the robert wood johnson foundation executive nurse fellows program

Executive Nurse Fellows Program

National Program Office

Center for Creative Leadership

The Robert Wood Johnson Foundation Executive Nurse Fellows Program

Linda Lawson DNP, RN, NEA-BCAdministrative Director for Health Care TransformationRobert Wood Johnson Foundation Executive Nurse FellowSierra Providence Health Network

National Program NameNational Program Tagline

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Purpose

• The Robert Wood Johnson Executive Nurse Fellows Program is a three-year advanced leadership program for nurses who aspire to lead and shape health care locally and nationally.

• Fellows strengthen their leadership capacity and improve their abilities to lead teams and organizations in improving health and health care.

RWJF Executive Nurse Fellows Program


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Eligibility Criteria

• Executive Nurse Fellowships are open to nurses who currently hold senior leadership positions in health services, scientific and academic organizations, public health and community-based organizations or systems, or national professional, governmental, and policy organizations.

• Applicants must be citizens of the United States or its territories or have permanent residency status at the time of application.

• Applicants must have the support of their employing organization to engage fully in all curricular, action learning, and leadership project components of the program.

• Racial, ethnic and gender diversity is embraced in this program. Candidates with diverse leadership backgrounds are encouraged to apply.



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Selection Criteria• A strong professional record that reflects positions of

increasing leadership responsibility and the potential to achieve higher levels of leadership effectiveness.

• Vision, passion and capability to make a substantial impact on health and health care.

• Insight, courage and evidence of a commitment to lifelong growth and development.

• Capacity and willingness to learn in collaborations with other Executive Nurse Fellows through action, reflection, feedback and support.

• Ability to commit to three consecutive years of structured learning, self-study and project activity while continuing one’s employment.



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Approximate Dates and DeadlinesSeptember 2013

• Call for applications

November 1, 2013 (1PM ET)• Informational Web conference for applicants – register online at

www.executivenursefellows.org

January, 2014• Deadline for receipt of applications (specific date in call for

applications at RWJF online application website beginning mid-September, 2013)

May 4-6, 2014• National advisory committee conducts face-to-face interviews with

semifinalists

Late May • Notification of acceptance



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Applications and Awards

•Applications accepted only through the RWJF

Application and Review Online system

•Total Awards - Up to 20 fellowships

Website: www.executivenursefellows.org



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Program• Advanced curriculum, employing best practices from the

field of leadership development, delivered through seven face-to-face seminars plus technology-facilitated intersession activities (years 1-3);

• Intensive and ongoing executive coaching and mentoring from program faculty and outside experts (years 1-3);

• Team-based action learning during implementation of team projects (years 1-2);

• Self-directed, individual leadership development activities for which funding is available (years 1-3);

• Lifetime membership in ENF alumni network and my CCL


Executive Nurse Fellows Program

National Program Office

Center for Creative Leadership

The Robert Wood Johnson Foundation Executive Nurse Fellows

Josefina Lujan 2009Elias Provencio-Vasquez 2009Sandra Ryan 2011Linda Lawson 2012


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Fellows Improve skills as leaders…

…to impact health care system by more effectively:•Leading Self: Increasing self awareness, developing adaptability, managing self/resiliency, learning agility, leading with purpose•Leading Others: Managing teams, building and maintaining relationships, leveraging diversity and difference, developing others, communicating effectively



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Fellows Improve skills as leaders…

…to impact health care system by more effectively:•Leading Organizations: Leading change, making decisions, managing politics and influencing others, boundary spanning, setting vision and strategy, and transformative leadership and culture change•Leading in Health Care: Appreciating paths to leadership and the unique opportunities and challenges of leadership on boards/expert panels and through professional organizations, inter-professional contexts, political/legislative action, and efforts to improve health and health care



ENF Program Goal

Create a cadre of nursing leaders with enhanced leadership capacity who drive improvements in:

•Population Health

•Access, cost, and quality of American Health Care Systems

•Identification and Formation of Future Health Professionals

RWJF Executive Nurse Fellows Program 12


National Program Approach

Use latest adult learning principles & design methodology:

•Focus on leadership development

•Is highly interactive and experimental

•Is relevant and applicable to each Fellow’s organizational

context

•Includes opportunities to discuss and apply learning to

broader health care context



National Program Focus

• Leading Change and Transition

• Executive Presence and Communication

• Executive Leadership

• Creativity and Innovation

• Paying It Forward



Outcomes and CompetenciesLeading Self Leading Others Leading the

OrganizationLeading in Health Care

Increasing self awareness

Managing effective teams & workgroups

Leading change Exerting leadership in and through professional organizations

Developing adaptability

Building & maintaining relationships

Solving problems, making decisions & managing work

Exerting leadership on boards & expert panels

Managing yourself Leveraging diversity & difference

Managing politics & influencing others

Exerting leadership in inter-professional contexts

Learning agility Developing others Boundary spanning Exerting leadership through political / legislative action

Leading with purpose

Communicating effectively

Setting vision & strategy

Exerting leadership by improving healthcare



Individual Growth Projects

• The project will be relevant to meaningful issues in health and health care

• Has a stretch component: It should be a challenge to complete

• Has a boundary spanning component (requires working across various silos)



Individual Growth ProjectsJosefina Lujan RWJF ENF 2010

• Binational Partnership to Develop a Culturally Competent Nursing Workforce

• A binational partnership between Texas Tech University Health Sciences Center Gayle Greve Hunt School of Nursing and the nurse educators of Cd. Juarez, MX



Individual Growth ProjectJosefina Lujan RWJF ENF 2010

The specific aims of the project were to improve the health of the residents of the El Paso-Cd. Juarez,

MX borderplex by:

1) increasing the number of available culturally and clinically competent nurses (8) and

2) promoting the prevention of childhood obesity through breastfeeding as envisioned by the Baby Café Model in the United Kingdom through establishment of four Baby Café’s in Cd. Juarez, MX.



Individual Growth ProjectElias Provencio-Vasquez RWJF ENF 2010

Designing, Implementing and Evaluating a Registered Nurse Internship Program

Del Sol Medical Center and UTEP School of Nursing

• The current national nursing shortage is causing Schools of Nursing to produce high number of BSN nurse to enter the workforce.

•There is minimal emphasis on supporting transition that the new nurse will encounter when transferring from a student role to the complex and fast paced nursing role.



Individual Growth ProjectsElias Provencio-Vasquez RWJF ENF 2010

This project supported two of the IOM recommendations for the Future of nursing

1)BSN workforce and

2)Nurse residency programs

The project focused on “bridging” the gap between academia and service. I created and alliance between UTEP School of Nursing and Del Sol Medical Center




A structured Del Sol Medical Center BSN, RN internship program in the final semester of the

nursing program provided the hospital with insight into a new nurses’ performance prior to a

job offer and provided the new nurse with exposure to his/her area of interest



Individual Growth ProjectsElias Provencio-Vasquez RWJF ENF 2010The project:

•Improved competencies of new graduate nurses to assure safe and highly quality patient care

•Improved graduate understanding of the continuum of care

•Ensured satisfaction for RN interns and preceptors

•Assured employment offers are extended to those who are a good match with Del Sol’s strategic goals

•Increased the proportion of BSN prepared RNs at Del Sol

•Lowered orientation costs and FTEs

•Improved RN recruitment and retention to specific specialty areas




UTEP School of Nursing and Del Sol Medical Center have implemented 3 successful cohorts

of interns and we continue to support this innovative program



Action Learning Leadership Project

• Focus on either health systems concern or a significant health or nursing issue

• Requires outreach to other health leaders or partners

• Focuses on a problem or challenge that is complex in nature without one obvious solution



Action Learning Leadership Project Sandra Ryan RWJF ENF 2011



Re-envisioning Clinical Education for Advanced Practice Nursing Programs

• Team Members:

L. Lauzon Clabo, J. Giddens, P. Jeffries, B. McQuade-Jones, P. Morton, S. Ryan

• Learning Project Coach: Ernestine Taylor

• Sponsors: Sue Hassmiller & Andrea Brassard



Re-envisioning Clinical Education for Advanced Practice Nursing Programs

Problem Statement

A new, effective, efficient, and sustainable model for nurse practitioner (NP) clinical education is needed that will prepare NPs to provide quality care in a complex healthcare system and result

in an increased number of NP graduates to meet workforce demands.



Objectives

• Two overarching objectives for this action learning project were:

• Start national dialog in which the status-quo of current clinical model is questioned

• Discuss new models of clinical education with innovators and influential leaders



Outcomes

• National dialog: Action Learning Team wrote an editorial “A Perfect Storm: A Window of Opportunity for Revolution in Nurse Practitioner Education” which was published in Journal of Nursing Education in October, 2012.

• National Think Tank with thought leaders representing across multiple health care professions. March 2013, AARP HQ, DC

• White Paper summarizing seven themes that came from discussion at the think tank around clinical education.



Outcomes (continued)

American Association of College of Nursing

•Conducted a national survey to gain understanding of current challenges of clinical education

•Developed a National Task Force-to study the current state of clinical education

National League of Nursing and the Convenient Care Association

•Historic meeting to discuss workforce needs and implications of challenges in clinical education



Collaborative Leadership

• Learn how to work more effectively when managing conflict or collaborating with diverse individuals

• Learn and practice a model for working more effectively across boundaries

• Understand your own conflict management strengths and weaknesses for increased effectiveness

• Recognize and explore the dynamics that shape collaborative work

• Utilize your own - as well as others- experiences to promote learning



Collaborative Leadership (continued)

• Speak your truth

• Lean into discomfort and lean into each other

• Commit to non-closure

• Embrace paradox

• Seek intentionality, not perfection

• Create a learning community



Boundary Spanning Leadership5 Common Boundaries

•Vertical: Across levels & authority

•Horizontal: Across function & expertise

•Stakeholder: Across external groups & interests

•Demographic: Across diverse groups & differences

•Geographic: Across markets & distance



Boundary Spanning Leadership:3 Strategies and 6 Practices

• Managing Boundaries

• Buffering: creates safety

• Reflecting: fosters respect

• Forging Common Ground

• Connecting: builds trust

• Mobilizing: develops community

• Discovering New Frontiers

• Weaving: advances independence

• Transforming: enables re-invention



Conflict Handling Modes

• Competing: “My Way or the Highway”

• Accommodating: It Would Be My Pleasure”

• Avoiding: “I’ll Think About It Tomorrow”

• Collaborating: “Two Heads are Better Than One”

• Compromising: “Let’s Make a Deal”



Seven Responses to Conflict Resolution

• Perspective Taking: Understand others point of view

• Creating Solutions: Co-creating

• Expressing Emotions:

• Reaching Out: Extending an olive branch

• Reflective Thinking: Stop. Look. Listen

• Delay Responding: Take a time out

• Adapting: What’s right with this picture



RWJF Executive Nurse Fellows

Thank You

RWJF Executive Nurse Fellows Program/June 11, 2010 37

the robert wood johnson foundation executive nurse fellows program

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