。

Neither is the health care system,

医疗保健系统也不是，

and it seems like education has not quite caught up.

这似乎是教育还没有完全赶上。

A lot of new technologies are being introduced

很多新技术正在介绍

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

大部分护士的时间都花在 完成平凡而重复的任务。

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

除此之外，我们看到人口老龄化，

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

我们看到了增长在护理费用中，

patients' needs are more demanding

患者的需求更加苛刻

and a shortage in health care staff.

以及医护人员短缺。

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

然而，我们可以让这些重复的 和图表的平凡任务

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

在人工智能和技术的帮助下，小作为 采集患者生命体征的戒指。

This would hopefully leave more time for nurses to communicate

这有望留下更多护士沟通的时间

and provide care for their patients,

并为他们的病人提供护理，

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

也给他们机会去解决 他们组织内部的问题。

In fact, the World Health Organization estimates

事实上，世界卫生组织估计

that by 2030

到 2030 年

there's going to be a global health care shortage

将会有全球医疗保健短缺

with nine million those being nursing-specific.

九百万人特定于护理。

This is caused by experienced nurses coming towards their retirement,

这是由经验丰富的护士 造成的即将退休，

a poor retention rate of new professionals

新专业人员的保留率低

and less people entering the field altogether.

人少完全进入领域。

It's not looking very good.

它看起来不太好。

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

所以我们现在到了我们不能再等了

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

看看这些进步是否将 发生在医疗保健领域。

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

我们现在正处于这些进步， 技术必须发生。

But who are the ones

但是那些是谁

who should be driving these advancements and technologies?

谁应该开车这些进步和技术？

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

嗯，答案是，前线医护人员、护士。

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

我们是一直在使用的人所有的技术

which have been introduced thus far.

到目前为止已经介绍过。

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

我们每天和他们一起工作， 看看他们的缺点在哪里，

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

我们中的一些人可能有很好的对于如 何使它们变得更好的想法。

But most importantly,

但最重要的是，

us nurses are the ones who truly understand

我们是护士谁真正明白

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

我们工作的哪些方面可以 用未来的技术代替。

If we can combine

如果我们可以结合

the frontline experience of nurses

护士的一线经验

with the innovative approaches of businesspeople and engineers,

用创新的方法商人和工程师，

just imagine

想象一下

the improvements we could see.

我们可以看到的改进。

We could actually start solving the problems nurses face every day

我们实际上可以开始解决护士 每天面临的问题

by including them, the end user,

通过包括他们，最终用户，

within the development phase.

在开发阶段。

So that comes now to my main question.

那么现在来谈谈我的主要问题。

How do we solve this multi-dimensional issue?

我们如何解决这个多维问题？

It is quite a big one.

这是一个很大的。

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

好吧，一个好地开始将是通过研究 我们的教育系统。

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

根据我的经验，经历我 的护理学士学位，

they take a bunch of nursing students

他们带了一群护生

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

班级前面的护士教他们护理知识。

And it makes sense.

这是有道理的。

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

但这样做的目的是 创造大学内的护理泡泡，

and sometimes it can be a little bit difficult

有时它可以有点难

to penetrate through that barrier.

穿透那个屏障。

What it does is it narrows your path

它的作用是缩小你的路径

to where what you learn is only useful for that profession

到你所学只有用处的地方对于那 个职业

without exploration and problem solving within the industry.

没有探索和解决问题行业内。

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

作为一名护生经历学士学位，

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

你只是得到了工具并 教授如何使用它们。

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

很少强调能够看着 那个工具和思考，

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

“啊哈，这样效果会好得多 如果它是这样制作的。”

And here's the thing.

事情是这样的。

Universities are networking havens.

大学是社交的天堂。

We're literally working in establishments

我们实际上是在机构工作

where we have people working on business and marketing,

我们有人的地方从事 商业和营销工作，

IT, engineering, design, culture, health care.

IT、工程、设计、 文化、医疗保健。

And that is only the tip of the iceberg.

而这只是冰山一角。

As a student,

作为一个学生，

I was lucky enough to be a part of a group

我很幸运能成为一个团体的一员

who were really keen on extracurricular innovation projects.

谁真的热衷于关于课外创新项目。

We had a diverse group of students,

我们有各种各样的学生，

myself a nurse, two industrial designers,

我自己是一名护士， 两名工业设计师，

a cultural manager and a health tech engineer.

文化经理和一名健康技术工程师。

This experience taught me so much about the importance of networking

这段经历教会了我 很多关于网络的重要性

and how to work within a multi-professional team.

以及如何在其中工作 一个多专业的团队。

And I couldn’t help but think

我忍不住想

that every single student should have an opportunity like this

每个学生都应该拥有像这样的机会

and solve real-life problems.

并解决现实生活中的问题。

But most importantly,

但最重要的是，

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

它告诉我我们需要彼此 让这个项目变得有活力。

During the same time,

同时，

we also established a nonprofit

我们还成立了一个非营利组织

which looked at enriching the innovative and entrepreneurial culture

它着眼于丰富创新和创业文化

amongst the university students.

在大学生当中。

I was lucky to have an experience like this,

我有幸拥有这样的经历，

and I should acknowledge

我应该承认

that there are the beginnings of innovation education

有开始创新教育

within nursing studies,

在护理研究中，

but it's at its infancy stage

但它还处于起步阶段

and not held as a priority within the classroom.

并没有被列为优先事项教室内。

So if there's any nursing educators out there,

所以如果有任何护理 那里的教育工作者，

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

事实上，所有的教育工作者谁还没 有这样做，就是——

if there's one thing I would like to ask

如果有一件事我想问

is that you let your students out of that bubble.

是你让你的学生 从那个泡泡里出来。

Make them professionally mix and match, interact, network

让他们专业混合搭配、互动、网络

and work on projects with students going through different courses

和学生一起做项目经历不同的课程

within your university.

在你的大学里。

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

根据我在项目中的经验 我和我的同事一起做的，

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

我可以看到这种巨大 的好处的跨学科协作。

What might come out of it can be truly special,

可能会产生什么结果可以真正特别，

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

以及你从他们那里获得 的联系可以持续一生。

Now, when you really think about it,

现在，当你真正想到它时，

how can we develop easily adoptable technologies for nurses

我们怎样才能开发出 易于采用的护士技术

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

如果我们永远没有机会 学习如何真正坐下

and work within a multi-professional team?

并在多专业团队中工作？

So in our future careers as health care professionals,

所以在我们以后的职业生涯中作为 医疗保健专业人员，

when we come across a potential problem,

当我们遇到潜在问题时，

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

我们可以从过去的经验中吸取教训和 我们作为学生获得的网络

to at least get started with innovation process.

至少开始与创新过程。

Now there are many barriers nurses and health tech developers face

现在护士有很多障碍和 健康技术开发人员面临

within the health care sector.

在医疗保健部门内。

Educating our nurses about innovation

对我们的护士进行创新教育

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

以及未来会发生什么医疗保健系统，

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

我们可以慢慢开始制作它们 战略中的利益相关者。

However, education is not an end-all solution.

然而，教育不是一个 最终的解决方案。

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

解决方案在于更加综合教育、技术、

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

治理、领导、法律、 财务都被考虑在内。

But these are all entire TEDx Talks in themselves

但这些都是完整 的TEDx 演讲本身

and outside of my personal experience.

在我个人经验之外。

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

所以如果有人在那里 听谁是该领域的专家，

I would like to invite somebody to come up here

我想邀请有人过来

and speak about how we can start solving these issues.

来讲关于我们要如何解决这些问题。

We need to get this ball rolling

我们需要让这个球滚动起来

because time is seriously starting to run out.

因为时间很认真开始用完了。

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

而现在，作为一个新的我自己 领域内的专业人士，

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

如果有消息我想分享的，

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

也就是说，如果你是一家初创公司， 创新者、商人、工程师

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

或任何从事某项工作的人与医疗保 健相关的技术或服务，

is to get in contact with the nurse.

是为了与护士取得联系。

Ask us how can this product or service be made better

问我们这个产品如何或服务做得更好

to suit our needs better.

更好地满足我们的需求。

Trust me, we want to help.

相信我，我们愿意提供帮助。

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

这就是为什么我们首先是护士。

And while I'm on the topic,

当我谈到这个话题时，

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

我也想鼓励护士和学生更多地参与。

Find like-minded people in societies.

在社会中寻找志同道合的人。

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

这些可能是医院的一部分你在为

or within your local university.

或在您当地的大学内。

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

如果你有生意或创新想法，分享它。

Speak to people and find other services within your community.

与人交谈并寻找其他 服务在你的社区内。

There are health care-related hackathons, incubators

有保健相关的黑客马拉松、孵化器

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

和其他类型的服务来帮助 你更好地构建这些想法。

Now, studies have shown

现在，研究表明

that innovation empowers nurses

创新赋予护士权力

when it looks at ways of improving patient care,

当它寻找方法时改善病人护理，

technologies and processes.

技术和流程。

However, this is only possible with financial support,

然而，这只是可能的在资金支持下，

health care leaders promoting an environment

医疗保健领导者促进环境

where intellectual creativity is promoted

促进智力创造力的地方

and employees get the recognition and prestige that they deserve.

和员工得到认可和他们应得的声望。

However.

然而。

Time and time again,

一次又一次，

when I've spoken to nurses as a student

当我作为学生与护士交谈时

and now as a professional,

现在作为一名专业人士，

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

好像有什么阻止护士实现这一目标。

There's something fundamentally preventing nurses from innovating more.

有一些根本性的东西阻止 护士进行更多创新。

Well, nurses are overworked,

好吧，护士们太劳累了，

burning out, underpaid,

筋疲力尽，工资过低，

often unappreciated with their own organizations,

经常不被欣赏与他们自己的组织，

especially within the public sector.

特别是在公共部门。

But most importantly,

但最重要的是，

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

我们没有机会真正展示我们的潜力。

Now, as AI and technologies assume many tasks

现在，随着人工智能 和技术承担多项任务

of nurses in the near future,

在不久的将来，护士们，

we need to educate and facilitate our future nurses

我们需要教育和促进我们未来的护士

to be the stakeholders

成为利益相关者

within the future development of the health care system.

在未来的发展中的医疗保健系统。

Our future nurses will be the health care information integrators,

我们未来的护士将是 健康护理信息集成商，

health care consultants, health coaches

保健顾问、健康教练

and providers of human care,

和人类关怀的提供者，

supported by these technologies and AI,

在这些技术和人工智能的支持下，

not replaced by them.

没有被他们取代。

After all ...

毕竟 ...

One of the first human interactions you have in life

最早的人类之一你在生活中的互动

is with a nurse in the maternity ward.

在产房和护士在一起。

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

你的最后一个将是有 护士在您的床边。

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

我们支持护士的 方式在社会上是一种选择。

So please help us nurses

所以请帮助我们护士

so we can help you innovate.

这样我们就可以帮助您进行创新。

Let's build a better future together.

让我们一起建设更美好的未来。

Thank you.

谢谢你。

(Applause)

（掌声）