Leadership in Nursing Leadership in Nursing n n

Leadership in Nursing

Leadership in Nursing n n Stogdill (1982) defined leadership as “the process of influencing the activities of an organized group in its efforts toward goal setting and goal achievement. ” Leadership is an attempt to influence groups or individuals without the coercive form of power.

Leadership in Nursing n n At its core, leadership is about relationships with other people. Professionalism is an essential characteristic of nurse leaders.

Leadership in Nursing n n Leadership is critical to successful organizational outcomes. Changes in nursing leadership have been underscored on creating safe environments for patients and staff— identified by the Institutes of Medicine (IOM) in its work on medical errors and patient safety.

Leadership in Nursing n n n Leadership involves much knowledge and disciplined practice. Gardner (1986) believes that 90% of leadership can be taught. When nurses graduate they are not ready to assume a leadership role. They require opportunities for self-discovery to understand their strengths and for skill building.

Nursing Leadership n Skill building occurs through: n n n On-the-job training Support from peers Mentoring from effective leaders n n Dynamic Not status-quo-seeking role models

Leadership in Nursing n Framework for Nursing Leadership requires a conceptualization of the various functions, roles, and responsibilities of the nurse manager or administrator.

Leadership in Nursing n Changes in the landscape of healthcare require creativity and innovative leadership and management styles. The changes include: n n New technology Increased diversity in the workplace Greater accountability for practice A new spiritual focus on the mind and body connection

Nurse Leader Roles and Responsibilities n Organization of work n n n n Staffing Scheduling Orientation Delegation Information structures Motivation and Productivity Provide environment of high morale

Leadership in Nursing Effective Communication Skills—written and verbal n Relationship Skills n

Nurse Leader Roles and Responsibilities n n Directing and Influencing Critical Thinking n n n Decision Making Problem Solving Budgeting Staff Development Policy Development

Nurse Leader Roles and Responsibilities n n n n Knowledge of Legal Issues in Nursing Patient Safety Employee/staff Safety Evaluations Quality Management Performance Appraisals Political Involvement—influence Health Policy

Leadership in Nursing n Laws and Standards of Practice govern nursing practice : n n n Scope and Standards of Nursing Practice Scope and Practice of Nurse Administrators State Nursing Laws (formerly the Nurse Practice Act) Hospital/facility Policies and Procedures Unit Policies and Procedures

Leadership in Nursing n Nurse Leaders and Accreditation—nurse leaders are responsible and accountable for adherence to the Standards of Accrediting Agencies. n Joint Commission of Accreditation of Health Organizations (JCAHO) n n n CORE Measures National Patient Safety Standards State Licensure Regulations

Leadership in Nursing n n After thinking about the roles and responsibilities---Do you want to be a Nurse Leader? ? What type of leader?

Transformational Leadership n A transformational leader is one who: n n “commits people to action, who converts followers into leaders, and who may convert leaders into agents of change. ” Empowers staff to have a vision about the organization and trusts them to work toward goals that benefit the organization and themselves.

Transformational Leadership n n n Are futuristic and describe where energies are to be focused. Enhances self-worth of individuals. Makes sure workers know expectations. Decisions are based on fairness, equity, and honesty. Knows one’s self, ones skills and uses them effectively.

Nursing Leadership n n n Emotional Intelligence is the capacity for recognizing our own feelings and those of others, for motivating ourselves, and for managing emotions well in ourselves and others. Self: Self-Awareness and Self-Management Others: Social Awareness and Relationship Management