Leadership AssignmentJuly 29th, 2016

Lakeside Long Term Care

Stephanie Horner

RPNR 040RPN Refresher Student

A Glimpse Into What Leadership Can Mean

https://www.youtube.com/watch?v=VI4ujbXT4-0

https://www.youtube.com/watch?v=K4kI9_ntt-U

https://www.youtube.com/watch?v=eryhLF6uguU

Some final thoughts from nursing student to leader...

https://www.youtube.com/watch?v=Gne_KDo9cyY

Community Health Nursing ❏Community health nursing includes population health promotion,

protection, maintenance & restoration as well as community, family & individual health promotion & individual rehabilitation or palliative care

❏Promoting, protecting & preserving health of individuals, families, groups, communities & populations

❏Coordinating care/planning services, programs, policies through collaboration with individuals, caregivers, families, other disciplines, communities & governments

Potter & Perry (2014), p. 44

Community Health Nursing continued❏Community health nursing values include caring, principles of

primary health care, many ways of knowing, individual/community partnerships, empowerment & social justice

❏Empowerment is key to improved client and family health outcomes!

❏Psychological, cultural, social, emotional & spiritual dimensions are all part of a holistic nursing approach and interacting/working with clients and their families

❏Effective community health nursing practice comes from empowerment-based skills: client advocacy, communication & health system designs (Potter & Perry (2014), p. 44)

Family Nursing ❏Based on premise that each individual no matter what age is a

member of a type of family form (i.e. traditional, extended, step-family, blended, etc.) & has family experiences that greatly influences their life/ how they approach health care

❏Each individual is best understood from the context of the family

❏Family nursing facilitates & supports the health/well-being of the family as a whole & individual family members; to achieve the goal of optimal health during & after the illness experience

❏Strengths & needs of the family are critical to know

Potter & Perry (2014), p. 274/ 275

Nursing Leadership ❏Entry- level nurses require leadership competencies starting from

strong professional identity & accountability

❏Excellent nursing care requires the vision for quality care together with management skills necessary for best practices/quality care

❏Shared vision, values, organizational strategy & relationships are encompassing of leadership

❏Competencies necessary for daily nursing care together with available resources & standards of professional practice are encompassing of management

Potter & Perry (2014), p. 125/ 126

Nursing Leadership continued

❏Healthy work environments & healthy societies start with nurses who show leadership practices that reflect the significance of relationships , values & transformational change in health systems

❏It is critical nurses demonstrate they are full partners in change in collaboration with physicians/other professionals of the health care team & with sectors of society

❏Research indicates two models of leadership which exemplify healthy work environments for nurses: the (1) transformational & (2) relational model

Potter & Perry (2014), p. 126

Entry- level Nursing Leadership Competencies ❖Accountable / responsible for one's own actions & decisions

(includes personal safety)

❖Demonstration of leadership when providing patient care through promotion of healthy/ culturally safe work environments

❖Qualities of initiative, self-confidence, self-awareness, collaborative interactions in nursing/with health care team

❖Self workload organization & time-management abilities to achieve nursing responsibilities

❖Demonstration of quality improvement principles/ activities within nursing practice

Entry-level competencies continued❖Relational knowledge/ ethical principles integration when supporting

students & with health team for collaborative patient care

❖Participation towards nursing/ health care team development

❖Professional efforts towards a healthier society through health fairs, promotion of the Canada Health Act principles, etc.

❖Awareness of healthy public policy & social justice

❖Support network building with nursing colleagues, health care team individuals & community resources

Potter & Perry (2014), p. 126; adapted from College of Registered Nurses of British Clumbia (2009)

Conceptual Model for Developing/Sustaining Leadership

❏Transformational Leadership Practices include: building relationships & trust, creating empowering work environments, creating culture supportive of knowledge development/ integration, leading & sustaining change, balancing competing values/ priorities

❏Contextual Factors include: external factors, sociocultural & professional/ occupational contexts

❏Organizational Supports include: valuing professional nursing, human/ financial resources, information/ decision support

❏Personal Resources include: professional identity, individual attributes, leadership expertise & social supports

Conceptual Model continued ❏Healthy outcomes include: the nurse, patient/ client, organization &

system

Potter & Perry (2014), p. 127, Figure 10-1

Conceptual model for developing and sustaining leadership from Registered Nurses Association of Ontario (2010, March) recommendations

Other Nursing Models

Nursing Models and Styles What style of nursing leadership would you want to aspire to?

CNO Professional Standards: Leadership ❖“Each nurse demonstrates her/his leadership by providing,

facilitating and promoting the best possible care/service to the public”

❖This requires self- knowledge or understanding one’s own beliefs/ values & are aware how this can affect others, respect, trust, integrity, shared vision, learning, participation, effective communication methods, abilities towards becoming a change facilitator

❖“All nurses, regardless of their position, have opportunities for leadership”

❖From coordination to collaboration, nurses can demonstrate leadership every day!

CNO (2002), Professional Standards

Canadian Nurses Association (CNA)❏The CNA has a very clear position statement on leadership stating,

“Nursing is a practice discipline and it is a political act. Nursing leadership is about critical thinking, action and advocacy – and it happens in all roles and domains of nursing practice. Nursing leadership plays a pivotal role in the immediate lives of nurses and it has an impact on the entire health system and the Canadians it serves. Therefore, Canada’s health system requires a steady supply of visionary and energetic nursing leaders across the domains of the discipline who are credible, courageous, visible and inspiring to others and who have the authority and resources to support modern, innovative and professional nursing practice” (CNA, 2009, Oct)

CNA continued ❏ Some core elements of the statement include:

❏ Leadership is needed across all scopes of nursing

❏ Is a shared responsibility

❏ Leadership & management intertwine, are interdependent skills

❏ Essential to vibrant professional work environments across the health system/ all nursing practice areas

❏ Involves mentoring, supporting, coaching, rewarding & attracting leaders everywhere at any level

❏ Nurse leaders play an active role in senior executive roles

❏ Critical to leadership is advocacy

❏ Involves innovative & smart financial policy solutions (CNA, 2009, Oct)

Demonstrating Leadership as an RPN Refresher Student at Lakeside Long-Term Care ❖ During my time at Lakeside Long-Term Care, I have utilized a number of processes and

actions in order to integrate leadership in my daily care/ interaction with residents on the unit such as:

❖ Communication, demonstration of professional and respectful attitude

❖ Collaboration, teamwork, actively participating in in-service education

❖ Discussion with others about best resident care practices, bringing up questions

❖ Taking initiative with supporting PSWs through offering assistance as much as possible and finding out what works best when collaborating during a transfer of a resident for instance

❖ Demonstrating willingness to learn new skills and commitment towards improving on existing skills

Future Leadership Goals❖I would like to achieve future leadership goals, attitudes, values and

beliefs reflective of entry- level nursing expectations and reflective of qualities outlined by CNA and CNO

❖I would like to demonstrate accountability towards my own actions every day in nursing practice, have a very clear sense of time management and effectively handle multiple demands/ priorities with resources at hand, demonstration of my own confidence and being able to effectively collaborate with others and lead others toward change or bettering of policies in the workplace

❖I would also like to build on my present skills in less formal leadership capacity roles to demonstrate my ongoing commitment to leadership growth

To conclude...

THANK YOU!

References Google images

Canadian Nurses Association (2009, Oct). Position Statement: Nursing

Leadership. Retrieved from

https://www.cna-aiic.ca/~/media/cna/page-content/pdf-en/nursing-leadersh

ip_position-statement.pdf?la=en

College of Nurses of British Columbia (2009).

College of Nurses of Ontario (2002). Professional Standards. Retrieved from

www.cno.org

Potter and Perry (2014). Canadian Fundamentals of Nursing. Elsevier Canada:

Toronto.