The Geriatric Nursing Leadership Academy: Sustainability in Influence and Impact

Transcription

1 The Hendersn Repsitry is a free resurce f the Hnr Sciety f Nursing, Sigma Theta Tau Internatinal. It is dedicated t the disseminatin f nursing research, researchrelated, and evidence-based nursing materials. Take credit fr all yur wrk, nt just bks and jurnal articles. T learn mre, visit Item type Frmat Title Authrs Presentatin Text-based Dcument The : Sustainability in Influence and Impact Cleeter, Debrah F.; Reynlds, Karen; Rwe, Meredeth; Beverly, Claudia Jean; Rsce-Herbert, Catherine Dwnladed 29-Jun :52:42 Link t item

2 Geriatric Nursing Leadership Academy Sustainability in Influence and Impact

3 Presenters Debrah Cleeter, MSN, EdD, RN Meredeth Rwe, PhD, RN, FGSA, FAAN Karen Reynlds, DNP, CNS-BC, FGNLA Catherine Rsce-Herbert, DNP, APRN, FGNLA Claudia Beverly, PhD, RN, FAAN

4 Need fr Geriatric Nurse Leaders Wrld s ppulatin f persns age 65 & lder grws by 800,000 per mnth Persns 80 and abve are fastest grwing cmpnent f ppulatin Life expectancy is increasing Japan: 84 Singapre: 84 Switzerland, Australia, Italy: 82 Sweden, Canada, France, Spain, Israel, Bermuda: 81

5 Purpse T prepare and psitin nurses in leadership rles in varius health care settings t lead interprfessinal teams in the imprvement f health care quality fr lder adults and their families T develp skills that lead t the prmtin f health plicies fr the geriatric ppulatin in diverse and glbal health care settings

6 GNLA Academy Participant Impact Acrss Nrth America Fellw Leadership Mentr Faculty

7 GNLA Histry Fur chrts: US US US US & Canada

8 Leadership Develpment Mdel Self-awareness and Self-assessment Behaviral fcus Reflective analysis Relatinship fundatin triads Kuzes-Psner Leadership Challenge

9 GNLA Structure Overview Cmpetitive selectin 18 mnth guided leadership jurney Tw three-day wrkshps Fellw & Leadership Mentr relatinships Individual leadership develpment plan Self develpment

10 GNLA Structure Overview Faculty cnsultatin Facilitated site visits by the academy faculty Mnthly faculty led learning activities & discussin grups Design & implementatin f interprfessinal team leadership prject

11 GNLA Structure Overview Jurnaling Evaluatin f experience and prject Disseminatin f results Prfessinal presentatins f prject utcmes and experience

12 Three Learning Dmains Individual leadership develpment Advancing nursing practice thrugh an interprfessinal team leadership prject Expanding scpe f influence: Organizatin, Cmmunity, Prfessin

13 Individual Leadership Develpment Self-assessment Leadership Practices Inventry (LPI), reflectin, advisrs, 360 feedback Individual leadership develpment plan Interprfessinal prject team feedback

14 Individual Leadership Develpment Prfessinal activities Cmmitment frm rganizatinal leadership GNLA natinal netwrking Engagement in plicy & advcacy activities

15 Advancing Practice Thrugh Interprfessinal Team Leadership Prjects 44 interprfessinal team prjects Practice utcmes Sustaining activities

16 Advancing Practice Thrugh Interprfessinal Team Leadership Prjects Acute care settings Lng term care facilities Cmmunity health agencies

17 Expanded Scpe f Influence: Organizatin, Cmmunity, Prfessin Envirnmental scan Stakehlder analysis Tw site visits Organizatinal advisrs Organizatinal utcmes Sustaining effrts

18 Expanded Scpe f Influence Expectatin f all Fellws An rganizatinal, cmmunity, and prfessin Intentinal relatinship building Appintments Advanced frmal educatin Prmtins and new psitins

19 Expanded Scpe f Influence

20 Develping Successful Fellw Leadership Mentr Relatinships Meredeth Rwe, PhD, RN

21 GNLA Mentring Mdel Triad Fellw, Leadership Mentr, and Faculty Advisr Fellw self-select fr applicatin t the prgram Leadership Mentr chsen by Fellw expertise in leadership in clinical setting and previus experience in mentring Faculty Advisr assigned by GNLA t cmplement the team Key pint Mentring is a team sprt

22 Purpse T prepare and psitin nurses in leadership rles in varius health care settings t lead interprfessinal teams in the imprvement f health care quality fr lder adults and their families MENTORIN G

23 My GNLA Experience Wrked with Karen Reynlds (Sarasta Memrial Health Care System) Prir relatinship Student in nline statistical analysis curse in DNP prgram My expertise Clinical experience frm as a Clinical Nurse Specialist Academic psitin 1994-present Had expertise in geriatrics clinically and as a researcher Multiple mentring pprtunities Karen Reynlds gals Imprve geriatric care in her institutin Welcme t GNLA Clarifying expectatins and rles

24 The Leadership Challenge Kuzes, James M. and Barry Z. Psner. The Leadership Challenge.

25 Challenges and Opprtunities Initial Stages Majr Challenge Develp relatinship with leadership mentrs Ding whilst ne is learning Practicing skills just learned Fits and starts t the prject Mea culpa Distant leadership mentr Initial Stages Majr Opprtunity Listen, learn, understand needs and skills/talents Regular cntact Cmmitted time Appreciating the cmplexity f the task

26 Transitins Over Time 3 GNLA wrkshps beginning, middle, end 3.5 days f learning activities fr bth fellw and leadership mentr Majr challenges in year 1 shifting frm changing practice as a clinical expert t changing practice by leadership in the institutin interprfessinal prject vehicle t learn t make this transitin

27 Challenges and Opprtunities Clinical prject did nt have a clear path Created a lt f uncertainty in Fellw and team Leadership was mre difficult Required mre team chesiveness t make a decisin Required re-examinatin f leader rle Team decisin versus facilitated decisin Mentring Sustain energy Facilitate prductive prblem slving Emtinal supprt Balance between high expectatins and supprting prcess required fr achieving utcmes

28 Fellw Challenges Wrking with key stakehlders Sitting at the table with the senir executives Influencing system level changes Bradening reach f wh sees yu as an expert capable f leading institutin in new directins Redefining rle as a staff member/unit leader

29 Mentring Mments Lunch in the curtyard Secnd intensive wrkshp Sit back/enjy Be humbled Lng term respect and relatinship Third intensive wrkshp

30 Finishing the Transitin Develping skill set makes the prcesses easier Getting t the pint f change activates the resistrs Cmpeting influencers Self-questining effrt versus the utcme

31 Lng Term Outcmes Triad Leadership Mentr and Faculty Advisr Fellw Withdrawal f nging direct supprt t Fellw Prvide episdic and emergency supprt Facilitating new cnnectins and relatinships that allw Fellw t cntinue t expand sphere f influence Supprt effrts f triad Prmte success f Faculty Advisr by giving back t the GNLA Understand hw t facilitate success f Leadership Mentr what utcmes mve their career frward related t mentring rle

32 A Leadership Jurney Karen Reynlds, DNP, CNS-BC, FGNLA

33 Objectives Share my experience f the geriatric leadership fellwship Discuss hw leadership develpment in geriatrics can imprve utcmes fr lder adults Identify hw cllabratin supprts imprved utcmes fr lder adults

34 Diversity became ur strength!

35 Individual Leadership Develpment Self Assessment Deep Dive int the Principles Individual Leadership Develpment Plan Mentr Dyad Mentr and Faculty Advisr Triad Leadership Advisry Team - SMHCS

36 Challenges and Opprtunities Becming a new persn in yur ld envirnment Overcming internal perceptins f limits f ne s abilities and making waves Understanding influence f stakehlders that are affected Balancing mentring recmmendatins with situatin being experienced Develpment frm the Inside Out

37 Frm Salad t Bread

38 Self Awareness - Rebranding

39 Gals / Strategies Critical t Success Increased cnfident and assertive cmmunicatin t generate and influence a shared visin Intrspectin, self assessment, Leadership Practices Inventry (LPI), feedback frm leadership advisrs, mentring Preparatin and clarity f cmmunicatin & affirmatin f values Sustained relatinships and establishment f new relatinships with key influential stakehlders ILDP, mentring, netwrking Established relatinship with CNO and Strategic Marketing Manager Increased invlvement in pprtunities t netwrk and advcate fr lder adults Intrspectin, Self Awareness Relatinship building in the rganizatin and in the cmmunity

40 Overview f Prject Brainstrming Delirium Prject Critical Care Delirium- acute iatrgenic effect in acute care Implementatin f an evidence based assessment and interventins fr identificatin and treatment f delirium in critical care

41 Facilitating the Success f Others

42 Be yu, g quietly and cnfidently abut it, give thers the chance t shine. The utcmes will guide the evaluatin f yu! Meredeth Rwe

43 Exchanging Breadth fr Depth Set the curse fr yur future Career mapping Branding Align actins and behavirs with yur gals - intentinal

44 Expanding Scpe f Influence Hw I changed the rganizatin Hspital Bard Influence Geriatric Specific Acute Care Initiating discussin and data analysis specific t utcmes and ppulatin health fr lder adults Integratin f Acute Care f Older Adults in ur established service lines Present: Geriatric APN, Prject lead fr PEACE Prject (Patient Experience fr Acute Care Elders, Prject lead fr Organizatinal Delirium Assessment and Interventins)

45 Expanding Scpe f Influence Hw I impacted the cmmunity Acute Care/Advanced Practice Nurse Representative Cmmunity Stakehlders fr Aging Cnsrtium Facilitatr fr Lcal Cunty Aging Netwrk Knwledge regarding Cmmunicating with Older Adults in Acute Care & fcus n advcacy and Health Literacy Adjunct Faculty fr Gerntlgy Curses at SCF Present: Cunty Cmmissin Appinted Geriatric Representative frm a lcal hspital n Sarasta Cunty Senir Advisry Bard term until 2018, Authr f Aging Well Blg n SMH.cm

46 Actualizing My Ptential

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48 What s Next? Natinal Learning Cllabrative fr Pain, Agitatin, Delirium Guidelines (60 hspitals) & NIH Grant (10 hspitals) Innvatins Institute with Natinal Press Ganey PEACE Prject fr imprved Patient Experience fr Older Adults Plicy Institute Hartfrd Change AGEnts Washingtn, DC June 2015 Present at STTI Research Cngress Puert Ric, July 2015

49 Fr tmrrw belngs t the peple wh prepare fr it tday - African Prverb

50 Inspiring Leadership: the Jurney Beynd GNLA Catherine Rsce-Herbert, DNP, APRN-BC, FGNLA University Hspitals Case Medical Cleveland, Ohi

51 July/2011:crh

52 GNLA Fellw Characteristics Strength & Tenacity Team Oriented Utility Fcus Faithful Excellence Deliberate

53 Expanding Scpe f Influence Organizatin, Cmmunity, Prfessin Deficient Geriatric Nursing <10% / 2009 Imprve verall life-care quality fr lder adults Build cadre f geriatric nurses EBP educatin prgram NICHE Geriatric Resurce Nurse cre curriculum

54 Expanding Scpe f Influence Organizatin, Cmmunity, Prfessin Team Building / Leadership Kuzes & Psner KP-5 System Integratin 8/8 sites; 400(+) nurses expsed Health care cntinuum engaged LTC, SNF, hme care, hspice

55 Kuzes Psner Exemplary Leadership Practices Mdel the Way Inspire a Shared Visin Challenge the Prcess Enable Others t Act Encurage the Heart

56 Making Changes Frming the Team Setting Aims Establishing Measures Selecting Changes Testing Changes Implementing Changes Spreading Changes (PDSA) cycle was riginally develped by Walter A. Shewhart; mdified by Deming 2015 Assciates in Prcess Imprvement

57 Inspiratin

58 Natinal Presentatins GNLA / STTI Cnference & Cnventin 2011 Independent Leadership Prject (ILP) Pster Special Sessin Pdium presentatin NICHE Cnference Faculty present Lng-term Care (LTC), and Skilled Nursing Facility specialist GSA / GNLA 2012 Annual Cnference presentatin GNLA / STTI Cnference & Cnventin 2013 Mentee / Mentr (ILP) Pster Mentee Special Sessin Pdium presentatin NICHE Cnference Speaker 2014 & 2015 System integratin

59 Sustainability f Expanded Scpe f Influence Organizatin NICHE Exemplar Status UH Case Medical Center Magnet Hspital On-ging cnference Cmmunity System Expansin Three new facility with geriatric prgramming Prfessin Maintaining fcus Defeating adversity

60 Mentring Exemplars Mentr: C. Rsce-Herbert, DNP, APRN, FGNLA GNLA Chrt II University Hspitals Case Medical Center Adjunct Assistant Prfessr Case Western Reserve University / Schl f Nursing Fellw: Abbey Baum-Beigie, MSN, APRN, FGNLA GNLA Chrt III Bethany Nursing Facility Clinical Instructr Aultman Hspital Schl f Nursing

61 Healthcare Impact Life/Care Quality Geriatric Syndrmes: Delirium Dehydratin Pressure Ulcers Falls Pr Pain Cntrl Urinary Retentin Fecal Impactin Malnutritin Aspiratin A. Baum-Beigie, 2013

62 FINANCIAL IMPACTS: - Increased length f stay, Increased nursing time per patient, Higher per day csts (2) Delirium ************* EDUCATION ************* CONSUMER IMPACTS: - Increased functinal decline - Increased geriatric syndrmes, including: pressure ulcers, falls, dehydratin, malnutritin, urinary retentin, fecal impactin, malnutritin (3) - Eight fld increase fr develping dementia and/r acceleratin f dementia severity (4) % assciated mrtality (1) - Decreased patient and family satisfactin A. Baum-Beigie, 2013

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64 Reginal Expansin Initiatives Newly acquired facility inclusin (3) hspitals Geriatric nursing specializatin NICHE designatin Expanding UH care standards Older Adults

65 GNLA Impact Relatinships Future f glbal leadership IOM Reprt San Juan, Puert Ric Advancements in care f lder adults Natinal -- Cnference presentatins Lcal -- curriculum develpment APRN (Advanced Practice Registered Nurse) Orientatin President Elect / C-Chair APRN Cuncil

66 Extending Geriatric Nurse Leadership int Glbal Arenas Claudia J. Beverly, PhD, RN, FAAN

67 Our Gal

68 Key t Effective Leadership Leadership and Engagement in Internatinal Health Care Delivery System and Plicy Arena

69 Extending Leadership int Glbal Arenas Geriatric Nursing Leadership is critical thrughut the wrld and in every cuntry Legislative and gvernment prcesses differ in each cuntry Generate excitement and the need t knw Knw the health care delivery system and think bradly abut the nurses rle

70 Value f Behaviral Leadership Develpment Persnal Leadership Develpment Knw thyself Leaders are brn r are they made Self assessment Cmpetencies Scial and emtinal Theretical basis fr leadership

71 Develp Cadre f Nursing Leaders Glbally

72 Impact f Nursing Leaders n Health Systems Health care is glbal Majr ppulatin needs Wrld is aging Mthers and babies Eradicate diseases Prvide interventin Systems f care

73 Examine leadership rles critical t lead inter - prfessinal teams that prvide quality f care fr lder adults and their families acrss health care settings.

74 The Rle f Gerntlgical Nurses in Shifting the Fcus Tw real stakehlders in lder adult health Older adults Caregivers Gerntlgical Nurse Leaders must mve health care frward in the areas f: Primary care Preventin Chrnic care management Transitinal care

75 Leaders Set aside individual cncerns Pursue gals that are imprtant fr the welfare f sciety Surce: Hgan, R., et al, (1994). What We knw abut Leadership: Effectiveness and Persnality. American Psychlgist, June: 1-33

76 Innvatin

77 Where D We G Frm Here

78 Fr mre infrmatin r questins cntact: leadership@stti.rg