Leadership roles for Nurses

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Leadership roles for Nurses Jintana Yunibhand Board Member, International Council of Nurses President, The Nurses Association of Thailand 50th Anniversary Nursing Conference College of Nursing, Hong Kong 11 th January 2014 Grand Ballroom, Panda Hotel

20/01/57 Jintana Yunibhand 2

1/20/2014 Jintana Yunibhnad 3 Scope of presentation Why, what, where, when, and how leadership roles for Nurses? Focus on Nurses: A force for changes.

International Council of Nurses Established in 1899 Members from 135 countries ICN s Strategic Goals To represent nursing worldwide To advance the nursing profession To influence health policy. ICN - Advancing nursing and health worldwide www.icn.ch

ICN s Vision Our mission is to lead our societies toward better health. ICN s Values Visionary Leadership Inclusiveness Flexibility Partnership Achievement ICN - Advancing nursing and health worldwide 5 www.icn.ch

ICN s Three Pillars Professional Practice ICN s Leadership programmes Leadership in Negotiation The Global Nursing Leadership Institute (GNLI) Leadership for Change Regulation Socio-Economic Welfare ICN - Advancing nursing and health worldwide www.icn.ch

ICN s Vision: to lead Visionary leadership International Level NNA s and Nurses: to lead Leadership?? Leadership roles for Nurses Nurses : A Force for Change A Vital Resource for Health National level ICN- IND

Why? Leadership roles for Nurses Nursing represents the largest sector of the health professions Questions: Benefit or Constraints? Contribution to people health, global health, health care delivery system, and.? 1/20/2014 Jintana Yunibhnad, RN, PhD 8

1/20/2014 Jintana Yunibhnad, RN, PhD 9 Why? Leadership roles for Nurses What roles can nursing assume to address the increasing demand for safe, high-quality, and effective health care services?

1/20/2014 Jintana Yunibhand, RN, PhD 10 Why? Leadership roles for Nurses Health care reform Nurses have key roles to play as team members and leaders for a reformed and better-integrated, patient-centered health care system

1/20/2014 Jintana Yunibhand, RN, PhD 11 Health care reform Changes must be made in nursing scopes of practice, advances in the education and research of nurses across all levels, improvements in the practice of nursing across the continuum of care, transformation in the utilization of nurses across settings, And leadership at all levels so nurses can be deployed effectively and appropriately as partners in the health care team.

How can we reaches that goal collectively? At all level, all sectors of nursing profession 1/20/2014 Jintana Yunibhand, RN, PhD 12

1/20/2014 Jintana Yunibhnad, RN, PhD 13 Why? Leadership roles for Nurses Can nurses fill such new and expanded roles in a redesigned health care system.

1/20/2014 Jintana Yunibhand, RN, PhD 14 Leadership challenges: Provide culturally relevant quality care to all populations with respect to race, ethnicity, gender, and age. Provide and improve both general and advanced care that delivers the right care quality care that is patient centered, evidence based, seamless, affordable, accessible to all, leads to improved health outcomes, and sustainable at the right time.

1/20/2014 Jintana Yunibhand, RN, PhD 15 Leadership challenges:

1/20/2014 Jintana Yunibhnad, RN, PhD 16 In nursing service system: 1. Nurses should practice to the full extent of their education and training. 2. Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression.

1/20/2014 Jintana Yunibhnad, RN, PhD 17 In nursing service system: 3. Nurses should be full partners, with physicians and other health professionals, in redesigning health care. 4. Effective workforce planning and policy making require better data collection and an improved information infrastructure.

How can we reaches that goal collectively? At all level, all sectors of nursing profession 1/20/2014 Jintana Yunibhand, RN, PhD 18

Leadership Defined: Central to the phenomenon of leadership Leadership is a process. Leadership involves influence. Leadership occurs within a group context. Leadership involves goal attainment. Leadership is a process whereby an individual influences a group of individuals to achieve a common goal. 1/20/2014 Jintana Yunibhnad, RN, PhD 19

1/20/2014 Jintana Yunibhnad, RN, PhD 20 The Nurses Association of Thailand Leadership Defined: Central to the phenomenon of leadership Involves influence Requires working with people Concerns effective goal accomplishment Leadership is about seeking adaptive & constructive change Management is about seeking order & stability.

` LEADERSHIP FOR NURSES IF nurses: A force for change 1/20/2014 Jintana Yunibhnad 21

1/20/2014 Jintana Yunibhnad 22 `

1/20/2014 Jintana Yunibhand, RN, PhD 23 The nursing profession must produce leaders throughout the health care system, from bedside to the boardroom, who can serve as full partners with other health professions and be accountable for their own contributions to delivering high-quality care while working collaboratively with leaders from health other healthy professions.

1/20/2014 Jintana Yunibhand, RN, PhD 24 Question? Is public viewing nurses as leaders? Are nurses begin their career with thoughts of becoming a leader?

1/20/2014 Jintana Yunibhand, RN, PhD 25

1/20/2014 Jintana Yunibhand, RN, PhD 26 Leaders Roles Design, implementation, and evaluation of, as well as advocacy for, the ongoing reforms to the system that will be needed to deliver the right care quality care that is patient centered, evidence based, seamless, affordable, accessible to all, leads to improved health outcomes, and sustainable at the right time.

1/20/2014 Jintana Yunibhand, RN, PhD 27 Transforming leadership A style of leadership that involves working with others as full partners in context of mutual respect and collaboration. Requiring strong leadership skills to contribute to patient safety and quality of care.

1/20/2014 Jintana Yunibhand, RN, PhD 28

1/20/2014 Jintana Yunibhand, RN, PhD 29 Transforming leadership Be thoughtful strategists (those who are informed decision makers and whose independent actions are based on education, evidence, and experience) Not functional doers ( those who carry out the instruction of others)

Transforming leadership: Common set that can serve as the foundation. Knowledge of the care delivery system, how to work in teams, how to collaborate effectively within and across disciplines, the basic tenets of ethical care, how to be effective patient advocate, theories of innovation, and the foundation for quality and safety improvement. 1/20/2014 Jintana Yunibhand, RN, PhD 30

1/20/2014 Jintana Yunibhand, RN, PhD 31 Common set that can serve as the foundation. Learning how to be a full partner in a health team in which members from various professions hold each other accountable for improving quality and decreasing preventable adverse events and medical errors.

1/20/2014 Jintana Yunibhand, RN, PhD 32 Common set that can serve as the foundation. Competencies in economics and market forces, regulatory frameworks, and financing policy (for entrepreneurial and business development)

1/20/2014 Jintana Yunibhand, RN, PhD 33 Transforming leadership Leadership must be at every level Nurses at front-line, unit or clinical manager have uniquely positioned to design new models of care to improve quality, efficiency, and safety. Developing a new workplace culture, equipped with the communication, conflict resolution, and negotiating skills.

1/20/2014 Jintana Yunibhand, RN, PhD 34 Transforming leadership Community nurses, Chief Nurses Officers, Nurses researchers, and Professional nursing organization (NNA) also have significant contribution.

1/20/2014 Jintana Yunibhand, RN, PhD 35 Transforming leadership Leaders must learn to develop ideas, approaching management, and courageously making decision within the political, economical and social context that will make their solutions real and sustainable leadership skills must be learned and mastered over time. Thus, socialization in mentoring others along the way is needed.

Transforming leadership Understand that leadership and practice produce change over time. Thus, student nurses should not wait for graduation to exercise their potential for leadership Able to work with resource constraint Commit to education and life-long learning Take full personal responsibility over the image of nurses and how the public view us 1/20/2014 Jintana Yunibhand, RN, PhD 36

1/20/2014 Jintana Yunibhnad, RN, PhD 37 Conclusion Knowing is not enough; we must apply. Willing is not enough; we must do. Goethe

1/20/2014 Faculty of Nursing 38 THANK YOU KOB KHUN KA

Join us in Seoul, Republic of Korea 19-23 June 2015 For ICN s Conference and CNR ICN - Advancing nursing and health worldwide 39 www.icn.ch