Title: Leadership Opportunities for Change
1Leadership Opportunities for Change
- Practice-Research-Education-Policy
- Elizabeth C. Poster, RN, PhD, FAAN
- Dean, UTA School of Nursing
2Practice History of nurse safety
- 1966 recognition
- Early 1980s 1st Articles by nurses
- Late 1980s Emerging HAZARD
- 2006 Untreated Epidemic
3Extent of the Problem
- Escalating rates
- 70
- Under Reporting
4Emotional Responses
- Anger
- Fear of Patient
- ? Perceived Stress
- PTSD symptoms
5Cognitive Responses
- Self Blame Shame
- Feeling Sorry for Patient
- Being Hit is Part of the Job
6Does Assault come with the Territory ?
- Does role conflict (victim vs. helper) interfere
with the therapeutic alliance? - Should assaulted nurses be expected to care for
patient?
7Violence in the workplace initiatives
- Europe
- AAN Expert Panel
- Federal guidelines
- ANA APNA
83 Key Attributes of Leaders
- Purpose
- Optimism
- Collaborative action
9PMH Nurse Attributes
- 5 Components of
- Emotional intelligence
10PMH Nurse Attributes
- Self Awareness
- Self-regulation
- Motivation
- Empathy
- Social skill
114 Areas of Leadership Needed
- Clinical Practice
- Research
- Education
- Policy/Regulation
12Leadership for Clinical Practice
- Scope and standards
- Clinical practice Guidelines
- Evidence Based Best Practices
- Injury Prevention Guidelines
- Family/Visitor Interventions
- Disaster response
13Leadership for Research
- PMH Nurse Issues
- Patient care issues
- Dissemination of expert knowledge
14Does Assault Come with the Territory ?
- Examples of research Questions-
- Does role conflict (victim vs. helper) interfere
with the therapeutic alliance? - Is Debriefing useful?
- when? for whom?
15Leadership for Education
- Undergraduate
- Graduate
- Staff / Supervisor Education
16Leadership for Policy
- Hospital policy
- Regulatory agency changes
- Education
17PMH Workforce Data Hanrahan ( 2005)
- Included in policy decisions- 38
- Admin listens/responds- 29
- Quality of care excellent- 23
-
- Burn-out high- 35
18ALWAYS Wear Personal Protective Equipment (PPE)
When In Hazardous Environments
19Get Plenty of Rest Drink Fluids.
20Never Turn Your Back on Danger!
21Always Leave Yourself A Way Out.
22Plan Ahead!
23Expect The Unexpected!
24Ive done it a thousand times, what could
possibly go wrong?