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

Agenda Where we are Where are we going How to get there MDCH/OCNE 2

Agenda Where we are Where are we going How 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

Agenda Where we are Where are we going How to get there MDCH/OCNE 5

Institute Of Medicine RECOMMENDATIONS 7: 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/OCNE6 Jeanette Klemczak, MSN

IOM Future of Nursing Key Messages Nurses should practice to the full extent of their education and training Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression Jeanette Klemczak, MSN7

IOM Future of Nursing (cont’d) Key Messages Nurses 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/OCNE8 Jeanette Klemczak, MSN

Look to the Future Are 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 practice US Healthcare is 17% of GDP – the MOST COSTLY in the world When compared to other countries, this spend does not result in better outcomes Reimbursement structures changing to focus of care delivery and outcomes Better quality at lower cost Delivery moving from acute care to alternate care location Demographic changes (Silver Tsunami) driving shift from acute care to chronic care 10

Loyalty To 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

Agenda Where we are Where are we going How to get there MDCH/OCNE 12

The Stretch of Leadership If 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 MOTIONS Motion - 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 Kunin Nurses 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 … MDCH/OCNE 23

Let us not consider ourselves finished nurses. Florence Nightingale