Chapter 12 Leadership and SystemsBased Professional Nursing Practice

Chapter 12 Leadership and Systems-Based Professional Nursing Practice

Healthcare Delivery System • • • Population shifts Cultural diversity Patterns of diseases Advances in technology Economic changes Complexity

Nursing Leadership Competencies in a Complex Healthcare System (1 of 2) • Ability to assess and understand the system • Ability to translate and communicate within the organization • Ability to problem solve • Ability to accept ambiguity

Nursing Leadership Competencies in a Complex Healthcare System (2 of 2) • Ability to deal with conflict and tension that accompanies a continuously evolving system • Ability to recognize and engage the creativity and potential of individuals within the organization in decision making

Forces of Magnetism • • Quality of nursing leadership Organizational structure Management style Personnel policies and programs Professional models of care Quality improvement • • Consultation and resources Autonomy Community and healthcare organization Nurses as teachers Image of nursing Interdisciplinary relationships Professional development

Five Components of the Magnet Model (1 of 2) • Transformational leadership that directs people to where they need to be to meet the demands of the future • Structural empowerment that provides a variety of structures and programs that develop, direct, and empower the staff to accomplish the organizational goals and achieve desired outcomes • Exemplary professional practice

Five Components of the Magnet Model (2 of 2) • New knowledge, innovation, and improvements with recognition of the ethical and professional responsibility that Magnet organizations have to contribute to patient care, the organization, and the profession • Empirical quality results by demonstrating solutions to healthcare problems through innovative structures and processes

Four Elements Central to Care Delivery Systems • Nurse/patient relationship and decision making • Work allocation and/or patient assignments • Communication between members of the healthcare team • Management of unit or environment of care

Models of Care • Nursing models of patient care: – – Team nursing Total patient care Primary nursing Case management

Roles of the Professional Nurse • • Leader Caregiver Advocate Manager