NURSING: THE NURSING: THE FUTUREFUTURE

NURSES NURSES LEADERS IN A NEW TIMELEADERS IN A NEW TIME

LEADERS FOR A NEW TIMELEADERS FOR A NEW TIME

25 March 200725 March 2007

To be good is noble. To tell To be good is noble. To tell others how to be good is others how to be good is even nobler and a lot less even nobler and a lot less trouble.trouble.

Mark TwainMark Twain

Crucial to finding the way is this: Crucial to finding the way is this:

there is no beginning or end.there is no beginning or end.

You must make your own map.You must make your own map.

Joy Harjo Joy Harjo

A Map to the Next World: A Map to the Next World: PoemsPoems

PIGLET’S SONGPIGLET’S SONG

Let's find a Way today,Let's find a Way today,that can take us to tomorrow.that can take us to tomorrow.

We'll follow that Way,We'll follow that Way,A Way like flowing water. A Way like flowing water.

The sun is high, the road is wide,The sun is high, the road is wide,and it starts where we are standing.and it starts where we are standing.

No one knows how far it goes,No one knows how far it goes,for the road is never-ending. for the road is never-ending.

It goes away,It goes away,beyond what we have thought of.beyond what we have thought of.

It flows away,It flows away,Away like flowing water.Away like flowing water.

Benjamin Hoff Benjamin Hoff The Te of PigletThe Te of Piglet

REFLECTIONSREFLECTIONS

Setting the ContextSetting the Context Challenges of Culture ChangeChallenges of Culture Change Influencing Future DirectionInfluencing Future Direction Readiness to Lead Readiness to Lead

TOWARD 2020TOWARD 2020VISIONS FOR NURSINGVISIONS FOR NURSING

The system: health and illness care in The system: health and illness care in 20202020

Roles, scopes and practice settings of Roles, scopes and practice settings of nurses in 2020nurses in 2020

Nursing human resources: number and Nursing human resources: number and mix of nurses in 2020mix of nurses in 2020

Nursing education in 2020Nursing education in 2020 Ensuring responsiveness, quality and Ensuring responsiveness, quality and

patient safety: regulating nurses in 2020patient safety: regulating nurses in 2020 Diversifying nursing: careers in nursing Diversifying nursing: careers in nursing

for all Canadiansfor all Canadians

GENERATIONS TODAYGENERATIONS TODAY

Four generations of citizens and patientsFour generations of citizens and patients Elders/Traditionalists/Silent Generation (pre-Elders/Traditionalists/Silent Generation (pre-

1946)1946) Boomers (1946-1965)Boomers (1946-1965) Generation X (1965 – 1980)Generation X (1965 – 1980) Millennials (1980 - )Millennials (1980 - )

Three generations of leadersThree generations of leaders Elders (pre-1946)Elders (pre-1946) Boomers (1946-1965)Boomers (1946-1965) Generation X (1965 – 1980)Generation X (1965 – 1980)

Three generations of nursesThree generations of nurses Boomers (1946-1965)Boomers (1946-1965) Generation X (1965 – 1980)Generation X (1965 – 1980) Millennials (1980 – )Millennials (1980 – )

EMERGING NETWORK AGEEMERGING NETWORK AGE

From the From the Industrial AgeIndustrial Age to the to the Information AgeInformation Age to the to the Network Network AgeAge

Network AgeNetwork Age Distributed culture Distributed culture Decentralized Decentralized Citizen-centered not institution-Citizen-centered not institution-

centeredcentered

CULTURECULTURE

Culture is dynamic and changing Culture is dynamic and changing over timeover time

Most individuals are able to adapt: Most individuals are able to adapt: some have a greater facility to some have a greater facility to accommodate otherness in their accommodate otherness in their internal meaning structure than internal meaning structure than othersothers

The need for change may be driven The need for change may be driven by survival or passionby survival or passion

CULTURES DIFFERCULTURES DIFFER Basic personality Basic personality Perception Perception Time conceptsTime concepts Space concepts Space concepts Thinking Thinking Language Language Non-verbal communication Non-verbal communication ValuesValues Behaviors Behaviors Social groupings and relationshipsSocial groupings and relationships

They are interconnected and influenceThey are interconnected and influence each each other.other.

Stephan DahlStephan Dahl Cultural Diversity, Cultural Diversity,

Globalization and Cultural ConvergenceGlobalization and Cultural Convergence

GENERATIONAL VALUESGENERATIONAL VALUES

EldersElders: Dedication, sacrifice, hard work, : Dedication, sacrifice, hard work, conformity, law and order, patience, respect conformity, law and order, patience, respect for authority, duty before pleasure, for authority, duty before pleasure, adherence to rules, honouradherence to rules, honour

BoomersBoomers: Optimism, teamwork, personal : Optimism, teamwork, personal gratification, health and wellness, personal gratification, health and wellness, personal growth, youth, work, involvementgrowth, youth, work, involvement

GenerationGeneration XX: Diversity, thinking globally, : Diversity, thinking globally, balance, techno-literacy, fun, informality, balance, techno-literacy, fun, informality, self-reliance, pragmatismself-reliance, pragmatism

MillennialsMillennials: Confidence, civic duty, : Confidence, civic duty, achievement, sociability, morality, diversity, achievement, sociability, morality, diversity, street smartsstreet smarts

KEYS TO CULTURAL KEYS TO CULTURAL TRANSFORMATIONTRANSFORMATION

ScanningScanning the environment for two or the environment for two or three trends with greatest impact three trends with greatest impact

DeterminingDetermining implications implications

RevisitingRevisiting the vision/mission the vision/mission – examining – examining purpose and refining it to short, purpose and refining it to short, powerful, compelling statement of why powerful, compelling statement of why we do what we do we do what we do

BanningBanning the old hierarchy and building the old hierarchy and building flexible, fluid structures and systems that flexible, fluid structures and systems that unleash the energies and spirits of people unleash the energies and spirits of people

KEYS TO CULTURAL KEYS TO CULTURAL TRANSFORMATIONTRANSFORMATION

ChallengingChallenging – – questioning every policy, questioning every policy, practice, procedure, and assumption, practice, procedure, and assumption, abandoning those that have little use today abandoning those that have little use today keeping those that reflect the desired futurekeeping those that reflect the desired future

CommunicatingCommunicating with the few powerful, with the few powerful, compelling messages that mobilize peoplecompelling messages that mobilize people

DispersingDispersing the responsibilities of leadership, the responsibilities of leadership, so that we have not one leader but many so that we have not one leader but many leaders at every level of the enterpriseleaders at every level of the enterprise

Frances HesselbeinFrances Hesselbein

INFLUENCING THE INFLUENCING THE FUTUREFUTURE

Hold the VisionHold the Vision Know your Strengths Know your Strengths Develop new Develop new

Skills/CompetenciesSkills/Competencies Envision creatively the WaysEnvision creatively the Ways Build on the BestBuild on the Best Be Patient but Persistent Be Patient but Persistent Be Collaborative but Be Collaborative but

ChallengingChallenging

YOUR RESPONSEYOUR RESPONSE

Have confidence that your Have confidence that your profession is mature, competent profession is mature, competent and creative enough to be a leader and creative enough to be a leader in this new realityin this new reality

Re-think the strengths of your Re-think the strengths of your profession to ensure viability in this profession to ensure viability in this new realitynew reality

Envision a new way of being as a Envision a new way of being as a nursing profession in this new nursing profession in this new realityreality

IMPLICATIONS OF FAILUREIMPLICATIONS OF FAILURE

No significant improvement of health No significant improvement of health outcomes in chronic disease outcomes in chronic disease management, continuity of caremanagement, continuity of care

Continued major challenges re access Continued major challenges re access to careto care

Failure to achieve promises of health Failure to achieve promises of health promotion and disease prevention promotion and disease prevention

Failure to emphasize population Failure to emphasize population healthhealth

Decreasing patient and provider Decreasing patient and provider satisfactionsatisfaction

IMPLICATIONS OF FAILUREIMPLICATIONS OF FAILURE

Continued challenges re Continued challenges re recruitment and retention of all recruitment and retention of all health care professionalshealth care professionals

Failure to effectively use the Failure to effectively use the competencies and skills of all competencies and skills of all health professionals health professionals

Failure of nurses to be valued and Failure of nurses to be valued and credible leaders in this changing credible leaders in this changing health care environmenthealth care environment

Failure to create a truly responsive Failure to create a truly responsive health system for the 21health system for the 21stst century century

MY ADVICEMY ADVICE

Be passionate, personal, persistent, Be passionate, personal, persistent, and patient. Do not give up.and patient. Do not give up.

Be bold. Do not worry about those Be bold. Do not worry about those who think you are crazy.who think you are crazy.

People will go where value is added.People will go where value is added. Hold up the mirror for others to see.Hold up the mirror for others to see. Try different things; small steps, Try different things; small steps,

early wins. If you fall, get back up.early wins. If you fall, get back up. To change the culture of the health To change the culture of the health

care system, you must be willing to care system, you must be willing to change yourself.change yourself.

WALKING THE LABYRINTHWALKING THE LABYRINTH

May the light of your souls guide you. May the light of your souls guide you. May the light of your souls May the light of your souls

bless the work that you do bless the work that you do with the secret love and warmth of your with the secret love and warmth of your

hearts. hearts. May you see in what you do May you see in what you do

the beauty of your own souls. the beauty of your own souls. May the sacredness of your work May the sacredness of your work bring healing, light and renewal bring healing, light and renewal

to those who work with you to those who work with you and to those who see and receive your work. and to those who see and receive your work.

May your work never weary you. May your work never weary you. May it release within you wellsprings of May it release within you wellsprings of

refreshment, inspiration and excitement.refreshment, inspiration and excitement.

May you be present in what you do. May you be present in what you do. May you never become lost in bland May you never become lost in bland

absences. absences. May the day never burden. May the day never burden.

May dawn find you awake and alert, May dawn find you awake and alert, approaching your new day with dreams, approaching your new day with dreams,

possibilities and promises. possibilities and promises. May evening find you gracious and fulfilled. May evening find you gracious and fulfilled.

May you go into the night May you go into the night blessed, sheltered and protected. blessed, sheltered and protected.

May your souls calm, console and renew May your souls calm, console and renew you.you.

Adapted fromAdapted from John O'Donoghue, John O'Donoghue, Anam CaraAnam Cara