Category Archives: Leadership development
This is part of the November 2013 issue of Sharing Nursing's Knowledge.
“Being the best is not measured by the number of accolades, positions that you hold, or amount of wealth you accumulate. When you have reached a point on your leadership journey where you can be of assistance and influence a larger sphere of individuals, organizations and society, then you are on the path to being the best.”
-- Linda Burnes Bolton, DrPH, RN, FAAN, chief nursing officer, Cedars-Sinai Medical Center in Los Angeles and trustee, Robert Wood Johnson Foundation, Accelerate Your Career in Nursing: A Guide to Professional Advancement and Recognition, 2013
“I worked closely with a nurse practitioner. We co-managed very complicated patients over many years. This colleague knew when someone needed to be seen to avoid an emergency room visit, to adjust an essential medication or just for reassurance. We trusted each other’s opinion and respected our own unique abilities. Being part of a team increased quality, reduced cost, and definitely improved the experience of our patients. I am sure many of my physician colleagues around the state have had similar experiences … The Green Mountain Care Board‘s inclusion of a highly qualified nurse is another indication of our commitment to respecting the abilities of all health care providers and fostering innovation.”
-- Allan Ramsay, MD, Green Mountain Care Board, Nursing in the Era of Vermont Health Care Reform, VTDigger.org, October 29, 2013
Rita K. Adeniran, DrNP, RN,CMAC, NEA-BC, is director of diversity and inclusion-global nurse ambassador at the Hospital of the University of Pennsylvania, and a Robert Wood Johnson Foundation Executive Nurse Fellow (2012-2015).
It is exciting and humbling to witness and talk about the positive transformation that nursing has been experiencing since the release of the 2010 Institute of Medicine (IOM) report on the future of nursing. The report emphasizes development of leadership programs that harness nurses’ capacity to lead change, and advance health and health care by creating innovative opportunities for education and professional growth. In addition to many other recommendations, the report calls for interdisciplinary collaboration and underscores the imperative for diversity of the nursing workforce to more appropriately reflect the diversity of the United States population.
More than ever before, nurses are recognized as key to leading successful and sustainable health care for the nation. Nurses are at the forefront of health and health care improvements, leading many quality initiatives. Comprehensive, cost-effective patient and family-centered models of care led by nurses are increasingly becoming popular.
With more nurses obtaining advanced degrees and practicing to the fullest extent of their education and skills, they are engaging side by side with members of interdisciplinary care teams to collaborate in clinical practice, and conduct research and enquiry that can provide solutions to some long-standing clinical problems.
Have you signed up to receive Sharing Nursing’s Knowledge? The monthly Robert Wood Johnson Foundation (RWJF) e-newsletter will keep you up to date on the work of RWJF’s nursing programs, and the latest news, research, and trends relating to academic progression, leadership, and other critically important nursing issues. These are some of the stories in the October issue:
Three Years Later, Institute of Medicine Report is Fueling Innovations in Nursing Practice and Education
Three years after its release , the Future of Nursing report has become a motivational tool that is transforming nursing and improving health care across the country. Read about some of the national accomplishments and achievements of the state Action Coalitions, which are working to advance nurse education, remove barriers to practice, cultivate more nurse leaders, diversify the profession, collect better data about the nursing workforce, promote interprofessional collaboration and education, and more.
Waging War Against Drug-Resistant Bacteria
RWJF Nurse Faculty Scholar Jason Farley has traveled far on the path he set out on as a young university student, and the world is taking notice of his groundbreaking work to treat patients with HIV. His research focuses on the spread of Methicillin-Resistant Staphylococcus Aureus (MRSA) and other antibiotic resistant organisms among HIV patients. MRSA poses a major threat to patients with compromised immune systems, and is increasingly placing financial burdens on health care facilities.
Doctors, nurses, and other health professionals are increasingly taking on top leadership positions at hospitals, Fierce Healthcare reports, likely because of the changing health care delivery system.
The trend is taking root in several states. In Texas, Baylor All Saints is headed by a former surgeon. The president of Texas Health Harris Methodist Fort Worth is a former intensive care unit nurse, and her immediate superior who oversees operations for 12 regional hospitals is a physician, the Forth-Worth Star-Telegram reports.
Presence Saint Francis Hospital and Presence Saint Joseph Hospital in Illinois announced this month that a physician and board-certified specialist in infectious diseases would take over as president and CEO, according to Fierce Healthcare. Portsmouth Regional Hospital in New Hampshire is run by a registered nurse, Foster's Daily Democrat reports.
Among the Robert Wood Johnson Foundation (RWJF) scholars in top leadership positions at hospitals is RWJF Executive Nurse Fellow Kim Moore, RN, MSN, FACHE, the president of Saint Elizabeth Regional Medical Center in Lincoln, Nebraska.
Alexia Green, RN, PhD, FAAN, professor and dean emeritus, Texas Tech University Health Sciences Center and co-leader of the Texas Action Coalition. She is an alumna of the Robert Wood Johnson Foundation Executive Nurse Fellows program.
As a nurse, I have long desired to be a full partner with physicians and other health care leaders in improving health care delivery in our country. The truth is many nurses have this desire, but all too often we are not viewed as key players in the larger policy arena. When the Institute of Medicine Future of Nursing report was issued in 2010, I was very excited to see a major emphasis placed on nurses become full partners in redesigning health care in the United States.
I personally became intrigued with impacting health care policy while a graduate student at the University of Texas Health Sciences Center in Houston—where my professor, Dorothy Otto, encouraged me to become engaged, providing me with a vision that policy was something I could shape and develop rather than passively watch. My engagement with the Texas Nurses Association and the Robert Wood Johnson Foundation Executive Nurse Fellows program helped solidify my leadership skills to be well prepared to actively serve on boards where policy decisions are made in hopes of improving health systems to advance patient care.
Susan B. Hassmiller, PhD, RN, FAAN, is senior adviser for nursing at the Robert Wood Johnson Foundation, and director of the Future of Nursing: Campaign for Action. Three years ago, the Institute of Medicine issued Future of Nursing: Leading Change, Advancing Health, which supports “efforts to cultivate and promote leaders within the nursing profession—from the front lines of care to the boardroom.” The goal, the report says, is that nurses be full partners, with physicians and other health professionals, in redesigning health care in the United States.
The only way to achieve a healthier future for everyone in this country is to work collaboratively toward that goal. Leading in a collaborative environment takes very special skills. To find effective leaders, we must consider the skills, talents, and experience of everyone who aspires to leadership, regardless of their profession.
In fact, there is no evidence pointing to a single profession as having all requisite leadership skills to get our population to a healthier state. It is truly about the skills, talents, and experience of the whole team, and everyone on the team should be considered a potential leader.
The Institute of Medicine (IOM) report, The Future of Nursing: Leading Change, Advancing Health states that all professions should be equal partners in leading health and health care efforts in this country to assure access, affordability, quality, and a healthier future for all. The IOM committee members who shaped that report made extremely thoughtful recommendations on leadership.
Below, I add my own take, based on experience, about what it takes to lead in a collaborative environment.
Executive Nurse Fellows Leading the Way to Implement the Institute of Medicine’s Nursing Recommendations
Victoria Niederhauser, DrPH, RN, PNP-BC, is dean and professor at the University of Tennessee, Knoxville College of Nursing, an alumna of the Robert Wood Johnson Foundation (RWJF) Executive Nurse Fellows program, and a director of the program’s Alumni Association.
One of the greatest impacts the Institute of Medicine’s (IOM) report on the future of nursing has had is to provide a national actionable platform for RWJF Executive Nurse Fellow (ENF) alumni to put into action their collective leadership skills and attributes to improve health and health care across the nation.
The RWJF Executive Nurse Fellow alumni are 221 individuals strong and together they use skills in strategic agility, leading change, effective communication, creativity, and risk-taking to create sustainable models of Action Coalitions throughout the country. Through these Action Coalitions, the future of nursing is changing!
For example, in one year, the Tennessee Action Coalition was established with a diverse board of directors led, in part, by two RWJF Executive Nurse Fellows: Debra Honey (2008) and Victoria Niederhauser (2008). And we have already seen a significant impact on our community as a result of the Action Coalition. Specifically, from 2011 to 2012, enrollment in RN to BSN programs in Tennessee increased 20 percent (from 1,375 to 1,635) and the number of RN to BSN graduates rose 30 percent (from 499 to 680). One key recommendation from the IOM report is that more nurses get BSN or higher degrees.
This is part of a series of blog posts introducing programs in the Robert Wood Johnson Foundation (RWJF) Human Capital Portfolio. The RWJF Clinical Scholars program develops physician leaders to improve health and health care in the United States while preserving a commitment to service and patients.
A number of university professors and deans, hospital CEOs, health commissioners, 45 members of the Institute of Medicine, and even RWJF’s president and CEO have one thing in common: their shared experience as alumni of RWJF’s oldest program, the Clinical Scholars.
“For anyone who wants to be a catalyst for change in the health and health care of our country, the Clinical Scholars program is an excellent opportunity to do so.”
- Risa Lavizzo-Mourey, MD, MBA, president and CEO, Robert Wood Johnson Foundation (Penn Clinical Scholars program ’83–’86)
Founded in 1969 and adopted by RWJF in 1972, the Clinical Scholars program was created to foster the development of physicians who are leading the transformation of U.S. health and health care through positions in academic medicine, public health, and other leadership roles.
Through this post-residency program which provides two years of master’s degree study, Clinical Scholars learn to conduct innovative research in health policy, health services research, and community-based participatory research (CBPR). In addition, scholars work with communities, organizations, practitioners, and policy-makers on issues important to the health and well-being of all Americans.
The Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health, recommended that nurses be empowered and prepared to take leadership roles, becoming full partners in hospitals and other health care settings to redesign health care in the United States.
In this video, produced by the New Jersey Action Coalition, Dave Knowlton, president and CEO of the New Jersey Health Care Quality Institute, and Robert Wise, president and CEO of the Hunterdon Healthcare System, talk about the importance of having nurses in leadership positions on hospital boards.
This is part of the September 2013 issue of Sharing Nursing's Knowledge.
“When Malia and Sasha were being born, we spent 90 percent of the time with the nurses and 10 percent with the OB/GYN. When my grandmother got sick and was passing away at the end, it was nurses who were caring for her in an incredibly compassionate but also professional way. And you’re absolutely right that one of the keys to reducing our health care costs overall is recognizing the incredible value of advanced practice nurses and giving them more responsibilities because there’s a lot of stuff they can do in a way that, frankly, is cheaper than having a doctor do it, but the outcomes are just as good … we have to upgrade a little bit the schools of nursing and make sure that they’re properly resourced so that we have enough instructors. And, in fact, as part of the Affordable Care Act, one of the things that we thought about was how are we going to expand and improve the number of nurses and making sure that they can actually finance their educations. And so there are some special programs for nurses who are committing themselves—as well as doctors who are committing themselves—to serving in underserved communities.”
-- President Barack Obama, Remarks by the President in Town Hall at Binghamton University, WhiteHouse.gov, August 23, 2013
“One of the nurses showed me some of the babies who were close to my size when I was an infant and I was able to see the babies that were grown and ready to go home. The nurses also offered me tips on how to become a nurse, that I would go through a four-year program to get my BSN (Bachelor of Science in Nursing) degree, as well as training in a nursing program, and then a MSN (Masters of Science in Nursing) degree… I felt so connected to the babies. It’s incredible that I was once like them … I think my visit made my hope to become a NICU nurse even greater.”
-- Samantha Konwai, high school student, Saint Peter’s Welcomes Former Preemie as She Pursues Career as Neonatal Nurse, Home News Tribune, August 19, 2013