Leadership in Contemporary Nursing Practice

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Leadership in Contemporary Nursing Practice
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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.

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Leadership in Nursing

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

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Leadership in Nursing

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

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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.

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Nursing Leadership

• Skill building occurs through
• On-the-job training
• Support from peers
• Mentoring from effective leaders

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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?

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Nurse Leader Roles and Responsibilities

• Organization of work
• Staffing
• Scheduling
• Orientation
• Delegation
• Information structures
• Motivation and Productivity
• Provide environment of high morale

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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

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Leadership in Nursing

• Effective Communication Skills
• Relationship Skills

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Nurse Leader Roles and Responsibilities

• Directing and Influencing
• Critical Thinking
• Decision Making
• Problem Solving
• Budgeting
• Staff Development
• Policy Development

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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 Involvementinfluence Health Policy

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DELEGATION
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Nursing Process in Nursing Practice
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Influences on Future Nursing Practice
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Influences on Future Nursing Practice
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Influences on Future Nursing Practice
SBAR
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Influences on Future Nursing Practice

• National Patient Safety Goals

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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

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Leadership in Nursing

• Nurse Leaders and Accreditationnurse 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

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Leadership in Nursing

• What characteristics in a nurse leader do you
  think is best?

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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?

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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 ones self, ones skills and uses them
  effectively.

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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

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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.