THE TRAJECTORY TO LEADERSHIP ONCOLOGY NURSING AND BEYOND Elizabeth Johnson, MSN, RN, AOCN, AOCNS, OCN.

THE TRAJECTORY TO LEADERSHIP

ONCOLOGY NURSING AND BEYOND

Elizabeth Johnson, MSN, RN, AOCN, AOCNS, OCN

July 24, 2008 2

NATURE OF NURSING PRACTICE

• Evolutionary

• Continuous

• Subtle

• Imperceptible

• Supportive

• Female

July 24, 2008 3

ONGOING STRUGGLES

• Recognition

• Visibility

• Image

• Role definition

• Professional advancement

• Standardization of practice

July 24, 2008 4

EARLY ROLE MODELS

FLORENCE NIGHTINGALE

July 24, 2008 5

EARLY ROLE MODELS

LINDA RICHARDS

July 24, 2008 6

EARLY ROLE MODELS

MARY ELIZA MAHONEY

July 24, 2008 7

EARLY ROLE MODELS

ISABEL HAMPTON ROBB

July 24, 2008 8

THE HERITAGE OF PROFESSIONAL NURSING

• Knowledge based

• Provides a unique service

• Criteria for entry and advancement

• Self-regulating

• Standards of practice

• Ethical guidelines

• Meaningful service

July 24, 2008 9

THE ONGOING STRUGGLE TO DEFINE PROFESSIONAL NURSING

• Nursing theory

• Role clarity

• Remuneration

• Documentation

• Continuity of care

July 24, 2008 10

THE WORK OF NURSING

• Misunderstood

• Lacks clarity

• Undervalued

• Often not visible

• Simultaneously multi-dimensional

July 24, 2008 11

THE WORK OF NURSING

• Multidimensional– Patient– Family– Community– National– Global

• Holistic

• Four key components

July 24, 2008 12

SURVEILLANCE

• Assessment and monitoring some aspect(s) of the patient’s health status

• Immediate conditions

• Responses to treatment

• Quality of life

• Health screening

July 24, 2008 13

RELIEF OF SUFFERING

• “State of severe distress associated with events that threaten the intactness of the person” -- Cassell, 1982

• Mind-body connections• Transcendence of the spirit -- Frankl, 1984

• Positive and negative feeling

July 24, 2008 14

ADVOCACY

• Actions taken to influence others on behalf of a patient’s well being

• Forms of advocacy in nursing practice– Conveying information on behalf of another– Direct intervention on behalf of another– Restatement and interpretation– Patient education

July 24, 2008 15

SELF-CARE ASSISTANCE

• Use of specialized knowledge and skill to do for another what s/he cannot do for himself

• May be basic or high tech

• Always integrates the whole person

July 24, 2008 16

ATTRIBUTES OF HIGH QUALITY CANCER NURSING CARE

• Professional knowledge• Continuity• Attentiveness• Coordination• Partnership• Individualization• Rapport• Caring

-- Radwin, 2000

July 24, 2008 17

OUTCOMES OF HIGH QUALITY CANCER NURSING CARE

• Increase sense of fortitude

• Sense of well being– Trust– Optimism– Authenticity

-- Radwin, 2000

July 24, 2008 18

LEADERSHIP AND NURSING

“Nurses may not

always see

themselves as

leaders, but they

almost always are.”-- Pearl Moore, 2007

July 24, 2008 19

CURRENT CHALLENGES FOR THE PROFESSION

• Understand our professional identity

• Communicate our identity

• Have pride in our identity

• Demonstrate how nursing makes a critical difference in patient outcomes

July 24, 2008 20

COMPONENTS OF EFFECTIVE LEADERSHIP

• Visionary• Inspiring

– Accountability– New ideas

• Reassuring• Compassionate• Dispassionate

• Incisive• Integrative of

– Macro and micro– Simple and complex– Time lines– Diversity

• Thoughtful

THE SPECIAL CONTRIBUTIONS OF ONCOLOGY NURSING

July 24, 2008 22

ONGOING NATURE OF ONCOLOGY NURSING PRACTICE

• Intense

• Uncertain

• Multi-dimensional

• Complex

• Real life issues

• Research driven

• Long term

July 24, 2008 23

WHAT MAKES AN ONCOLOGY NURSE AN ONCOLOGY NURSE?

• Compassion• Commitment• Drive• Intelligence

• Vision• Collegiality• Process orientation• Courage

July 24, 2008 24

PROFESSIONAL SOCIETIES

• Provide outlet for felt commitment to a specialized body of knowledge and area of service

• With opportunities to share with like-minded persons

• To promote shared vision

July 24, 2008 25

ONCOLOGY NURSING SOCIETY

VISION

Lead the transformation

of cancer care

July 24, 2008 26

ONCOLOGY NURSING SOCIETY

MISSION

Promote excellence in

oncology nursing

and quality cancer care

July 24, 2008 27

ONCOLOGY NURSING SOCIETY

CORE VALUES

“When all else changes,

values endure.”

July 24, 2008 28

ONCOLOGY NURSING SOCIETY

CORE VALUES

• Integrity• Innovation• Stewardship

• Advocacy• Excellence• Inclusiveness

July 24, 2008 29

BENEFITS PROVIDED BY ONS FOR ASPIRING LEADERS

• Principles• Vision• Meaning• Education• Opportunity• Mentoring• Standards• Information

• Advocacy• Networking• Resources• Alliance• Status• Pride• Experience• Power

July 24, 2008 31

RIPPLE EFFECTS OF PROFESSIONAL INVOLVEMENT

• Patient care

• Practice environment

• Standards of practice

• Health policy