Authentic leadership and the future of IPC

Julie Storr, S3 Global, Past President UK Infection Prevention Society

@safesafersafest

@julesstorr

First: disclosures - nothing to disclose

Second: thank you

Third: two small requests from the stage

PART ONEA bit of global context

@safesafersafest

@julesstorr

The triple billion aims of WHO

Dr Tedros, Director General WHO

13th General Programme of World Health Organisation

http://apps.who.int/gb/ebwha/pdf_files/EB142/B142_3-en.pdf?ua=1

1. Promote health

2. Keep the world safe

3. Serve the vulnerable

• IPC promotes health

• IPC keeps the world safe

• IPC serves the vulnerable

What about global IPC?

http://www.who.int/infection-prevention/tools/core-components/HAI-Infographic.pdf?ua=1

IPC programmes part of the solution

• IPC is the solution to a

real and devastating

problem

IPC impacts patient outcome

Watch the video here: https://www.youtube.com/watch?v=K-2XWtEjfl8&app=desktop

WHO’s advocacy video

on IPC ends with these

words:

WHO (2016) Core components of IPC programmes at the national and acute health care facility level

So, what makes IPC work?

Evidence suggests eight

integrated core

components should be

blended together

IPC programmes

LEADERSHIP

IPC programmes & leadership

Leadership underpins multimodal improvement

As IPC practitioners we have a

huge responsibility – to drive

forward change and

improvement wherever we work.

Icon by www.flaticon.comSlide courtesy of Dr Enrique Castro-Sánchez, Imperial College London @castrocloud

PART TWOAbout leadership –the literature

@safesafersafest

@julesstorr

First: the literature is useful, sort of..

• Leadership is all around.

• It’s personal.

Second: two questions

Gundlach AM (2017) Johns Hopkins School of Public Health. Foundations of

Organizational Leadership.

1. What do you expect of people

in leadership roles?

2. Why do you think we’re

sometimes disappointed in our

leaders?

Most common answers Expectations- Integrity

- Visionary

- Inspirational

- Decisive

- Team builder

Disappointments- Don’t walk the talk

- Self-centered

- Non-participative

- Poor communication

- DishonestCenter for Creative Leadership 2011

• Leadership is personal.

• Our expectations &

disappointments shape us.

The vision thing seems to be quite important

Leaders are ‘visible, have a

vision and share it often.'

Roy Lilley (2017) The Vision Thing. NHS Managers.Net http://myemail.constantcontact.com/The-vision-

thing.html?soid=1102665899193&aid=Y5yv0aevPiI. @roylilley

• Self-awareness

• Self-acceptance

• Authentic actions and

relationships.

Gardner, William L.; Avolio, Bruce J.; Luthans, Fred; May, Douglas R.; and Walumbwa, Fred, "“Can you see the real me?” A self-based

model of authentic leader and follower development" (2005).Management Department Faculty Publications. 158.

https://digitalcommons.unl.edu/managementfacpub/158

Authentic leadership

Leadership has an impact

• Staff engagement and Hospital

Leadership significantly associated

with knowledge related to IPC

(Sinkowitz-Cochran et al)

• Positive leadership behaviours

associated with reduced incidence

of HAI (Houser)

• Sinkowitz-Cochran, Ronda L. et al. The associations between organizational culture and knowledge, attitudes, and practices in a multicenter Veterans Affairs quality improvement initiative to prevent methicillin-

resistant Staphylococcus aureus. Am J Infect Control;40(2):138 – 143

• Houser J. A model for evaluating the context of nursing care delivery. J Nurs Adm 2003;33(1):39e47

Leadership in IPC is

important!

• Culture of excellence

• Strategies for resistors

• Inspirational

• Political

Saint S, Kowalski CP, Banaszak-Holl J, Forman J, Damschroder L, Krein SL (2010) The importance of leadership in preventing healthcare-associated infection: results of a multisite

qualitative study. Infect Control Hosp Epidemiol. 2010 Sep;31(9):901-7 https://www.ncbi.nlm.nih.gov/pubmed/20658939

Distributed leadership

Emphasized the need for clinicians

working on the front line to own

and lead IPC themselves.

IPC expertise is important to

legitimize this leadership.

Gould DJ, Gallagher R, Allen D. (2016) Leadership and management for infection prevention and control:

what do we have and what do we need? J Hosp Infect. Oct;94(2):165-8.

Distributed leadership

Research on leadership & IPC is increasing globally

Weak leadership as a major

barrier to IPC programmes.

Mugomeri E (2018) The efficacy of infection prevention and control committees in Lesotho: A qualitative study. Am J Infect Control. 2018 Jan 9 [Epub ahead of print] https://www.ncbi.nlm.nih.gov/pubmed/29326003

PART THREE

My leadership

philosophy

@safesafersafest

@julesstorr

Some assumptions

Gundlach AM (2017) Johns Hopkins School of Public Health. Foundations of Organizational Leadership.

• Leaders think differently to non-leaders

• Leaders commitment and passion are not

mechanical – they must be authentic

• “Felt” leadership is essential especially in

times of uncertainty and change

• The only leadership is ethical leadership –

our integrity defines us

• Every leader has a story – what’s yours???

What has shaped my leadership philosophy?

Lennon & McCartney (1965) In my life

“People and things that went

before”

Storr et al (2016) Redefining infection prevention and control in the new era of quality universal

health coverage. Journal of Research in Nursing. Vol 21(1) 39-52

IPC and quality

Trying to position IPC as a

fundamental component of

quality health care.

Luker KA (1984) Reading nursing: the burden of being different. International Journal of Nursing Studies. Vol 21, no 1. 1-7

Technical v adaptive

“Can teach but can’t

catheterize”

Walsh M, Ford P (1989) Nursing Rituals: research and rational actions. Butterworth-Heinemann

Evidence based care & compassion

Challenge the status quo

Elliott P, Storr J, Jeanes A (2015) Infection prevention and control: perceptions and perspectives. CRC Press

Leaders challengeinjustices

Strange and sometimes

bad things still happen in

the name of IPC.

Icon by www.flaticon.comSlide courtesy of Dr Enrique Castro-Sánchez, Imperial College London

Evidence based care & compassion

Our ability to influence and

persuade – to lead, is as

important as the science.

Spinning the plates (or not)

“They start the plates spinning

…it’s easy, and then they walk

away before they see the plates

fall down behind them.”

My own personal leadership philosophy

.”.to support and inspire

others as an ethical

humanitarian to improve

the quality and safety of

healthcare…”

The words we use on leadership

What words would you

use?

Helen Bevan (2017) New and revised: 10 things fab leaders do

https://twitter.com/helenbevan/status/850038936361738244?lang=en. @helenbevan

PART FOUR

The future

@safesafersafest

@julesstorr

What about the future?

• Your leadership philosophy

and what you do next will

shape it.

• How will we excite the next

generation – the social

media influencers of IPC?

• IPC itself is around for the

long haul.

Parallels with social media influencers?

1

• Drive

• Focus

• Knowledge

• Persuasion

• Trust

• Wisdom

https://www.business2community.com/social-media/7-key-characteristics-social-media-influencer-0970893

https://fiveminutemarketing.com/2018/09/10-attributes-of-a-social-media-influencer/

https://apps.who.int/iris/bitstream/handle/10665/251458/9789241511360-eng.pdf?sequence=1

• Drive

• Focus

• Knowledge

• Persuasion

• Trust

• Wisdom

2

https://www.business2community.com/social-media/7-key-characteristics-social-media-influencer-0970893

https://fiveminutemarketing.com/2018/09/10-attributes-of-a-social-media-influencer/

https://apps.who.int/iris/bitstream/handle/10665/251458/9789241511360-eng.pdf?sequence=1

Parallels with social media influencers?

3

• Drive

• Focus

• Knowledge

• Persuasion

• Trust

• Wisdom

https://www.business2community.com/social-media/7-key-characteristics-social-media-influencer-0970893

https://fiveminutemarketing.com/2018/09/10-attributes-of-a-social-media-influencer/

https://apps.who.int/iris/bitstream/handle/10665/251458/9789241511360-eng.pdf?sequence=1

Parallels with social media influencers?

Summary – whatever role we have……

We are trying to stop a negative outcome…

& help create a positive outcome….

And leadership matters in the achievement of this

Thank you.Again.

@julesstorr

https://www.youtube.com/watch?v=92bFMeS35vA&feature=youtu.be