Disclosures. Why Should You Be Involved? Learning Objectives. What Nurses Bring to Boards 2/12/2016
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1 2/12/2016 Disclosures EXPANDING YOUR LEADERSHIP INFLUENCE NAPNAP PAST PRESIDENTS PERSPECTIVES AND STORIES FROM THE BOARDROOM The presenters have no financial conflicts of interest Renee McLeod Patricia Franklin Julie Novak Richard Ricciardi Jo Ann Serota Michelle Beauchesne Learning Objectives Why Should You Be Involved? Discuss how to expand your skills and promote your expertise to serve on various community/school advisory boards as a stepping stone for future board positions. Explore the role and responsibilities of nurses as board members, particularly expectations of board governance in regards to policy formation, decision-making, and oversight. Identify nurses role in, and skills for, shaping policy through participation in advisory boards across settings Ignite commitment to board affiliation as recommended in the Future of Nursing Leading Change, Advancing Health: Campaign for Action Expand nurses leadership beyond nursing forums Serve as change agent in healthcare & healthcare policy Be a player not just an observer Expand public s understanding of: APRN/PNP role and scope of practice DNP role and education preparation Advance your identity and credibility as a leader Certain boards compensate board chair and members, e.g. 31% Philanthropic organizations compensate boards 15% Nonprofit Hospital and Health systems compensate boards 4 What Nurses Bring to Boards Knowledge and skills in: Leadership Communication Advocacy Integrity Compassion First Steps to Serving on a Board Review the Institute of Medicine 2010 Report: The Future of Nursing: Leading Change, Advancing Health Identify your passion Develop leadership skills Start locally Build connections ted.com Brighthubpm.com 1
2 2/12/2016 Key Concepts to Understand Responsibilities of board and board members Structure of the organization Organization s mission and vision Difference between for profit, nonprofit and not-for-profit Unique Contributions of Nurse Leaders on Boards Nurse leaders can balance the business of health care with clinical and patient outcomes. Nurse leaders have the public trust. Have knowledge and skills to track measures of quality, safety, and customer satisfaction in healthcare delivery and performance Skills to ensure alignment in job design, work systems, reward, and recognition in human resources. Board Member Roles & Responsibilities Legal and ethical Requisite knowledge and skills Effective governance in regard to: Policy formation Decision-making, and Oversight Purpose of Boards Supports the organization s mission and goals Sets and guides direction of the organization through policy development Provides oversight of the organization s business Represents the best interest of organization s stake holders. Cullinanelaw.com umca.ac.uk 6Key Areas of Board Responsibilities: Financial oversight, Quality of care oversight, Setting strategic direction/mission oversight, Board self-assessment and development, Management oversight, and Advocacy Elements of Governance A publication series by the Governance Institute: Founded in 1986, to serve as a leading independent source of governance information for healthcare organizations across the U.S. Governance Institute 2
3 2/12/2016 Fiduciary Responsibilities Duty to Care Duty of Loyalty Duty of Obedience Understand: Helpful Business Skills for Board Members Marketing needs analysis Howto conduct and read a cost benefit analysis Know how to: Develop a business proposal Read a financial report Kearselaw.com 14 Ingredients for Effective Board Membership Identified Competencies & Skills for Nurses as Board Members Ability to differentiate between governance and management. Stewardship and governance are important concepts to understand when pursuing a position on a board or council. Stewardship is a role, whereas governance is a process. An understanding of ethical conduct and conflict of interests Organizational awareness Team leadership skills People and relationship building skills Collaboration Open communication Community awareness Planning Decision-making and facilitation skills Professionalism Problem-solving skills Resource, financial, and time management skills Active engagement Advocacy Self Assessment & Application Self Assessment What is your area of expertise? What are you interested in? What knowledge and skills do you have that might be useful to a business? Application Identify a business/organization that matches your interests, knowledge, and skill set Research and determine their needs Review their current activities, committees, and board members Introduce yourself How Do You Get Started? Register with the Nurses On Boards Coalition Identify resources e.g.: The Executive Next Practices Institute (ENP) Boardroom Excellence: From Board Membership to Next Practices Alignment National Association of Corporate Directors (NACD) Join and attend local meetings Sign up for and listserv communications 17 3
4 2/12/2016 After You are Established on a Board Follow through with responsibilities Continue to promote yourself through networking activities Stay in communication: Social networking sites: LinkedIn Twitter And many more Blog s YouTube Enewsletters Opportunities Local Town/City/County Boards and Commissions Hospital governance Area coalitions Schools of Nursing State NAPNAP chapter NP and other health care coalitions Nurses Action Coalition Boards of Nursing State representatives National NAPNAP Federal representatives Myantshe.org Blogtipsntricks.com 19 Join the Effort to get 10,000 Nurses on Boards by 2020! EXPANDING YOUR LEADERSHIP INFLUENCE Thank you and let s hear your questions! 4
5 Expanding Your Leadership Influence NAPNAP Past Presidents Perspectives And Stories From The Boardroom References Association for Nursing Professional Development (ANDP) Public Policy Committee. (2013). Role of nursing professional development in helping meet institute of medicine s future of nursing recommendations (ANDP white paper). Accepted by ANDP Board on July 17, Retrieved from Terms=%22%22role+of+nursing+professional%22%22 American Academy of Nursing, Nurses on Boards Coalition. (2014, November 17). National coalition launches effort to place 10,000 nurses on governing boards by 2020 [Press release]. Retrieved from article&id=742:nurses-on-boards-coalition&catid=23:news&itemid=133 Bradley, C. (2014). Leading nursing through influence and structure. The Journal of Nursing Administration, 44(12), Carlson, E. A., Klakovich, M., Broscious, S. K., Delack, S., Roche-Dean, M., Hittle, K.,... Alston, P. (2010). Board leadership development: The key to effective nursing leadership in the 21st century. The Journal of Continuing Education in Nursing, 42(3), Drenkard, K. N. (2015). Influencing and impacting the profession through governance opportunities. Nursing Administration Quarterly, 39(1), Hardy-Waller, A.T. (2015). Increasing board diversity: An imperative for success in the next era. Nursing Administration Quarterly, 39(1), DOI: /NAQ
6 Hassmiller, S. B., & Reinhard, S. (2011). The Institute of Medicine Report on the Future of Nursing: A legacy for nursing leadership. Nurse Leader, DOI: / j.mnl/ Hassmiller, S., & Combes, J. (2012). Nurse leaders in the boardroom: A fitting choice. Journal of Healthcare Management, 57(1), Hassmiller, S. (2013). Taking the first steps to serving on a board. Colorado Nurse, 113(1), 1, 7-8. Hinds, P. S., Britton, D. R., Coleman, L., Engh, E., Humbel, T. K., Keller, S.,... Walczak, D. (2015). Creating a career legacy map to help assure meaningful work in nursing. Nursing Outlook, 63(2), Huff, C. (2014). Ready to serve. Trustee. Retrieved from display/tru-newsarticle.dhtml?dcrpath=/templatedata/hf_common/newsarticle/ data/tru/webexclusives/2014/webexclusive0914-nurse-trustee-cno-board recruitment-prybil-governance Huff, C. (2014). The case for a nurse trustee. Trustee, 67(8), 1-4. Retrieved from HF_Common/NewsArticle/data/TRU/Magazine/2014/Sep/Cov-nurse-trustee Kelley, S. (2015, June). Another level of leadership: Nurses on boards [Letter to the editor with reply]. The Journal of Continuing Education in Nursing, 46(6), 240. DOI: / Lacasse, C. (2013). Developing nursing leaders for the future: Achieving competency for transformational leadership. Oncology Nursing Forum, 40(5), McBride, A. B. (2014). Leadership insights: A nurse's path to board service. American Nurse
7 Today, 9(11), 36. Macleod, L. (2010). Nursing leadership: Ten compelling reasons for having a nurse leader on the hospital board. Nurse Leader, 8(5), DOI: /j.mnl McNiel, P. (2015). Expand your leadership to the board room. Geriatric Nursing, 36(1), DOI: /j.gerinurse Meyers, S. (2008). A different voice: Nurses on the board. Trustee, 61(6), 10-12, 14. Missouri Action Coalition. Robert Wood Foundation Future of Nursing: Campaign for Action. (2015, August). Nurses at the table: Nurse leadership presentation [PowerPoint slides]. Retrieved from presentation-missouri-action-coalition Peltzer, J. N., Ford, D. J., Shen, Q., Fischgrund, A., Teel, C. S., Pierce, J.,... Waldon, T. (2015). Exploring leadership roles, goals, and barriers among Kansas registered nurses: A descriptive cross-sectional study. Nursing Outlook, 63(2), Redman, R. W., Pressler, S. J., Furspan, P., & Potempa, K. (2015). Nurses in the United States with a practice doctorate: Implications for leading in the current context of health care. Nursing Outlook, 63(2), Robert Wood Johnson Foundation. (2012, March 21). Robert Wood Johnson Foundation launches initiative to support academic progression in nursing [Press release]. Retrieved from Robert Wood Johnson Foundation, Future of Nursing: Campaign for Action. (2015, May 13). Campaign overview. Retrieved from
8 Campaign%20Overview%20Updated% pdf Robert Wood Johnson Foundation, Future of Nursing: Campaign for Action. (n.d.) Campaign progress: Leveraging nursing leadership. Retrieved from campaign-progress/leveraging-nursing-leadership Rudisill, P. T., & Thompson, P. A. (2012). The American Organization of Nurse Executives System CNE Task Force: A work in progress. Nursing Administration Quarterly, 36(4), DOI: /NAQ.0b013e Salmon, M. E. (2015). Nurses on boards: Nursing leader spotlight (American Nurses Foundation, Interviewer). [Written transcript]. Retrieved from Vault/Programs/Nurses-and-Board-Leadership/NOB-Nurse-Leader-Profiles/Marla-E- Salmon-ScD-RN-FAAN.html Tedford, S. A. (2015). Nurses lead the way. Arkansas State Board of Nursing (ABSN) Update, 19(1), 4. Vestal, K. (2015). Preparing yourself for board roles: Nurses in governance. Nursing Administration Quarterly, 39(1), Walton, A., Lake, D., Mullinix, C., Allen, D., & Mooney, K. (2015). Enabling nurses to lead change: The orientation experiences of nurses to boards. Nursing Outlook, 63(2), Weiss, C. S., & Pettker, J. D. (2015). The case for nursing leaders on hospital boards. Nursing Administration Quarterly, 39(1), DOI: /NAQ Westphal, J., & McNiel, P. (2014). Learn to lead in the boardroom. The Journal of Continuing Education in Nursing, 45(4), DOI: /
9 SELF-ASSESSMENT OF BOARD COMPETENCIES Board Competency Yes No Maybe Communicator Do I have the skills to effectively manage conflict and express my opinions? Do I engage others in the discussion? Planner Do I identify key steps in a project in advance and develop an implementation time line? Do I handle changes in the plan easily? Active engagement Do I have the time to prepare for and participate adequately in board meetings? Do I identify ways to improve meetings? Collaborator Do I work well with others? Am I willing to understand and listen to other viewpoints? Decision maker Do I feel comfortable making decisions? Do I seek out additional information when needed? Financial steward Do I understand how to read a balance sheet and profit and loss statement? Do I manage my own finances wisely? Organizer Do I handle multiple priorities well? Do I stay on schedule? Advocate Do I understand the mission, vision, and values of the organization? Do the values of the organization fi t with my personal values? Visionary Do I have the ability to identify a clear picture of the future? Am I comfortable with ambiguity? Westphal, J&McNiel, P.(2014). Learn to Lead in the Boardroom. J Contin Educ Nurs, 45(4):
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