Good Jobs, Good Companies and a Sustainable American Economy
The Hitachi Foundation's recent Pioneer Employer Hospital Initiative seeks to discover and promote the next generation of best practices in workforce management. Read customer Faxton St. Luke's Healthcare's case study to learn how School at Work complements other "grow your own" initiatives at the organization.
Catalyst Learning's work with The Hitachi Foundation continued when Founder and CEO Lynn Fischer participated in a recent MIT-Hitachi Foundation sponsored Action Lab focused on strategies for building a sustainable economy. M Erik Brynjolfsson, Economist and Director of the M.I.T. Center for Digital Business, as well as co-author of the book, Race Against the Machine, spoke about the demand for new skills that keep up with the digital progress of the last few decades. He argued that an increasing reliance on technology has been great for business but fuels a growing socioeconomic inequality as companies have increased profits without increasing their workforce.
Brynjolfsson stated that technology can accomplish things that only a few years ago were thought to be beyond the reach of computers, yet computers tend to be narrow and literal-minded, good at assigned tasks but at a loss when a solution requires intuition and creativity - human traits. A partnership is the path to job creation in the future. Click here to read the New York Times article about Brynjolfsson's work and learn what he says is the key to wining the race against the machine.
Contact Lynn (firstname.lastname@example.org) to learn more about the action lab's conclusions.
They’ve been compared to educators, mediators and even air traffic controllers. They may perform managerial tasks such as scheduling and evaluations, while also acting as liaisons to hospital leaders and physicians. They may often resolve conflicts and usually are agents of change setting a positive example for the entire staff. Ultimately, they must ensure the safety and care of patients in their unit.
These are just some of the roles and responsibilities of charge nurses. They are decisive and resourceful “veterans” who have gained experience on the job. In addition to their clinical competency, here are three nurse leader skills that will help charge nurses succeed:
1. The Ability to Lead and Motivate Others
Leadership is dependent on the ability to motivate others. A leader recognizes the individual strengths of every member of her team as well as their areas for improvement. The leader outlines the objectives for the team and clearly outlines each person’s responsibility. To motivate the team, a leader will offer empathy, advice, positive reinforcement or even terse but respectful orders. Of course, all these forms of direction require the charge nurse to have excellent communication skills.
2. Strong Critical Thinking Skills
In addition to being excellent communicators, nursing managers must also possess strong critical thinking skills. Charge nurses are responsible for making sure that staff members have appropriate training and qualifications for their respective assignments. They must match colleagues’ competencies with the needs of patients. Nurse leaders must also ensure adequate resources are available, policies are followed and regulatory requirements are met. In other words, they must be problem solvers throughout the process: recognizing issues before they arise, addressing them in real-time as they happen and providing measures to prevent similar issues in the future.
3. A Willingness to Embrace Change
Finally, charge nurses must possess a willingness to not only embrace change, but also champion it. As nurse leaders, they are in a unique position to see the big picture as well as the details that will improve patient care and staff morale. NCharge, a charge nurse leadership training program developed by Catalyst Learning Company, stresses the importance of being agents and champions of change. Leaders will challenge the status quo when it benefits the team and their objectives.
Saint Anthony Hospital staff worked hard to improve its Leapfrog Hospital Safety Grade from a D in 2014 to an A in October 2016. The nonprofit, community teaching hospital in Chicago found one key to success came in providing front-line nurse leadership with increased confidence and management tools that would help improve hospital standards and quality of care.
Finding the Right Curriculum
Saint Anthony’s development team was searching for a structured, in-depth learning program that would empower their nurses to take leadership to the next level. What they found was Catalyst Learning Company’s NCharge® Nurses Learning to Lead program. NCharge provided the detailed content and knowledge assessments they were looking for, with results that are measurable. By focusing on relevant leadership scenarios within the hospital, participants were able to easily relate and apply techniques to their everyday environment.
“Like most healthcare organizations, we are growing and changing. We were also in the process of reorganization. It was about sweeping clean on old ideas and looking for ways to be more efficient. Illinois is also tightening on funds and as a nonprofit hospital, we had to look at ways to be more efficient in how we were working and make our staff feel as if they have a way to advancement,” stated Jaqueline Napier, Manager of Talent and Development at Saint Anthony.
Leading with More Confidence
One important outcome noted by Saint Anthony management is the overall improved confidence among nursing leadership. Creating a more autonomous team has positively impacted the hospital environment and proven an effective influence regarding quality of care.
Sonia Haro, an ICU Staff Nurse and NCharge participant, committed her time to the NCharge series with specific objectives in mind. “I was looking for ways to communicate more effectively, especially when setting expectations for the team. Sometimes, not everyone feels like being a team player. I wanted to find a way to encourage my team but stay firm and reach expectations,” explained Haro. This was the type of leadership training that most staff nurses don't get with shadowing or clinical training. Haro was pleased with NCharge, which provided her with a better understanding of communication styles and techniques to handle a variety of situations confidently in the unit.
Haro wasn’t the only person who noticed a need for better communication and confidence from front-line nursing leaders. When Catalyst Learning surveyed nurse managers at Saint Anthony before the NCharge courses were implemented, less than 20% strongly agreed that the Charge Nurses in their departments displayed confidence when leading their teams. In addition, less than 30% agreed that Charge Nurses were cognizant of the key drivers of a positive patient experience. A few months after the training was held, the same nurse managers were surveyed and reported dramatic improvement with over 65% saying Charge Nurses were more confident and over 70% recognized key drivers in positive patient experience.
Cultivating Team Dynamics
A more efficient, collaborative environment was formed as a result of the NCharge leadership training. The team who completed training worked stronger and smarter together when handling obstacles. “I really wanted to work with others in the hospital in the same position. It’s nice to have others to lean on and run questions by, and share experiences with. Networking with my own colleagues was a great bonus,” stated Haro.
Elizabeth Negrete, Director of Perinatal and Pediatric Services, had staff who completed NCharge training. Staffing in OB, having the right number of staff and the right combination, had been a continuous issue. NCharge class participants looked at staffing and created plans to put the right skills and experience in the best combinations. “Now the staff are the ones doing the schedule, entering it in to the system and balancing. When the census goes down, they adjust appropriately based on the patient grid. This shows how they have been working more autonomously and are able to make important decisions with less guidance,” explained Negrete. “The Charge Nurses are working more in collaboration with the house managers. Before, staff managers were just telling them what the need was, but now the Charge Nurses are more empowered to speak up about needs.”
Haro reported that the rounding process has also gone through changes, giving the NCharge participants an opportunity to observe with fresh eyes what happens within the unit when everyone is not on board with a change. “It takes some buy-in from everyone, and there were days when we were just being run ragged. You could easily see that on days when the new process wasn’t being used, feelings and tensions were high,” conveyed Haro.
By equipping front-line leaders with the skills to embrace change, NCharge prepares staff for reaction from team members and how to move forward as a unit. This can be vitally important and impactful when trying to deal with the constant updates within hospitals. “There is always more trust from staff when changes come from Charge Nurses. There is more peer influence and impact. The staff has more of a buy-in because they know the Charge Nurses truly understand what the impact will be since they are on the frontline with them,” described Negrete.
Made evident in the impressive move of their Leapfrog Safety grade from a D in 2014 to an A in October 2016, the hospital seems to have found the key to success in increasing quality standards. Napier credits the NCharge series with being a factor in that improvement after implementation in early 2016.
The combination of increased confidence, more efficient staffing and adaptability to change have helped Saint Anthony become a more progressive, efficient hospital when it comes to patient care and standards. “The nurses are more cohesive as a team and moving towards a group environment where the charge nurses really stand out as leaders. They are really keeping their team members engaged. All of that correlates to the patient experience and how everyone is measured,” stated Napier. “Our people were skilled but now they have more confidence in those skills and their ability to engage the nurses on their team. They now understand how this all comes together to enhance the patient experience.” By giving front-line leaders new techniques to handle their day-to-day situations and changes, an environment of new ideas and proactive enthusiasm has been cultivated.
By investing in the front-line nursing leadership at Saint Anthony, stronger teams were built and the confidence instilled in the newly trained charge nurses was of great value. The return on investment for the Chicago hospital is shown through the recognition of receiving its first A rating from Leapfrog Hospital Safety Grade and becoming a top-rated hospital.