Post on 17-Jan-2022
9/25/2014
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Nursing Leadership: An Affair of the Heart
W I L L I A M DUF F Y M J, R N , C N O R , F A A N V I C E PR ES I DEN T PA TI EN T C A R E S ER V I C ES & C N O S T. JO S EPH H O S PI TA L C H I C A GO , I L PA UL A GR A L I N G DN P, R N , C N S , C N O R C L I N I C A L N UR S E S PEC I A L I S T I N O V A F A I R F A X H O S PI TA L , F A L L S C H UR C H , V A C H A R L O TTE GUGL I EL M I M A , B S N , R N , C N O R PER I O PER A TI V E N UR S E S PEC I A L I S T B ETH I S R A EL DEA C O N ES S M EDI C A L C EN TER , B O S TO N , M A
Disclosures
William Duffy None
Paula Graling
President, AORN Foundation
Charlotte Guglielmi AORN Works, Board of Directors
Safety/Risk Consultant: Sedgwick CMS
Objectives
1. Discuss the affairs in which nurse leaders must engage during their careers
2. Describe why nurse leaders must be able to articulate their value in the emerging healthcare system
3. Discuss the tools that nurse leaders/managers must possess to advocate and influence the care of patients, staff and themselves
The Road Not Taken
Two roads diverged in a yellow wood, And sorry I could not travel both And be one traveler, long I stood
And looked down one as far as I could To where it bent in the undergrowth;
Then took the other, as just as fair, And having perhaps the better claim,
Because it was grassy and wanted wear;
Though as for that the passing there Had worn them really about the
same,
And both that morning equally lay In leaves no step had trodden black. Oh, I kept the first for another day!
Yet knowing how way leads on to way, I doubted if I should ever come back.
I shall be telling this with a sigh Somewhere ages and ages hence:
Two roads diverged in a wood, and I- I took the one less traveled by, And that has made all the
difference. Robert Frost
No Steps Had Trodden Black
We entered into a special relationship and are now part of the less than 1% group
We have the honor of touching people in the most intimate way possible
We help people to continue to make their mark on the world
We have the ability to change the world of team members as well
Some say what a great gift but what about all the stuff we have to deal with – how can I stay committed?
Nursing Leadership: A Love Story
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Nursing Leadership: A Love Story
When we ask to be able to make a difference will we have smooth schedules, patients with insurance, vendors ready to compromise, easy to work with surgeon or will we have to use our talents to make a difference
Our world is changing and we have chance to build ark to help our team survive and thrive
But it is something we have to want to do
Leadership: You have to want to do it
Leadership: Journey to Success Leadership: Being Perfect in Your Practice
“Leadership is Influencing Others” (Bethel 1990)
All Nurses Must be
Exceptional Leaders
Authentic Leadership
People hunger for personalized leadership that speaks to their hearts and inspires them
Authentic leaders love challenging people to do what they didn’t think was possible
Authentic leaders generate energy to make the impossible possible by the passion for their people, their patients and for doing the right thing
Karlene Kerfoot, Nursing Economics, 2006
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The 5 A’s of Leadership
Approachable Accepting Acknowledging Accountable Adaptable
An Effective Leader is:
Self-aware Sets clear, achievable
expectations Navigates through
change Fosters engagement Promotes prospective
accountability Is sensitive to
diversity Acts as a mentor
More About Effective Leaders
Approachable role models
Understand the vision and goals of an organization
Able to channel the commitment of the followers
Knows how to listen
Four Obstacles to Effective Leaders
Climate in the
healthcare arena Losing the desire to
grow Self esteem Change Knowing ourselves
Why do some leaders survive while others flame out?
• The best leaders: • Inspire trust • Inspire loyalty • Inspire commitment • Inspire collegiality • Demonstrate courage • Surround themselves with
and recognize top performers
How to be an inspiration to those you want to lead?
• Plan well • Teach • Delegate • Do not dump! • Encourage independent thinking • Build a team • Set an example • Accept responsibility • Share the spotlight
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Lesson from Crayons
We could learn a lot from crayons. Some are sharp, some are pretty and some are dull. Some have weird names, and all are different colors, but they all have to live in the same box.
S. McNamara, 2005
Generational Differences
Is this something we must consider as we plan the interaction within our groups?
How do I relate to my colleagues on my team ? In my chapter? In my state?
Are you a 33, 45, a CD or MP3?
Historical Depictions
Nursing Role?
Historical Nursing Role Models
What and who do you think of ?
Can you identify with this individuals now?
First Role Models?
“Shot” Lady School Nurse Somebody’s Mom Neighbor Cartoons…..Movies
Question
Who was the Nurse in Harry Potter Story? Who identifies with her? What could she do? What do you think about her image……
Insert Madame Pomfrey
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Question
When you think of Nursing Role models who do you think of??
• Adventure • Autonomy • Authority
• Hot lips Houlihan - 4077
• Bobbie Spencer- General Hospital
• Recent • Grey’s Anatomy • House • Private Practice, • ER
Male Role Models
Leadership Images Leadership Images
Opportunity
Can you relate your leadership to what we do everyday?
You are always on a stage!
Think about who is watching ………..and who is listening…………
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Word Association
Words and pictures can illicit emotion……..
Basis of: Advertising Marketing Film production
Messaging must….
Genuinely express view of person Congruent with strategic plan Supportive of Mission
Creating your Message
Images Words Timing- calendars- events
Leadership Calendar
• Known events • October • November • June
What other important dates for you, your chapter, your year?
Follow the Leader
• Most words used… • Future • Nursing/nurse • Practice • Excellence • Challenge
AORN Theme 2006-2007
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2005-2006
Diversity: patient, practitioner, practice
2010 - 2011
• Freedom to Be • Image • Words • Color
• What is your purpose? • How will you use it?
Why would anyone want to be led by you?
• Vision • Energy • Authority • Strategic Direction
• Golfee and Jones, 2000
Do you demonstrate your Freedom to Be? Have you created your leadership message?
Leadership Attributes
• A leader should: • Provide continuity and momentum • Be flexible in allowing changes of direction • Inspire change
“a leader is not so much someone who assists with the mission ….a good leader creates it”
C. Spry, July 2004
What does this mean for us?
Operating Room practice is changing from a theater approach where focus was getting ready for entrance of the star surgeon …..
…..to the preparation of a high tech suite where a
multidisciplinary team of individuals collaborate to deliver care focusing on the patient……..
Atul Gawande, 2010
Will this affect our messaging moving forward?
Follow the Leader
Be action oriented, Goal driven, Politically astute, Tenacious, Articulate, Scientific, Compassionate, Resourceful, Creative, Visionary, Heroic.
Roll up your sleeves and get the job done.
Challenge the status quo. Refuse to be intimidated. Dare to stand in the line
of fire. Boldly go where no nurse
has gone before Lead.
Courtesy of Melodie Chenevert R.N.
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Defining the Spirituality of Leadership
We speak of a spirituality of leadership in a broader rather than a religious sense
A spirituality of leadership requires us to an active opening of one’s self to: • Consideration of our values and beliefs • Naming our personal mission
We must understand our complex, fast paced world of work
We need to look into our hearts to be the nurses that we have been born to be
Anonymity
“As perioperative nurses we are all too familiar with the double-edged sword of being anonymous in our success…Sadly, as much as we have advanced as a profession, we are still the forgotten heroes in our hospitals…Colleagues, we cannot continue to be anonymous.” Paula Graling 2006 – 2007 AORN President
“The heart of leadership is in the hearts of leaders. You have to lead from something
deep in your soul.” Bowman & Deal
Compassionate caring,
Acknowledging our imperfections
The ability to act justly
Compassionate Caring
• Easily recognized are those sacred tasks • Our ability to allay
a patient’s fear • Hold a hand, • Recognize a
physical need
Compassionate Caring
• Not so easy is to recognize • The way that we interact, respect, and attempt to
understand each other and our patients • Embracing
• The colleague who learns slowly • The resident who wants it done now • The family that thinks we are not responsive enough
• Taking time at the end of the day to reflect and say to oneself, what could I have done to make things better today?
Befriending our Imperfections
Understanding our imperfections is difficult to acknowledge.
How often do any of us start the day do we declare to our colleagues situations that might influence our work?
Do we call out issues in a timely manner or does our pride that gets in our way?
Do we try to solve issues ourselves or seek help? Is there a quality that is inbred in us that says we can’t
make a mistake?
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Acting Justly Means
Listening carefully when a staff member stops the line when we observe a safety flaw
Creating an environment in which a staff member will call out a colleague who may be impaired without regard with what does it he/she is wrong
Holding oneself to the highest of ethical standards Practicing in a manner that is fiscally responsible. Keeping one’s eye on our three customers, patient,
staff and physicians every minute of every day
Future of Nursing
Nurse ethicist Sara Frye contends: Requires that nurses possess strong skills in
negotiation, expert communication, assertiveness, persuasion, interdisciplinary collaboration, and the technique of ‘ethical compromise
Act to protect, defend, and advocate for doing what is right in the best interest of meeting the patient’s needs and affecting quality healthcare outcomes while maintaining quality of life
La Sala, CA., “Moral accountability and integrity in nursing practice” Nursing Clinics of North America., 44(2009) 423 – 434, Elsevier Inc.
Accountability
La Sala synthesized the work of many nurse theorists on accountability
Accountability has been described as a basic moral value & a moral foundation for nursing practice
“In choosing one’s profession, individuals, assume responsibility for adhering to the standards and for upholding the values of their profession.”
We are ethically bound to be accountable for the care we deliver or that those who work for us deliver
Role Measurement
Are my expectations clear to the team? Do I provide my team what they need to do their
job? Are my team members doing what makes them
happy? Is my team committed to offering quality care? Do I offer praise? Do I listen?
Adapted from Sovereign Banks Organizational Leadership Development Process
The Power of Team work
• Shared Values • Center point for
teams • Required for peak
performance • Align around a
mission • Team first
Team Culture
• Commitment to teamwork • Mutual accountability • Acknowledgement &
recognition • Acknowledgement of human
fallibility • Professional respect
Teamwork Not a part-time activity; a 24/7 commitment Requires leadership by example Taps on the innate strengths of each person Requires effective communication
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6 Tips for Sustaining a Culture of Safety AORN Periop Insider, 9/5/2012
1. Be patient 2. Understand the system 3. Listen 4. Be preoccupied with failure 5. Be the change you want to see 6. Build your network and use it
“Embracing passionate leadership requires taking time to rest, reflect and recharge our batteries”
Now is the Time
Solidarity in nursing is essential The more nurses are engaged and speaking with a
united voice, the more influence nursing and its values will have on the health care system
Nurses know what their patients want and need, and historically always respond to both.
There in lies the power of nursing
A Call to Passionate Leaders
Nurses must fully embrace an even stronger level of leadership
Our leadership skills are demonstrated every time we manage the complexities of our daily practice
Nursing is about growing and adapting to meet the public’s needs
Nurses must partner with physicians, pharmacists, infection prevention practitioners and others to direct and manage care effectively
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Call to Action
Expect to lead Expect to be
different Demonstrate how to
bridge the generations
Demonstrate how to accelerate the change
Driving the Healthcare of the Future
We must manage more than the individual patient case
We must direct and reshape our environment to ensure the most effective use of nursing resources
We must be active partners in managing the tension between fiscal responsibility and clinical acceptability
We must continue to advance the initiatives that ensure patient safety
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Embracing Nursing Leadership: An Affair of the Heart
Experiencing the joy of being a nurse. Continually finding ways to reinvent our
passion for our profession, Rekindling our infatuation for who we are
and what we do. It is falling in love with nursing over and over
again
Questions