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Cultivating an Environment of Expertise: It Matters
Christine Schulman, RN, MS, CNS, CCRNAACN President Elect 2017-2018Trauma & Critical Care CNSPortland, Oregon
Why this topic?
EvidenceEvidence
EducationEducation
ExperieneExperiene
EnvironmentEnvironment
EvidenceEvidence
EducationEducation
ExperieneExperiene
EnvironmentEnvironment
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• Why?• What if?• When?• What’s the
difference?
Clinical Inquiry
Clinical Question
Chulay, M. & Granger, B. Research for Clinicians
Staff Development Administration
Policies & Procedures
Clinical Research
EvidenceEvidence
EducationEducation
ExperieneExperiene
EnvironmentEnvironment
Being a Mentor
• Increased responsibility for others• Broadens your interests, knowledge, and
capabilities• Provides multiple rewards• Develops a wide network of colleagues• Promotes excellent problem solving,
listening, communication, and advocacy
EvidenceEvidence
EducationEducation
ExperieneExperiene
EnvironmentEnvironment
Learn from experiences• POWER rounds
Patient of the Week Education Rounds
• RECAP meetings Review of events, codes, &
procedures
• Nursing Grand Rounds Discussion of patient based
experiences
• Nursing Peer Review Review and evaluation of
significant event
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EvidenceEvidence
EducationEducation
ExperieneExperiene
EnvironmentEnvironment
Skilled Communication
Skilled Communication
True Collaboration
True Collaboration
Effective Decision Making
Effective Decision Making
Appropriate Staffing
Appropriate Staffing
Meaningful RecognitionMeaningful Recognition
Authentic LeadershipAuthentic Leadership
HEALTHY WORK ENVIRONMENT
• Clinical Inquiry• Mentoring Programs• Reflection on Practice• Healthy Work Environment
Is that all there is to it?
We cannot become what we need to be by remaining what we are.
Max Dupree
YOU are the Leader You’ve Been Looking For! Characteristics of an Expert
• Clinical
• Behavioral
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Harvard Business School
1. Ability to learn on the job2. Listening and oral communication skills3. Adaptability4. Personal management skills5. Interpersonal & group effectiveness6. Leadership potential7. Intellectual or technical skill set
What does it take to become “EXCELLENT”?
• Diligence• Doing right• Ingenuity
“Betterment is perpetual labor.”
Time to Think
“Slack Time”Karlene Kerfoot
Using Your Gifts
• Generate energy• Intrinsically rewarding• Are fundamental to
who you are• Timeless• Serve others
Why did you become a nurse? Four Ancient Gifts
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Gift of Fire
Fire energy is…• Ambitious• Visionary• Courageous• Confident• Independent• Determine• In Control• Goal Oriented
Fire gifts include…• Setting & achieving
goals• Envisioning the future• Taking charge• Rallying others to the
cause• Competing to win• Inspiring others• Setting the pace• Being decisive
Gift of Water
Water energy is…• Understanding• Intuitive• Easy going• Supportive• Compassionate• Genuine• Reflective• Nurturing
Water gifts include…• Mediating conflict• Teaching• Working on teams• Using diplomacy• Encouraging,
understanding others• Facilitating groups• Selling• Putting people at ease
Gift of Earth
Earth energy is…• Focused• Industrious• Loyal• Practical• Well-prepared• Dependable• Logical, analytical
Earth gifts include…• Detailed planning• Trouble-shooting• Organizing anything• Doing it right the first
time• Creating systems• Keeping teams on track• Accepting responsibility
Gift of Air
Air energy is…• Spontaneous• Curious• Communicative• Multi-tasking• Analytical• Innovative• Idea-centered• Flexible
Air gifts include…• Adapting to change• Expanding limits• Improvising• Writing• Speaking• Explaining• Motivating others
through ideas• Starting new projects
What happened in the BICU?
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We Believe
• Nurses make a vital contribution … to patients, families and societies
• Nursing isn’t a job, it’s a calling … a distinguished profession, an indispensable career
• Nurses have an obligation … to be the best they can be and protect the contributions of nursing
• Nurses must be agents of positive change … in their organizations
• We need to work together … each individual member, member volunteers, boards of directors and staff – to steward our mission
• It matters that nurses care courageously for the sickest and most vulnerable patients and do it in chaotic and ever-changing systems
• It matters that you use your values and voice so your contribution is not taken for granted
• It matters that we are members or leaders of interdisciplinary teams who are always at the bedside watching, preventing errors, averting disasters
• It matters that you bring your unique gifts to work every day and use those gifts to make change that matters – one small step or one giant leap at a time
“As nurses we know that when we show up and speak up about things that impact the quality of care that we deliver and the environment in which we work — It Matters.”- Clareen Wiencek
AACN President
Thank You