Leadership and Management in Nursing

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1 Leadership and Management in Nursing Mary M. Gullatte, PhD, RN, AOCN, FAAN Vice President of Patient Services and Chief Nursing Officer Emory University Hospital Midtown Atlanta, Georgia, USA April 2012

2 Leadership and Management in Nursing Learner Objectives: At the conclusion of this presentation the participant will be able to: 1. Describe leadership qualities in self and others 2. Outline the difference in leadership and management 3. Review leadership skills for effecting positive change and transforming the work environment 4. Define key strategies for developing and mentoring future oncology nurse leaders 2

3 Leadership and Management Leadership and management are not the same Managers focus on doing the thing right Leaders focus on doing things right All leaders are not managers Leaders do not need to choose management to make a difference 3 Spitzer, R. (2007).

4 Leadership and Management Leadership Behavioral Promote Change Mobilizes followers Inspires a shared vision Mentors Management Organization, operations, and tactics Manage resources Sets priorities Set the tone Set the pace 4

5 Leadership and Management Manager Administers Copy Maintains Focus on systems & structure Control Short-range view How and when Bottom line Leader Innovates Original Develops Focus on people Inspires trust Long-range view What and why Eye on the horizon 5

6 Model of Nursing Leadership Education Continuous Learning Practice Research Gullatte, 2012

7 Leadership Identify Characteristics of Admired Leaders in Your Life? 7

8 CHARACTERISTICS.Were these on your list? Integrity Honest Visionary Competent Fair Supportive Broad-minded Intelligent Courageous Mature Determined Ambitious Loyal Self-controlled Independent Cooperative Self-assured Caring 8

9 Leaders Everyone is a leader People with high hopes are also high achievers Consistency Compassionate Sustain hope Visionary Relationships - Bring people together Service- you serve a purpose for the people 9

10 Transformational Leadership Building and Leveraging Your Leadership Strengths for Organizational Success 10

11 Today s Leader Develops Relationships Creates a Vision Is a Servant Seizes Authority Garners Credibility Mentors the next generation Gullatte, M. (2011). Nursing Management: Principles and Practice. 11

12 Authority?? Influence that commands respect and confidence. BELIEVE Approach your dreams and goals with Authority Conquer your doubts with confidence Dare to make a difference Dare to take a risk Failure is not the END it is a BEGINNING Failing Forward, John C. Maxwell (2000)--Turning Mistakes into Stepping Stones for Success 12

13 5 Practices of Exemplary Leaders Challenge the Process Inspire a Shared Vision Enable Others to Act Model the Way Encourage the Heart Adapted from Kouzes and Posner (2007) Leadership challenge. 4 th ed. Josey-Bass 13

14 Challenge the Status Quo Search for opportunities Seize the initiative Innovate and create Commitment Look outward for fresh ideas Experiment and Take Risks Learn from mistakes Generate small wins Kouzes & Posner (2002) Leadership Challenge. 14

15 Inspire a Shared Vision Envision the Future Forward looking Having a vision Possibility thinker Kirk Do not believe in a no win scenario Enlist Others Develop a shared sense of destiny Appeal to shared aspirations Give life to your vision Kouzes & Posner (2007) Leadership challenge. 15

16 Mentor and Support Others to Act Foster Collaboration Improves performance Builds relationships Builds trust Positive Interactions Strengthen Others Generate power all around (empower others) Foster accountability Provide choices Develop competence and confidence Adapted from: Kouzes & Posner (2002) Leadership Challenge. 16

17 Modeling the Way Find your VOICE Clarify your values Express yourself Embrace your inner most thoughts & aspirations Set the Example Build and affirm shared values Align actions with values DWYSYWD Adapted From: Kouzes & Posner (2002) Leadership Challenge. 17

18 Encourage the Heart Recognize contributions Focus on clear standards Expect the best Personalize recognition Show appreciation for excellence Celebrate Successes Create a Spirit of Community Set the example Manage up (Studer,) Tell the Story Adapted From: Kouzes & Posner (2007) Leadership 18 Challenge.

19 The Making of Tomorrow s Nurse Leaders Twelve Key Action Roles of a Leader 1. Trust your judgment 2. Inspire a shared vision 3. Build relationships and encourage the heart 4. Innovative and creative 5. Challenge and seize opportunities 6. Act authoritatively 7. Patients first 8. Fiduciary responsibility with the organization 9. Take and share risk 10. Be prepared and accountable 11. Build teams and be a great team member 12. Communicator 13. Be a mentor and Empower others 19

20 Leading Change in an Environment of Change What Oncology Nurse Leaders Need to Know and Do to Achieve Desired Outcomes Set Direction Engage Individual Commitment Demonstrate Personal Values 20 Adapted from: Leading Change, John P. Kotter, 1996

21 Effective Nurse Leaders Personal Character Lead by Example Act with Integrity Demonstrate Trustworthiness Take Risks Do what you say you will do/walk the Talk Be a Coach and Mentor Be Fair and Just Respect 21

22 Effective Nurse Leaders Engage Individual Commitment Communicate the Vision Promote Shared-Decision Making Build Positive Collaborative Relationships Build Trust Develop Teams Drive Out Fear Encourage Innovation and Creativity Empower others 22

23 Inspiring and Leading Nursing Excellence It is all about LEADERSHIP! 23

24 Awaken the Leader Within Commit to caring The will to lead Be a care innovator Voice you ideas Right time, right place, professional manner Overcome your fears Look at the whole picture Be accountable Promote collaboration Goal oriented 24

25 Opportunities for the Next Decade in Nursing Creating a Healthy Work Environment Recruitment Retention Aging workforce Multigenerational workforce 25

26 Make a Plan Gullatte, M. (2011). Nursing management: Principles and practice. ONS Publishing Division Leveraging Your Plan for Success One year Plan Two Year Plan Five year Plan What is your dream for your professional self? 26

27 Discover Your Destiny? See yourself being successful in whatever you endeavor to achieve. Partner with others who can help make your vision a reality. Don t be envious of others who have achieved what your want 27

28 Live a Balanced Life discover Yourself Recipe for Leadership Success Take care of Self Take Care of Your Business Take Care of those you LOVE. 28

29 Leadership/Performance Inventories Kouzes and Posner Leadership Practices Inventory (LPI) 360 Degree Feedback The Trusted Leader Your Leadership Legacy Myers-Briggs 29

30 Putting it all Together Looking in the Mirror Internalizing the Results for Success Career coach/counselor Mentor Mentee Passion Value of 360 assessments Introspection Reflex, Refresh, Renew 30

31 The Leadership Journey Forward Where YOU Lead others will follow 31

32 Watch your thoughts, They become words. Watch your words, They become actions Watch your actions, They become habits. Watch your habits, They become your character. Watch your character, It becomes your destiny. 32

33 Our Greatest Fear Our greatest fear is not that we are inadequate, but that we are powerful beyond measure Marianne Williamson 33

34 Selected References Ambrose, D. (2011), Managing self to lead others, in Gullatte, M. (2011). Nursing management principles and practice. ONS Publishing. Pp Gullatte, M. (2011). Nursing management principles and practice. 2 nd Edition. ONS Publishing, Pittsburgh, PA. Kouzes, J.M. & Posner, B.Z. (2007). The leadership challenge. 4 th Ed. Jossey-Bass, San Francisco, CA. Maxwell. J. (2000) Failing forward. Thomas Nelson, Inc Publishers, Nashville, TN. Web Sites: accessed, April,

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