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

2. July 24, 2008 2 NATURE OF NURSING PRACTICE Evolutionary Continuous Subtle Imperceptible Supportive Female

3. July 24, 2008 3 ONGOING STRUGGLES Recognition Visibility Image Role definition Professional advancement Standardization of practice

4. July 24, 2008 4 EARLY ROLE MODELS FLORENCE NIGHTINGALE

5. July 24, 2008 5 EARLY ROLE MODELS LINDA RICHARDS

6. July 24, 2008 6 EARLY ROLE MODELS MARY ELIZA MAHONEY

7. July 24, 2008 7 EARLY ROLE MODELS ISABEL HAMPTON ROBB

8. 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

9. July 24, 2008 9 THE ONGOING STRUGGLE TO DEFINE PROFESSIONAL NURSING Nursing theory Role clarity Remuneration Documentation Continuity of care

10. July 24, 2008 10 THE WORK OF NURSING Misunderstood Lacks clarity Undervalued Often not visible Simultaneously multi-dimensional

11. July 24, 2008 11 THE WORK OF NURSING Multidimensional –Patient –Family –Community –National –Global Holistic Four key components

12. 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

13. 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

14. 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

15. 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

16. July 24, 2008 16 ATTRIBUTES OF HIGH QUALITY CANCER NURSING CARE Professional knowledge Continuity Attentiveness Coordination Partnership Individualization Rapport Caring -- Radwin, 2000

17. July 24, 2008 17 OUTCOMES OF HIGH QUALITY CANCER NURSING CARE Increase sense of fortitude Sense of well being –Trust –Optimism –Authenticity -- Radwin, 2000

18. July 24, 2008 18 LEADERSHIP AND NURSING “Nurses may not always see themselves as leaders, but they almost always are.” -- Pearl Moore, 2007

19. 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

20. 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

21. THE SPECIAL CONTRIBUTIONS OF ONCOLOGY NURSING

22. July 24, 2008 22 ONGOING NATURE OF ONCOLOGY NURSING PRACTICE Intense Uncertain Multi-dimensional Complex Real life issues Research driven Long term

23. July 24, 2008 23 WHAT MAKES AN ONCOLOGY NURSE AN ONCOLOGY NURSE? Compassion Commitment Drive Intelligence Vision Collegiality Process orientation Courage

24. 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

25. July 24, 2008 25 ONCOLOGY NURSING SOCIETY VISION Lead the transformation of cancer care

26. July 24, 2008 26 ONCOLOGY NURSING SOCIETY MISSION Promote excellence in oncology nursing and quality cancer care

27. July 24, 2008 27 ONCOLOGY NURSING SOCIETY CORE VALUES “When all else changes, values endure.”

28. July 24, 2008 28 ONCOLOGY NURSING SOCIETY CORE VALUES Integrity Innovation Stewardship Advocacy Excellence Inclusiveness

29. 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

31. July 24, 2008 31 RIPPLE EFFECTS OF PROFESSIONAL INVOLVEMENT Patient care Practice environment Standards of practice Health policy