preparing navy nurse reservist to be any4me. anywhere...

PreparingNavyNurseReservisttobeAny4me.Anywhere.Effec4veLeadershipDevelopmentStrategiesforJuniorOfficersintheNavyNurseCorpsReserves-ALiteratureReviewByLieutenantBermesolaMDyer,DNP,APRN,FNP-BC,UnitedStatesNavyReserve-NurseCorpsandFormerDoctoralStudentatTheJohnsHopkinsSchoolofNursing,Bal4more,MD

Objec4ves:1.  Iden(fyeffec(veleadershipdevelopment

strategiestoincreaseleadershipcompetenceforJuniorOfficersintheUnitedStatesNavyReserveNurseCorps

2.  Describesearchmethodsandsummarizeevidencefromtheliteraturereviewaddressingnursingleadershipdevelopment

3.  Providealistofproposedinterven(onsandstrategiesforleadershipdevelopmentbasedonevidencederivedfromtheliterature

Introduc4onTheUnitedStatesNavyNurseCorps-Reserve-Component(USNNC-RC)playsaninstrumentalroleinprovidingstrategicdepthandopera(onalreadinessduring(mesofwarandmissions.Composedofanes(mated1150nursestheUSNNC-RCaccountsfornearly28%percentofthetotalNavyNursingForce.AsCommissionedOfficers,NavyNursesareexpectedtopossessstrongleadershipskillsandproficiencyinkeyleadershipcompetencies.EvidencesuggeststhatalackofleadershipcompetencecouldprovedetrimentaltotheNavymission,aspoorleadershipcapabili(eshavehistoricallyshowntohaveadirectimpactonthereten(onandrecruitmentoftheworkforce,workforcemoraleandworkforcesafety.Poorleadershipcanalsoimpactthedeliveryofqualitypa(entcareandthefinancialstabilityoftheorganiza(on.

Presently,thereareeightrecommendedleadershipcompetenciesNavyNursesshouldbeproficientinincluding:communica(on,clinicalproficiency,personalgrowth,leadershipabili(es,knowledgeofregulatoryguidelines,managementabili(es,professionaldevelopment,andopera(onalanddeploymentreadinessbutfewstepshavebeentakentoincreasethesecompetenciesamongtheNavyNurseCorpsReservistsinonepar(culardetachment.Currently,thereisnocoordinatedandconsistentlyappliedstrategyinplaceduringNavyReserveweekendstoensureleadershipskillsarebeingdevelopedintheeightrecommendedleadershipcompetenciesbyJuniorOfficersintheUSNavyReserve-NurseCorps.AlthoughtheUSNavyhasawealthofresourcesavailabletoincreaseleadershipcompetencetheseresourcesarescaYered,difficulttolocateandnotbeingusedeffec(velytoensureUSNNC-RCOfficersarefullypreparedtolead.Todeterminethemosteffec(vestrategiestoincreaseleadershipcompetenceacomprehensiveliteraturereviewwascompleted.Asummaryoftheevidenceandproposedsolu(onsarepresented.

SearchMethodsAliteraturereviewwascompletedusingthreedatabases:PubMed,CINAHL(Cumula(veIndexofNursingandAlliedHealthLiterature),andDTIC(DefenseTechnicalInforma(onCenter).Thesearchcomprisedar(clespublishedbetweenJanuary2008-January2015.Searchtermsincluded:nursingleadershipdevelopment,nursingleadershipcompetence,navynurseandmilitarynursingleadership.Theini(alsearchreturned1199ar(cles.A^erexclusionsandrefinementsatotalof46ar(cleswereincludedintheliteraturereview.Reviewofevidence:Forty-sixar(cleswereselected.Norandomizedcontrolstudieswerefoundapplicabletothisques(on.Typesofevidenceincludedquasi-experimental,meta-synthesisandqualita(vestudies,literaturereviews,expertopinions,disserta(onsandcongressionalhearings.Despitethelackofexperimentalstudies,thestrengthoftheliteratureprovidedstrong,consistentevidencethroughout,eachsugges(ngtheu(liza(onofsimilarstrategiestoincreaseleadershipcompetence.Methodofgradingevidence:TheJohnsHopkinsEvidenceAppraisalToolwasusedtoevaluatetheevidence.Literaturewasgradedbasedonevidencetype;strongestgradesweregiventoquasi-experimentalandqualita(vestudiesandweakestra(ngsgiventoexpertopinions.

ReferencesAbraham,P.J.(2011).Developingnurseleaders:Aprogramenhancingstaffnurseleadershipskillsandprofessionalism.NursingAdministra;onQuarterly,35(4),306-312.America’sNavyReserve.(n.d.).Mission&Vision.RetrievedfromhYp://www.navyreserve.com/about/mission.htmlBenner,P.E.(1984).Fromnovicetoexpert:Excellenceandpowerinclinicalnursingprac;ce.MenloPark,CA:AddisonWesley.Blankenbaker,S.E.(2005).Mentortraininginamilitarynursecorps.JournalforNursesinStaffDevelopment,21,120-125.Bromwell,J.(2006).Mee(ngthecompetencyneedsofgloballeaders:Apartnershipapproach.HumanResourcesManagement,45(3),309-336.Burr,S.,S(chler,J.F.,&Poeltler,D.(2011).Establishingamentoringprogram.NursingforWomen’sHealth,15(3),215-224.Chung,D.B.(2011).Leadershipdevelopment:MeasuringbehaviorsoddirectleadersonjuniorofficersintheU.S.Army.ProQuestDisserta;onsandTheses.hYp://dx.doi.org/911029964Dearholt,S.L.,&Dang,D.(2012).JohnsHopkinsNursingEvidence-BasedPrac;ceModelandGuidelines(2nded.).Indiannapolis,IN:SigmaThetaTauInterna(onal.DepartmentofDefense.(n.d.).www.defense.govDunemn,K.,Hopkins-Chadwick,D.L.,Connally,T.,&Bramley,K.(2011).Designingandimplemen(ngthearmynursingleaderacademy.TheArmyMedicalDepartmentJournal,18-23.RetrievedfromhYp://www.cs.amedd.army.milFealy,G.M.,McNamara,M.S.,Casey,M.,PaYon,D.,O’connor,T.,Doyle,L.,&Quinlan,C.(2013).Serviceimpactofana(onalclincalleadershipdevelopmentprogramme:findingsfromaqualita(vestudy.JournalofNursingManagement,1-9.hYp://dx.doi.org/10.1111/jonm.12133Ferguson,S.C.(2008).Adelphistudyontheleadershiptrainingrequirementsfornavymedicalreserveofficers.(Doctoraldisserta(on).AvailablefromProQuestDisserta(onsandTheses.(304333685)Addi(onalreferencesavailableuponrequest

Acknowledgements:SpecialthankstoadvisorDr.KathleenWhiteandmentors:CDRScoYBrannan,CDRAmadaAvalos,CDRMichaelLuYrel

andCAPTMichaelCoffel

Nextsteps:Implementapiloted5-monthleadershipdevelopmentprojectwithasmallcomponentoftheNavyNurseCorps.Theprojectwillconsistofface-to-facecoachingsessionsandE-learningmodules,usinggroupdiscussions,roleplaying,simula(onsandotherrecommendedstrategies.Theproject’seffec(venesswillbeevaluatedandpoten(allyusedthroughouttheNavyNurseCorpsReserves.

LiteratureSearchResults

Summary/Synthesisoffindings:Theevidenceproposedleadershipdevelopmentstrategiesbesystema(c,reliableandlife-long.Effec(veleadershipdevelopmentstrategiesincluded:•  Mentoring-14ar(cles•  Training/Educa(on-10ar(cles•  Coaching-7ar(cles•  LeadershipAcademies/Programs-7ar(cle•  PersonalDevelopment-5ar(cle•  ProgressiveResponsibili(es-4ar(cles•  FieldExperience-4ar(clesTheevidencerecommendedformalleadershipprogramsbedevelopedandstrategiesbecustomizedtoindividualcapabili(esandlearningstyles.Novicenurseleadersshouldbegivenprogressiveleadershipresponsibili(estoapplynewlyacquiredleadershipskills.

Session1-ProjectOverview/Pre-ProjectSelfAssessment

Session2-LeadershipDevelopment/OnlineModule

Session3-Communica(onSkills/OnlineModule

Session4-ProfessionalDevelopment/OnlineModule

Session5-Wrapup/Post-ProjectSelfAssessmentAddi(onalleadershipdevelopmentopportuni(es3DatabaseSearches

#1199

Excludeda^errefinements

#135

Title/Abstractsreviewed

#67

Refinements

#202

Excludedbasedonquality

#21

Included

#46

Excluded#997

LeadershipDevelopmentStrategies

LeadershipDevelopmentStrategies

LeadershipAcademy/Programs(7)

Coaching(7)

Training/Educa(on(10)

Mentoring(14)

FieldExperience(4)

ProgressiveResponsibility(4)

PersonalDevelopment(5)

Results