Mangalore Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Charge nurses presentation- How to be a great leader
1. CHARGE NURSES
How to be a Great Leader – The Nurse Leader Handbook by
Quint Studer
Lesson 1 – What is a leader?
2. Definitions of Leadership
Leadership is the opportunity to give, not just to get; to inspire an
organization rather than control it, to create value rather than extract it. True
Leadership is about having the purpose and passion to make a positive impact
both in and out of the workplace. – Yale School of Management, 2009
If your actions inspire others to dream more, learn more, do more and
become more, you are a leader. – John Quincy Adams
Leadership is a process of giving purpose (meaningful direction) to collective
effort, and causing willing effort to be expended to achieve purpose. – Jacobs
& Jacques, 1990
Leadership is the art of getting someone else to do something you want done
because he wants to do it. – Dwight Eisenhower
Leadership and learning are indispensable to each other. – John F Kennedy
Men make history and not the other way around. In periods where there is no
leadership, society stands still. Progress occurs when courageous, skillful
leaders seize the opportunity to change things for the better. – Harry Truman
It is better to lead from behind and to put others in front, especially when you
celebrate victory wen nice things occur. You take the front line when there is
danger. Then people will appreciate your leadership. Nelson Mandela
3. Leadership is….
A process of getting things done through people
Collaboration, Inspiration, & Recognition
All about credibility
You must talk the talk and walk the walk
Responsibility
The buck stops with you
Doing or being willing to do what you ask of others
Giving people hope and building belief in the future
“Leaders are purveyors of hope.” – Napoleon
Is a challenge!
If leadership was easy, everyone would be a good
leader!
4. Leadership is not….
An exact science.
There is no set of rules to follow, so it is always an adventure.
Waiting for someone else to lead.
Leadership requires taking initiative and challenging people to
better themselves.
Telling others what to do.
“The difference between a boss and a leader: a boss says,
‘Go!’ – a leader says, ‘Lets go!’ (Kelly, 1995)
Something you are born with.
Leadership is a skill that can be learned and improved on.
A position or title.
You can lead from anywhere in an organization.
Just about getting the job done.
How you get the job done is also important. Anyone can yell and
scream, it takes a leader to motivate.
5. Skills & Qualities of Leadership
Visionary
Ability to paint a vivid picture of where to go. Able to communicate direction. Proactive look into the future
(*looking beyond today)
Integrity
A person of integrity is the same on the outside as on the inside.
Accountability
Taking responsibility for action or non-action.
Magnanimity
Giving credit where it is due. Ensures that credit for successes are spread as widely as possible. Conversely, a
good leader takes personal responsibility for failures.
Fairness
Dealing with others consistently and justly.
Dedication
Spending time and energy necessary to accomplish the task.
Creativity
Able to think “outside of the box”; Asking “what if?”
Professionalism
Personal & Professional accountability. Active membership in profession. (Clinical ladder, certifications, advancing
education.)
Humility
Recognize that they are no better or worse that other members of the team. A humble leader is not self-effacing
but rather tries to elevate everyone.
Assertiveness
Is not the same as aggressiveness. Rather, it is the ability to clearly state what one expects so that there will be no
misunderstandings
6. So How do I Become a Better
Leader?
Clarify your own goals and values
Research Leaders of the past
Read…a lot!
Attend training seminars
Get experience
Find a Mentor
Ask questions, find out what the Director would expect
of you as their representative.
7. Charge Nurses Role
Changing patterns of care delivery require that charge
nurses should be:
Accountable
Responsive
Flexible
Able to understand the concepts and principles of
leadership
Able to build strong teams and gain the trust of the staff
they lead
Note: The role can be expanded to include several
responsibilities specific to needs of the department
8. Charge Nurse Roles
Unit leader in professional behavior as well as Clinical
skills
Clinical expert
Physician liaison
Administrative liaison
Clinical care coordinator
Patient care advocate
Unit resource manager
9. Leadership vs. Management
Leadership
Centered on change
Challenges current
“norms”
Doing the right thing
Lights the fire within
people
Facilitates effective verbal
communication
Innovative
Possibility-thinking
Uses Persuasion Power
Management
Order / consistency
centered
Focused on controlling
complex processes
More about “doing things
right”- following the rules
Lights a fire under people
Written communication
Promotes standardization
Focused problem-solving
Uses Position Power
10. Charge Nurse Responsibilities
Assist with unit scheduling and staffing
Coordinate unit admissions and discharges (resource
management
Coordinate flexible staffing solutions according to patient
acuity and unit needs
Facilitate multidisciplinary communication
Facilitate conflict resolution using AIDET
Patient or family issues
Staff issues
Inter-departmental issues
11. Professionalism- Common Standards of
Behavior align our behavior with our values and
provides clear expectations about how we are to
conduct ourselves
Safety: We will demonstrate that safety is an uncompromisable core value and the foundation of our
promise to each other, our patients and the communities we serve.
Privacy: We will always maintain customer privacy and confidentiality. It is the personal responsibility
of every staff member to protect the privacy and confidentiality of every customer encountered.
Attitude: We are committed to providing the highest quality of service and meeting our customers'
needs with the utmost care, compassion and courtesy.
Communication: We must be committed to listening attentively to our customers in order to fully
understand their needs.
Customer Waiting: We will always keep patients informed regarding the time in which service will be
provided and make them comfortable while they are waiting.
Responsiveness: We will respond in a way that demonstrates the care, courtesy and respect our
customers deserve.
Service Recovery: We will not be defensive if a customer complains; their perception is their reality.
Appearance: We need to take pride in our personal appearance, our facility and its surroundings.
Commitment to Coworkers: We are linked to one another by a common purpose: serving our
patients and our community. Coworkers, our physicians and volunteers are our team members. They
deserve our respect and support.
Sense of Ownership: We will take pride in what we do and how we do our job. We will feel
responsible and be in control of the job that needs to be done.
12. Employee expectations and
Professional Behavior of Charge
Nurses
Identification Badge and identifying selves when
answering phone
Personal Appearance including jewelry, fingernails, hair
and tattoos. Standardized uniform is required
Community Cares Customer Service including AIDET in
person and while on phone
Personal Telephone Calls and Electronic Devices
Absenteeism and Tardiness - huddles start at 0645 for
all staff that Charge nurses lead…
Smoking and Tobacco ,Alcohol and Drug-Free
Environment
ALC Compliance training completion
13. Staffing
Coordinate the core staffing
Adjust staffing needs of the unit
Census
Acuity
Promote staff competence /
ability to meet patient needs
Facilitate orientation and continuing education
14. Resource Management
Census + Admissions – Discharges = “Full Unit”
Allocate resources appropriately to meet patient needs
All about having the RIGHT resources (including staff) in
the RIGHT place at the RIGHT time
Supplies
Staff must have the resources to do the job
Proper organization increases productivity
15. Effective Communication
Actively Listen
Be keenly aware of non-verbal communication
Use “open” body language
Remember to “send the mail to right address”
Learn to recognize when you or your staff are becoming
stressed
Practice emotional awareness
Feelings motivate communication more than thoughts
16. Conflict Resolution
Dealing with conflict is important -failing to do so can
lead to low morale, absences, attrition, poor patient
care delivery and an unsafe patient care environment
Evaluate the situation-get everyone involved in the
conflict together to discuss the problem
Communicate your feelings assertively, NOT
aggressively. Express them without blaming
Actively seek compromise
Agree to disagree
17. Team Building
Behaviors that gain trust, foster cooperation, and
promote job satisfaction:
Fairness
Consistency
Support
Recognizing individuals’ efforts
Routine follow-up with staff during the shift
18. Quality
Improvement
PDCA process
Plan – what needs improvement
“5 Whys” drill down to real issue
Do - Monitor, Measure and prioritize
and implement the new process
Check – Analyze the change
Act – the hardwiring of the process
Examples: PICC line monitoring, Fall
mats, High Risk Drugs labeling,
Correct weights for NICU babies
19. Patient Safety
To Err is Human: Building A Safer
Health System -1999
Patient Safety and Quality: An
Evidence-Based Handbook for Nurses
– Agency for Healthcare Research
and Quality – 2008
Stand Up for Patient Safety – NPSF
High Reliability and Safety
Community Cares Model
• Change of Shift safety Huddle
• Bedside report
• Charge Nurse Rounding
20. HCAHPS- Hospital Consumer Assessment of
Healthcare Providers and Systems and Charge Nurses
Communication with nurses- While rounding ID yourself as charge
Validate bedside change of shift rounding
Communication with doctors
Responsiveness of hospital staff – Call Bells, Hourly rounding
Pain management – Charge nurse rounding check white boards for
Pain score
Communication about medicines
Discharge information- Pink Envelopes
Cleanliness- Check CNA assignments and call EVS as needed
Quietness
Overall rating- A happy staff leads to better outcomes and the
Charge nurse sets the tone for the shift.
Would recommend- Manage up staff instead of “They are at lunch or
they are busy”
21. References
American Association of Colleges of Nursing/ CNL White Paper.
Retrieved January 1, 2012
Blake, Nancy, RN, CCRN, NEA-BC,” Practical steps for implementing
healthy work environments.” Advanced Critical Care. January- March
2012. Volume 23, Number 1, pg 14-17
Nurses First. Taking Charge: What Every Charge Nurse Needs to
know. Vol2, Issue 4. July-August 2009
Hinshaw, A.D (2008) Navigating the perfect storm: Balancing a
culture of safety with workforce challenges. Nursing Research,
57(1S), S4-10.
Michael Buckley, MD, John Laursen, and Victoria Otarola,
Strengthening Physician-Nurse Partnerships to Improve Quality and
Patient Safety. PEJ November- December 2009
Mary Krugman, PhD , R.N, Vivienne Smith, BSN, RN, Charge Nurse
Leadership Development and Evaluation. JONA. Vol.33, No. 5 . May
2003
Inspired Nurse- Bluni, Rich 2009