THE TRAJECTORY TO LEADERSHIP ONCOLOGY NURSING AND BEYOND Elizabeth Johnson, MSN, RN, AOCN, AOCNS, OCN
July 24, NATURE OF NURSING PRACTICE Evolutionary Continuous Subtle Imperceptible Supportive Female
July 24, ONGOING STRUGGLES Recognition Visibility Image Role definition Professional advancement Standardization of practice
July 24, EARLY ROLE MODELS FLORENCE NIGHTINGALE
July 24, EARLY ROLE MODELS LINDA RICHARDS
July 24, EARLY ROLE MODELS MARY ELIZA MAHONEY
July 24, EARLY ROLE MODELS ISABEL HAMPTON ROBB
July 24, 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, THE ONGOING STRUGGLE TO DEFINE PROFESSIONAL NURSING Nursing theory Role clarity Remuneration Documentation Continuity of care
July 24, THE WORK OF NURSING Misunderstood Lacks clarity Undervalued Often not visible Simultaneously multi-dimensional
July 24, THE WORK OF NURSING Multidimensional –Patient –Family –Community –National –Global Holistic Four key components
July 24, 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, 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, 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, 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, ATTRIBUTES OF HIGH QUALITY CANCER NURSING CARE Professional knowledge Continuity Attentiveness Coordination Partnership Individualization Rapport Caring -- Radwin, 2000
July 24, OUTCOMES OF HIGH QUALITY CANCER NURSING CARE Increase sense of fortitude Sense of well being –Trust –Optimism –Authenticity -- Radwin, 2000
July 24, LEADERSHIP AND NURSING “Nurses may not always see themselves as leaders, but they almost always are.” -- Pearl Moore, 2007
July 24, 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, 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, ONGOING NATURE OF ONCOLOGY NURSING PRACTICE Intense Uncertain Multi-dimensional Complex Real life issues Research driven Long term
July 24, WHAT MAKES AN ONCOLOGY NURSE AN ONCOLOGY NURSE? Compassion Commitment Drive Intelligence Vision Collegiality Process orientation Courage
July 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, ONCOLOGY NURSING SOCIETY VISION Lead the transformation of cancer care
July 24, ONCOLOGY NURSING SOCIETY MISSION Promote excellence in oncology nursing and quality cancer care
July 24, ONCOLOGY NURSING SOCIETY CORE VALUES “When all else changes, values endure.”
July 24, ONCOLOGY NURSING SOCIETY CORE VALUES Integrity Innovation Stewardship Advocacy Excellence Inclusiveness
July 24, 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, RIPPLE EFFECTS OF PROFESSIONAL INVOLVEMENT Patient care Practice environment Standards of practice Health policy