Leadership in Nursing Practice
If you want to build a ship,
don’t drum up people to gather wood,
saw it and nail the planks together.
Instead, build in them a passionate desire
for the sea.
Leadership in Nursing Practice:
Changing the Landscape of Healthcare
Leadership and Emergent Nursing Practice
Comparison with Existing Texts
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Current Texts
Manager-based
Process focused
Procedural
Traditional
Content dense
Instructional
Leadership in Nursing Practice
• Leadership-based
• Meta systems based
• Scenario
• Contemporary (quantum)
• Content relevant
• Discorsive/engagement
1
Unique
Character
Of
Professional
Work
Professional
Accountability
Knowledge
Work
Membership
Community
Transitioning
To the
Professional Role
Person
Of the
Professional
Clinical
Autonomy
And
Responsibility
Structure
Of
Professions
2
Who, What,
Why, When
and How of
Change
Dynamics of
Change
Tools of
Change
When not to
change
Change and
Innovation: Neverending reality
Participation
in and initiation
of change
Thinking
Differently:
from
fragmentation
to integration
Quality as the
driver for
change
3
Leader
Attributes
Leader
Engagement
Leader
Growth
&
Development
SelfKnowledge
Of the
Leader
The Person of the
Leader
The Capacity to Lead
Personal
Character
Of the
Leader
Leaders
&
Stakeholders
Transparency
&
Vulnerability
4
Early
Engagement
Strategies
Personal
Comfort
With
Conflict
Trust:
Creating
Safe
Space
Characteristics
Of
Normative
Conflict
Conflict Skills
For the
Clinical Leader
Overcoming
Personal
Barriers
To
Confict
The
5
Kinds
Of
Conflicts
Conflict
Handling
Techniques,
Methods
5
Nursing
Roles
System
Complexity
Staffing and
Scheduling
Management
Tools
The
“Right”
Formula
Staffing and
Scheduling for
Patient Care
Excellence and
Affordability
Patient
Classification
Systems
Infrastructure
for Patient
Care
Staffing
Effectiveness
Research
6
Error
Management
Resources
for Ethical
Decision
Making
Key Ethical
Concepts
Ethical Decision
Making
Practice
Breakdown
Mandatory
Reporting
Ethical
Dilemmas
Strategies to
Resolve
Dilemmas
Values,
Diversity, and
Integrity
7
Team
Construction
Team
Terms
Of
Engagement
10
Team
Fables
InterDisciplinary
Team
Foundations
Team Leadership:
Foundation
Of
Practice Effectiveness
Team
Process
&
Progress
Uneven Table,
Alignment
&
Team
Performance
Team
Collaboration
&
Decision
Skills
8
Basic
Economics
Human,
Supplies,
Equipment,
Technology &
Financial
Resources
Basic
Budgeting
Concepts
Resource
Cycle
Point of
Service
Resources
Management
Resources for
Healthcare
Variance
Management
Dashboards
and Value
Metrics
9
Power
&
Action
Clinical
Work
&
Change
Complex
Adaptive
Systems
Organizations As
Networks:
Creating a Context
For Professional Practice
Medical
Model
To
Health
Model
Structure
&
Clinical
Practice
The
Individual
&
Organization
Shared
Governance
&
Professional
Practice
10
Mobility
Continuing
Competence
to Practice
Transition to
Practice
Membership
in Professional
Organizations
Managing Your Career:
A lifetime of
opportunities and
obligations
Contributions
to the
Profesion
Career
Opportunities
Professional
Portfolios
11
Initiatives
RWJ/ IOM
Future of
Nursing
Key Policy
Concepts
Nurse
Licensing:
Nurse
Practice Act
Policy
Development
Policy, Legislation,
Licensing and
Professional Nurse Roles
Participation
in the Policy
Process
Healthcare
Reform
Role of the
nurse in the
future
12
Principles of
Effective
Delegation
Key
Delegation
and
Supervision
Concepts
Management
vs. Clinical
Delegation
and
Supervision
Addressing
Ineffective
Delegation
Delegation and
Supervision: Esential
Foundations for Practice
Nurse
Comfort with
Delegation
and
Supervision
Nurse
Licensure
Requirements
Education
Tools to
Advance
Effective
Education
13
Stages
Of
Negotiating
Processes
Of
Negotiating
Collective
Bargaining
And the
Profession
Basic
Skills
Of
Negotiating
Overcoming the Uneven
Table:
Negotiating the White
Waters of the Profession
Accountaility
&
Agreement
Negotiation,
Conflict,
&
Reaching
Agreement
Negotiating
The
Profession
14
Accountability
&
Ownership
Maturation
Of a
Profession
Pathways
To
Accountability
Accountability & Ownership:
The Centerpiece of
Professional Practice
Accountability
In
Action
Accountability
And the
Work
Of the
Profession
Accountable
Performance
Outcome
&
Value
Accountability
&
Engagement
Of
Risk
15
Linking Key
Principles and
Behaviors
Accountability
Leadership
vs. Leader
Integrating Learning:
Applying the practices of
leadership
--Negotiating
-- Conflict Skills
--Career
Management
--Team
Leadership
-- Resources
--Policy
Assessing
Personal
Growth as a
Leader
-- Professional
Role
-- Change &
Innovation
Leadership in Nursing:
A great opportunity
• A new approach for student learning
• Highly interactive for optimal student
participation
• The contemporary role of the nurse at the
point of care is illuminated, emphasized and
linked to quality patient care