The nursing role in delivering improved quality, population

management, reduced cost* in a time of omnipresent change

1*The Triple Aim from the Institute for Healthcare

Improvement

AgendaWhere we areWhere are we goingHow to get there

MDCH/OCNE 2

AgendaWhere we areWhere are we goingHow to get there

MDCH/OCNE 3

My reasons for entering nursing in 1928 were largely irrelevant …my reasons for staying:

intense interest in the work, the opportunity to develop one’s

capabilities, helping to advance the profession and the

public interest were more important.

Hildegard Peplau, PhD, RN

AgendaWhere we areWhere are we goingHow to get there

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Institute Of Medicine RECOMMENDATIONS7: Prepare and enable nurses to lead

change to advance health. Nurses, nursing education programs, and nursing associations should prepare the nursing workforce to assume leadership positions across all levels, while public, private, and governmental health care decision makers should ensure that leadership positions are available to and filled by nurses.

MDCH/OCNE 6Jeanette Klemczak, MSN

IOM Future of NursingKey MessagesNurses should practice to the full extent of

their education and trainingNurses should achieve higher levels of

education and training through an improved education system that promotes seamless academic progression

Jeanette Klemczak, MSN 7

IOM Future of Nursing (cont’d)Key MessagesNurses should be full partners, with

physicians and other health care professionals in redesigning health care in the United States

Effective workforce planning and policy making require better data collection and an improved information infrastructure

MDCH/OCNE 8Jeanette Klemczak, MSN

Look to the FutureAre you content to be pushed by the past or do you prefer to be pulled by the future?  

- Daniel Pesut, PhD, RN 

The changes are well beyond nursing practiceUS Healthcare is 17% of GDP – the MOST

COSTLY in the worldWhen compared to other countries, this spend

does not result in better outcomesReimbursement structures changing to focus

of care delivery and outcomesBetter quality at lower costDelivery moving from acute care to alternate

care locationDemographic changes (Silver Tsunami)

driving shift from acute care to chronic care

10

LoyaltyTo speak up, to improve, to make positive suggestions – this is loyalty. Loyalty is for patients and patient care. Loyalty is to the profession and its advancement. Loyalty does not stand silent in the presence of persons or policies, which diminish any of these …     Leah Curtin, MSN, RN 

AgendaWhere we areWhere are we goingHow to get there

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The Stretch of LeadershipIf nurse do not make clear their singular contribution to society’s health, they can hardly be surprised if they do not have the credibility and the political power that they would like to have.     

- Evelyn Adams, RN

So who wants to be in charge What is in your leadership tool box?

What do you know about the organization ?

What is motivating you to get involved ?

And you begin Start slow - increase slowly – know your

limits - be realistic about your time to volunteer

understanding the structure bylaws are the rules that the members agree

to follow

parliamentary procedure such as Robert’s Rules sets the rules for discussion and decision making .. It does not decide policy

understanding the structure

EVERYBODY GETS NERVOUS ABOUT BYLAWS AND PARLIAMENTARY RULES

read the bylaws practice parliamentary procedure

Only 20 % of nurses belong to any professional nursing association.

Suzanne Gordon, writer

Participate! Do not abandon your heritage as a nurse no matter where your career path might lead. 

Linda Aiken, PhD, RN    

Open Doors“The leader’s job is not to provide energy but to release from others.”

Frances Hesselbein, Former CEO of

Girl Scouts USA 

BASIC RULES OF MOTIONSMotion - formal process of making a decision

President recognizes someone who Makes a motion then Some one seconds it (no second, motion dead)

President or secretary reads the motion President opens the floor for discussion on the motion Maker of the motion has the privilege “speak to the motion

first” Members may speak (when recognized by the president) to

the motion indicating if they are in favor or not of the motion. President follows the discussion noting the + or – of the

motion then asks if the group is ready to vote – if so the president will ask : “All in favor say ‘AYE’ –” Then will ask “All opposed say ‘AYE’ –”

If the president cannot decide by voice vote then will ask the member to raise their hands

“That is what political and economic power is all about: having a voice, being able to shape the future”

-Madeleine KuninNurses are advocates, but often reactive,

not proactive. Armed with knowledge, you can be a

stronger advocate for yourself and your client – an agent of change.

Nancy George, PhD, RN

We influence the future …

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Let us not consider ourselves finished

nurses.

Florence Nightingale