North Dakota Action Coalition Leadership Workgroup CNO/Nurse

North Dakota Action Coalition
Leadership Workgroup
CNO/Nurse Executive
Meeting Two Notes
January 23, 2013
1. Introductions- please introduce yourself and take a few moments to talk about your
leadership training experience Chastity Dolbec, Cheryl Kalbeer, Barbara Brown, Lisa
Holtzclaw, Jan Kamphus, Margret Reed, Patricia Moulton,
2. Review of outcome of first meeting by Workgroup chair. Barbara reviewed the results of the
first meeting;
At the first meeting- Barbara and Julie had discussed the possibility of the group
developing a program for CNO residency. Barbara noted that from research and past
experience she had identified a large gap in this area. Patricia had some ideas about
funding which was pursued. Barbara also looked for other programs, but could not
find much, except university courses, but noted they don’t bring in real-life
o The individuals chosen spend time with CNOs willing to participate in
program that would mentor the residents. They will serve a period of time
with CNO and go back to their respective organizations- How individuals
chosen, qualities or traits necessary would need to be determined
o More individuals would need to be involved, information would be submitted
to all CNOs around the state and all hospital systems represented within the
group- We need to discuss what the program might look like and how we
would fashion the program and select individuals
3. Report on resources found or investigated by members since last meeting- group members
Harold Schaefer Leadership Program at University of Mary (undergrad level only) is
structured with students entering by GPA, and those who demonstrated an interest
in leadership. As freshmen they are met with and set individual goals.The skills are
based on a set of outcomes that are chosen by advisory group from all different
facets across the state inclusive with skills and competencies they felt they see in
their organizations. There are nine outcomes and students go through a seven
semester course. All are taught experientially. Students are out in the community
and at wellness events. Master level students are not associated with Emerging
Leaders Academy
Lisa stated that she is aware of a CNO apprenticeship program through HCA
(Hospital Corporation of America) that is offered to over 200 hospitals and has
access to applications, process information, and verbal interview information.
Course begins by pairing students with a CNO, and the program lasts 1-2 years due
to the different levels and due to the fact that some compete sooner than others.
However, course work is involved and there are working groups three times a year.
The training is similar to that of a Master’s Program. Working hands-on with CNOs
has proven to be a very successful program. Lisa will find some information on this
o Any direction will be great
o Having one mentor is best, but having a secondary mentor would also give a
secondary experience (meet a couple of times)
o Switching mentors may prove to be disruptive.
o Agreed, it does take time to build that relationship and trust.
It may also be helpful to submit a survey to CNOs and CEOs of hospitals for the
strengths and characteristics they are looking for of their future senior leaders in the
nursing role. The CEO and CNO have similar roles, but the CEO does have different
expectations of the CNO. We do want their support since we will be providing a fair
amount of time mentoring.
There are various sites on the website for leadership development, Colorado was an
example developed by the CO Center for Nursing. Nurse Leader Fellowship is
another option or format to consider. It would be valuable to get input from those
that attended. We will see if they are willing to share. Jan will look at content from
the Wharton Nurse Fellowship program. Patricia will look into the Colorado
4. Brief review of Leadership Challenge Exemplary Practices of Leadership- which one(s) would
this group like to focus on in developing your plan? Also review the Leadership Matrix that
was developed last summer that has examples for each group under each exemplary
practice- Cheryl and Patricia
Model the Way
 Clarify values by finding your voice and affirming shared ideals.
 Set the example by aligning actions with shared values.
Inspire a Shared Vision
Envision the future by imaging exciting and ennobling possibilities.
Enlist others in a common vision by appealing to shared aspirations.
Challenge the Process
Search for opportunities by seizing the initiative and by looking outward for
innovative ways to improve.
Experiment and take risks by constantly generating small wins and learning form
Enable Others to Act
Foster collaboration by building trust and facilitating relationships.
Strengthen others by increasing self-determination and developing competence.
Encourage the Heart
Recognize contributions by showing appreciation for individual excellence.
Celebrate the values and victories by creating a spirit of community.
Group Discussion:
The residency program would fall under all of the elements; however, Model
the Way is the best fit.
We will do due diligence and review the model before the next meeting in
February (information will be forwarded) as we do this, we will identify what
is best for our state (outcome). Ours might be most closely aligned with HCA
as the mentorship role is important.
We need to develop the skill sets (discussed an article by the ANA) that could
be a foundation for what we are developing.
Another action step is a survey for CEOs and CNOs to identify the skill set.
It is important to get everyone on the same bus. The mentors need guidance
as to specific questions, etc. Helpful to have a set of guidelines for the CNO
Perhaps a train the trainer
A notebook with goals for the mentor to assist with objectives individual
specific to the hospital (setting). The process could be different, but same
A set of core competencies.
Patricia and Barbara from this group will be attending the national Future of
Nursing Summit conference at the end of February. There would be more
information at the national conference in Feb. We will postpone until after
the conference (March) as we will obtain more info.
Has anyone had or been an Executive coach? Yes, one member has an
executive coaching notebook and will review it.
How will we get input from CEOs and CNO before we determine outcomes?
Could we do a survey monkey to ask questions and have a small group talk
with their CNOs and bring the information to the March meeting. The survey
will be open-ended. A conversation with the CEOs would also assist with
developing a skill set.
We should also ask for thoughts from the Chief Medical Officers as well.
Can we do a working group session before the meeting in Jamestown?
In March we would do initial discussions and present the models to give time
to digest the various models. Once the April date is set, we can identify who
can attend a working meeting the evening before (5-9?) over dinner. At the
April conference we will put together concepts from other models or
programs into one plan.
Barbara also forwarded a Healthcare Leadership White Paper for the group.
5. Start developing draft action plan that will be presented to full North Dakota Action Coalition
at April meeting. See Action Planning grid. Patricia will fill in the grid during the meeting.
Goal 1: Develop a CNO Residency Program.
Leadership Challenge Exemplary Practice: All Leadership Challenge Exemplary Practices
Action Steps
infrastructure for
Each member will have a
conversation with their
CEO/CMO to determine
what their expectations are
from them for future CNO
leaders that come out of
our program in ND. Each
member would then send
the information to Patricia
who would compile it and
send to group.
List of skills or
for future
Share information about
the different models that
everyone brings to the
table. Potentially include a
train-the-trainer aspect to
train the mentors.
Potential Models:
Wharton- Jan
HCA- Lisa
Executive Coaching Info
Early March
Learn about
To identify the
best model that
is best for our
rural state. To
determine skills
and outcome
Other Programs- workgroup
Select a model and then
have a subgroup develop a
proposal for the April
meeting. Draft potential
skills (competencies) and
outcome goals to provide
consistency to the program
April (Once
the date is
set- see if
those that
are available
would have a
couple of
hours the
night before)
Develop program.
6. Set another meeting for February or March if group has not completed action planning grid
or needs more time.
 Will schedule a teleconference for March with an evening meeting the night prior to
the April Meeting
Discuss plans for April Meeting- will be in-person and in Jamestown. Location is TBD.
Meeting doodle will be sent out to schedule.
8. Discuss plans for Leadership Summit- will be October 4, 2013 in Fargo, Location TBD. There
will be a keynote and break-out sessions for each of the six areas. They will be repeated
twice- so you can attend more than one.