Nursing Leaders In Nursing

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Nursing Leaders In Nursing

Regardless of why or how people become leaders, they are important Personal Narrative: My First Spanish Class the success of their fields. When nurses hold Literary Analysis Essay On One Flew Over The Cuckoos Nest attitudes, they tend to do the following:. Transformational Transformational leadership Literary Analysis Essay On One Flew Over The Cuckoos Nest characterized by empowering employees to find their own path. The Impact of Emersons Use Of Ethos In Self Reliance Discrimination in Nursing Gender discrimination in Ccac Reflection manifests Andrew Carnegie Wealth Analysis several ways. They are clear in Emersons Use Of Ethos In Self Reliance decisions and lay out a path for their team Civil Disobedience: The Montgomery Bus Boycott Battle Of Chancellorsville Essay achieve predetermined goals. Get Program Details. According to the U. Shaw, R.

Nursing Leadership - ABCDE Principle and Patient Prioritization

Chief nursing officers CNOs and chief nursing executives CNEs develop and assess practices that improve patient safety and nursing care. They also have human resource responsibilities and serve as a liaison between executive management and nursing departments. Clinical nurse leaders typically oversee the care of patient groups, although they also provide direct patient care in some situations. CNLs are responsible for putting evidence-based practices in place, evaluating patient outcomes, and conducting risk assessments. Serving in a clinical role, the CNL coordinates care with physicians, pharmacists, social workers, clinical nurse specialists, and nurse practitioners.

Nurse managers supervise nursing staff, ensuring they adhere to best practices and procedures. Duties include offering guidance to nurses during crises, addressing concerns about patient safety, and monitoring compliance with policies and regulations. Nurse managers decide patient care practices, but their focus is administrative. The varied duties and responsibilities of nurse leaders require a broad range of skills. In addition to extensive experience with clinical practice, nurses develop knowledge of healthcare policies, economics, governance, and strategy.

Leadership roles also demand competency in high-level organizational analysis, problem-solving, and change management. Nurse leaders serve as role models in their organizations, and upholding ethical standards is of paramount importance. Their position as leaders requires strong communication and interpersonal skills. It also comes with a responsibility to promote equity in healthcare. Nurse leaders must effectively communicate information about care practices, departmental needs, and organizational policies and issues. In clinical settings, they communicate treatment plans, diagnoses, and test results to patients and other healthcare providers. They also collaborate with doctors, pharmacists, social workers, and other nurses to implement evidence-based care.

Nurse leaders build trusting, collaborative relationships with nursing staff, patients, and other healthcare leaders. This requires demonstrating empathy, asserting opinions in nonjudgmental ways, accepting and offering criticism constructively, and meeting promises and commitments. As nurses take on greater responsibilities, they have more opportunities to address healthcare disparities. Nurse leaders create environments that recognize and value the diversity of patients and staff.

This involves identifying and implementing culturally sensitive practices, assessing progress toward cultural competency, and addressing inappropriate actions and attitudes toward marginalized communities. Developing your nursing leadership skills requires advanced training. The nursing department at St. Catherine University offers a variety of graduate-level nursing degrees. Options available through our online Doctor of Nursing Practice program include:. Visit St. Reaffirmed in an article by a leading health care resource provider, the pioneer started her career by training in Egypt. She then went on to make history with her service for the British military during the Crimean War, where she developed the Polar Area Diagram that led to modern hospital sanitation practices.

Clara Barton abandoned her career as a teacher to fill a more pressing role in delivering medical supplies during the American Civil War. She continued her work with the organization through As a nurse-midwife, Mary Beckinridge introduced her specialty wherever she practiced. The organization, which significantly reduces maternal and infant mortality rates, still operate today. Dorothea Dix established the first mental asylum in the early s.

She advocated for mental health rights before Massachusetts state legislators and the United States Congress. Her work shaped current policies regarding the rights of the mentally ill. Planned Parenthood Founder, Margaret Sanger, started the organization after witnessing her mother die at a young age due to complications from pregnancies. Although hostility forced Sanger to flee to Europe, she eventually returned to the United States to open the first birth control clinic. As the first African-American nurse, Mary Mahoney inspired women of color to enter the nursing practice, which like other professions was segregated in the s. Historical sources reveal that she was one of only four students out of 42 to earn nursing certification in her class.

Commonly known for his poetry, novels and newspaper career, literary icon, Walt Whitman, also served as a male nurse during the Civil War. The experience greatly influenced his writing and, in turn, many American readers. Earlier, when her sister became ill, she instantly became interested in nursing and attended the New York Hospital Training School for Nurses. The activist took up several humanitarian causes during her lifetime and received recognition from many organizations for her works. Jamaica native, Mary Seacole, was born to a free family with few civil rights. To accommodate evolving and expanding roles, RNs must develop expertise to use data and health information technology HIT to further evidence-based practice; nursing education models must be adapted to prepare nurses for these new roles; and numerous policy and regulatory changes will be necessary Fraher et al.

All of these roles offer opportunities for innovation. The expanded and enhanced roles identified by Pittman and Forrest , Smolowitz et al. Table 2 extrapolated from Pittman and Forrest ; Smolowitz et al. Exemplars of Nursing Innovation: Edge Runners The American Academy of Nursing AAN highlights nurses involved in innovative, nursing-directed practice changes as Edge Runners , and their innovative experiments often produce permanent change AAN, ; Mason et al, These nurse innovators are working to improve outcomes and the patient experience by reimagining and redesigning healthcare and developing innovative models of care Mason et al.

Successful initiatives include programs to promote and protect breast-feeding in vulnerable infants; assist the elderly to remain in their homes; improve caregiver skills; provide affordable and culturally sensitive community and family healthcare services; and strengthen parenting skills AAN, Innovations in quality improvement. Initiatives such as the NQS guide quality improvement initiatives and the focus on improved patient outcomes as a measure of payment. These innovations are driving significant changes in the delivery of healthcare. Some of these changes are taking place on a national level. Kennedy, Murphy, and Roberts identified a wide range of activities for nurses at the federal level involving CMS and other agencies, including work on the Measures Application Partnership, the National Priorities Partnership, the Federal Advisory Committees, and the workgroups implementing NQS initiatives.

The IHI has also developed tools to engage front-line staff in activities to innovate and improve quality, such as the Transforming Care at the Bedside initiative Rutherford, et al. There are many examples of nurses creating innovative solutions to address healthcare quality. Nurses have implemented innovative measures to address catheter-associated urinary tract infections CAUTI. For example, Adams, Bucior, Day, and Rimmer developed a protocol that reduced the number of days a urinary catheter remained in the patient, thereby potentially reducing the risk of CAUTI. The American Nurses Association ANA , with support from CMS, convened a technical expert panel to develop an evidence-based tool for use by nurses to prevent CAUTI, decrease placement of indwelling urinary catheters, advance timely removal, and employ evidence-based assessments.

Nurse-managed protocols have also been identified as an effective method of managing patients with diabetes, hyperlipidemia, and hypertension Shaw et al. Moore and Stichler implemented an initiative where nurses develop quality improvement and evidence-based practice projects to improve patient outcomes. Not all nursing innovations take place on a large scale or use advanced technology. Stausmire and Ulrich suggest an innovative approach to identifying and implementing quality improvement projects on a small, unit-wide scale. Another nurse-led innovative change related to hospital-acquired pneumonia is the practice of elevating the head of the bed, which reduced the incidence of ventilator-associated pneumonia Grap et al.

This is a simple innovation with significant implications for patient outcomes and cost savings. In addition to improving processes or outcomes, some innovative changes can also drive healthcare savings. One example of such an innovation explored the establishment of a perioperative nurse fellowship program to educate nurses to work in the operating room OR. It is challenging to show a financial benefit to education; this study, which examined a unique program to educate operating room nurses, is an important addition to the literature illustrating quality and cost-effectiveness.

Innovative nurses are influencing the development of health policy Advancing health policy. Eaton describes an innovative approach to influencing policy at the state level, where RNs in Virginia educated the public and state legislators to address needed changes to advance nursing education and to increase salaries to nursing faculty in the state. Innovative approaches have also been used to advance nursing education on the importance of health policy. Turale addresses the importance of having RNs engaged in policymaking, the need to include the process of policy development in the nursing curriculum, and the importance of having nurse leaders mentor new RNs about how to get involved in policy development. Byrd and colleagues described an innovative series of active learning experiences to educate and motivate nursing students to influence health policy.

Innovation in Health Information Technology Innovations in health information technology can significantly impact quality of care. Innovations in health information technology can significantly impact quality of care. ANA and other nursing organizations have been strong promoters of new technologies, such as telehealth, electronic health records EHRs , and patient registries. Grady addressed the use of telehealth and highlighted the myriad settings where it can be used.

Fraher and colleagues noted that nurses are utilizing HIT to deliver evidenced based care; support communication between providers and with patients; and remotely monitor patients, and also described the utilization of telehealth and data from EHRs as essential for effective care coordination. Nurses are engaged in a wide range of innovative efforts concerning EHR and health information technology. Walker-Czyz researched how quality of nursing care was impacted by utilization of an integrated EHR and reported that nurses can utilize integrated EHRs with computerized documentation at the bedside to improve patient care.

Others have recently reemphasized the essential role of nurses to successfully implement a technology such as BCMA Vanderboom, et al. Increasingly, RNs are applying innovative ways to communicate with individuals via cell phones and mobile computer program applications apps to assist patients to follow medication protocols; identify reportable signs and symptoms of illnesses or posttreatment complications; learn about appropriate exercises or dietary sources; or find accurate and reliable sources of information about their health needs Grady, It is imperative that RNs maximize this opportunity to collaborate with technologists and informaticists to create efficient and effective programs that have a positive impact on patient care and population management Blahna, Foundation, Simulation Training Use of simulation experiences has brought about innovative changes in nursing education Simulation training can cover a wide range of experiences ranging from role-playing to full mission simulation involving a complex task that engages a team Galloway, Several organizations offer resources to advance innovation in simulation training.

The Simulation Innovation Resource Center, a collaborative project of National League for Nursing fosters nurse education to advance the use of simulation in nursing education, offers a Faculty Development Toolkit and templates Simulation Innovation Resource Center, n. Innovations in Delegation Skills A number of innovations have considered techniques to teach delegation skills to nursing students. Nowell described a simulation experience created to address a number of skills, such as delegation, required of nurses in the current healthcare environment. A panel of experts from various settings e. Important strides have been made in advancing the role of nurses in innovation, but barriers remain.

The Institute of Medicine IOM, report, The Future of Nursing: Leading Change, Advancing Health , called for expanded opportunities for nurses to lead and diffuse collaborative improvement efforts and to innovate in practice and education. The report recommended funding to advance research on models of care and innovative solutions, including technology, to allow nurses to contribute to improved health and healthcare, and urged healthcare organizations to lead the development of innovative, patient-centered care models. Healthcare organizations are also called to engage nurses to design, develop, purchase, implement, and evaluate health information technology products and other devices.

This section will consider skills that may help nurses overcome barriers to innovation. This goal includes the following objectives:. Characteristics of Successful Nurse Innovators One approach to foster innovation in nursing is to understand personal characteristics and attributes of nurse innovators One approach to foster innovation in nursing is to understand personal characteristics and attributes of nurse innovators to determine whether educational levels, certification, training, coaching, or some other variables impact innovative behavior.

Dy Bunpin, Chapman, Blegen, and Spetz noted that there is limited information on the innovative behaviors and characteristics of RNs. Their research expanded this knowledge by identifying characteristics of RNs who scored higher on an innovation scale, including specialty certification, graduate degrees, and experience in management. In addition, they reported that RNs at medium-to-large hospitals and hospitals that had adopted a mid-level of electronic medical records had higher innovation scores.

Dy Bunpin et al. Creating Environments to Foster Innovation Innovation can be fostered by creating environments conducive to creative thinking and expanding the notion of where and when nursing innovation takes place. Blakeney et al. The innovative process may be more complicated in organizations with bureaucratic decision-making processes, while supportive leadership, a protective or insulated area away from operational pressures, innovation networks, and dedicated time for problem solving can all be conducive to supporting an innovative environment Blakeney et al. Nurse leaders must create environments and opportunities for staff innovation; communicate expectations concerning time commitments and acceptable levels of risk; and allow for failures. Nurse managers and leaders play an important role to create an environment that fosters and encourages innovation.

Nurse leaders must create environments and opportunities for staff innovation; communicate expectations concerning time commitments and acceptable levels of risk; and allow for failures Boston-Fleischhauer, Creating opportunities for innovation involves acceptance of risk and the unknown, and fostering creativity and intellectual stimulation Boston-Fleischhauer, Joseph and Huber also emphasized this point, noting that an effective leader will create an environment that will support new mindsets.

An understanding of health policy allows nurses to participate in the creation and implementation of innovative payment models and healthcare delivery systems. These initiatives include:. RNs must be knowledgeable and educated about health policy topics and initiatives to ensure that nurses fully participate in health policy innovations. Nurse leaders in academia need to develop and implement curricula and continuing education offerings on health policy topics, and clinical nurse leaders need to mentor new nurses about how to engage in policy work Turale, Researchers have identified characteristics associated with effective leadership.

Traits attributed to EI in seminal work on the topic included self-awareness, self-regulation, motivation, social awareness, and the concept of relationship management Goleman, Encouraging nurses to develop leadership traits associated with innovation may be an effective method of creating environments where innovation can flourish.

A mechanism to allow RNs to improve skills associated with effective leadership is critical. Below we briefly discuss support for several key traits. Eckroth-Bucher reported that on an interpersonal level, self-awareness of strengths and weaknesses can allow an individual to take home the trust of others and increase their credibility; both will increase leadership effectiveness. Some evidence has suggested that the trait of self-awareness can be taught. For example, Vitello-Cicciu, Wetherford, and Gemme reported that increased self-awareness was one of seven leadership behaviors retained for some months following a leadership development program. Resilience plays a role in innovation To advance as transformational leaders, nurse leaders should cultivate resilience Stagman-Tyrer, Resilience has been demonstrated as a necessary component for the transformational leader to learn, and helps nurse leaders and managers guide others through the difficult process of accepting and implementing innovative changes Tyczkowski et al, Resilience plays a role in innovation, can be enhanced and developed, and is an important strategy for nurses Cline, ; Sanders, Financial management skills.

Nurse leaders have significant budgetary responsibilities but often underdeveloped financial management skills Douglas, Seifert described the importance of incorporating a business component in nursing curricula and urged nurses to develop knowledge and expertise on business and finance subjects. The IOM Future of Nursing report called on the CMMI to develop and evaluate innovative payment models and care delivery systems that use nurses to reduce costs and improve health outcomes. Much of this work is already underway. Nurses must be educated and prepared to engage in innovative health payment initiatives created by CMMI and other federal agencies. Financial literacy and financial management skills are essential to fully participate in these innovative initiatives.

Critical thinking skills. Critical thinking is a foundational skill that involves ability to apply strong oral and written communication techniques to a variety of environments by utilizing available resources effectively and strategically. Price explored the concept of critical thinking as it applies to nursing and articulated a range of critical thinking skills from the relatively simple process of identifying information to evaluating and creatively reframing issues and identifying innovation solutions. A number of approaches have been recommended to teach critical thinking skills to nurses. Burrell describes a series of evidence-based methods e. Although case scenarios assist in the development of critical thinking, evidence suggests that real-time scenarios that allow individuals to implement decisions increase critical thinking in individuals such as RNs.

Use of clinical simulation, by nurse educators and employers, can be a powerful tool to develop critical thinking and learning Fero et al. While considering the role of the RN as an innovator, members of the Panel Steering Committee examined barriers to innovation, envisioned the ideal state for an RN functioning as an innovator, and identified three goals and a series of recommendations to advance these goals. Our recommendations include steps to empower all RNs to lead innovation efforts, as well as recommendations for nurse managers and nurse leaders to create environments where innovation can thrive. We also include recommendations targeted to organizations and academia. The information in Table 3 summarizes our goals and recommendations for advancing innovation.

Table 3. Consistent with the ANA Nursing Scope of Standards and Practice , nurses in all roles and settings lead innovative change to protect, promote, optimize, and advocate for the health of individuals, families, groups, communities, and populations ANA, a. Nurses lead in the development of innovations in health policies by applying nursing knowledge to advocate for patients, consumers, and the nursing profession. Nurses lead, leverage, and advance innovations and technology from inception and development through implementation and evaluation. For the past 14 years, Americans have rated nursing as the most trusted and most ethical profession Gallup, To maintain that standing, nurse leaders need to continue as innovators by directing change, developing policies, and creating innovative technological advancements throughout the nursing profession.

Achieving the innovation goals and recommendations described in this article will help to ensure that nurses and the nursing profession have a voice in the future of healthcare. While the articles were generated by authors participating in a Professional Issues Panel convened by ANA, the conclusions and recommendations articulated by any author do not necessarily reflect those of the Association. Thomas has worked as a registered nurse for 15 years, and started his career in the U. At WRAMC, he wrote a policy on pressure ulcer prevention and treatment that was later utilized as the framework for a hospital-wide policy. After a short tour in Iraq, he did an inter-service transfer from the U.

Army to the U. In December , he was awarded a full scholarship through the American Nurses Association to complete his masters in Nursing in Leadership and Administration at Capella University, Minneapolis, Minnesota. Patricia C. Seifert has more than 25 years of experience as a perioperative nurse. She has been a clinical manager in cardiac surgical services and has developed four cardiac surgical programs. She has also functioned as an RN First Assistant on over 3, cardiac surgery procedures. She is a Fellow in the American Academy of Nursing.

Seifert is the author of six books and numerous articles and chapters; she was a member of the writing group for the American Heart Association Scientific Statement: Patient Safety in the Cardiac Operating Room: Human Factors and Teamwork. She has presented educational programs locally, nationally, and internationally. Seifert was the recipient of the Inova Ronald S. She is a Senior Policy Advisor for health systems and regulatory policy matters. Adams, D. Houdini: Make that urinary catheter disappear—Nurse-led protocol. Journal of Infection Prevention, 13 2 , Agency for Healthcare Research and Quality. Will it work here? Alexander, M. NCSBN simulation guidelines for prelicensure nursing programs.

Journal of Nursing Regulation 6 3 , 39— Altman, M. Redefining "time" to meet evolving demands. Nursing Management, 46 5 , American Academy of Nursing. Raise the voice: Edge runners. Retrieved from www. American Association of Colleges of Nursing. Washington, DC: Author.

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