FOSTERING LEADERSHIP IN NURSES

Andrea C. Gregg, PhD, RN

LEADERSHIP THEORY

A process of social influence >support>task organizing others> common goal

A person whom others follow who guides or directs others

A variable Traits: Height, charisma, intelligence Situational: Power, function Vision: Values, Behavior

EDUCATIONAL THEORY Leadership Self-Efficacy

Level of confidence in the knowledge, skills, and abilities associated with leading others.

Most prevalent characteristic used in defining a leader

COGNITIVE MODEL OF LEADERSHIP

EDUCATIONAL THEORY Leadership Competencies

• Self-awareness • Advocacy and empowerment • Decision-making • Communication • Quality and safety • Teamwork • Clinical excellence

UNIVERSITY OF FLORIDA (CENTER FOR LEADERSHIP AND SERVICE)

Social Change Model of Leadership Development

NURSING EDUCATIONAL STANDARDS AACN: Essential II

BSN: Basic Organizational and Systems Leadership

for Quality Care and Patient Safety

MSN: Organizational and Systems Leadership

DNP:

Organizational and Systems Leadership for Quality Improvement and Systems Thinking

AACN: Essential II: BSN

Basic Organizational and Systems Leadership for Quality Care and Patient Safety Basic theories of systems, change,

communication, conflict resolution, decision making;

Principles and processes of care delivery, safety, and quality improvement.

Professional and ethical obligations to patients and the system

AACN: Essential II: MSN

Organizational and Systems Leadership Builds on BSN foundation Greater emphasis on healthcare team

leadership. Curricular content includes

Theories of teams, negotiation, delegation and processes of initiating conflict resolution and consensus building.

Advances leadership from circumscribed patient care environment to the broader organizational and external professional environments.

AACN: Essential II - DNP Organizational and Systems Leadership for Quality Improvement and Systems Thinking

Leadership on needs of a panel of patients, a target

population, or a broad community.

Conceptualize new care delivery models that are feasible within organizational, political, and economic environments.

Content includes Political advocacy at state and national levels; Business, finance, and economic theory and processes; Ethical analysis.

Moves leadership from advanced practice at the organizational

level to the larger patient population and professional communities.

Consistent with theory & standards

Voted Most Trusted Profession

Public view of nurses as leaders

Public view of nurses as leaders

Public is not used to viewing nurses as leaders

All nurses must be leaders in the design, implementation, and evaluation of, as well as advocacy for, the ongoing reforms to the system at will be needed.

Need leadership skills and competencies to act as full partners with physicians and other health professional in redesign and reform efforts across the health care system

The Future of Nursing [IOM] #7

Prepare & enable nurses to lead change to advance health

Nurses, nursing education programs, and nursing associations should prepare the nursing workforce to assume leadership positions across all levels . . .

PARADIGM SHIFT

Concurrent preparation of nurse as clinician & leader See 1, Do 1, LEAD 1

Integrated inter-professional clinical and

leadership experiences Core and Clinical

Advanced advocacy in political arenas

Inclusive in all courses

Governance leadership Governance models & mentored experiences

It is time for nursing to rise, are you willing to lead?