Nursing Leadership Target Audience: Carolinas Medical Center, CMC-North East, CMC University Licensed Nurses

Transcription

1 Nursing Leadership This self-directed learning module contains information you are expected to know to understand disease specific care certification. Target Audience: Carolinas Medical Center, CMC-North East, CMC University Licensed Nurses Instructions: 1-2 Learning Objectives: 3 Module Content: 4-17 Job Aid: Posttest:

2 Nursing Leadership The material in this module is an introduction to important general information. After completing this module, contact your supervisor to obtain additional information specific to your department. Read this module. If you have any questions about the material, ask your supervisor. Complete the post test at the end of this module. The Job Aid on page 19 may be customized to fit your department and then used as a quick reference guide. Completion of this module will be recorded under My Learning in PeopleLink 2

3 Nursing Leadership Learning Objectives When you finish this module, you will be able to: Identify key principles of professional nursing leadership Describe characteristics and competencies associated with nursing leadership Recognize nursing leadership model of shared governance 3

4 Nursing Leadership Leadership is both an art and a science 4

5 Nursing Leadership, what do you need to know? An understanding of the context in which health care is delivered A compelling vision, or perhaps merely an idea of how things could be better An ability to connect with others and move from here to there Nursing Leadership: A Concise Encyclopedia

6 Where does leadership in nursing reside?...at the point of care...provided by nurses Available 24/7 At the bed space As a charge nurse, unit facilitator, clinical leader, manager, Chief Nursing Officer 6

7 Leader characteristics lead to positive outcomes Structure Role modeling Coaching/mentoring Hiring/recruiting Process Listening Conflict resolution Communication Fiscal responsibilities - budgeting and payroll Outcome Quality care Patient satisfaction Keeping stakeholders happy Anthony MK, Standing TS, Glick J, et al. (2005). Leadership and nurse retention: the pivotal role of nurse managers. Journal of Nursing Administration.35(3), pp

8 Leadership styles Transformational & Transformative Qualities of nurse manager leaders...putting staff first, treating the staff with respect listening and responding to their needs... Forging authentic connections; knowing the staff and creating a sense of community; to coach for and expect competence... To support professional development and focus on results by empowering and involving staff,..partnering with staff...and being visible, accessible and practicing open communication. Manion J. (2004). Nurture a culture of retention. Nursing Management. 35(4) 8 pp

9 Leadership styles Transformational & Transformative The nurse leaders receiving the highest staff scores were identified as being highly motivated, optimistic, and energetic.... striving to improve, humility, and a willingness to make decisions... stressed the importance of communication, respecting and valuing other's contributions, and having a clear vision. Dunham-Taylor J. (1995) Identifying the best in nurse executive leadership, part II: interview results. Journal of Nursing Administration.;25(7/8). pp

10 Key Elements in Leadership Visibility Communication Approachable Willingness to help Fairness Role model Supportive Anderson BJ, Manno M., OConnor P., and Gallagher E.(2010) Listening to nursing leaders: using national database of nursing quality indicators data to study excellence in nursing leadership. Journal of Nursing Administration. 40(4):

11 Leadership Competencies Oversees the nursing care given by others while retaining accountability for the quality of care given Abides by the mission, vision, and system goals Demonstrates a commitment to continuous, lifelong learning and education for self and others Mentors colleagues Treats colleagues with respect, trust, and dignity American Nurses Association (ANA) Nursing Scope and Standards of Practice

12 Leadership Competencies Develops communication and conflict resolution skills Participates in professional organizations Seeks ways to advance nursing autonomy and accountability Participates in efforts to influence healthcare policy involving healthcare consumers and the profession American Nurses Association (ANA) Nursing Scope and Standards of Practice

13 Practicing Leadership Leadership exists at all levels of an organization, sharing in a common vision, moving towards achieving the goal of safe, quality health care. Recognizing the value of being proactive when faced with difficult decisions is critical when leading, responding and adapting to change in the healthcare organization and in the delivery of care The core values and principles that underpin nursing and the act of caring provide an internal compass that facilitates authentic and transformational healthcare leadership. Govier, Ian & Nash, Sue. (2009). Examining transformational approaches to effective leadership in healthcare settings Examining transformational approaches to effective leadership in healthcare settings. Nursing Times. Volume 105(18), pp

14 Our Leadership Model Shared Governance An organizational model focused on shared decision making where all nurses participate and contribute to their profession and their practice 14

15 4 Principles of Shared Governance Partnership relationship between all stakeholders; all have a key role in fulfilling shared purpose of organization Accountability for nursing practice, quality assurance, education, research, management Equity no role is more important than another Ownership designates where the work is done & by whom 15

16 Connecting Caring to Leadership According to Jean Watson's Theory of Caring The caring moment happens when the leader and the one being cared for come together with their unique life stories and enter into the human-to-human relationship in a given point in space and time Watson J. for University of Colorado Health Sciences Center School of Nursing. Theory evolution Available at: Accessed July 31,

17 References American Nurses Association (2008). Application manual: Magnet recognition program. Silver Spring: American Nurses Credentialing Center. American Nurses Association (2010). Nursing: Scope and standards of practice, (2 nd Ed.). Silver Spring, MD. Anderson BJ, Manno M., OConnor P., and Gallagher E.(2010) Listening to nursing leaders: using national database of nursing quality indicators data to study excellence in nursing leadership. Journal of Nursing Administration. 40(4):182-7 Govier, I. & Nash, S. (2009). Examining transformational approaches to effective leadership in healthcare settings. Nursing Times, 105(18), pp Watson J. for University of Colorado Health Sciences Center School of Nursing. Theory evolution Available at: Accessed July 31,

18 Nursing Leadership Job Aid 1.) Nursing leadership resides at the point of care 24/7 as a primary nurse, charge nurse, clinical leader, manager, or chief nursing executive. 2.) Nursing leadership abides by the mission, vision and system goals. 3.) Our leadership model of Shared Governance focuses on shared decision making where all nurses participate and contribute to their profession and their practice. 18

19 Nursing Leadership Job Aid 4.) The American Nurses Association (ANA) outlines leadership competencies for professional nurses. They are: Oversees the nursing care given by others while retaining accountability for the quality of care given Abides by the mission, vision, and system goals Demonstrates a commitment to continuous, lifelong learning and education for self and others Mentors colleagues Treats colleagues with respect, trust, and dignity 19

20 Leadership competencies (continued) Develops communication and conflict resolution skills Participates in professional organizations Seeks ways to advance nursing autonomy and accountability Participates in efforts to influence healthcare policy involving healthcare consumers and the profession 20

21 Nursing Leadership Post Test 1.) Key elements of a leader include a. Supportive b. Visible c. Fair d. All of the above 2.) Positive outcomes are achievable when the leader identifies a. Time, decisions, rewards b. Structure, process, outcomes c. Purpose, place, procedures d. none of the above 21

22 Nursing Leadership Post Test 3.) A transformational leader stresses the importance of communication, respecting and valuing other's contributions, and having a clear vision. a. True b. False 22