North Dakota Action Coalition

Kick-Off MeetingJune 14, 2012

12:00 – 4:00 PMJamestown College, Jamestown, ND

Future of Nursing: Campaign for Action

Launched in Nov. 2010 in response to the Institute of Medicine report “The Future of Nursing: Leading Change, Advancing Health”

Involves state-led action coalitions that are currently in 48 states.

Primary objectives:› Strengthening nurse education and training› Enabling nurses to practice to the full extent of their education

and training.› Advancing interprofessional collaboration to ensure coordinated

and improved patient care. › Expanding leadership ranks to ensure that nurses have a voice on

management teams, in boardrooms and during policy debates.› Improving health care workforce data collection to better assess

and project workforce requirements.

North Dakota Action Coalition

IOM Report Recommendation 2: Expand opportunities for nurses to lead and diffuse collaborative improvement efforts

IOM Report Recommendation 7: Prepare and enable nurses to lead change to advance health.

NDAC Goal: Increase development of leadership challenge skills through seven model statewide leadership programs: nursing students, front-line nurses, community nurses, advanced practice nurses, chief nursing officers, nurse researchers and professional nursing organizations

IOM Report Key Message 3: Nurses should be full partners with physicians and other health professionals, in redesigning health care in the United States.

Where is North Dakota on this?

Student Nursing

Leadership skills must be learned and mastered over time and these skills should be introduced starting in school. University

of Mary Harold Schafer Emerging Leaders Academy

Jonas Nurse Scholar Program- Doctoral Students (currently at NDSU)

National Student Nurses Association (NSNA) online Leadership University

Front LineAll members of a health care team must hold each other accountable for the team’s performance, nurses must be equipped with the communication, conflict resolution and negotiating skills necessary to succeed in leadership and partnership roles. Wisconsin Leadership Academy American Association of Critical Care Nurses Hospital-

Based Nurse Leadership Program Integrated Nurse Leadership Program- Gordan

and Betty Moore Foundation Michigan Institute of Nursing Excellence Wyoming Nurse Leadership Institute Virginia 40 under 40 Awards Sigma Theta Tau International Leadership Academy Organization of Nurse Leaders- Massachusetts/Rhode I

sland

Community Nurses

Nurses working in the community must assume the role of social change agent and learn to expect the unexpected. Bush Fellowship ProgramUniversity of Virginia Public Health Nursing Leadership

Chief Nursing Officers/Nurse Managers

Although Chief Nursing Officers are typically a part of the hierarchical decision-making structure and have authority and responsibility for the nursing staff, they need to move up in the reporting structure in order to contribute to key decisions.

Wyoming Nurse Leadership Institute Kaiser Permanente Nursing Leadership Institute Colorado Long Term Care Leadership Development Leadership Education and Development Series-National Ru

ral Health Resource Center Fellows Program in Management for Nurse Executives at W

harton Robert Wood Johnson Foundation Executive Nurse Fellows

Program AONE/AACN Nurse Manager Leadership Partnership ND CAH DON Mentorship Program

Nurse Researchers/Academic Leadership

Nurse researchers must develop new models of quality care that are evidence-based, patient centered, affordable and accessible to diverse populations.

AACN Leadership for Academic Nursing Nurse Faculty Leadership Academy NLN Academy of Nurse Educators

Nursing Organizational Leadership

Nursing organizations must continue to collaborate and work hard to develop common messages, including visions and missions with regard to their ability to offer evidence-based solutions for improvement in patient care.

THE LEADERSHIP CHALLENGE

North Dakota Future of NursingCampaign for Action

LEA

DER

SH

IP C

HA

LLEN

GE Leaders for today and tomorrow!

The challenge……..

What are the common traits that leaders exhibit?

Personal best leadership activity

Think of a time you were at your best as a leader…. When did this occur?Who was involved? What challenges

did you face?

Leadership is………

“…. The art of mobilizing others to want to struggle for shared aspirations

Kouzes and Posner“The Leadership Challenge”

Five Exemplary Practices of Leadership

1. Model the way2. Inspire a shared vision3. Challenge the process4. Enable others to act5. Encourage the heart

MODEL THE WAY

CLARIFY VALUES:Find your voice and affirm shared ideals

SET THE EXAMPLEAlign your actions with shared values

Questions for a New Leader

NORMS CHARACTERISTIC NORMS CHARACTERISTIC89 Honest 25 Cooperative

71 Forward-looking 25 Courageous

69 Inspiring 25 Determined

68 Competent 22 Caring

48 Intelligent 18 Loyal

39 Fair-minded 17 Imaginative

36 Straightforward 16 Ambitious

35 Broad-minded 15 Mature

35 Supportive 10 Self-controlled

34 Dependable 4 Independent

18

SOURCE CREDIBILITY

TRUSTWORTHINESS

EXPERTISE

DYNAMISM

SOURCE CREDIBILITY

Trustworthiness/ Honest

Expertise/Competence

Dynamism/Inspiring

Vision/Forward looking

Credibility + Vision

LEADERSHIP

What Does Credibility Mean?

DWYSYWD

Leadership is a relationshipbetween those who aspire

to lead and those who choose to follow. The quality of that

relationship determines success or failure.

Model the Way

Set the example by aligning actions and shared values

What are your values?

What will you do today to live out your values?

VALUES “LINE OF SIGHT”

ORGANIZATION

TEAM

PERSONAL

Model the Way in Nursing

ANA Code of ethics Fiscal

responsibilities Value of lifelong

learning Role model/mentor

for future nurses ??????????

INSPIRE A SHARED VISION

ENVISION THE FUTURE: Imagine exciting and ennobling possibilities

ENLIST OTHERS: in a common vision by appealing to shared aspirations

What does this mean?

Looks ahead and communicates future Describes ideal capabilities Talks about vision of the future Shows others how their interests can

be realized Paints “big picture” of group

aspirations Communicates purpose and meaning

What is a vision?

A vision is an ideal unique image of the future for the common good.

Comes from the heart

Inspire a shared vision

“If you want to build a ship, don’t herd people together to collect wood and don’t assign them tasks and work, but rather teach them to long for the endless immensity of the sea”Antoine de Saint-Exupery

Enlist others in a common vision by appealing to shared aspirations.

Breathe life into your vision.

What does this mean for nursing leadership development?1. Health care reform2. North Dakota Action

Coalition3. Magnet status4. Patient care – family

help

CHALLENGE THE PROCESS

SEARCH FOR OPPORTUNITIES by seizing the initiative and by looking outward for innovative ways to improve

EXPERIMENT AND TAKE RISKS by constantly generating small wins and learning from experience

What are 5 changes in nursing that have occurred

in the last 5 years?

At one time, these were just an idea…….

Experiment and take risks

Generate small wins

Create an environment of change

Learn from experience

How to generate small wins

Break it down Keep it simple Make a model Do the easy stuff first Accumulate “yesses” Experiment Give feedback Celebrate

For n

urs

e le

ad

ers

Evidence based practices Health care reform Professional standards Organizational changes New and innovative approaches for

problems ???????

ENABLE OTHERS TO ACT

Leadership is the art of MOBILIZING OTHERS

Enable Others to Act

FOSTER COLLABORATION by

building trust and facilitating relationships STRENGTHEN

OTHERS by increasing self- determination and developing competence.

You can’t do it alone!

You need collaboration, trust and relationships

How do you build trust? (powerful)

How do you break trust?(powerless)

STRENGTHEN OTHERS

CONFIDENCE

COMPETENCE

In the “FLOW”

How

Do Y

ou

En

ab

le

Oth

ers

to A

ct?

Preceptorships; mentoring Identify prospective leaders and

develop them either formally or informally

Provide coaching on clinical issues Delegate authority to make decisions

and implement them Identify and leverage others strengths

ENCOURAGE THE HEART

http://www.youtube.com/watch?v=vr3x_RRJdd4

Encourage the Heart

Recognize contributions by showing appreciation for individual excellence

Celebrate the values and victories by creating a spirit of community

Leadership is the art of mobilizing others to WANT TO STRUGGLE…….

ENCOURAGE THE HEART

Praise people Encourage others Provides support and appreciation Publicly recognizes alignment with

values Celebrates accomplishments Creatively recognizes people

ENCOURAGEMENT SHOULD BE…….

GENUINE AND MEANINGFUL

Celebrate the values and victories by creating a spirit of community.

How can we make people feel like a hero?FeedbackListening and actingOrganizational culture?????

The development of leadership is………..

RELATIONSHIP BUILDING

The development of leadership is………..

A PROCESS – 10,000 HOURS TO MASTERY

Leadership is LEARNED

Now let’s tackle the HOW!