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THE TRAJECTORY TO LEADERSHIP ONCOLOGY NURSING AND BEYOND. Elizabeth Johnson, MSN, RN, AOCN, AOCNS, OCN. NATURE OF NURSING PRACTICE. Evolutionary Continuous Subtle Imperceptible Supportive Female. ONGOING STRUGGLES. Recognition Visibility Image Role definition Professional advancement
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THE TRAJECTORY TO LEADERSHIPONCOLOGY NURSING AND BEYOND Elizabeth Johnson, MSN, RN, AOCN, AOCNS, OCN
NATURE OF NURSING PRACTICE • Evolutionary • Continuous • Subtle • Imperceptible • Supportive • Female
ONGOING STRUGGLES • Recognition • Visibility • Image • Role definition • Professional advancement • Standardization of practice
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
THE ONGOING STRUGGLE TO DEFINE PROFESSIONAL NURSING • Nursing theory • Role clarity • Remuneration • Documentation • Continuity of care
THE WORK OF NURSING • Misunderstood • Lacks clarity • Undervalued • Often not visible • Simultaneously multi-dimensional
THE WORK OF NURSING • Multidimensional • Patient • Family • Community • National • Global • Holistic • Four key components
SURVEILLANCE • Assessment and monitoring some aspect(s) of the patient’s health status • Immediate conditions • Responses to treatment • Quality of life • Health screening
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
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
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
ATTRIBUTES OF HIGH QUALITY CANCER NURSING CARE • Professional knowledge • Continuity • Attentiveness • Coordination • Partnership • Individualization • Rapport • Caring -- Radwin, 2000
OUTCOMES OF HIGH QUALITY CANCER NURSING CARE • Increase sense of fortitude • Sense of well being • Trust • Optimism • Authenticity -- Radwin, 2000
LEADERSHIP AND NURSING “Nurses may not always see themselves as leaders, but they almost always are.” -- Pearl Moore, 2007
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
Visionary Inspiring Accountability New ideas Reassuring Compassionate Dispassionate Incisive Integrative of Macro and micro Simple and complex Time lines Diversity Thoughtful COMPONENTS OF EFFECTIVE LEADERSHIP
ONGOING NATURE OF ONCOLOGY NURSING PRACTICE • Intense • Uncertain • Multi-dimensional • Complex • Real life issues • Research driven • Long term
Compassion Commitment Drive Intelligence Vision Collegiality Process orientation Courage WHAT MAKES AN ONCOLOGY NURSE AN ONCOLOGY NURSE?
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
ONCOLOGY NURSING SOCIETYVISION Lead the transformation of cancer care
ONCOLOGY NURSING SOCIETYMISSION Promote excellence in oncology nursing and quality cancer care
ONCOLOGY NURSING SOCIETYCORE VALUES “When all else changes, values endure.”
Integrity Innovation Stewardship Advocacy Excellence Inclusiveness ONCOLOGY NURSING SOCIETYCORE VALUES
Principles Vision Meaning Education Opportunity Mentoring Standards Information Advocacy Networking Resources Alliance Status Pride Experience Power BENEFITS PROVIDED BY ONS FOR ASPIRING LEADERS
RIPPLE EFFECTS OF PROFESSIONAL INVOLVEMENT • Patient care • Practice environment • Standards of practice • Health policy