The Heart of a Nurse Leader:

Values-Based Leadership

Bob Dent, DNP, MBA, RN, NEA-BC, CENP, FACHE, FAAN, FAONE

Senior Vice President, Chief Operating and Chief Nursing Officer, Midland Memorial Hospital

Adjunct Faculty, University of Texas of the Permian Basin School of Nursing

& Texas Tech University Health Sciences Center School of Nursing

2019 Immediate Past President, American Organization of Nurse Executives

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Learning Outcomes

1. Recognize the three essential elements of a Culture of Ownership to eradicate

toxic emotional negativity creating a more positive and healthier workplace

practice environment.

2. Identify with and relate to The Twelve Core Action Values described in The

Heart of a Nurse Leader to be a values-based leader.

3. Each participant to examine their leadership given practical application tools to

be able to stand on their values during turbulent times in healthcare.

Toxic Emotional Negativity:

The healthcare crisis within

“

”

Danny Meyer, owner of twenty-seven restaurants in New York City, preaches civility and tolerates nothing less. If bad behavior from an employee at any level isn’t corrected quickly, they’re gone. Meyer is convinced that customers can taste

incivility. Even exceptional chefs don’t last in Meyer’s restaurants if they’re disrespectful to other employees.

Christine Porath, Professor, McDonough School of Business, Georgetown University

Mastering Civility: A Manifesto for the Workplace

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Source: Quartz, September 15, 2017. The silent killer of workplace happiness, productivity, and health is a lack of basic civility

Theoretical Model of Horizontal Violence (TEN)Process

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Oppression(TEN)

InternalizedDominant

Values

Horizontal Violence

Peer Communication

Patient Safety

Key:+ Positive Relationship− Negative Relationship

Mahr, 2016; Purpora, 2010

56-78.5%resign

1 in 3 leave nursing

Burnout

Dissatisfaction

Irritability

ImpairedRelationships

Fatigue

Hypertension

PTSD

Depression

Panic Attacks

Diminished Confidence

Substance Abuse

Negative Effects of HV (TEN) on Nurses

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Vessey, 2009 Townsend, 2012

Longo, 2013

Mahr, 2016

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How would you describe your culture in just 6 words?

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Southwest Airlines Motto

Servant’s Heart, Warrior Spirit, Fun-Loving Attitude

The Real Marine Corps

The Few, the Proud,

the Brave*

* And you’re not one of them

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People will be and do their best with the tools they

have.

As a leader, we need to make sure they have the tools!

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Three Essential Elements of a Culture of Ownership

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1. Be Positive …

2. Be Self-Empowered …

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3. Be Fully Engaged …

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… in our profession!

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… Fully Engaged

In professional associations

Obtaining certification(s)

Promote higher education

Demonstrate outcomes from nursing care andnursing leadership

Stay connected … networking

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Lessons learned from my 30-year career as nurse and nurse leader … from personal stories

to observations.

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Culture of Ownership Classroom

Core Action Values 1-6: Laying a Solid Foundation

Core Action Value 1: Authenticity

23Self-Awareness

Self-Mastery

Self-Belief

Self-Truth

Do you want to be one of a million or one in a million?

So, what do you do?

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Be yourself…

Integrated DNA Technologies, 2016 26

unless you’re a jerk.

A Leadership Philosophy

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Text BOB to 66866 For my Leadership

Philosophy and continuing the conversation!

Self-Mastery

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Core Action Value 2: Integrity

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Honesty Reliability

Humility Stewardship

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Sacred 60:

Leadership Rounds

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Breakfast with Bob&

Brunch with Bob

Core Action Value 3: Awareness

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Mindfulness

Objectivity

Empathy

Reflection

ReflectionYou must take time for personal and professional reflection

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What Went Well?

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Is your team flourishing?

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Daily Leadership

Huddle

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Core Action Value 4: Courage

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CONFRONTATION TRANSFORMATION ACTION CONNECTION

Fear is a reaction

Courage is a decision!

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Core Action Value 5: Perseverance

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Preparation

Perspective

Toughness

Learning

Perseverance is making that courage decision every day

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Every great accomplishment was once the “impossible” dream of a dreamer who simply

refused to quit when the going got tough

______DQ

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Perspective

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Core Action Value 6: Faith

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Gratitude

Forgiveness

Love

Spirituality

The 4 Pillars of

Faith

Faith in yourself

Faith in other

people

Faith in the

future

Faith in a higher power

Gratitude

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Forgiveness

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Culture of Ownership Classroom

Core Action Value 7: Purpose

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Aspiration Intentionality

Selflessness Balance

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__SSSN__

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Core Action Value 8: Vision

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Attention

Imagination

Articulation

Belief

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TB______

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What are your Memories of the

Future?

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Core Action Value 9: Focus

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Clarity

Concentration

Speed

Momentum

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What 2-3 Goals to Accomplish Today?

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Core Action Value 10: Enthusiasm

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Attitude

Energy

Curiosity

Humor

Enthusiasm is the master value

Passion

Curiosity

Wonder

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Core Action Value 11: Service

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Helpfulness Charity Compassion Renewal

How does it feel to serve others?

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Core Action Value 12: Leadership

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Expectations Example

Encouragement Celebration

Management is a job description.

Leadership is a life decision.

A leader is someone who influences and

inspires others through the exampleof his or her values in

action

“There are no bad teams …

only bad leaders!”

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Celebration

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The goals you achieve…

The contributions you make…

The person you become…

Will be determined by the values that power your life

TBSSSNDQ

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Coming soon …

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Bob Dent, DNP, MBA, RN, NEA-BC, CENP, FACHE, FAAN, FAONESenior Vice President, Chief Operating & Chief Nursing Officer

Midland Memorial Hospital400 Rosalind Redfern Grover Parkway

Midland, Texas 79701432.221.4566 (office)

432.559.2911 (mobile)bob.dent@midlandhealth.org

Twitter: @bobdentLinkedIn: bobdent

Facebook Page: rldent1

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Text BOB to 66866 For my Leadership Philosophy and

continuing the conversation!

References

Dent, B. & Tye, J. (2018) The Heart of a Nurse Leader.

Tye, J. & Dent, B (2017) Building a Culture of Ownership in Healthcare. The Invisible Architecture of Attitudes, Values, and Self-Empowerment. Sigma Theta Tau International.

Tye, J. & Dent, B (2016). The Pickle Pledge

Tye, J. The Florence Prescription.

Mahr, Nicole (2016). Identifying Factors Associated with Horizontal Violence. ANCC Magnet Presentation. 2016