Karbowski Strategic Planning For Nursing's Future

Discuss the Nurse Leader’s strategic plan as it relates to The Institute of Medicine’s Quality initiatives and ONE of the following five core competencies.

In the future, the role of the nurse in a leadership position will change drastically due to the impact of the IOM report (National League for Nursing, 2012). The IOM report calls for the development of strategic, social, and critical thinking skills so that nurses are better able to partner with other healthcare members, and become key players in health care decision making (Institute of Medicine, 2010). Nurses

Leadership traits associated with nurse executives are honesty, credibility, supportiveness, visibility, and flexibility. Nurse executives analyze nursing functions and empower nurses through participatory decision making, shared governance, and employee involvement. Nurse executives share the vision and goals of the hospital and promote application of a nursing theory into the nursing care delivery system. They anticipate the future of health care and nursing and serve as monitor, role model, and preceptor to lower level management (Upeniecks, 2003). Nurse executives in the Magnet program are required to have advance practice degrees with certification in their specialty (ANCC). Understanding evidence-based management and enabling the use of evidence-based knowledge provides the nurse executive with the tools to improve patient outcomes. The transformational leader will remove barriers to improvement and encourage outcome based thinking. While nurse leaders are charged with questioning the status quo, nurse managers in the transformational approach to leadership are charged with maintaining the status quo.

The American Association of Colleges of Nursing has identified nine essentials that are incorporated into master’s nursing programs to help direct the practice of advanced practice nurses (APN’s). Essential II outlines how an APN can utilize organizational and systems leadership to promote safer and more cost effective care. By incorporating effective leadership skills, APN’s can help transform healthcare and make quality improvements for the patient, the institution, and the community. According to the American Association of College of Nursing (2011), an effective leader assumes and applies “the skills of communication, collaboration, negotiation, delegation, and coordination” (p. 11). APN’s must be able to establish and maintain a healthy

Nurse leaders are faced with issues or problems on a daily basis that are often expected and sometimes unexpected. It “comes with the territory” so to speak. If there were no issues to solve or hurdles to overcome the necessity of designating a leader would not seem quite as important. Nurse leaders can tackle issues that occur in their work environment using nursing theory to guide them. Nursing theory provides a framework that nurse leaders can use to implement interventions or changes to positively impact the staff they lead. This framework of the theory will set the standards for achieving the desired outcomes and is based on knowledge that is gleaned from practice and/or research.

In healthcare it is very important to have strong leaders, especially in the nursing profession. A nurse leader typically uses several styles of leadership depending on the situation presented; this is known as situational leadership. It is important that the professional nurse choose the right style of leadership for any given situation to ensure their employees are performing at their highest potential. Depending on which leadership style a nurse leader uses, it can affect staff retention and the morale of the employees as well as nurse job satisfaction (Azaare & Gross, 2011.) “Nursing leaders have the responsibility to create and maintain a work environment which not only promotes positive patient outcomes but also

Slide 2: A Nurse Executive is a master’s educated individual who is knowledgeable and has developed strong interpersonal relationships with the interdisciplinary team. This individual is accountable and compassionate, showing respect and excellence in their practice. The nurse leader is able to adapt to change especially in regards to technological advances and innovative methods of caring for patients. A driven leader empowers their staff to create an environment that is inclusive and ultimately productive using the team-nursing concept. Individual weaknesses are noted and built upon using team training and consistent educational in-services. This

It seems ironic that this aspect of nursing is overlooked especially when nurses have so much responsibility to know their skill alongside of working with patience and their families not to mention being a team player with other co-workers. Curtis said in her article, “…clinical leadership is often relegated to a space late in the delivery of nursing education…” (2011, p. 344). However, Curtis also alludes to the problem of leadership training by saying that most often when nursing programs incorporate leadership training into their programs, the training ends up coming from a business approach that is then adapted to clinical leadership. She also indicate that there needs to be more emphasis on leadership training that directly correlates with clinical leadership (2011, p. 346). In addition, Barkhordari-Sharifabad indicates that not equipping nurses with leadership skills results in little to no confidence, commitment and motivation as side effects to the lack of leadership (2017, p. 2). Both of these articles realize the importance of leadership playing an important role in creating an atmosphere that is efficient pleasant, and

This quality, safety, and leadership class focus on cultures of safety, models of change and aggregate outcomes and the chief purpose of leadership in the healthcare industry is to ensure safe, quality patient care (SMU, 2018). The Power of Vulnerability video (2010) and the offering of Rosa (2016) apply to my work as a nurse leader, allowing myself to transform by keeping an open mind and continue to expand my perception. I am a nurse change agent that deals with professional doubt, vulnerability and disappointment. I do not ever pretend to know everything, even after twenty years of nursing. The art and science of nursing are ever changing and as a nurse, I understand that I too am ever changing.

Healthcare changes occurring today along with shrinking budgets and reimbursement rates for hospitals has forced institution CEOs to do more with less. Changes and restructuring of various health facilities require nursing leaders with flexibility and adaptability. Nurse leaders must also consider budgetary constraints, cost effectiveness, patient safety, and quality care while maintaining focus on improved patient outcome. The responsibility of ensuring patients receive safe and high quality care belongs to every employee in the hospital, including support staff such as IV therapy. In this hospital, this led to the development of a nurse director position to oversee the

The Experience Of Nursing Leaders And Lesson Learned Nursing leaders are essential as they are the motivators and backbones of the profession. Every nurse is trained to be a leader, although the profession is autonomous there are cases where exemplary leadership skills would be exhibited either formally as a job description or informally. Therefore, it is essential that every nurse should strive to be the best leader they can be. There are nursing leaders in virtually every sector.

This review was used to determine the importance of healthy work environments and the role of nurse leaders and future nurse leaders in building and maintaining healthy relationships; furthermore, the relationship between nurse manager leadership style and safety concerns .

The organization’s Chief Nursing Officer (CNO) is a member of the “pentad” which includes the Medical Center Director, Chief of Medicine, Associate Director for Patient Care, and the Director of Quality Manager. The organizations strategic plan is developed by this core team, and disseminated across the Medical Center. The CNO provides nursing leadership to the organization as both a patient, and staff advocate in the promotion of safe, quality care. She is critical to the development of the organizations strategic plan, and works to align the nursing staff with the mission, vision, and values by which the strategic plan is designed. It is her role to defend strategic priorities related to nursing when the plan is formulated. The proposed

The impact of the report on leadership is looked at as well. A nurse with Strong leadership skills is critical if the vision of a transformed health care system is to be realized. “Leaders who merely give directions and expect them to be followed will not succeed in this environment. What is needed is a style of leadership that involves working with others as full partners in a context of mutual respect and collaboration” (“Transforming Leadership”, 2011, p.222-223). To become effective leader’s nurses need the ability to work in teams, knowledge of how the healthcare system works, the ability to collaborate and socialize with other care providers, and be a patient advocate who gives safe ethical care. The health care team will need to hold each other accountable. “Nurses must also be equipped with the communication, conflict resolution, and negotiating skills necessary to succeed in leadership and partnership roles” (“Transforming Leadership”, 2011, p.234).

Nurses are on the front lines of patient care, as delivery of care relies heavily on the nurse to provide excellent patient outcomes. The purpose of this paper is to gain insight into the nurse’s role as a supporter of an organization’s strategic plan from the perspective of a quality manager.