Forging a Path for Nursing into Uncharted Leadership Territory

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1 Forging a Path for Nursing into Uncharted Leadership Territory Lillie D. Shockney, RN., BS., MAS Forging a Path for Nursing into University Distinguished Service Professor of Breast Cancer Uncharted Leadership Territory Professor of Surgery and Oncology Lillie D. Shockney, Johns Hopkins RN., BS., University MAS School of Medicine University Distinguished Service Professor of Breast Cancer Professor Administrative of Surgery and Director, Oncology Johns Hopkins Breast Center Johns Hopkins University School of Medicine Administrative Director, Johns Hopkins Breast Center Director, Johns Hopkins Cancer Survivorship Programs Co-founder, Johns Founder Hopkins Medicine and Director, Managing AONN+ Cancer at Work Founder and Director, AONN+ Director, Johns Hopkins Cancer Survivorship Programs Co-founder, Johns Hopkins Medicine Managing Cancer at Work

2 Disclosures Royalties from Jones & Bartlett Publishing Honorariums from Pfizer Oncology Honorariums from Patient Resource Network

3 Session Outcomes Identify at least 3 different situations an individual can permit limitations to be placed on themselves. Learn at least 2 quotes or mantras that are relatable and can provide personal motivation.

4 I ve known I wanted to be a nurse for a long time. Compassionate care, a hand to hold, my mommy allowed to stay

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6 My childhood upbringing was challenging (for me) Introduced into dairy farming life at age six. Isolated life from others classmates not allowed to visit me on the farm. Dealt with abuse from age eight to young adulthood Emergency appendectomy at age twelve. Taken to Johns Hopkins visited the statue Ninth grade entered the world of West Side Story Rock Hall vs Chestertown High School. No guidance counselor needed boys became farmers or fisherman; girls became wives of farmers or fisherman Planned to go to Johns Hopkins School of Nursing (3 year diploma program). It closed the year I graduated from high school. Went to a different 3 year diploma program. Nursing school book worm. Didn t fit in. I believe in the sun even when it is not shining; I believe in love even when I do not feel it; I believe in God even when he is silent.

7 First nursing job Rural area where we lived. Next doctor was 40 miles Physician had been a H&N surgeon prior to moving to Kent County in Maryland. He had a history of alcoholism. Named me Lilliepie. Patients paid in produce, carpentry work, fish, eggs, quilts, pies. An unusual family doctor--- delivering babies in their homes. Doing major surgery in the doctor s office. He treated me as an equal. I was 20

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9 Moved west ---- then moved back east Married wrong man Returned home Back with Family doctor s office for 3 months. Moved to Baltimore Bounced around a bit Found position at Hopkins that felt right Feb 1983 Was considered a born leader Got breast cancer in my 30s, and at age 40 volunteering helped me find my true nitch

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15 Problem: N/V post op mastectomy surgery Whose fault is it? Anesthesiologist said it was the surgeon s fault Surgeon said it was the anesthesiologist s fault STOP focusing on one another--- the problem is that the patient awakens nauseated and starts vomiting. Vomiting causes more pain. Pain causes more narcotics. Narcotics causes more nausea. GOAL for the patient to awaken in the recovery room, pain free, no nausea, silhouette whole, greeted by a breast cancer survivor (nurse or volunteer) and congratulate her on becoming a transformed woman today. transformed from victim into survivor Outcome 89% N/V rate dropped to 2%

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18 The patient is the most important person, whether in the room or represented by YOU being in the room.

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20 My mother- always gave unconditional love to me You listen to a different drummer and that is alright. You can accomplish anything. I wrote a book about my breast cancer experiences Friends said Well, it will never get published because you are a first time author. My mother I can t wait to see it in the book store window! If Lillie has an idea how to improve patient care either volunteer to help her or get the heck out of her way.

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26 A recommendation was given by a plastic reconstruction surgeon for me to have a primary faculty appointment in the JH School of Medicine. 1. He told the department of surgery chairman that I should have a primary appointment in Medicine 2. He wrote a letter outlining my leadership skills and what these skills could do to strengthen the education of physicians. 3. He said that I was the example for him and others to aspire to become. (Federal law for insurance to cover breast reconstruction) 4. HE SAID SHE HAS BEEN AT THE HELM OF THE BREAST CENTER AND ALWAYS FOCUSED ON THE PATIENTS, NEVER LOST SIGHT OF THE PATIENT BEING WHO WE SERVE AND WHY WE ARE HERE. SHE CAN TEACH US A LOT (2007)

27 I began as an Instructor in 2007, JHU SOM Some faculty were not so happy I had penetrated the SOM however. Be happy with you being at an instructor level. You understand that is where you will remain, right? Remember you are a nurse. (I said I will retire a full professor in the JHU SOM)

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38 Canada geese V formation. Mate for life

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42 Help me understand..

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54 Climbing the academic ladder within SOM I read the silver book promotion to assistant and associate professor I read the gold book- promotion to full professor I created a strategic plan that focused on improving patient care, locally, regionally, nationally and internationally Never lost sight of the goals being patient driven and not about me returned home from Middle East, and the following day was called to come to the Dean s office. YIKES (UDS Assistant Professor of Breast Cancer) began peer review process for promotion to full Professor 2016 promotion to full Professor in the JHU School of Medicine UDS Professor of Breast Cancer; Professor of surgery and oncology, JHU SOM

55 Making History on Behalf of Nursing Took only 9 years to go from Instructor to full Professor Salary wasn t effected but my world certainly was Teaching communication skills that I learned as a nurse Helping nurses to aspire to whatever their goals may be Johnson & Johnson Most Amazing Nurse in America 52 awards 46 national; 6 state, including inducted into Maryland women Hall of Fame. 14 books; more than 250 articles; serve on 34 medical advisory boards Formerly mentoring junior faculty to become clinical program builders Formerly mentoring nurses to think out of the box and set their goals high.

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57 References: Konzes J & Posner B. The Leadership Challenge: How to make extraordinary things happen in corporations. 5th Ed. Jossey-Bass Publishing Sandberg S. Lean In: Women, work, and the will to lead. Alfred Knopf Publishing Strock J. Reagen on Leadership- Executive lessons from the great communicator. Serve to Lead Press Online-- niv&sa=x&sqi=2&ved=0ahukewjsxzv0gsnnahudsyykhsfedjgqsaqigw (famous leadership quotes)

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