Leadership in Contemporary Nursing Practice

1. Leadership in Contemporary Nursing Practice

2. Leadership in Nursing • Leadership is an attempt to influence groups or individuals without the coercive form of power. • Nurse leaders have an obligation to create an environment in which good people can provide good care.

3. Leadership in Nursing • At its core, leadership is about relationships with other people. • Professionalism is an important characteristic of nurse leaders.

4. Leadership in Nursing • Leadership is critical to successful organizational outcomes. • Changes in nursing leadership have been underscored on creating safe environments for patients and staff—identified by the Institutes of Medicine (IOM) in its work on medical errors and patient safety.

5. Leadership in Nursing • Leadership involves much knowledge and disciplined practice. • When nurses graduate they are not ready to assume a leadership role. They require opportunities for self-discovery to understand their strengths and for skill building.

6. Nursing Leadership • Skill building occurs through: • On-the-job training • Support from peers • Mentoring from effective leaders

7. Leadership in Nursing • Framework for Nursing Leadership requires a conceptualization of the various functions, roles, and responsibilities of the nurse manager or administrator. • What are some roles and responsibilities of the Nurse Leader?

8. Nurse Leader Roles and Responsibilities • Organization of work • Staffing • Scheduling • Orientation • Delegation • Information structures • Motivation and Productivity • Provide environment of high morale

9. Leadership in Nursing • Changes in the landscape of healthcare require creativity and innovative leadership and management styles. The changes include: • New technology • Increased diversity in the workplace • Greater accountability for practice • A new spiritual focus on the mind and body connection

10. Leadership in Nursing • Effective Communication Skills— • Relationship Skills

11. Nurse Leader Roles and Responsibilities • Directing and Influencing • Critical Thinking • Decision Making • Problem Solving • Budgeting • Staff Development • Policy Development

12. Nurse Leader Roles and Responsibilities • Knowledge of Legal Issues in Nursing (NCBON/ANA) • Patient Safety: (Pg 5 Table 1-1 NPSG) ( SBAR Pg 6 Table 1-2 ) • Employee/Staff safety Evaluations • Quality Management (QSEN Pg 5) (EBP Pg 7 & 8) • Performance Appraisals • Political Involvement—influence Health Policy

13. DELEGATION

14. Nursing Process in Nursing Practice

15. Influences on Future Nursing Practice

16. Influences on Future Nursing Practice

17. Influences on Future Nursing Practice • SBAR

18. Influences on Future Nursing Practice • National Patient Safety Goals

19. Leadership in Nursing • Laws and Standards of Practice govern nursing practice • Scope and Standards of Nursing Practice • Scope and Practice of Nurse Administrators • State Nursing Laws (formerly the Nurse Practice Act) • Hospital/facility Policies and Procedures • Unit Policies and Procedures

20. Leadership in Nursing • Nurse Leaders and Accreditation—nurse leaders are responsible and accountable for adherence to the Standards of Accrediting Agencies. • Joint Commission of Accreditation of Health Organizations (JCAHO) • CORE Measures • National Patient Safety Standards • State Licensure Regulations

21. Leadership in Nursing • What characteristics in a nurse leader do you think is best?

22. Nursing Leadership • Would you like to have a leader that empowers staff to have a vision about the organization and trusts them to work toward goals that benefit the organization and themselves?

23. Effective Nursing Leadership • Futuristic and explains where energies are to be focused. • Enhances self-worth of individuals. • Makes sure workers know expectations. • Decisions are based on fairness, equity, and honesty. • Knows one’s self, ones skills and uses them effectively.

24. Nursing Leadership • Emotional Intelligence is the capacity for recognizing our own feelings and those of others, for motivating ourselves, and for managing emotions well in ourselves and others. • Self: Self-Awareness and Self-Management • Others: Social Awareness and Relationship Management

25. Nursing Leadership After thinking about the roles and responsibilities---You must realize that in many ways, all nurses are leaders. Nurses are the frontline professionals of healthcare today, our leadership is crucial in navigating our increasingly complex healthcare system.