Giving Voice to Your (Nursing) PassionsThe Nursing Edge: Leveraging Nurses to Transform HealthcareOregon Center for NursingOctober 20, 2016Renee’ Menkens, MS, RN https://www.youtube.com/watch?v=IfQ-2RzrkCU

Passion• Passion is when you put more energy into

something than is required to do it. • It is more than just enthusiasm or

excitement, passion is ambition that is materialized into action to put as much heart, mind body and soul into something as is possible.

(urban dictionary, http://www.urbandictionary.com/define.php?term=Passion

Leverage• Influence or power to achieve a desired result

(Merriam Webster)

• To improve or enhance (The Free Dictionary)

• Leverage your passion: …everyone deserves to live the healthiest life possible (Campaign for Action, March 2016)

Nursing

D.W. Cardillo, author

Vision• Imagined idea or a goal toward which one

aspires.

B. Hybels, pastor, author

Nursing Knowledge• Applies to work setting

– Individual patient needs for acute and chronic health care services

– Population care issues, resources, gaps• Caregiving, family support, education, services

• Applies to Community• Chronic Illness Care: HF, DM, COPD, CKD,

Dementia• Health Promotion: Family planning,

immunizations, obesity reduction, tobacco cessation, all age groups

• Illness Prevention: Primary care access, education, transitional care services, case management, care navigation

Get Involved• What is your vision?• What is your passion?• What do you see that:

– Pushes buttons?– Inspires a need for change – in you? In

something else?– Challenges your abilities and skills?– Moves your emotions and passions to do

something about it……

LeadershipIdentify the issue:• Vision for change• Passion to sustain drive• Research• Network• Leverage your skills• Credit your success

Olsen, K. (2016). Influence through policy: Four steps YOU can take. RNL, 43(2), Retrieved from http://www.reflectionsonnursingleadership.org/Pages/Vol42 2 Olson Policy.aspx

Quadruple Aim

http://www.training.dupont.com/dupont-stop/stop-for-healthcare/

Passion in PracticeNursing

Culture of Health

Community or Organization

The Culture of Health

2. Cross-Sector Collaboration:

Foster Cross-Sector Collaboration to

Improve Well Being

1. Shared Value:Make Health a Shared Value

3. Healthier Communities:

Create Healthier, More Equitable Communities

4. Integrated Systems:Strengthen the

Integration of Health Services and

Systems

http://www.cultureofhealth.org/

Outcome:Improved

Population Health, Well Being and

Equity

http://www.cultureofhealth.org/en.html

Our ChallengeBy identifying and acknowledging your passions:• You can serve the vulnerable members of

our society• You play a primary role in advancing the

calling of nursing. • You can make a difference

in the health of our Communities

Vision “It was once said that the moral test of government is how that government treats those who are in the dawn of life, the children; those who are in the twilight of life, the elderly; and those who are in the shadows of life, the sick, the needy and the handicapped.”

Hubert Humphrey, 38th Vice President of the United States, 1965-1969 inscribed on wall of the Department of Health and Human Services in Washington DC.

Board Service – a social calling!• A nation's moral fiber is defined by how

that nation cares for the weakest members of its society.

• Our societal mandate as nurses is to contribute to the good of society to transform healthcare and improve the health of our communities.

• Serving on a board and in positions of influence in your community allows you to respond to your highest calling in nursing.

Nurses on Boards (NOBC)–Board Definition

A board is a:• Decision-making body with strategic

influence to improve the health of communities nationwide.

• Includes corporate, governmental, non-profit, advisory, or governance boards or commissions, panels, or task forces that have fiduciary or strategic responsibility.

Serving on a Board(per Gladys Campbell)

• Allows you to have voice, impact, and influence the basic conditions that determine your ability to deliver high quality nursing care.

• Allows you to increase your professional network both within and outside of nursing– You can use this network to advance your interests and your ability to

be informally mentored as a leader. • Expands your personal mental model and understanding

of the political climate in the state, and/or business and health systems.

• Enhances your ability to access increasingly more powerful arenas of influence and to potentially increase your career opportunities.

Corporate and Nonprofit BoardsCorporate Boards Nonprofit BoardsOwned by stockholders. Owned by the public (stakeholders).

Generate money for the owners. Serve the public/constituents.

Success is making sizeable profit. Success is meeting the needs of the public/constituents.

Board members are usually paid. Board members are usually unpaid volunteers.

Money earned over and above what is needed to pay expenses is kept as profit and distributed to shareholders.

Money earned over and above that needed to pay expenses is retained as surplus and spent on meeting public need.

The CEO is often on the board of directors and is sometimes the chairperson of the board.

The CEO is not usually a board member but attends board meetings.

Pay federal, state, and local taxes. Usually exempt from paying federal, state, and local taxes.

Money invested in for-profits typically cannot be deducted from the investor’s personal tax liability.

Money donated can be deducted from the donor’s personal tax liability.

Adapted from McNamara, C. (2008). Field guide to developing, operating, and restoring your nonprofit board. Authenticity Consulting, LLC: Minneapolis, MN.Curran, C. (2016). Nurse on board: Board basics. RNL. Retrieved from http://www.reflectionsonnursingleadership.org/Pages/Vol41_4_NurseOnBoard.aspx

Impact of Nurses on Boards Cost of care, Quality of care, Access to care

• Individuals: – Access to care, – Cost of care, insurance– Education, resources, support– Safe care in home, facilities & community

• Organizations: – Costs of providing care– Reimbursement – Service trends – Staff

• Communities: – Vulnerable populations – Lifestyle – Resources

Impact of Nurses on Boards Cost of care, Quality of care, Access to care

• Systems of care: – Transitions across systems, – Navigation complexity

• Transitions of care: – Support for chronic illness management – Beginning and End of life care– Acute and chronic care needs

• Population health: – Special needs for vulnerable groups – Age group needs

• Community, state and national health: – Healthy lifestyles – Coalitions, policy, politics – Meaningful changes in health

Nurses on BoardsNationwide Goal 10,000: RNs 2.7 million

To date: 2,265 (~0.08%)

Oregon Goal 200: RNs 32,450To date: 133 (~0.4%)

16 CCOs – 3378 Hospitals – 15 27 State based boards - 39Nursing Organizations – 74 (not counted) 154 FQHCsCommunity organizations

http://nursesonboardscoalition.org/; https://www.ncsbn.org/workforce.htm ; http://www.bls.gov/oes/current/oes_or.htm#29-0000http://oregoncenterfornursing.org/wp-content/uploads/OCN_Publications/2014-RN-Profile.pdf

Journey: Voicing My Passion

Professional Board – local and state

Organization & Community Service Board

Community: CHIP Steering committee

Coos County Community

Health Improvement Plan Coalition

Healthy Coos County

The Culture of Health

2. Cross-Sector Collaboration:

Foster Cross-Sector Collaboration to

Improve Well Being

1. Shared Value:Make Health a Shared Value

3. Healthier Communities:

Create Healthier, More Equitable Communities

4. Integrated Systems:Strengthen the

Integration of Health Services and

Systems

http://www.cultureofhealth.org/

Outcome:Improved

Population Health, Well Being and

Equity

http://www.cultureofhealth.org/en.html

https://www.youtube.com/watch?v=hdSEeZ28bdc

Discussion• Talk to your colleagues

– What is your passion?• Experience(d) practice/leadership gaps?• Motivation from RN role: your passion, interest, commitment• Curiosity: how can you use a board position to improve the

health of those served?

– What is your personal experience? Your motivation/goals?• Interest in board work? • Had challenges to policy/governance (board) involvement? • Seen benefits of policy/governance (board) engagement? • Identified creative opportunities for involvement?

Conclusion:Plan of Action: Achieving a Culture of Health

• Being the most trusted makes us socially responsible – be a mentor: Help students and new nurses over professional gaps– be intentional: Make clear availability and level of interest– be creative: Explore, test, and promote new models of care– be empowered: Advocate and negotiate for leadership opportunities– be humble: Develop core skills but be realistic with weaknesses – be introspective: Explore our wide impacts on the health of others– be prepared: Prepare self and others for policy and governance roles

• Give Voice to your passion– as a nurse leader– in your community!

Conclusion:Plan of Action: Achieving a Culture of Health

•Actualize optimal care at each level: – Individual, – Health Care Organization, – Community/State/Nation, and ultimately – The health care system

•Realize:– Nurses can promote & achieve the outcome of “Improved

population health, well being and equity” through1. Shared values2. Collaboration3. Healthier equitable communities and4. Service and system integration

Culture of Health

What is Your Passion?