The Future of Nursing Leading Change, Advancing Health (2011) / Chapter Skim
Currently Skimming:
5 Transforming Leadership
5 Transforming Leadership
Pages 221-254
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 221... ...
Additionally, nurses will need leadership skills and competencies to act as full partners with physicians and other health professionals in redesign and 221
|
From page 222... ...
Nursing leaders must translate new research findings to the practice environment and into nursing education and from nursing education into practice and policy. Being a full partner transcends all levels of the nursing profession and requires leadership skills and competencies that must be applied both within the profession and in collaboration with other health professionals.
|
From page 223... ...
Leadership Competencies Nurses at all levels need strong leadership skills to contribute to patient safety and quality of care. Yet their history as a profession dominated by females can make it easier for policy makers, other health professionals, and the public to view nurses as "functional doers" -- those who carry out the instructions of others -- rather than "thoughtful strategists" -- those who are informed decision makers and whose independent actions are based on education, evidence, and experience.
|
From page 224... ...
More specific competencies might include learning how to be a full partner in a health team in which members from various professions hold each other accountable for improving quality and decreasing preventable adverse events and medication errors. Additionally, nurses who are interested in pursuing entrepreneurial and business development opportunities need competencies in such areas as economics and market forces, regulatory frameworks, and financing policy.
|
From page 225... ...
Two nursing researchers who have studied collaboration among health professionals define it as a communication process that fosters innovation and advanced problem solv ing among people who are of different disciplines, organizational ranks, or institutional settings [and who] band together for advanced problem solving [in order to]
|
From page 226... ...
. The team follows its and if I've had any new problems, patients across settings -- hospital, even the smallest thing." clinic, home, and nursing home -- as Patient centeredness, meticulous needed.
|
From page 227... ...
Beverly started promotion and disease prevention -- as a Robert Wood Johnson Executive mammograms and flu shots, for Nurse Fellow. That site is develop example -- as well as analyses of cur ing a program for the training of rent drug regimens.
|
From page 228... ...
A crucial part of working within the social architecture is understanding how leadership and practice produce change over time. The nursing profession's history includes many examples of the effect of nursing leadership on changes in systems and improvements in patient care.
|
From page 229... ...
. Their efforts to translate their findings into practice revolutionized nursing practice in nursing homes, hospitals, and other facilities by focusing nursing care on preventing falls and other injuries related to restraint use, and led to state and federal legislation that resulted in reducing the use of restraints on frail elders.
|
From page 230... ...
. The National Student Nurses Association (NSNA)
|
From page 231... ...
decided in 2008 that 9 West would be a good fit for Transforming Care I wanted to make the environment for at the Bedside (TCAB) , a national the child and parents a place where initiative of The Robert Wood John they could feel safe, even though there son Foundation with the Institute for was a lot of scary stuff going on around Healthcare Improvement.
|
From page 232... ...
Louis; and joined the a bachelor's degree in communica- Breakthrough to Nursing initiative at tions and knew she would need a the National Student Nurses Associa more flexible program. She chose the tion (NSNA)
|
From page 233... ...
Louis, and immediate past president, National Student Nurses Association Billy A Caceres, BSN, RN, al ready had a bachelor's degree in poli tics and communications and a job in event planning for a New York City nonprofit when he made the decision to pursue a BSN.
|
From page 234... ...
Formal preparation of student nurses may need to go beyond what has traditionally been considered nursing education. To this end, a growing number of schools offer dual undergraduate degrees in partnership with the university's business or engineering school for nurses interested in starting their own business or developing more useful technology.
|
From page 235... ...
More CNOs described a direct reporting relationship to the chief operating officer instead. Such changes in reporting structure can limit nurse leaders' involvement in decision making about the most important product of hospitals -- patient care.
|
From page 236... ...
And what the VNACJ stands for is local Photo courtesy of Mary Ann Christopher communities "driving" the services provided.
|
From page 237... ...
First, she knows well what Robert Wood Johnson Foundation nurses can do. She has cultivated an and the State of New Jersey, it is now atmosphere of honoring staff ideas supported by local governments.
|
From page 238... ...
Several states and the Centers for Medicare and Medicaid Services, for example, are increasing their oversight of specific preventable errors ("never events") , and new payment structures in health care reform may be based on patient outcomes and satisfaction (Hassmiller and Bolton, 2009; IOM, 2000; King, 2009; Wachter, 2009)
|
From page 239... ...
But nursing organizations must continue to collaborate and work hard to develop common messages, including visions and missions, with regard to their ability to offer evidence-based solutions 4 Personal communication, Mark Pauly, Bendheim Professor, Professor of Health Care Manage ment, Professor of Business and Public Policy, Professor of Insurance and Risk Management, and Professor of Economics, Wharton School of the University of Pennsylvania, and Codirector of the Robert Wood Johnson Foundation's Interdisciplinary Nursing Quality Research Initiative, June 25, 2010.
|
From page 240... ...
is a Robert Wood Johnson Foundation−funded effort with the mission of advancing the quality, safety, and value of patient-centered health care for all indi viduals, including patients, their families, and the communities where patients live. See http://www.gwumc.edu/healthsci/departments/nursing/naqc/.
|
From page 241... ...
Leadership Programs for Nurses Leadership is not necessarily innate; many individuals develop into leaders. Sometimes that development comes through experience.
|
From page 242... ...
The impact of the program will be evaluated to produce models that can be replicated in other parts of the country. Fellows Program in Management for Nurse Executives at Wharton When the Johnson & Johnson Company and the Wharton School joined in 1983 to offer a senior nurse executive management fellowship, the program concentrated on helping senior nursing leaders manage their departments by providing them, for example, intense training in accounting (Shea, 2005)
|
From page 243... ...
. Robert Wood Johnson Foundation Health Policy Fellows and Investigator Awards Programs While not limited to nurses, the Robert Wood Johnson Foundation Health Policy Fellows and Investigator Awards programs10 offer nurses, other health professionals, and behavioral and social scientists "with an interest in health [the opportunity]
|
From page 244... ...
American Nurses Credentialing Center Magnet Recognition Program Although not an individual leadership program, the American Nurses Credentialing Center (ANCC) Magnet Recognition Program11 recognizes health care organizations that advance nursing excellence and leadership.
|
From page 245... ...
It serves as a model worth emulating throughout the nursing profession. 13 The Edge Runner program is a component of the American Academy of Nursing's Raise the Voice campaign, funded by the Robert Wood Johnson Foundation.
|
From page 246... ...
And if the goal is broader, perhaps to locate more community health clinics within schools, achieving buy-in from the local school board is absolutely vital. As Hall-Long writes, however, "since nurses do not regularly communicate with their elected officials, the elected officials listen to non-nursing individuals" (Hall-Long, 2009)
|
From page 247... ...
Very little in politics is accomplished without preparation or allies. Health professionals point with pride to multiple aspects of the Prescription for Pennsylvania initiative, a state health care reform initiative that preceded the ACA and is also described in Box 5-6.
|
From page 248... ...
Torregrossa, Esq., direc 800 providers and 1 million tor, Governor's Office of Health Care patients and teach a variety Reform for the Commonwealth of of providers to collaborate on Pennsylvania primary care teams; and • expanding the legal scope of On his first day in office, Gover practice for physician assistants, nor Rendell established the Office of advanced practice registered Health Care Reform to begin to ad nurses (APRNs) , clinical nurse dress residents' access to affordable, specialists, certified nurse mid high-quality health care.
|
From page 249... ...
Hansen-Turton said, said Ann S Torregrossa, Esq., who adding, "It's all about access." in 2005 was named deputy director and in 2009 director of the Office of Health Care Reform.
|
From page 250... ...
What drew the greatest amount of political support for the Prescription for Pennsylvania campaign was the shared goal of getting more value out of the health care system -- quality care at a sustainable price. The fact that the campaign also expanded nursing practice was secondary.
|
From page 251... ...
Strong leadership on the part of nurses, physicians, and others will be required to devise and implement the changes necessary to increase quality, access, and value and deliver patientcentered care. If these efforts are to be successful, all nurses, from students, to bedside and community nurses, to CNOs and members of nursing organizations, to researchers, must develop leadership competencies and serve as full partners with physicians and other health professionals in efforts to improve the health care system and the delivery of care.
|
From page 252... ...
. Ballein Search Partners and AONE (American Organization of Nurse Executives)
|
From page 253... ...
2010. Robert Wood Johnson Foundation Health Policy Fellows.
|
From page 254... ...
2005. Developing the strategic voice of senior nurse executives.
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.