the trajectory to leadership oncology nursing and beyond elizabeth johnson, msn, rn, aocn, aocns,...
TRANSCRIPT
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THE TRAJECTORY TO LEADERSHIP
ONCOLOGY NURSING AND BEYOND
Elizabeth Johnson, MSN, RN, AOCN, AOCNS, OCN
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July 24, 2008 2
NATURE OF NURSING PRACTICE
• Evolutionary
• Continuous
• Subtle
• Imperceptible
• Supportive
• Female
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July 24, 2008 3
ONGOING STRUGGLES
• Recognition
• Visibility
• Image
• Role definition
• Professional advancement
• Standardization of practice
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July 24, 2008 4
EARLY ROLE MODELS
FLORENCE NIGHTINGALE
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July 24, 2008 5
EARLY ROLE MODELS
LINDA RICHARDS
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July 24, 2008 6
EARLY ROLE MODELS
MARY ELIZA MAHONEY
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July 24, 2008 7
EARLY ROLE MODELS
ISABEL HAMPTON ROBB
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July 24, 2008 8
THE HERITAGE OF PROFESSIONAL NURSING
• Knowledge based
• Provides a unique service
• Criteria for entry and advancement
• Self-regulating
• Standards of practice
• Ethical guidelines
• Meaningful service
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July 24, 2008 9
THE ONGOING STRUGGLE TO DEFINE PROFESSIONAL NURSING
• Nursing theory
• Role clarity
• Remuneration
• Documentation
• Continuity of care
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July 24, 2008 10
THE WORK OF NURSING
• Misunderstood
• Lacks clarity
• Undervalued
• Often not visible
• Simultaneously multi-dimensional
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July 24, 2008 11
THE WORK OF NURSING
• Multidimensional– Patient– Family– Community– National– Global
• Holistic
• Four key components
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July 24, 2008 12
SURVEILLANCE
• Assessment and monitoring some aspect(s) of the patient’s health status
• Immediate conditions
• Responses to treatment
• Quality of life
• Health screening
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July 24, 2008 13
RELIEF OF SUFFERING
• “State of severe distress associated with events that threaten the intactness of the person” -- Cassell, 1982
• Mind-body connections• Transcendence of the spirit -- Frankl, 1984
• Positive and negative feeling
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July 24, 2008 14
ADVOCACY
• Actions taken to influence others on behalf of a patient’s well being
• Forms of advocacy in nursing practice– Conveying information on behalf of another– Direct intervention on behalf of another– Restatement and interpretation– Patient education
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July 24, 2008 15
SELF-CARE ASSISTANCE
• Use of specialized knowledge and skill to do for another what s/he cannot do for himself
• May be basic or high tech
• Always integrates the whole person
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July 24, 2008 16
ATTRIBUTES OF HIGH QUALITY CANCER NURSING CARE
• Professional knowledge• Continuity• Attentiveness• Coordination• Partnership• Individualization• Rapport• Caring
-- Radwin, 2000
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July 24, 2008 17
OUTCOMES OF HIGH QUALITY CANCER NURSING CARE
• Increase sense of fortitude
• Sense of well being– Trust– Optimism– Authenticity
-- Radwin, 2000
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July 24, 2008 18
LEADERSHIP AND NURSING
“Nurses may not
always see
themselves as
leaders, but they
almost always are.”-- Pearl Moore, 2007
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July 24, 2008 19
CURRENT CHALLENGES FOR THE PROFESSION
• Understand our professional identity
• Communicate our identity
• Have pride in our identity
• Demonstrate how nursing makes a critical difference in patient outcomes
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July 24, 2008 20
COMPONENTS OF EFFECTIVE LEADERSHIP
• Visionary• Inspiring
– Accountability– New ideas
• Reassuring• Compassionate• Dispassionate
• Incisive• Integrative of
– Macro and micro– Simple and complex– Time lines– Diversity
• Thoughtful
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THE SPECIAL CONTRIBUTIONS OF ONCOLOGY NURSING
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July 24, 2008 22
ONGOING NATURE OF ONCOLOGY NURSING PRACTICE
• Intense
• Uncertain
• Multi-dimensional
• Complex
• Real life issues
• Research driven
• Long term
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July 24, 2008 23
WHAT MAKES AN ONCOLOGY NURSE AN ONCOLOGY NURSE?
• Compassion• Commitment• Drive• Intelligence
• Vision• Collegiality• Process orientation• Courage
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July 24, 2008 24
PROFESSIONAL SOCIETIES
• Provide outlet for felt commitment to a specialized body of knowledge and area of service
• With opportunities to share with like-minded persons
• To promote shared vision
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July 24, 2008 25
ONCOLOGY NURSING SOCIETY
VISION
Lead the transformation
of cancer care
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July 24, 2008 26
ONCOLOGY NURSING SOCIETY
MISSION
Promote excellence in
oncology nursing
and quality cancer care
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July 24, 2008 27
ONCOLOGY NURSING SOCIETY
CORE VALUES
“When all else changes,
values endure.”
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July 24, 2008 28
ONCOLOGY NURSING SOCIETY
CORE VALUES
• Integrity• Innovation• Stewardship
• Advocacy• Excellence• Inclusiveness
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July 24, 2008 29
BENEFITS PROVIDED BY ONS FOR ASPIRING LEADERS
• Principles• Vision• Meaning• Education• Opportunity• Mentoring• Standards• Information
• Advocacy• Networking• Resources• Alliance• Status• Pride• Experience• Power
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July 24, 2008 31
RIPPLE EFFECTS OF PROFESSIONAL INVOLVEMENT
• Patient care
• Practice environment
• Standards of practice
• Health policy
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