Nursing Leadership from the Bedside to the Boardroom. Presentation ID: L13

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1 Nursing Leadership from the Bedside to the Boardroom Presentation ID: L13

2 Disclosure Today s presenters do not have any relevant financial interests presenting a conflict of interest to disclose. Participants must attend the entire session(s) in order to earn contact hour credit. Continuing Nursing Education credit can be earned by completing the online session evaluation. The American Organization of Nurse Executives is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center s Commission on Accreditation. AONE is authorized to award one hour of pre-approved ACHE Qualified Education credit (non-ache) for this program toward advancement, or recertification in the American College of Healthcare Executives.

3 Objectives Describe a state structure to promote nursing leadership in the boardroom. Identify key strategies that can be implemented at a state level to prepare nurses to lead change from the bedside to the boardroom. Identify successful state-wide strategies to identify and recognize nurse leaders at all levels.

4 146-bed acute care facility in Blacksburg, Virginia LewisGale Health System/HCA Home of Virginia Tech University Magnet Designation 2009 & 2013 Level 111 Trauma Center 600 Employees Core teaching hospital

5 Centra is a non-profit healthcare system 3 Acute Care Hospitals & 29 Facilities 6,000 Employees Long term, assisted living & retirement community Regional Cancer Center 50 percent ownership in local Health Plan Magnet Designation 2006 & 2010

6 IOM Future of Nursing Campaign for Action

7 Vision Americans have access to high quality, patient-centered care in a health care system where nurses contribute as essential partners in achieving success

8 Are you familiar with the Future of Nursing Recommendations? 25% 25% 25% 25% A. Very Familiar B. Familiar C. I have heard of them D. Not Familiar Very Familiar Familiar I have heard of them Not Familiar

9 Future of Nursing Recommendations 1. Remove scope of practice barriers. 2. Expand opportunities for inter-professional collaboration. 3. Implement nurse residency programs. 4. Increase proportion of nurses with BSN to 80% by Double the number of nurses with doctorates. 6. Ensure that nurses engage in lifelong learning. 7. Prepare and enable nurses to lead change and advance healthcare. 8. Build an infrastructure for data collection.

10 Campaign for Action November 2010 Campaign for Action Launch Summit: RWJ Foundation AARP Center to Champion Nursing in America

11 Campaign for Action: Key Messages Interprofessional Collaboration Education Leadership Access to Care Workforce Data High-quality patient centered care

12 State Action Coalitions Short and long term Field strategy to move key nursing issues forward at local, state and national levels Capture best practices, track lessons learned and identify replicable models State Action Coalitions 5 pilots, New Jersey, New York, Michigan, Mississippi, California In 15 states before moving nationwide

13 Virginia s Action Coalition Application Submitted February input from more than sixty stakeholders Virginia Nurses Association and VA AARP partnered Awarded designation in March 2011

14 Are you involved in your state Action Coalition? 50% 50% A. Yes B. No Yes No

15 Virginia Workgroups Inter-professional Collaboration Education Progression Workforce Data Access to Care Leadership

16 The National Framework Framework for a National Strategy to Increase the Number of Nurses on Health System Boards, Commissions and Other Policy Boards Step Up and Lead Get a Seat at the Table Support and Leverage Board Service

17 IOM Leadership Recommendations Nurses should be full partners, with physicians and other health professionals, in redesigning health care in the United States. Nursing must produce leaders, from the bedside to the boardroom, who can serve as full partners and be accountable for their own contributions to delivering high-quality care while working with leaders from other health professions.

18 Virginia Leadership Goal Develop strategies to ensure nursing is skilled to provide leadership from the bedside to the boardroom.

19 Virginia Leadership Objectives Continue to determine strategic boards to which nurses could be appointed and work with stakeholders to identify, mentor, and recommend individuals for those appointments. Collaborate with schools of nursing to ensure the curriculum focuses on leadership skills necessary for today s complex healthcare environment.

20 Virginia Leadership Objectives Continue Nurse Leaders in the Boardroom program piloted with Robert Wood Johnson and AARP in September, Recognize leaders from the bedside to the boardroom at the annual Virginia Nurses Foundation Excellence in Nursing Gala.

21 Virginia Leadership Objectives Continue to support the current and expanded Nurse Leadership Institute (NLI) by participating on committees, providing scholarships, assisting in encouraging employers to nominate fellows and nurses to serve as faculty. NLI, a program of the Richmond Memorial Health Foundation and a 2007 Partners Investing in Nursing s Future (PIN) grantee, is a nine-month leadership development course for nurse leaders working in all sectors of healthcare across the Commonwealth.

22 The Survey Baseline assessment of Virginia nursing board leadership service Survey was released in January 2012 Closed in March completed the survey

23 Do you currently serve on a local board or organization s board of directors? 50% 50% A. Yes B. No Yes No

24 Do you currently serve on a local board or organization s board of directors?

25 What type of local board are you serving on?

26 Local Boards Free Clinics Crisis Pregnancy Centers AORN, VNA, Black Nurses & other professional nursing associations Public Health Advisory Commissions Red Cross Alzheimer s Association Church Affiliated Boards Performing Arts Council Historical Councils County Board of Supervisors AARP University & Community College Councils YMCA

27 Do you currently serve on a statewide board or organization s board of directors? 50% 50% A. Yes B. No Yes No

28 Do you currently serve on a statewide board or organization s board of directors?

29 What type of state board are you serving on?

30 State Boards Virginia Partnership for Nursing Virginia Board of Nursing Virginia Nurses Association Virginia Nurses Foundation Multiple professional nurses associations Virginia Board of Health Virginia Association of Counties VCCS Associates Degree Nursing Program Heads Virginia Association of Colleges of Nursing Health Insurance Exchange Governing Body

31 Do you currently serve on a national board or organization s board of directors? 50% 50% A. Yes B. No Yes No

32 Do you currently serve on a national board or organization s board of directors?

33 What type of national board are you serving on?

34 National Boards American Nurses Association & Political Action Coalition National ehealth Collaborative Nurses Organization of Veterans Affairs American Midwifery Certification Board AORN Journal Editorial Board National Kidney Foundation American Academy of Nurse Practitioners American Organization of Nurse Executives Various National Nursing Organizations

35 Future Nurse Board Leaders Of the Registered Nurses surveyed, 60.3% of those not currently serving on a board, were interested in future board leadership. 181 Virginia Registered Nurses are future board leaders!

36 Experienced Nursing Board Leaders Willing to Mentor New Board Members 64.1% or 118 Experienced Nurse Board Leaders were willing to mentor other Registered Nurses interested in board leadership.

37 Board Appointments Virginia Nurses Association submitted resumes of qualified nurses for state gubernatorial appointments. Nurses from survey interested in board service. VNA advertisement for interested candidates. Appointments made by the Governor from the candidates recommended by the Virginia Nurses Association. One successful recommendation for a hospital board.

38 Leadership Toolkit Virginia Leadership Toolkit

39 Mentorship Structure Nurses may submit name and resume to database if interested in serving and be connected by action coalition. Mentor of new nurse board leaders. Mentee of experienced nurse board leaders. Future goal to provide a match.com type database and allow individuals to select their own mentor or mentee.

40 Nursing Leadership on Hospital Boards Gallup ranks nurses as most ethical and honest. Opinion leaders say nurses should have more influence on health systems and services. Nursing currently ranked sixth behind other stakeholders to influence health reform. Top barrier to nurses influence and leadership is not being perceived as important decision makers. Less than 6% of hospital board members are nurses.

41 Nursing Leadership Skills Knowledge of quality, safety, and patient satisfaction performance Community positioning Collaboration & team leadership Organizational awareness Accountability Professionalism & relationship oriented Facilitation skills Financial skills Information technology

42 Does your hospital currently have a nurse serving as a voting member of the board? 50% 50% A. Yes B. No Yes No

43 Nursing Leadership on Hospital Boards

44 Nursing Leadership on Hospital Boards Next Steps: Collaborate with the Virginia Hospital Association to assess the number of nurses serving on hospital boards in Virginia. Identify barriers to nursing service on hospital boards. Develop relationships and strategies to promote nursing leadership on hospital boards.

45 Does your state nurses association or action coalition formally recognize nurse leaders? 50% 50% A. Yes B. No Yes No

46 Recognizing Nursing Leadership 40 Future Nursing Leaders Under 40 recognized at the annual Virginia Nurses Foundation Gala in 2012.

47 Recognizing Nursing Leadership 40 Future Nursing Leaders Under 40 Leadership development education day offered in collaboration with the Virginia Organization of Nurse Executives, Virginia Nurses Association, and Virginia Nurses Foundation Recruited to participate in Virginia s Action Coalition Assisted to pursue board positions

48 Recognizing Nursing Leadership Virginia Nurses Foundation 2013 Gala theme: Every Nurse a Leader Nursing Leadership Excellence Awards in areas of: Administration Education Research Direct Care Advocacy Retirement and Lifetime Achievement Entrepreneur

49 Recognizing Nursing Leadership Virginia Nurses Foundation Gala 2013 Every Nurse a Leader Award Recipients

50 References Hasmiller, S. Combes, J. (2012). Nurse leaders in the boardroom: A fitting choice. Journal of Healthcare Management, 57 (1), Institute of Medicine. (2011). The future of nursing: leading change, advancing health. Washington, DC: The National Academies Press.

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