234 Chapter 8 different healthcare professionals show that it always takes time for new evidence and protocols to be adopted as well [52-54]. How can we tackle the challenge of integrating evidence and innovation into nursing practice using implementation science? I am confident that implementation science can help looking at integrating evidence and innovations into practice from different angles, together with other professionals and disciplines, using a scientific approach. Furthermore, it would be interesting to make use of AI applications to help select appropriate implementation strategies. Additionally, involving implementation experts in future research on evidence-based interventions is critical. Just as we involve statisticians in research projects, we should also engage implementation scientists to prepare for integration in daily practice in an early stage. With a commitment to scientific rigor, perhaps in 15 years, we will no longer face a 15-year gap between innovation and implementation. Envisioning fundamental care in 2040 This scenario illustrates how advanced AI, integrated technology, and successful implementation could transform fundamental nursing care. Fundamental care in 2040: Taking care of a patient with heart failure A 51-year-old man with heart failure was admitted to the emergency department, complaining of nausea, fatigue, and edema, and then transferred to the cardiology ward. Nursing triage consists of the nurse’s clinical view and an extensive AI risk assessment, resulting in a tailored nursing care plan. The nurse identifies the risk of falling with her clinical reasoning, while the AI-Risk Assessment integrated into the electronic health record indicates a high risk for developing pressure ulcers and risk for malnutrition. Hence, the patient will not be placed on the usual stretcher, because the AI-Risk Assessment already ordered a smart medical bed with an integrated scale and alternating pressure surface. The medical bed can also assist the nurse and patient in fall prevention, early mobilization, and pressure ulcer prevention. The nurse orders a dietician’s consult to assess the nutritional status and prepare a tailored care plan. The nurse discusses the risks with the patient and suggests activating the integrated fall-risk detection. The patient disagrees, however, feeling adequately capable of getting in and out of bed to go to the bathroom without falling. The nurse acknowledges the patient’s opinion and also talks with him about his unexpected admission and the possible stress he has experienced.
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