Change Leadership in Nursing 1st edition by Phyllis Beck Kritek,Mairead Hickey 9780826108388 0826108385

PART ONE: An Invitation to Our Readers

Introduction: The Invitation

Chapter 1: Beginning the Journey

SUPPORTING THE ESSENTIAL WORK OF NURSES

THE ROLE OF THE CNO

ASSESSING THE ENVIRONMENT

DEVELOPING A VISION FOR THE DEPARTMENT OF NURSING

PREPARING THE ENVIRONMENT FOR CHANGE

IMPLEMENTING CHANGE

REFERENCES

PART TWO: Creating the Conditions for Change

Chapter 2: Finding and Defining the Good

DEVELOPING A PLAN FOR FINDING AND DEFINING THE GOOD

KEY LESSONS AND NEXT STEPS

REFERENCES

Chapter 3: Creating a Healthy Work Environment

UNDERSTANDING HEALTHY WORK ENVIRONMENTS

ESTABLISHING PRIORITIES FOR ACTION

ENGAGING NURSE DIRECTORS IN DEVELOPING AN ACTION PLAN

NEXT STEPS

REFERENCES

Chapter 4: Strengthening the Practice of Nursing

THE PRACTICE OF NURSING

REFERENCES

Chapter 5: Ensuring the Voice of the Nurse: Designing, Developing, and Implementing a Committee Stru

PRACTICE COMMITTEE

INFORMATICS AND CLINICAL INNOVATIONS COMMITTEE

PATIENT AND FAMILY EDUCATION COMMITTEE

QUALITY, SAFETY, AND CARE IMPROVEMENT COMMITTEE

STANDARDS, POLICIES, AND PROCEDURES STEERING COMMITTEE

Chapter 6: The Center for Nursing Excellence: Setting the Table

LAUNCHING THE FUTURE SEARCH

DEVELOPING NEW PARTNERSHIPS AND STRATEGIES FOR LEARNING

CONTEXT AND CATALYSTS FOR CHANGE

IMPACT OF PROGRAM REDESIGN AND NEW INFRASTRUCTURE

CNE STAFF ROLE REDESIGN

REFERENCES

Chapter 7: The Center for Nursing Excellence: Initiatives and Innovations

RESEARCH AND SCHOLARSHIP

CELEBRATING NURSING EXCELLENCE

ACKNOWLEDGING OUR PARTNERS IN CARE

AFFIRMING CULTURAL COMPETENCE

A GLOBAL HEALTH AGENDA

CONCLUSION

Chapter 8: Beyond Regulatory Compliance: Our Quality Journey

ROLE OF LEADERSHIP IN QUALITY AND SAFETY

INFRASTRUCTURE AND ROLE CREATION

METHODOLOGY

REINFORCEMENT

SUMMARY

REFERENCES

PART THREE: From Principles to Projects, Programs, and Practices

Section A: Institution-Wide Change

Chapter 9: The Standards, Policies, and Procedures Steering Committee: Notes From the Field

STARTING UP: WHERE WE CAME FROM

STARTING UP: DETERMINING GOALS AND RESTRUCTURING

STARTING UP: SELECTION AND DEVELOPMENT OF CO-CHAIRs, STAFF SUPPORT, AND ADVISOR ROLES

GROWING: MANAGING THE MEETINGS

GROWING: MANAGING THE WORK OUTSIDE THE MEETINGS

SUSTAINING: COMMUNICATION AND FEEDBACK STRATEGIES

SUSTAINING: REFINING AND REDEFINING GOALS

Chapter 10: Change Through Narrative

10.1 The Nurse Manager Narrative Project

References

10.2 Navigating Change Through a Narrative

10.3 Growing Up Brigham

Chapter 11: Change Through Clinical Experts: The APN Role and Impact

11.1 The Psychiatric Nursing Resource Service: Building an Infrastructure for Practice and Modeling

ASSESSING PSYCHOLOGICAL NURSING CARE

DEVELOPING AND IMPLEMENTING THE PSYCHIATRIC NURSING RESOURCE SERVICE

SUMMARY

REFERENCES

11.2 Shifting From Crisis to Care: Outcomes of a Psychiatric Nursing Resource Service

References

11.3 Advanced Practice Nurse in Action

11.4 A Leadership Perspective on Improving the Care of Delirious Patients in an Acute Care Setting

LEADERSHIP MODEL AND GOALS: POISED FOR CHANGE

FINDING A CHANGE FOCUS: DELIRIUM AND THE SURGICAL PATIENT

BEGINNING THE CHANGE PROCESS: THE PSYCHIATRIC NURSE CONSULT SERVICE

TAKING CHANGE TO THE NEXT LEVEL

OUR CULTURE CHANGE

REFERENCE

Chapter 12: The Ethics of Caring

12.1 Ethics Conversations in Real Time: The Clinical Ethics Program at BWH

REFERENCES

12.2 Strengthening Moral Agency in New ICU Nurses

NEW NURSES AND THE RISK OF DISENGAGEMENT

MORAL DISTRES

EVALUATION

CONCLUSION

REFERENCES

12.3 The Inquiry of Ethics Rounds

THE MOVE MOVED US

RESPONDING TO THE NED

CONCLUSION

12.4 Alleviating Moral Distress: A Journey to Create the Most Supportive Environment

MORBIDITY/MORTALITY ROUNDS/CASE STUDIES

SPIRITUALITY AND ETHICS ROUNDS

THE DEVELOPMENT OF A MEMORIAL SERVICE

REFERENCES

Chapter 13: Technological Change

13.1 Clinical Practice as a Context for Developing Technological Competency

CLINICAL PRACTICE AS A CONTEXT FOR TEACHING AND LEARNING

LESSONS LEARNED AND RECOMMENDATIONS

CASE STUDY #1: INTEGRATING A MEDICATION MANAGEMENT SYSTEM INTO NURSING PRACTICE

CASE study #2: INTERACTIVE VIDEO TECHNOLOGY FOR PATIENT EDUCATION

CASE STUDY #3: COMPUTER COMPETENCY AMONG PATIENT CARE ASSISTANTS

SUMMARY

REFERENCES

13.2 Creating a Culture of Commitment Through Collaborative Multidisciplinary, Multiprofessional Sim

FACING THE CHALLENGE

IMAGINING A NEW APPROACH

DEVELOPING THE PROGRAM

IMPLEMENTING THE PROGRAM: INTRODUCING SIMULATION

SO YOU LEARNED SOMETHING?

WHAT WE LEARNED

MOVING FORWARD

Chapter 14: Change Through Synergy: Crafting Partnerships

14.1 Academic Partnerships at Brigham and Women’s Hospital: Our Commitment to and Capacity for Cli

GUIDING PRINCIPLES FOR CLINICAL/ACADEMIC PARTNERSHIPS AT BWH

THE ACADEMIC PARTNERSHIPS ADVISORY GROUP

ACADEMIC PARTNERSHIPS WITH THE CENTER FOR NURSING EXCELLENCE

SUMMARY

REFERENCES

14.2 The Nursing Department’s Vision of a Baccalaureate-Prepared Nursing Staff: Development and Im

INITIAL STEPS

IMPORTANCE OF A GREAT PARTNER INSTITUTION

CURRENT STATE OF ACADEMIC PARTNERSHIP

REFERENCES

14.3 Preventing Patients From Falling: Achieving the Vision

BACKGROUND

THE OPPORTUNITY

LEARNING FROM KEY STAKEHOLDERS

DEVELOPING AND TESTING THE INTERVENTION: THE FALL PREVENTION TOOLKIT

RANDOMIZED CLINICAL TRIAL PROVES THE EFFICACY OF THE FPTK

THE FUTURE

CONCLUDING COMMENTS

REFERENCES

14.4 Interdisciplinary Leadership in the Oncology Service Line

INTERDISCIPLINARY LEADERSHIP STRUCTURE AT DF/BWCC

PRINCIPLES THAT GUIDE INTERDISCIPLINARY COLLABORATION AND LEADERSHIP

STRUCTURES AND PROCESSES FACILITATING COLLABORATION

IMPACT OF INTERDISCIPLINARY LEADERSHIP MODEL ON PATIENT CARE OUTCOMES

SUMMARY

REFERENCES

Chapter 15: Expanding Our Clinical Lens: Integrative Care

15.1 Integrative Care

PROMOTING HEALING THROUGH INTEGRATIVE CARE

BUILDING AN INTEGRATIVE CARE PROGRAM

SUMMARY

REFERENCES

15.2 Implementing Alternative/Complementary Therapies for the Purpose of Stress Reduction in Nurses

BACKGROUND AND SIGNIFICANCE

OUR REVIEW OF THE LITERATURE

BENCHMARKING

OUR STUDY METHODS

SUMMARY AND CONCLUSIONS

REFERENCES

15.3 Reiki Practice: A Comfort for Patients and Nurses

THE NURSE DIRECTOR PERSPECTiVE: SUZANNE’S STORY

THE NURSE-IN-CHARGE PERSPECTIVE: MARGARET’S STORY

THE NURSE EDUCATOR’S PERSPECTIVE: SARAH’S STORY

SUMMARY

REFERENCES

Section B: Service Area and Program Change

Chapter 16: The Development of a Critical Care Leadership Team: Where We Have Been, Where We Are Now

FIRST STEPS

STAFFING TO VOLUME AND ACUITY

JUST WHEN EVERYTHING SEEMS TO BE GOING FINE, A NEW CHALLENGE

BROADENING THE SCOPE OF OUR WORK

BROADENING THE SCOPE OF OUR IMPACT

AN INFORMED JOURNEY

BENEFITS: POWER OF THE TEAM

MAPPING OUR FUTURE PATH

Chapter 17: Building Anew

THE PATIENT ROOM

PATIENT/FAMILY-CENTERED CARE

THE SHAPIRO NURSES PREPARE

MOVE DAY

TRANSFORMATIONAL SPACE

REFERENCES

Chapter 18: Neuroscience as Exemplar

18.1 The Intersection of the BWH Department of Nursing Vision Statement With Nursing Theories, Theor

MY INTRODUCTION TO NURSING THEORIES

FURTHER DEPTH IN MY EXPLORATION OF NURSING THEORIES

FROM THEORIES TO PRACTICE: GUIDED BY A VISION

AN IDENTIFIED PRACTICE CHALLENGE EMERGES

THEORIES, PRACTICE, VISION, AND CHANGE: AN EXAMPLE

MAKING THEORY MANIFEST IN OUR PRACTICE

REFERENCES

18.2 Partners in Care: Quality Improvement at Work in the Neuroscience Intensive Care Unit

LEADERSHIP

CIC COMPOSITION

FROM CIC TO STAFF: SPREADING THE WORD

SIGNIFICANT ACHIEVEMENTS

PATIENT SAFETY INITIATIVES

PATIENT AND FAMILY SATISFACTION

EXPANDING OUR HORIZONS

REERENCES

Chapter 19: Changing and Enhancing Nurses’ Roles

19.1 Transitioning New Nurses Into Acute Care Practice: Our Journey of Program Redesign

BACKGROUND

NEWLY LICENSED NURSE PROGRAM

FACILITATING THE TRANSITION TO PRACTICE FOR EXPERIENCED NURSES: THE SIMULATION-BASED ORIENTATION PRO

CRITICAL CARE NURSE INTERN PROGRAM

BUILDING THE PRACTICE OF PRECEPTING

SUMMARY

REFERENCES

19.2 A Collaborative Teamwork Approach to Unit-Based Nursing Orientation

19.3 Off-Shift Nursing Administration: Shaped by a Vision

Section C: Individual Reflections on the Experience of Change

Chapter 20: Values and Vision

20.1 Authentic Leadership: Real-Time Application at BWH

20.2 True Collaboration: A Multidisciplinary Model

Chapter 21: Leadership Stories

21.1 From Groupthink to Action Teams: Changing How We Solve Problems

CONFRONTING GROUPTHINK

MY FIRST EXPERIENCE USING ACTION TEAMS

STEPS IN CREATING OUR OWN ACTION TEAM

CONCLUSION

REFERENCES

21.2 Choosing the Best Place to Work

Chapter 22: The Nurse Educator

22.1 The Impact of the Clinical Nurse Educator

KNOWING MY STAFF

WORKING WITH MY UNIT STAFF TO IMPROVE PATIENT CARE

MY ROLE BEYOND MY UNIT

22.2 Nurse Engagement: Rekindling the Passion

INTRODUCTION

BEGINNING THE CHANGE PROCESS

COACHING AND MENTORING

FIVE YEARS LATER

CONCLUSION

REFERENCES

22.3 Brigham and Women’s Hospital From a Nursing Instructor’s View

THROUGH THE EYES OF A NURSING INSTRUCTOR

NURSING STUDENT EXEMPLARS

OBSERVATIONAL EXPERIENCES

NURSING INSTRUCTOR IMPLICATIONS

CONCLUSION

Chapter 23: Beyond Our Borders

23.1 His Name Is Samuel

23.2 Lessons Learned in Haiti

23.3 The Global Health Nursing Fellowship: Beginnings

Chapter 24: Why Do People Aspire to Work at Brigham and Women’s Hospital? A View From Business Ser

PART FOUR: Summary and Conclusions: The Journey Continues

Chapter 25: Lessons Learned: The Journey Through the Rearview Mirror

Chapter 26: The Journey Continues . . . Just Follow the Yellow Brick Road