Professionalism and Leadership - Lecture 1

1. 2. 3. 4. 5. Identify the behaviors of a professional nurse. Discuss the difference between scope of practice and standards of practice. Identify how standards of practice impact nursing care. Describe leadership styles nurses may encounter in the healthcare environment/organization. Define leadership, management and followership and the need for all within the healthcare environment. 6. Analyze leadership traits and how these can contribute to healthcare organizations and patient outcomes. Class Notes: o Professionalism ▪ Professional identity ▫ Starts when you begin your nursing education, you build this as you grow → Experiencing, reflecting, knowing yourself, norms, and values ▫ This is where you... → Think, act, and feel like a nurse ▫ Review ATI Nurse’s Touch = testable content o Scope vs. Standard of Practice ▪ Scope of Practice = professional activities defined under state law, determined by each state’s nurse practice act (what defines a profession and what they can and cannot do) ▫ Actions/duties allowable by profession ▫ Most important legislature ▫ It is the law → Education → Examination → Defines 3 categories of nurses and specific actions/duties allowable for each ▫ Nebraska Nurse Practice Act: → Enforces the acts → Ensures public safety ▫ Specialties and advanced practice nurses have more specific scope ▫ Organization/institution policy → Must adhere to scope of practice → May limit this ▪ Standards of Practice = provision of services consistent with care across various professionals and locations; minimum criteria for job proficiency; quality of care defined (frameworks, guidelines) ▫ ANA Code of Ethics ▫ → Ethical principles – autonomy; beneficence; nonmaleficence; veracity; justice; fidelity → ANA standards of professional performance ANA Standards → ADOPIE → ANA position statements → ANA principles for nursing practice o Standards of Professional Nursing Practice o Questions to Consider ▪ What is the scope of practice and where does it come from? Why is it important? ▪ What is the American Nurses Association and what role do they play in standards of care? ▫ Hint: what are the 6 standards of care and what do they mean for nurses? ▪ What is the difference between ‘general’ and ‘specialty’ standards of practice? ▫ How might institutional policies impact or change these? ▪ What is QSEN? ▪ What is IHI? ▪ What is AHRQ? ▪ What is HP2030? ▫ How do each of these impact the standards of practice? o Defining Leadership o Key Terms ▪ Leadership ▫ Ability to inspire others to achieve the desired outcome ▫ Multiple styles/theories ▫ In order to have leaders, we must have followers ▪ Followership ▫ Engaging with others who are leading or managing by contributing to the problem identification, completing tasks, and providing feedback for evaluation ▫ Actively engage in the process o Leadership Styles ▪ Autocratic (traditional style) ▫ Make all the decisions ▫ Concerned with tasks to be accomplished ▫ Distanced, punishment/rewards system is popular - incentives ▫ Great for ‘new’ employees/large groups/many departments ▫ Quick decisions/emergencies ▪ Democratic (traditional style) ▫ Involve others in decision-making ▫ Participatory leadership style ▫ Show concern for followers and involve them in the process ▫ Great for ‘experienced’ workers ▫ Requires committed followers ▫ Help followers develop technical/emotional maturity ▪ Laissez-faire (traditional style) ▫ No interference with employees/work ▪ ▪ ▪ ▪ ▪ o → “You can figure it out” ▫ Distanced, freedom-givers ▫ Minimal information/communication ▫ Decisions within crisis ▫ Great for very experienced workers ▫ Has negative outcomes for employees Transactional (new style) ▫ Focused on daily operations ▫ An exchange is involved ▫ Exchange relationship with followers → Reward performance, correction when needed ▫ Focus is on getting the job done, meeting everyone’s self-interests Transformational (new style) ▫ Seek to change or transform individuals ▫ Embrace change ▫ Inspire/intellectually stimulate followers ▫ Recognize contributions of followers ▫ High expectations, challenge followers to go above and beyond ▫ Communicate a vision; followers accomplish beyond expectations ▫ Long-term focus; develops people and organization → See a goal to accomplish down the line Servant (new style) ▫ Put followers first ▫ Help others grow and succeed ▫ Behave ethically – honesty, trustworthiness ▫ Empower others to lead/make decisions ▫ Create value in the community Authentic (new style) ▫ Have self-awareness – recognize steps to address leadership gaps in environment ▫ Lead from the heart ▫ Confident, optimistic, resilient, transparent ▫ Morally sound ▫ Build others up ▫ Emphasize long term vs short term goals Authentic, servant, and transformational all put the followers first Leadership Styles – Pros and Cons