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Leadership and Management
in Nursing
Mary M. Gullatte, PhD, RN, AOCN, FAAN Vice President of Patient Services and
Chief Nursing Officer Emory University Hospital Midtown
Atlanta, Georgia, USA April 2012
Learner Objectives: At the conclusion of this presentation the participant will be able to:
1. Describe leadership qualities in self and others
2. Outline the difference in leadership and management
3. Review leadership skills for effecting positive change and transforming the work environment
4. Define key strategies for developing and mentoring future oncology nurse leaders
EONS (C) Gullatte 2012
2
Leadership and Management in Nursing
• Leadership and management are not the same
• Managers focus on doing the thing right
• Leaders focus on doing things right
• All leaders are not managers
• Leaders do not need to choose management to
make a difference
EONS (C) Gullatte 2012
3
Leadership and Management
Spitzer, R. (2007).
Leadership and Management
EONS (C) Gullatte 2012
4
Leadership
Behavioral
Promote Change
Mobilizes followers
Inspires a shared vision
Mentors
Management
Organization, operations, and tactics
Manage resources
Sets priorities
Set the tone
Set the pace
Leadership and Management
Manager
Administers
Copy
Maintains
Focus on systems & structure
Control
Short-range view
How and when
Bottom line
Leader
Innovates
Original
Develops
Focus on people
Inspires trust
Long-range view
What and why
Eye on the horizon
EONS (C) Gullatte 2012
5
CHARACTERISTICS….Were these on your list?
EONS (C) Gullatte 2012
8
Integrity
Honest
Visionary
Competent
Fair
Supportive
Broad-minded
Intelligent
Courageous
Mature
Determined
Ambitious
Loyal
Self-controlled
Independent
Cooperative
Self-assured
Caring
Everyone is a leader
People with high hopes are also high achievers
Consistency
Compassionate
Sustain hope
Visionary
Relationships - Bring people together
Service- you serve a purpose for the people
EONS (C) Gullatte 2012
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Leaders
Building and Leveraging Your Leadership Strengths for Organizational Success
EONS (C) Gullatte 2012
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Transformational Leadership
Develops Relationships Creates a Vision Is a Servant Seizes Authority Garners Credibility Mentors the next generation
Gullatte, M. (2011). Nursing Management: Principles and Practice.
EONS (C) Gullatte 2012
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Today’s Leader
…Influence that commands respect and confidence.
BELIEVE…
Approach your dreams and goals with Authority
Conquer your doubts with confidence
Dare to make a difference
Dare to take a risk
Failure is not the END it is a BEGINNING
Failing Forward, John C. Maxwell (2000)--Turning Mistakes into Stepping Stones for Success
EONS (C) Gullatte 2012
12
Authority ??
Challenge the Process Inspire a Shared Vision Enable Others to Act Model the Way Encourage the Heart Adapted from Kouzes and Posner (2007) Leadership challenge. 4th ed. Josey-Bass
EONS (C) Gullatte 2012
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5 Practices of Exemplary Leaders
Search for opportunities Seize the initiative
Innovate and create
Commitment
Look outward for fresh ideas
Experiment and Take Risks Learn from mistakes
Generate small wins
Kouzes & Posner (2002) Leadership Challenge.
EONS (C) Gullatte 2012
14
Challenge the Status Quo
Envision the Future Forward looking
Having a vision
Possibility thinker…Kirk
Do not believe in a no win scenario
Enlist Others Develop a shared sense of destiny
Appeal to shared aspirations
Give life to your vision
Kouzes & Posner (2007) Leadership challenge.
EONS (C) Gullatte 2012
15
Inspire a Shared Vision
Foster Collaboration Improves performance
Builds relationships
Builds trust
Positive Interactions
Strengthen Others Generate power all around (empower others)
Foster accountability
Provide choices
Develop competence and confidence
EONS (C) Gullatte 2012
16
Mentor and Support Others to Act
Adapted from: Kouzes & Posner (2002) Leadership Challenge.
Find your VOICE
Clarify your values
Express yourself
Embrace your inner most thoughts & aspirations
Set the Example
Build and affirm shared values
Align actions with values DWYSYWD
EONS (C) Gullatte 2012
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Modeling the Way
Adapted From: Kouzes & Posner (2002) Leadership Challenge.
Encourage the Heart
Recognize contributions Focus on clear standards
Expect the best
Personalize recognition
Show appreciation for excellence
Celebrate Successes
Create a Spirit of Community Set the example
Manage up (Studer,)
Tell the Story
EONS (C) Gullatte 2012 18 Adapted From: Kouzes & Posner (2007) Leadership Challenge.
EONS (C) Gullatte 2012
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The Making of Tomorrow’s Nurse Leaders
Twelve Key Action Roles of a Leader
1. Trust your judgment
2. Inspire a shared vision
3. Build relationships and encourage the heart
4. Innovative and creative
5. Challenge and seize opportunities
6. Act authoritatively
7. Patients first
8. Fiduciary responsibility with the organization
9. Take and share risk
10. Be prepared and accountable
11. Build teams and be a great team member
12. Communicator
13. Be a mentor and Empower others
EONS (C) Gullatte 2012
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Leading Change in an Environment of
Change
Adapted from: “Leading Change,” John P. Kotter, 1996
Engage
Individual
Commitment Set
Direction
Demonstrate
Personal
Values
What Oncology Nurse Leaders Need to Know and Do to Achieve Desired Outcomes
Personal Character Lead by Example
Act with Integrity
Demonstrate Trustworthiness
Take Risks
Do what you say you will do/Walk the Talk
Be a Coach and Mentor
Be Fair and Just
Respect
EONS (C) Gullatte 2012
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Effective Nurse Leaders
Engage Individual Commitment Communicate the Vision
Promote Shared-Decision Making
Build Positive Collaborative Relationships
Build Trust
Develop Teams
Drive Out Fear
Encourage Innovation and Creativity
Empower others
EONS (C) Gullatte 2012
22
Effective Nurse Leaders
EONS (C) Gullatte 2012
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Awaken the Leader Within
• Commit to caring
• The will to lead
• Be a care innovator
• Voice you ideas
• Right time, right
place, professional
manner
• Overcome your
fears
• Look at the whole
picture
• Be accountable
• Promote
collaboration
• Goal oriented
EONS (C) Gullatte 2012
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Opportunities for the Next
Decade in Nursing
• Creating a Healthy Work Environment
• Recruitment
• Retention
• Aging workforce
• Multigenerational workforce
Leveraging Your Plan for Success
One year Plan…
Two Year Plan…
Five year Plan…
What is your dream for your professional self?
EONS (C) Gullatte 2012
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Make a Plan… Gullatte, M. (2011). Nursing management: Principles and practice. ONS Publishing Division
See yourself being successful in whatever you endeavor to achieve.
Partner with others who can help make your vision a reality.
Don’t be envious of others who have
achieved what your want… EONS (C) Gullatte 2012
27
Discover Your Destiny?
Recipe for Leadership Success…
Take care of Self
Take Care of Your Business
Take Care of those you LOVE….
EONS (C) Gullatte 2012
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Live a Balanced Life discover Yourself…
Kouzes and Posner – Leadership Practices Inventory (LPI)
360 Degree Feedback http://www.custominsight.com/360-degree-feedback/developing
The Trusted Leader http://www.thetrustedleader.com/self-assess-1html
Your Leadership Legacy
http://www.yourleadershiplegacy.com/assessment/assessment.php
Myers-Briggs
EONS (C) Gullatte 2012
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Leadership/Performance Inventories
Career coach/counselor Mentor Mentee Passion Value of 360 assessments Introspection Reflex, Refresh, Renew
EONS (C) Gullatte 2012
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Putting it all Together Looking in the Mirror
Internalizing the Results for Success
EONS (C) Gullatte 2012
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Watch your thoughts,
They become words.
Watch your words,
They become actions
Watch your actions,
They become habits.
Watch your habits,
They become your character.
Watch your character,
It becomes your destiny….
Our Greatest Fear
Our greatest fear is not
that we are inadequate,
but that we are
powerful beyond
measure…
Marianne Williamson
EONS (C) Gullatte 2012 33
Ambrose, D. (2011), Managing self to lead others, in Gullatte, M. (2011). Nursing management principles and practice. ONS Publishing. Pp. 1-16 Gullatte, M. (2011). Nursing management principles and practice. 2nd Edition. ONS
Publishing, Pittsburgh, PA. Kouzes, J.M. & Posner, B.Z. (2007). The leadership challenge. 4th Ed. Jossey-Bass, San Francisco, CA. Maxwell. J. (2000) Failing forward. Thomas Nelson, Inc Publishers, Nashville, TN.
Web Sites: accessed, April, 2012 http://www.custominsight.com/360-degree-feedback/developing http://www.thetrustedleader.com/self-assess-1html http://www.yourleadershiplegacy.com/assessment/assessment.php http://careerplanning.about.com/cs/aboutassesment/a/assess_overview/htm http://www.winderdom.com/personality/L6-1PersonalityTypes.html
EONS (C) Gullatte 2012
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Selected References