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

Leadership in Nursing Practice:Changing the Landscape of Healthcare

Leadership and Emergent Nursing Practice

Comparison with Existing Texts

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

ProfessionalAccountability

MembershipCommunity

ClinicalAutonomy

AndResponsibility

StructureOf

Professions

Transitioning

To theProfessiona

l RolePersonOf the

Professional

UniqueCharacter

OfProfessional

Work

KnowledgeWork

1

Dynamics of Change

When not to change

Thinking Differently:

from fragmentation to integration

Quality as the driver for change

Change and Innovation:

Never-ending reality

Participation in and initiation

of change

Who, What, Why, When and How of

Change

Tools of Change

2

LeaderEngagement

Self-Knowledge

Of theLeader

Leaders&

Stakeholders

Transparency&

Vulnerability

The Person of the Leader

The Capacity to

LeadPersonalCharacter

Of theLeader

LeaderAttributes

LeaderGrowth

&Development

3

PersonalComfort

WithConflict

CharacteristicsOf

NormativeConflict The

5Kinds

OfConflicts

ConflictHandling

Techniques,Methods

Conflict Skills

For theClinical LeaderOvercoming

Personal Barriers

ToConfict

EarlyEngagementStrategies

Trust:Creating

SafeSpace

4

System Complexity

The “Right” Formula

Infrastructure for Patient

Care

Staffing Effectiveness

Research

Staffing and Scheduling for

Patient Care Excellence andAffordability

Patient Classification

Systems

Nursing Roles

Staffing and Scheduling

Management Tools

5

Key Ethical Concepts

Error Management

Practice Breakdown

Mandatory Reporting

Ethical Dilemmas

Ethical Decision Making

Values, Diversity, and

Integrity

Resources for Ethical Decision Making

Strategies to Resolve

Dilemmas

6

TeamTerms

OfEngagement

Inter-Disciplinary

TeamFoundations Uneven Table,

Alignment&

TeamPerformance

TeamCollaboration

&Decision

Skills

Team Leadership:Foundation

OfPractice

EffectivenessTeam

Process&

Progress

TeamConstructio

n

10 Team

Fables

7

Human, Supplies,

Equipment, Technology &

Financial Resources

Resource Cycle

Point of Service

Resources Management

Dashboards and Value Metrics

Resources for

Healthcare

VarianceManagement

Basic Economics

Basic BudgetingConcepts

8

ClinicalWork

&Change

ComplexAdaptiveSystems

The Individual

&Organization

SharedGovernance

&Professional

Practice

Organizations As

Networks:Creating a

ContextFor

Professional Practice

Structure&

ClinicalPractice

Power &

Action

MedicalModel

ToHealthModel

9

Transition to Practice

Mobility

Career Opportunities

Professional Portfolios

Managing Your Career: A lifetime of opportunitie

s and obligationsContributions

to the Profesion

Continuing Competence to Practice

Membership in Professional Organizations

10

Key Policy Concepts

Policy Development

Healthcare Reform

Role of the nurse in the

future

Policy, Legislation, Licensing

and Professional Nurse RolesParticipation

in the Policy Process

InitiativesRWJ/ IOM Future of Nursing

Nurse Licensing:

Nurse Practice Act

11

Key Delegation

and Supervision

Concepts

Addressing Ineffective Delegation

NurseLicensure

Requirements

Education Tools to Advance Effective Education

Delegation and

Supervision: Esential

Foundations for PracticeNurse

Comfort with Delegation

and Supervision

Principles of Effective

Delegation

Management vs. ClinicalDelegation

and Supervision

12

ProcessesOf

Negotiating

BasicSkills

OfNegotiating Negotiation,

Conflict,&

ReachingAgreement

NegotiatingThe

Profession

Overcoming the Uneven

Table:Negotiating the White

Waters of the Profession

Accountaility&

Agreement

StagesOf

Negotiating

CollectiveBargaining

And theProfession

13

Accountability&

Ownership

PathwaysTo

Accountability AccountablePerformance

Outcome&

Value

Accountability&

EngagementOf

Risk

Accountability & Ownership:

The Centerpiece of Professional

PracticeAccountability

And theWorkOf the

Profession

MaturationOf a

Profession

AccountabilityIn

Action

14

Linking Key Principles and

Behaviors

Leadership vs. Leader

Assessing Personal

Growth as a Leader

-- Professional Role

-- Change & Innovation

Integrating Learning:

Applying the practices of leadership--Team Leadership

-- Resources--Policy

Accountability

--Negotiating-- Conflict Skills

--Career Management

15

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