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Boot Camp: Develop Nurse Leadership Skills in a Supportive Group Environment Julie Kennedy, RN Coach, Studer Group Beth Stone Frick, Med, RD, LD Director of Education North Mississippi Medical Center (Tupelo, MS) Presentation Objectives Understand the dynamics of nurse group leader just in time boot camp training and why it works Know specific content elements of training sessions, as well as tools and competencies developed in each session Share specific measures, tools and support tactics necessary for nurse manager sustained learning and success 1 2008 Studer Group

Boot Camp Boot camp refers to military recruit training, the initial indoctrination and instruction given to new military personnel Why Boot Camp? Many new nursing leaders Participating in leadership development but not transitioning learning into practice Working in silos Unable to develop skills because fighting fires (often of their own creation) 2 2008 Studer Group

Why Boot Camp? Senior leaders recognized that it was skill not will Senior leaders did not feel mentorship was taking place in organization Senior leaders invested! Plan Your Boot Camp What skills do you want to teach? What application do you want those skills used in? What results are you looking to achieve? 3 2008 Studer Group

Plan Your Boot Camp Who should attend? Leaders from any area, don t be afraid to mix and match New leaders or leaders who are not achieving results Should it be voluntary? Nope! Leadership Assessment 4 2008 Studer Group

Boot Camp MUST HAVES Leadership support and what does that look like?? Clarity of expectations Ground rules Ground Rules Start on time End on time There are no stupid questions Relate not compare Everyone must participate Everyone must come prepared 5 2008 Studer Group

Boot Camp Template Data Tactic or skill why? Tactic or skill connect to vision and purpose Roll out of tactic or skill Verify it happens Hardwire Tough Questions Exercise What tough questions will you hear from staff or others? What do we want to convey? How do we want to respond? How do we want charge nurses or other informal leaders to respond? 6 2008 Studer Group

The Beauty of Boot Camp Disciplined leaders who role model Leaders who collaborate and work as a team Leaders who are aligned with organizational initiatives Leaders who achieve goals NEW LEADERS with NEW PRIDE! North Mississippi Medical Results North Mississippi Medical Center Inpatient Units 100 86 86 86 85 85 88 80 77 Percentile 60 40 20 0 7/1/06-9/30/06 10/1/06-12/31/06 1/1/07-3/31/07 4/1/07-6/30/07 7/1/07-9/30/07 10/1/07-12/31/07 1/1/08-3/31/08 Quarter Source: Press Ganey Overall Satisfaction compared to all hospital database 7 2008 Studer Group

Malcolm Baldrige Quality Connection North Mississippi Medical Baldrige Winner 2006 Olive, The Other Reindeer 8 2008 Studer Group

Breaking Turf Boundaries As A Neutral Element, I Prompted Unexpected Group Dynamics With a Nursing Champion, I offered Valued-Added Resources/Results As a New Leader, I Learned and Grew Along With the Group Boot Camp: Session Content #1 Connecting to Individual Purpose #2 Hourly Rounding #3 AIDET/Key Words & HCAHPS #4 Bedside Reporting & Interdisciplinary Team Service #5 D/C Phone Call Tactics #6 D/C Phone Call Process/Software 9 2008 Studer Group

Boot Camp: Key Learning Moments #2 Hourly Rounding Hardwire Staff Rounds & Standardize Patient Rounds #3 AIDET/Key Words and HCAHPS Answer Tough Questions & Develop AIDET-In-Action #4 Bedside Reporting & Interdisciplinary Team Service Tackle the I Don t Have Time Monster Head-On Hourly Rounding Leadership Development Institute (LDI) used QED Sessions to Hardwire Staff Rounding Boot Camp Participants Revised Rounding Forms for Use System-Wide New Logo Developed for Patient Rounding Program for Identity & Ownership 10 2008 Studer Group

Rounding for Verification Challenged status quo rounding practices and taught rounding as a verification tool Rounded on staff to coach, remind and connect the dots Rounded on patients to verify action Changed rounding log to reflect learning AIDET/Key Words and HCAHPS Providing World Class Service = Every Patient Every Time Creating a No Excuses" Culture With Support & Resources Turning Data Into Useful Information Using the See-Do-Get* Model SEE DO * From the 7 Habits of Highly Effective Managers Dr. Steven Covey GET 11 2008 Studer Group

Rounding for Verification: Expectations We provide hourly rounding on our unit to ensure you receive very good care. Nighttime rounds may be adjusted for your rest and privacy. We round every hour from And every two hours from. If at any time during your stay you have questions or concerns, please call us immediately so we can address them. AIDET in Action Systematic Practical Visible 12 2008 Studer Group

The Rigors of Self-Evaluation Humility Maturity Courage + Consideration Execution 90-day Action Plans Bedside Reporting & Interdisciplinary Team Service Urgent VS. Important Living Up to A New Definition of Team Leaving a Legacy of Excellence 13 2008 Studer Group

Thank You! Julie Kennedy, RN Studer Group Coach and Boot Camp Drill Sargent Beth Stone Frick, Med, RD, LD Director of Education North Mississippi Medical Center (Tupelo, MS) 14 2008 Studer Group