ASSOCIATE DIRECTOR OF NURSING

ASSOCIATE DIRECTOR OF NURSING 1. PURPOSE OF POSITION The Associate Director of Nursing has nursing professional, management and leadership accountability for the provision of safe clinical care, quality and safety, workforce development, practice standards and the development and implementation of strategy for designated services. This role provides clinical and nursing leadership and management to ensure the effective and efficient operation of services that contributes to the oveall TDHB strategic plan, Hospital Services plan and the TDHB strategic nursing direction. The Associate Director of Nursing will work collaboratively and in partnership with the Service Managers, Senior Medical, Nursing and Allied Health leaders to support, co-ordinate and monitor the performance of the services they lead. 2. ORGANISATIONAL VALUES The Taranaki District Health Board (TDHB) is committed to the strategic actions and behaviours of Work Together : Treating people with trust, respect and compassion Communicating openly, honestly and acting with integrity Enabling professional and organisational standards to be met Support achievement and acknowledging successes Creating healthy and safe environments Welcoming new ideas 3. DIMENSIONS Reports to: Number of people reporting to you Financial limits authority Operating Budget Director of Nursing To be determined To be determined To be determined 4. WORKING RELATIONSHIPS External Other DHB DONs / ADONs WITT Internal Director of Nursing Associate Director of Nursing Associate Director of Midwifery Clinical Nurse Educators Clinical Nurse Managers Service Managers Page 1 of 6

Service Director Allied Health Senior Medical Staff Director of Quality and Safety 5. ACCOUNTABILITIES Key area of responsibility Leadership and Management Effective, visible and accessible professional nursing leadership which actively strengthens frontline leadership to pursue excellence in nursing care delivery and best practice standards. Works in partnership with Service Managers and Clinical Leads. Management of Resources Work in partnership with Service Leads to deliver high quality nursing care within budgeted cost structures Expected outcomes Accountable for the delivery of safe nursing care, safe environments of care and ensuring the most cost effective nursing models are implemented. Identify and encourage nursing innovation and service enhancements and assist with business case progression. Lead in partnership service transformation initiatives and change. Work successfully in partnership with the Service Director, Service Manager and Clinical Leads to coordinate a team approach to service development initiatives and the ongoing financial viability of the nursing service. Provides advice on performance and disciplinary matters relating to nursing staff as per TDHB HR policies. Assist staff with ethical and professional issues and escalate as necessary. Maintain an overview of clinical trends and professional issues affecting nurses within their service and escalate as required. Provide leadership to Nurse Specialists and those working in expanded practice roles. Provide professional advice to the DHB management team and DoN around nursing sector issues. Provide coaching, supervision and mentorship to nurses within various services. Actively enhance TDHB s nursing practice and performance by participating in appropriate local, regional, national, and international forums. Role model culturally safe nursing practice. Undertake or lead specific nursing organisational portfolio responsibilities as required. Deputises for the Director of Nursing as requested. Leads workforce development strategies. Provide clinical input to budget planning to reflect service requirements. Monitor nursing expenditure, FTE and develop risk mitigation strategies to account for variance. Assist with performance appraisals to senior nursing staff. Support Unit Managers with recruitment of quality nursing staff. Work in partnership with the Clinical Leads to determine accurate forecasting of all resource requirements. Last Updated: 23 June 2017 Page 2 of 6

Nursing Practice. Quality and Safety. Accountable for quality improvement programmes and initiatives to ensure safe and high quality nursing care. Innovation and Improvement and Nursing Education Innovative thinking that will transform the patient experience within the services. Professional Development Professional development enhances nursing leadership. Provide leadership to senior nursing staff to ensure nursing care is optimised through effective team practices, best practice standards and delivered to ensure optimal patient flow. Initiate, lead and contribute towards Sentinel Event Case Reviews, and case conferences as required. Oversee the review of all clinical reportable events and monitor trends. Oversee the review and resolution of complaints that are clinically focused and monitor trends. Identify, mitigate and escalate clinical risk. Ensure ongoing evaluation of the effectiveness of nursing practice in response to patient/client needs. Promote the professional image of nursing. Ensure all nursing documentation across the service is accurate and best practice based. Ensure data collected is timely and meets service requirements. Maintain best practice policies and guidelines relevant to nursing practice at TDHB. Work in partnership with Unit Managers and Nurse Educators to ensure a service based nursing education plan is in place. In conjunction with the nurse educators, coordinate and facilitate relevant education programmes including ward based clinical simulation. Monitor and assess the effectiveness of education programmes. Develop and implement a knowledge and practice facilitation framework for nursing across the service. Participate in research as appropriate to projects undertaken. Lead assigned projects and work collaboratively to actively problem solve service quality issues. Assist in the implementation and management of initiatives to address differential access to healthcare services for Maori. Practise in accordance with legal, ethical, culturally safe and professional standards. Maintain and develop own expertise and knowledge in nursing/midwifery leadership through continuing professional development Pro-actively participate in own performance development and review. Last Updated: 23 June 2017 Page 3 of 6

Organisational Accountabilities Health Equity Health and Safety Expected Outcome for all employees The TDHB strives to eliminate health inequalities and achieve health equity for the Taranaki population. In practical terms this means all Managers, Team Leaders and roles with responsibility for managing staff, are required to implement relevant health equity policies, procedures, approaches and guidelines issued from time to time including: Implementing the Pae Ora Framework which requires: o Demonstrating the principles of Partnership, Participation and Protection under the Treaty of Waitangi; o improving understanding of the determinants of ethnic inequalities in health, in particular the Drivers of ethnic inequalities in health and the Pathways to Inequalities both of which are referenced in the TDHB Pae Ora Framework, Appendix 1; o Enabling Māori participation in design and delivery of services; o Ensuring Health Equity assessment is undertaken with appropriate input where services, policies or programmes are expected to improve outcomes for Māori; o Ensuring appropriate health literacy responses are developed and implemented to support effective engagement with and delivery for Māori and high needs communities; Taking affirmative action to increase the Māori workforce within your team according to the Māori workforce targets set for the TDHB; Providing leadership for self and team to: o Review clinical practice and those of your peers, through a health equity and quality lens; o ensure collection of high-quality ethnicity data according to the TDHB Ethnicity Data Collection Policy and procedures; o audit, monitor and evaluate health impact and outcome data to improve the delivery of high-quality health care for Māori; Provide critical analysis of those organisational practices that maintain disparities in health care. The Taranaki DHB is committed to ensuring that a safe and healthy work environment is achieved and maintained. All Team Leaders and Managers will support the DHB s health and safety culture by: Planning, organising and managing health and safety activities directed at preventing harm and promoting health and wellbeing in the workplace. Following, implementing and ensuring compliance of all Health and Safety policies, procedures and processes. Working closely with and supporting the Health and Safety Representative(s) role. Ensuring a safe working environment and work practices through risk and hazard identification and management. Ensuring health and safety is a standard agenda item in all meetings. Ensuring health and safety reported events are followed up and closed off within required timeframes. Ensuring health and safety audit activity occur; results reviewed and improvement actions implemented. Last Updated: 23 June 2017 Page 4 of 6

Organisational Accountabilities Expected Outcome for all employees Ensuring health and safety management accountability for all direct reports is monitored and reviewed as part of the performance review process. Actively supports staff rehabilitation and provides return to work options. Ensuring health and safety related Key Performance Indicators are measured, reported and performance monitored. Personal Development Fully contributes to the individual s team performance and is committed to identify and pursue opportunities for developing new knowledge and skills. Participates in the performance appraisal process where personal performance and development is reviewed. Willing to accept new responsibilities, acquire and demonstrate relevant new knowledge. 6. VARIATION TO DUTIES Duties and responsibilities described above should not be construed as a complete and exhaustive list as it is not the intention to limit in any way the scope or functions of the position. Duties and responsibilities can be amended from time to time either by additional, deletion or straight amendment to meet any changing conditions, however this will only be done in consultation with the employee. 7. CAPABILITY REQUIREMENTS Capabilities are the behaviours demonstrated by a person performing the job. Capabilities identify what makes a person most effective in a role. Those listed below are expected for the Nursing Directorate team roles in the organisation. The required capabilities can change as the organisation develops and the roles change. Capability Effective Communication Shares well thought out, concise and timely information with others using appropriate mediums. Ensures information gets to the appropriate people within the organisation to facilitate effective decision making Decision Making/Problem Solving Demonstrates effective and timely decision making/problem solving techniques. Aware of the impact of decisions on key stakeholders and consults as appropriate utilizing available resources. Is proactive and effective when problem solving is required. Innovation/Initiative Continually strives for new and improved work processes that will result in greater effectiveness and efficiencies. Questions traditional ways of doing things when choosing a course of action or finds new combinations of old elements to form an innovatve solution. Resilience/Flexibility Articulates differing perspectives on a problem and will see the merit of alternative points of view. Will change or modify own opinons and will switch to other strategies when necessary. Adjusts behaviour to the demands of the work environment in order to remain productive through periods of transition, ambiguity, uncertainty and stress. Last Updated: 23 June 2017 Page 5 of 6

Capability Cultural Safety Demonstrates a commitment to cultural safety by meeting and exceeding the cultural needs of clients/customers/colleagues. Manages cultural ambiguity and conflicting priorities well.. Understands concepts of whanaungatanga and manaakitanga and Maori cultural orientation to whanau, hapu and iwi. Teamwork Works collaboratively at a senior level to build team spirit, facilitates resolution of conflict within the team, promotes/protects team reputation, shows commitment to contributing to the teams success 8. EDUCATION New Zealand Nursing Council registration and Annual Practising Certificate A relevant Post Graduate Qualification, Masters desired. 9. EXPERIENCE Minimum 5 years post graduate nursing experience. Advanced nursing leadership experience. Sound understanding of the legislation that underpins nursing practice in New Zealand. Change Management experience Project management experience Quality Improvement knowledge. Knowledge of the implications of Treaty of Waitangi with a commitment to bi-culturalism. Level 4 PDRP RN Ability to work in a complex changing environment and able to juggle multiple competing priorities. Ability to work collaboratively in an interdisciplinary team. Last Updated: 23 June 2017 Page 6 of 6