The A, E, I, O, U and Sometimes Ys for the 21st Century Nurse

Marlene Pietrocola, DNP, MBA, RN, NEA-BCChair & Associate Professor, Tabor CollegeDivision of Nursing

Objectives

Identify the external factors that are the driving forces to change

Identify essential professional attributes of the 21st century nurse

Understand how the professional nurse of the 21st century must respond to these changes in healthcare

External ForcesInstitute of Medicine

The Future of Nursing: Leading Change, Advancing Health

Affordable Care ActCMS ReimbursementClinical/Quality MeasuresNursing WorkforceAging Population/Health

Aging Population

Source: U.S. Census Bureau, Population Estimates and Projections

Aging Population

Source: U.S. Census Bureau, Population Estimates and Projections

Response to Forces

Previous strategiesRational persuasionCoercion

Requires a different approachEmpowering self-modification strategy

What is a Vowel?

One of a class of speech sounds in the articulation of which the oral part of the breath channel is not blocked and is not constricted enough to cause audible friction; broadly : the one most prominent sound in a syllable

Merriam Webster

What is a Vowel?

Unlike consonants, each of the vowel letters has more than one type of sound or can even be silent with no sound at all

21st Century Nurse

So why the phonetics lesson?

Simile:Vowels are to the English language as nurses are to healthcare

21st Century Nurse

A = AstutenessE = Emotional IntelligenceI = Informatics SaavyO = OpportunisticU = United

21st Century Nurse

…and sometimes YY = Yielding

Astuteness

Exceptional discernment and judgment especially in practical matters

Keen, sharp, intelligent, perceptive, discerning, artful, crafty

Emotional IntelligenceNursing Research

Effective leadership (Molter, 2001, Vitello-Cicciuo 2002, Cummings et al. 2005)

Coping, stress mgmt., hardiness, conflict style, burnout, nurses health and professionalism (Tjiong, 2000, Humpel et al, 2001, Budnik 2003, Famer 2004, Gertis at al, 2004, Cummings et al 2005, Kooker et al, 2007) Montes-Berges & Augusto 2007, Augusto-Landis et al 2008, Deshpande & Joseph 2009)

Nursing students, academic satisfaction and academic/professional success (dos Santos 1999, Rochester et al 2005, Shanta 2007)

Clinical studies: mental health nurses, HIV/DM medication compliance (Humpel et al 2001, Akerjorder & Severinsson 2004, Samar 2001 , Willard 2003)

Nurses Qualities: empathy, problem-solving, emotional self-awareness, interpersonal relationships (Codier, 2010)

Emotional IntelligenceSelf-AwarenessSelf-ManagementSocial AwarenessRelationship Management

Informatics

Knowing how to use technology is not enough

It must be harnessed

Opportunist

What did you do recently that was opportunistic and what was the outcome?

United

Does one join the profession of nursing?

I would say no—we become a professional

…and sometimes YieldingTending to give way, especially under pressure Flexible; supple; pliable

Professional Nurses’ Response

The Four AgreementsBe impeccable with your wordDon’t take anything personallyDon’t make assumptionsAlways do your best!

Ruiz, D.M. (1997). The four agreements. California: Amber-Allen Publishing, Inc.

Professional Nurses’ Response

Be impeccable with your wordIt starts with abstaining from

Gossip!

Professional Nurses’ Response

Don’t take anything personally“Each person’s opinion is solely the product of their own life and reality.” Jackie Vecchio

Jean Piaget-developmental psychologistMoments of vulnerability Recognize that comments reflect something about the other personLearn how to respond

Professional Nurses’ Response

Don’t make assumptionsMaking assumptionsTaking it personallyLeads to gossiping

Ask questionsVerify information before acting

Professional Nurses’ Response

Always do your bestLife long learningDon’t focus on the rewardA startling example!

Agreements 1, 2, 3 only work if you do your best

Final Thought

Golden Corral

SummaryIdentify the external factors that are the driving forces to change

Identify essential professional attributes of the 21st century nurse

Understand how the professional nurse of the 21st century must respond to these changes in healthcare

ReferencesAmerican Nurses Association. (2015). Code of ethics for nurses with interpretive

statements. Retrieved from http://www.nursingworld.org/DocumentVault/Ethics_1/Code-of-Ethics-for-Nurses.html.

Conger, J.A., Spreitzer, G.M. & Lawler, III, E.E. (eds.) (1999). The leader's change handbook: An essential guide to setting direction and taking action. San Francisco: Jossey-Bass.

Health Professionals and Allied Employees. (n.d.). Putting care first. Retrieved from http://www.hpae.org/political/ACAcampaign/reimbursements.

Ruiz, D. M. (1997). The four agreements. California: Amber-Allen Publishing, Inc. The Institute of Medicine. (2010). The future of nursing: Leading change

advancing health. Silver Spring MD: National Academies Press. The Joint Commission. (2015). Core measure sets. Retrieved from

http://www.jointcommission.org/core_measure_sets.aspxUS Department of Health and Human Services. (n.d.). Administration on aging:

Profile of the older adult. Retrieved from http://www.aoa.gov/Aging_Statistics/Profile/index.aspx.