NURSING: THE FUTURE NURSES LEADERS IN A NEW TIME LEADERS FOR A NEW TIME 25 March 2007

To be good is noble. To tell others how to be good is even nobler and a lot less trouble. Mark Twain

Crucial to finding the way is this: there is no beginning or end. You must make your own map. Joy Harjo Joy Harjo A Map to the Next World: Poems A Map to the Next World: Poems

PIGLET’S SONG Let's find a Way today, that can take us to tomorrow. We'll follow that Way, A Way like flowing water. The sun is high, the road is wide, and it starts where we are standing. No one knows how far it goes, for the road is never-ending. It goes away, beyond what we have thought of. It flows away, Away like flowing water. Benjamin Hoff The Te of Piglet

REFLECTIONS T Setting the Context T Challenges of Culture Change T Influencing Future Direction T Readiness to Lead

TOWARD 2020 VISIONS FOR NURSING T The system: health and illness care in 2020 T Roles, scopes and practice settings of nurses in 2020 T Nursing human resources: number and mix of nurses in 2020 T Nursing education in 2020 T Ensuring responsiveness, quality and patient safety: regulating nurses in 2020 T Diversifying nursing: careers in nursing for all Canadians

GENERATIONS TODAY Four generations of citizens and patients Elders/Traditionalists/Silent Generation (pre-1946) Elders/Traditionalists/Silent Generation (pre-1946) Boomers ( ) Boomers ( ) Generation X (1965 – 1980) Generation X (1965 – 1980) Millennials ( ) Millennials ( ) Three generations of leaders Elders (pre-1946) Elders (pre-1946) Boomers ( ) Boomers ( ) Generation X (1965 – 1980) Generation X (1965 – 1980) Three generations of nurses Boomers ( ) Boomers ( ) Generation X (1965 – 1980) Generation X (1965 – 1980) Millennials (1980 – ) Millennials (1980 – )

EMERGING NETWORK AGE From the Industrial Age to the Information Age to the Network Age From the Industrial Age to the Information Age to the Network Age Network Age Network Age Distributed culture Distributed culture Decentralized Decentralized Citizen-centered not institution- centered Citizen-centered not institution- centered

CULTURE Culture is dynamic and changing over time Culture is dynamic and changing over time Most individuals are able to adapt: some have a greater facility to accommodate otherness in their internal meaning structure than others Most individuals are able to adapt: some have a greater facility to accommodate otherness in their internal meaning structure than others The need for change may be driven by survival or passion The need for change may be driven by survival or passion

CULTURES DIFFER Basic personality Basic personality Perception Perception Time concepts Time concepts Space concepts Space concepts Thinking Thinking Language Language Non-verbal communication Non-verbal communication Values Values Behaviors Behaviors Social groupings and relationships Social groupings and relationships They are interconnected and influence each other. Stephan Dahl Stephan Dahl Cultural Diversity, Cultural Diversity, Globalization and Cultural Convergence Globalization and Cultural Convergence

GENERATIONAL VALUES T Elders: Dedication, sacrifice, hard work, conformity, law and order, patience, respect for authority, duty before pleasure, adherence to rules, honour T Boomers: Optimism, teamwork, personal gratification, health and wellness, personal growth, youth, work, involvement T Generation X: Diversity, thinking globally, balance, techno-literacy, fun, informality, self-reliance, pragmatism T Millennials: Confidence, civic duty, achievement, sociability, morality, diversity, street smarts

KEYS TO CULTURAL TRANSFORMATION Scanning the environment for two or three trends with greatest impact Scanning the environment for two or three trends with greatest impact Determining implications Determining implications Revisiting the vision/mission – examining purpose and refining it to short, powerful, compelling statement of why we do what we do Revisiting the vision/mission – examining purpose and refining it to short, powerful, compelling statement of why we do what we do Banning the old hierarchy and building flexible, fluid structures and systems that unleash the energies and spirits of people Banning the old hierarchy and building flexible, fluid structures and systems that unleash the energies and spirits of people

KEYS TO CULTURAL TRANSFORMATION Challenging – questioning every policy, practice, procedure, and assumption, abandoning those that have little use today keeping those that reflect the desired future Challenging – questioning every policy, practice, procedure, and assumption, abandoning those that have little use today keeping those that reflect the desired future Communicating with the few powerful, compelling messages that mobilize people Communicating with the few powerful, compelling messages that mobilize people Dispersing the responsibilities of leadership, so that we have not one leader but many leaders at every level of the enterprise Dispersing the responsibilities of leadership, so that we have not one leader but many leaders at every level of the enterprise Frances Hesselbein Frances Hesselbein

INFLUENCING THE FUTURE ü Hold the Vision ü Know your Strengths ü Develop new Skills/Competencies ü Envision creatively the Ways ü Build on the Best ü Be Patient but Persistent ü Be Collaborative but Challenging

YOUR RESPONSE Have confidence that your profession is mature, competent and creative enough to be a leader in this new reality Have confidence that your profession is mature, competent and creative enough to be a leader in this new reality Re-think the strengths of your profession to ensure viability in this new reality Re-think the strengths of your profession to ensure viability in this new reality Envision a new way of being as a nursing profession in this new reality Envision a new way of being as a nursing profession in this new reality

IMPLICATIONS OF FAILURE No significant improvement of health outcomes in chronic disease management, continuity of care No significant improvement of health outcomes in chronic disease management, continuity of care Continued major challenges re access to care Continued major challenges re access to care Failure to achieve promises of health promotion and disease prevention Failure to achieve promises of health promotion and disease prevention Failure to emphasize population health Failure to emphasize population health Decreasing patient and provider satisfaction Decreasing patient and provider satisfaction

IMPLICATIONS OF FAILURE Continued challenges re recruitment and retention of all health care professionals Continued challenges re recruitment and retention of all health care professionals Failure to effectively use the competencies and skills of all health professionals Failure to effectively use the competencies and skills of all health professionals Failure of nurses to be valued and credible leaders in this changing health care environment Failure of nurses to be valued and credible leaders in this changing health care environment Failure to create a truly responsive health system for the 21 st century Failure to create a truly responsive health system for the 21 st century

MY ADVICE Be passionate, personal, persistent, and patient. Do not give up. Be passionate, personal, persistent, and patient. Do not give up. Be bold. Do not worry about those who think you are crazy. Be bold. Do not worry about those who think you are crazy. People will go where value is added. People will go where value is added. Hold up the mirror for others to see. Hold up the mirror for others to see. Try different things; small steps, early wins. If you fall, get back up. Try different things; small steps, early wins. If you fall, get back up. To change the culture of the health care system, you must be willing to change yourself. To change the culture of the health care system, you must be willing to change yourself.

WALKING THE LABYRINTH

May the light of your souls guide you. May the light of your souls May the light of your souls guide you. May the light of your souls bless the work that you do with the secret love and warmth of your hearts. May you see in what you do the beauty of your own souls. May the sacredness of your work bring healing, light and renewal to those who work with you and to those who see and receive your work. May your work never weary you. May it release within you wellsprings of refreshment, inspiration and excitement.

May you be present in what you do. May you never become lost in bland absences. May the day never burden. May dawn find you awake and alert, approaching your new day with dreams, possibilities and promises. May evening find you gracious and fulfilled. May you go into the night May you be present in what you do. May you never become lost in bland absences. May the day never burden. May dawn find you awake and alert, approaching your new day with dreams, possibilities and promises. May evening find you gracious and fulfilled. May you go into the night blessed, sheltered and protected. May your souls calm, console and renew you. Adapted from Adapted from John O'Donoghue, Anam Cara John O'Donoghue, Anam Cara