How will You Step Forward? Vicki Good, MSN RN CENP President American Association of Critical Care Nurses

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Slide 1 How will You Step Forward? Vicki Good, MSN RN CENP President American Association of Critical Care Nurses Slide 2 Objectives 1. Define the foundational elements needed to Step Forward : direction, integrity, & courage. 2. Articulate the wake you will leave behind what will your legacy be? 3. Describe how to overcome ripples in our wake. Slide 3 The journey of a thousand miles begins with one step. Lao Tzu

Slide 4 Foundational Elements Slide 5 Foundational Elements Slide 6

Slide 7 Spiritual Work Family Community Slide 8 Professional Compass I solemnly pledge myself before God and in the presence of this assembly, to pass my life in purity and to practice my profession faithfully. I will abstain from whatever is deleterious and mischievous, and will not take or knowingly administer any harmful drug. I will do all in my power to maintain and elevate the standard of my profession, and will hold in confidence all personal matters committed to my keeping and all family affairs coming to my knowledge in the practice of my calling. With loyalty will I endeavor to aid the physician in his work, and devote myself to the welfare of those committed to my care. Slide 9 Professional Compass Code of Ethics: Foundation of nursing practice Standards of Practice: Standards for Healthy Work Environments Scope and Standards for Acute and Critical Care Nursing Practice. Standards of Practice and Professional Performance for the Acute and Critical Care Clinical Nurse Specialist and Acute Care Nurse Practitioner Tele-ICU Nursing Practice Guidelines

Slide 10 Community Compass AACN is the community of exceptional nurses AACN s Mission: Patients and their families rely on nurses at the most vulnerable times of their lives. Acute and critical care nurses rely on AACN for expert knowledge and the influence to fulfill their promise to patients and their families. AACN drives excellence because nothing less is acceptable. Slide 11 Foundational Elements Slide 12

Slide 13 Integrity Derived from the Latin word Integer Integer means whole or complete Alignment between what you believe is the right thing to do and what you are doing. Living with integrity means placing your core beliefs at the cornerstone of every decision you make and every action you take. Slide 14 Building Integrity Be honest with yourself Seek feedback from a trusted mentor Pursue a higher being Be transparent Take care of yourself! Carey Nieuwhof http://careynieuwhof.com Slide 15 Foundational Elements

Slide 16 Slide 17 Courage To demonstrate courage one must achieve a balance between fear and doubt: FEAR DOUBT ALLY Self- Awareness Scientific Questioning ENEMY Paralysis Corruption Ignorance Negligence Slide 18 Foundational Elements

Slide 19 Am I a Leader? Do I shape my life and career? Do I affect the quality of others experiences? Do I inspire or influence others? Do I work to achieve specific goals by working with or coordinating the efforts of others? Slide 20 Future of Nursing: Leading Change Advancing Health We must cultivate nurse leaders within the profession from the front lines to the boardrooms. Nurses must lead discussion Nurses must serve on advisory (locally and nationally) Leadership curriculum should be in schools of nursing Step Forward and ensure your professional and personal growth Slide 21 What is your Wake

Slide 22 2 Sides of a Wake Side One: TASK What did I accomplish? What are my outcomes/results? Keys to success: Set your performance ceiling high Establish clear direction Never rest upon your success Slide 23 2 Sides of a Wake Side Two: Relationships How do I handle people? We lead through our relationships, it is a display of our heart, mind, and soul Keys to Success: Authenticity Character becomes a force Slide 24 Wake yields Legacy the marks in life we leave our legacies are most often left not in stone and steel, in history and politics, or poetry and literature, but in the lives of other people. Mark Sanborn

Slide 25 Course Correction A wake with Swells Slide 26 Every Hit is not a Home Run Slide 27 Fear of Failing Failing Forward We must learn from each failure IBM founder Thomas Watson: The fastest way to succeed is to double your error rate. In healthcare we must tolerate Taking Risks but not engage in Risky Behavior.

Slide 28 Failure or Success Sigmund Freud: was booed from the state when he first presented his ideas to the scientific community. Albert Einstein did not speak until he was 4-years old, did not read until he was 7. His parents thought he was sub-normal and one of his teachers described him as mentally slow, unsociable, and adrift forever in foolish dreams. He was expelled from school and was refused admission to the Zurich Poly Tech School. Louis Pasteur was a mediocre pupil in undergraduate studies and ranked 15 th out of 22 students in chemistry. 21 publishers rejected Richard Hooker s humorous war novel M*A*S*H. He had worked on it 7 years. Slide 29 Distractions Definition: the art of misdirecting someone s attention, lack of ability to pay attention, lack of interest in the object of attention or great intensity. Internal and External Roadblocks as you Step Forward Slide 30 Patient Care Distractions Interruptions: RN interrupted 12 times per hour Average one interruption every 5 minutes Solutions: No Interruption zones Mistake Proofing (human factors) Do not disturb vests Medication pass time-out protected hour to focus care.

Slide 31 Motivation Reflect on your achievements. Mirror those who are successful Learn from them Mentor someone else Learning Dialogue Challenge Slide 32 Motivation Set small steps only one at a time! Take the first step, you do not have to see the whole staircase, just take the first step. Dr. Martin Luther King Slide 33 Remember to Dream Propel your life in a inspirational direction Empower you to ask more from life than you would otherwise Connects you to the sacred source of your creativity and intuition Margie Warrell

Slide 34 Slide 35 Step Forward create a Legacy not a Resume Slide 36 Resume Accomplishments Results The money you have made Career Self-improvement Legacy Contributions Relationships The difference you have made Your organization, family, & community Helping others improve

Slide 37 20 years from now you will be more disappointed by the things you didn t do than by the ones you did do. So, throw off the bowlines. Sail away from the safe harbor. Catch the trade winds in your sails. Explore. Dream. Discover. Mark Twain & STEP FORWARD! Slide 38 How will You Step Forward? Stepforward@aacn.org AACNVickiGood@facebook.com Slide 39 References Cloud, H. (2006). The Courage to Meet the Demands of Reality. Harper: New York. Hoenig, C. (2000). Courage and integrity are at the core of successful leadership. http://www.cio.com/article/29317/courage_and_integrity_are_at_the_core_of_s uccessful_leadership. Patient Safety & Quality Healthcare. (2010). Distractions and interruptions: impact on nursing. http://www.psqh.com/marchapril-2010/451-distractions-andinterruptions-impact-on-nursing.html?start=2 Robert Wood Johnson Foundation, Institute of Medicine. (2011). The future of nursing: Leading change, advancing health. National Academies Press: Washington, D.C. Sanborn, M. (2006). You don t need a title to be a leader: How anyone, anywhere, can make a positive difference. Doubleday: New York. Warrell, M. (2009). Find your courage: 12 acts for becoming fearless at work and in life. McGraw Hill: New York. Wheatley, M, & Frieze, D. (2011). Walk out Walk on. Berrett-Koehler Publishers: New York.