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Perspectives 2019: Doris Grinspun

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Enabling Leadership and Professionalism Within Nursing

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Perspectives 2019: Doris Grinspun

  1. 1. 2019 Perspectives Symposium January 31, 2019 #TSINPerspectives2019
  2. 2. Enabling Leadership and Professionalism Within Nursing Doris Grinspun, RN, MSN, PhD, LLD(hon), Dr(hc), FAAN, O.ONT. Chief Executive Officer Registered Nurses' Association of Ontario (RNAO) January 31, 2019 Touchstone Institute 2019 Perspectives Symposium 2
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  4. 4. Presentation Outline • Context – Economic – Socio-Political • Powering people to advance healthy public policy – Evidence-Based Policy – Evidence-Based Practice – Advocacy • Advancing people’s health: Results
  5. 5. Total Health Expenditure as a Percent of GDP (Selected OECD Countries 2017) 17.2 12.3 11.5 11.3 10.9 10.7 10.4 10.3 10.2 10.1 10.0 9.6 9.1 8.9 8.1 7.6 6.7 5.4 4.2 0 2 4 6 8 10 12 14 16 18 20 UnitedStates Switzerland France Germany Sweden Japan Canada Austria Denmark Netherlands Belgium United Kingdom Australia OECD AVERAGE Chile Korea Poland Mexico Turkey
  6. 6. Per Capita Health Expenditures: Public (Government/Compulsory) vs. Private (Selected OECD Members 2017, US$) - 2,000.00 4,000.00 6,000.00 8,000.00 10,000.00 12,000.00 UnitedStates Switzerland Germany Sweden Netherlands France Canada Japan Australia UnitedKingdom Spain Korea Chile Turkey Mexico Private Public
  7. 7. Public Social Expenditure as a Percent of GDP (Selected OECD Countries, 2018 or Latest Available) 31.2 26.1 25.1 23.7 21.9 20.6 20.1 18.7 17.8 17.3 16.7 16 12.5 11.1 10.9 7.5 0 5 10 15 20 25 30 35
  8. 8. Life Expectancy at Birth Selected OECD Countries, 2016 or Latest Available 84.1 83.7 83.4 82.5 82.4 82.4 82.4 81.9 81.2 81.1 78.6 78 76.2 76 70 72 74 76 78 80 82 84 86 Japan Switzerland Spain Australia France('15) Korea Sweden Canada('15) UnitedKingdom Germany UnitedStates Turkey Colombia('15) China('15)
  9. 9. Infant Mortality 1.6 1.9 1.9 2.1 2.3 2.6 2.8 3.0 3.4 3.7 4.1 4.5 5.7 6.3 8.0 9.2 11.5 11.6 12.7 0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 Iceland Finland Japan Luxembourg Sweden Spain Korea,Rep. Australia EU UK Cuba Canada UnitedStates Chile China Argentina Mexico Peru Colombia Infant mortality (both sexes, per 1000 live births) Selected Countries, World Bank, 2017
  10. 10. Leading the Future Together: Learning from the Past, Acting on the Present and Creating the Future 10
  11. 11. 11 The strong, credible voice leading the nursing profession to influence and promote healthy public policy, and clinical excellence The Best Practice Guidelines is a signature program of RNAO Professional association of Registered Nurses, Nurse Practitioners and nursing students in Ontario, Canada The Health Policy program is a core program of RNAO RNAO is the professional association of Registered Nurses - RNs and NPs - and nursing students in Ontario, Canada
  12. 12. Values Leading the Future Powering Health Professionals 12
  13. 13. Powering Health Professionals with Policy Analysis and Political Advocacy 13
  14. 14. 14 Powering Evidence to Move Policy
  15. 15. Powering Health Professionals Through Evidence-Based Advocacy ENOs Assembly Members Interest Groups Chapters 15
  16. 16. “Speaking Out For Nursing. Speaking Out For Health” RNAO powering its members to be leaders in the political process • Evidence-based policy advocacy • Develop relationships with MPPs 1 6 RNAO’s Signature Policy Events Queen’s Park Day February Queen’s Park on the Road Fall Take Your MPP To Work Nursing Week
  17. 17. Political Engagement 2018-2019 • Met with 110 MPPs and Politicians in 2018 * 21 MPPs participated in at least two of our signature events • Between Feb, 2018 and Feb. 2019 * Over 10,000 responses to 9 Action Alerts * 11 written submissions * 5 oral submissions * 5 letters 1 7
  18. 18. 1 36 Submissions 20 written submissions and 16 letters 5 ENO Meetings 23 Action Alerts, with 20,443 responses TYMPP 2017 42 MPPs 39 site visits QP Day 2017 51 MPPs 100 Members 90 MPPs and over 200 RNAO Members QPOR 2017 52 MPPs 70 members Powering Members with Policy Analysis & Political Advocacy April 2018
  19. 19. Social Enablers 19
  20. 20. 20 RNAO Best Practice Guideline Program Powering Health Professionals with Evidence-Based Tools
  21. 21. RNAO Best Practice Guidelines in 4 Categories 21 Population & Public Health ClinicalFoundational System & Healthy Work Environment www.RNAO.ca/bpg
  22. 22. System & Healthy Work Environment Best Practice Guidelines 22
  23. 23. Best Practice Guidelines for Leadership & Professionalism
  24. 24. Conceptual Model for Developing and Sustaining Leadership 24 Source: Registered Nurses’ Association of Ontario. (2013). Developing and Sustaining Nursing Leadership Best Practice Guideline (2nd ed.). Toronto, On: Registered Nurses’ Association of Ontario.
  25. 25. The five practices of transformational leaders 1. Building relationships and trust 2. Creating an empowering work environment 3. Creating a culture that supports knowledge development and integration 4. Leading and sustaining change 5. Balancing the complexities of the system, managing competing values and priorities 25 Source: Registered Nurses’ Association of Ontario. (2013). Developing and Sustaining Nursing Leadership Best Practice Guideline (2nd ed.). Toronto, On: Registered Nurses’ Association of Ontario.
  26. 26. • Organizational Supports influence whether leadership practices will succeed and produce and strong, visible nursing leadership. – valuing nurses’ critical role in providing patient/client care; – supplying sufficient and appropriate human and financial resources; – providing necessary information and decision support; – creating a culture and climate conducive to effective, efficient nursing care 26 Source: Registered Nurses’ Association of Ontario. (2013). Developing and Sustaining Nursing Leadership Best Practice Guideline (2nd ed.). Toronto, On: Registered Nurses’ Association of Ontario.
  27. 27. • Personal resources are the attributes and resources individuals bring to their leadership roles that influence their success – professional identity; – health and resilience; – leadership expertise, education and experience; – coaching and mentoring to support ongoing leadership development; – personal and professional supports. 27 Source: Registered Nurses’ Association of Ontario. (2013). Developing and Sustaining Nursing Leadership Best Practice Guideline (2nd ed.). Toronto, On: Registered Nurses’ Association of Ontario.
  28. 28. Professionalism in Nursing • Summary of attributes: – Knowledge – Spirit of inquiry – Accountability – Autonomy – Advocacy – Innovation and visionary – Collegiality and collaboration – Ethics and values 28 Source: Registered Nurses’ Association of Ontario. (2007). Professionalism in Nursing Best Practice Guideline. Toronto, On: Registered Nurses’ Association of Ontario.
  29. 29. RNAO: Powering knowledge transfer, uptake & sustainability – Individual Level • Champion Network® • ACPF • BPG Order Sets • RNAO Communities • Professional Development – Organizational Level • Best Practice Spotlight Organization® Designation – System Level • Implementation Projects
  30. 30. RNAO: Powering knowledge transfer, uptake & sustainability – Individual Level • Champion Network® • ACPF • BPG Order Sets • RNAO Communities • Professional Development – Organizational Level • Best Practice Spotlight Organization® Designation – System Level • Implementation Projects
  31. 31. RNAO: Powering Health Professionals 31 Fellows Mentor SponsorOrganization
  32. 32. Institutes/ Forums Webinars •5279 registrants Workshops Webinar Series LTC Communities of Practice • 144 LTC homes Champions • 1605 new champions Career Expo • Over 433 registrants • 170 resume consultations Career Consultations • 90 consultations • 8 workshops at schools of nursing POWERING NURSES WITH CAPACITY BUILDING April 2018 32 More than 8000 people engaged in Ontario alone!
  33. 33. RNAO: Powering knowledge transfer, uptake & sustainability – Individual Level • Champion Network® • ACPF • BPG Order Sets • RNAO Communities • Professional Development – Organizational Level • Best Practice Spotlight Organization® Designation – System Level • Implementation Projects
  34. 34. BPSOs: Implementation Science & Social Movement at its Best! Best Practice Spotlight Organizations® (BPSO) Purpose To influence the uptake of BPGs across all service organizations and academic institutions, to enable practice excellence and positive client outcomes through a social movement – transforming nursing through knowledge 34
  35. 35. Types of BPSOs Models of BPSOs BPSO Direct: Organization develops a contract directly with RNAO to work for a 3 year period to become a BPSO Designate, and as a Designate continues the relationship with RNAO Service BPSOs: focus on evidence based practice to impact client outcomes • Acute care, home care, public health, primary care • Tailored BPSOs for Long-Term Care Settings BPSO National Host: Organization develops a contract with RNAO to oversee the BPSO Designation in their national jurisdiction Academic BPSOs: focus on evidence based nursing education, to impact student learning, and client outcomes BPSO Regional Host: Organization develops a contract with RNAO to oversee the BPSO Designation in their regional jurisdiction Best Practice Spotlight Organization®
  36. 36. 36 Ontario BPSOs 76 BPSOs in Ontario representing over 400 health-care and academic organizations BPSO LTC-BPSO
  37. 37. 24 LTC-BPSOS REPRESENTING 38 LTC HOMES = Multi-site Nipigon District Memorial Hospital William A. George ECF Pioneer Ridge Geraldton District Hospital John Owen Evans Residence FJ Davey Home Grove Park Home Tilbury Manor Fiddick’s Nursing Home Woodingford Lodge, Woodstock, Ingersoll, Tillsonburg Faith Manor Grace Manor Meadow Park Henley Place John Noble Home St. Peter’s Residence Burton Manor
  38. 38. Global BPSO Network 7 BPSO Hosts WITH 138 BPSOs Direct REPRESENTING 700 health-care and academic organizations 38
  39. 39. Leading Public Policy to Improve Health for All
  40. 40. 4 1 Leading Public Policy to Improve Health for All D. Grinspun, RNAO, All Rights Reserved.
  41. 41. 42 Leading with Results
  42. 42. Leadership for All
  43. 43. 44 I came to believe that health services ought not to have a price tag on them, and that people should be able to get whatever health services they required irrespective of their individual capacity to pay.
  44. 44. For any questions or further discussion, please contact: Dr. Doris Grinspun CEO, RNAO dgrinspun@RNAO.ca CC: Josephine Mo, executive assistant jmo@RNAO.ca 45

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