NURSING: THE FUTURE

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NURSING THE FUTURE

• NURSES
• LEADERS IN A NEW TIME
• LEADERS FOR A NEW TIME
• 25 March 2007

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

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

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PIGLETS 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

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REFLECTIONS

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

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TOWARD 2020VISIONS FOR NURSING

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

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GENERATIONS TODAY

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

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EMERGING NETWORK AGE

• From the Industrial Age to the Information Age to
  the Network Age
• Network Age
• Distributed culture
• Decentralized
• Citizen-centered not institution-centered

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CULTURE

• 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
• The need for change may be driven by survival or
  passion

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CULTURES DIFFER

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

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GENERATIONAL VALUES

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

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KEYS TO CULTURAL TRANSFORMATION

• Scanning the environment for two or three trends
  with greatest impact
• Determining implications
• 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

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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
• 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
• Frances Hesselbein

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INFLUENCING THE FUTURE

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

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YOUR RESPONSE

• 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
• Envision a new way of being as a nursing
  profession in this new reality

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IMPLICATIONS OF FAILURE

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

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IMPLICATIONS OF FAILURE

• Continued challenges re recruitment and retention
  of all health care 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 to create a truly responsive health
  system for the 21st century

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MY ADVICE

• Be passionate, personal, persistent, and patient.
  Do not give up.
• Be bold. Do not worry about those who think you
  are crazy.
• People will go where value is added.
• Hold up the mirror for others to see.
• 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.

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WALKING THE LABYRINTH
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• 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.

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• 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
• 
  John O'Donoghue, Anam Cara

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