NURSING LEADERSHIP ROLES & IT’S IMPACT OVER NURSING PRACTICE SOLOMON ISLANDS EXPERIENCES SOUTH...
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NURSING LEADERSHIP ROLES & IT’S IMPACT OVER NURSING PRACTICE SOLOMON ISLANDS EXPERIENCES SOUTH PACIFIC NURSES FORUM – 2012 Leonda by The Yarra, Melbourne,
NURSING LEADERSHIP ROLES & ITS IMPACT OVER NURSING PRACTICE
SOLOMON ISLANDS EXPERIENCES SOUTH PACIFIC NURSES FORUM 2012 Leonda
by The Yarra, Melbourne, Australia.
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Presentation Outline Introduction /Background Nursing Demand
/Nursing Numbers Nursing Leaders Roles Influence over Leadership
roles Why Nursing needs a strong leadership Significant Leadership
Issues Predisposing factors for leaders Strategies to support
leaders roles Expected Outcome/Conclusion
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Introduction Nursing in the Solomon Islands is faced with
deferent leadership challenges as a result of Constant Changes
Increase Demand Complex Health system Deferent HR issues and
demands Cultural influences Low economical status.
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A call for Nurse leaders .. Not only competent but Strong &
Influential Innovative and creative Immune and manage through
realities Strategize/Outcome focus Leader Man of all Trade &
Master of all. In order to influence changes and developments that
drives the nursing practices forward to improve the patient care
and health outcome.
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Initial response............. Call for Reform Could be an
answers to some of our leadership challenges . 2003 (9yrs ago) a
reform was done realignment of nursing positions, upgrading of
clinical leadership positions, This has create demand for senior
nurses to fill these positions. The Nursing Division has no option
but to fill all these position with senior nurses. Challenges :
Senior Nurses are given these leadership roles without being
trained, hence it has impact on how clinical nurse leaders taking
on the leadership roles from there on.
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Despite such training and capacity limitation, the caring
passion of the nursing profession, has very instrumental in
ensuring that nurse leaders are doing the right thing and leading
the team through,to reach this far................ The Principle of
caring for the sick, caring for your self and caring for the
profession......
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What are Nurses .. Most Important workforce Back- bone of the
Health Services Front-liners Almost of MHMS workforce Nurse are
present in all the Shifts/Health facilities (NRH/Remote RHC) The
image of the SI Health Sector
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NURSES ARE THE BACKBONE & FRONTLINERS OF THE SI HEALTH
SERVICES DELIVERY
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NURSING NUMBERS
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Where 50 % Nurses Live & Work Inland Coast Scattered
Islands Universal Access
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LEVELS OF NURSE LEADERS DONS DIRECTORS OF NURSING- 10 NM/NE
NURSE MANAGERS - NURSE EDUCATORS CNC CHNC CLINICAL NURSE CONSULTANT
COMMUNITY HEALTH NURSE CONSULTANT CN CLINICAL NURSES - SPECIALIST
RN SENIOR RN- HOSPITALS SENIOR RN- PHC. of the Leaders Clinical
leaders Team leaders
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Roles of Nursing Leaders Clinical Leaders Task Supervision
/Coordination Team leader Training/Coaching/Mentoring Initiating
care & treatment Clinical Duties Management/Administration
Executive representative HR Recruitment /Repositioning /annual
Leave Designing regulatory and performance policies Planning and
Budgeting Training & Development
Why Does Nursing required strong Leadership team. Health Sector
is complex and challenging Nursing is faced with constant changes
and new demands. Nurses are required to be prepare for new
situations Nursing is begin to faced with deferent Human resources
challenges
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Significant Leadership Issues Limited drive to perform better
Low performance and staff productivity Staff Under utilization Un
clear Communication process
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Findings underperformance are not manage effectively Nurse
Leaders do not necessarily deal with underperformance appropriately
Nurses do not feel satisfied with the level of recognition they are
provided or feel valued Nurse Managers do not necessarily draw the
best out of their nurses.
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Level of Workplace Engagement 20
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21 D OMAINS OF R ELATIONSHIPS AND INFLUENCE IN THE S OLOMON I
SLANDS Domain 1 Tribe or Wantok Domain 2 Church Domain 3 Public
Institutions Waiting for Time Communal Abundance Relationship
Tolerance Obligation to the Tribe Making Time Scarce or Finite
Resources Task Accountability Individual Freedom
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TRIANGULAR HYRACHY SYSTEM Strategic Level Management Division
Individual Operational Level Policy /Strategic Visions Program
People Focus must link with the vision/ Strategies Nurse
Leaders
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Underpinning issues MDGs count down Health Priority issues-
NHSP 2012/2015 Parliamentary Enquiries/Media release. Nursing
Priorities
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Predisposing Factors Resources issues Infrastructure/equipments
Unclear Organization policies/Directions Work under Pressure-
shortage of doctors, Nurses Lack/Low Capacity -Forces to uphold
leadership position Performance management / regulatory /Support
issues
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A Call for Reform Practice PHp Practice PHp
Management/leadership Education /Research Regulate Standards
Regulate Standards NURSES TIME
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Responses to leadership Issues. Establishment of the Nursing
Strategic Direction Priority Areas Nursing Leadership/Management
Nursing Education /Research Nursing Regulation/Standards Nursing
Practices/Public Health
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Nursing Strategic Directions, 2010 to 2014 Key Strategic Areas
1.Nursing Management/Leadership and Administration. 2.Nursing
Education, Development and Research 3. Nursing Regulation/Standards
4. Nursing Practice (including Public Health
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Nursing Management & Leadership Organization Reforms
Strengthening capacity through -Supervision -Regular Conferences
/Seminars -Upgrading leadership post National/Provincial -Training
locally/Abroad.
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Nursing Education, Development & Research Midwifery
School(WB/MOH/SICHE) Review of Nursing Curriculum- Certificate/Dip
(AUT) Introduction of Bachelor of Nursing(AUT) Introduction to
Nursing Research Symposium/Training (JCU) Align Nurses Training
with Doctors Specialist fields.Attachment /FT.
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External Exposer for leaders Locally IPAM Institution of Public
Administration & management Abroad JICA Nursing management ALA
Leadership PACE- Leadership
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2012 High Lights- International Nurses Day
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Nursing Regulation/Standards Review of Nursing Regulation
Features Competency Standard Registration/Licensing process
Training/course Accreditation
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Nursing Practices /Public Health Re-redevelopment of Nursing
Procedure books Re-introduction of NCP in Hospital Regular reviews
& support for Clinical leaders. Motivated to be Leading Role in
the Introduction and implementation of PH interventions/approaches
Mother/ Baby Friendly Hospital/Clinics- MAPISRH/FHC
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Conclusion Strive for better outcome. Continue Planning
Implementing Evaluating Deferent levels of improvement process
Organization expectation Vision/Goals Skilled HR Effective
Regulatory Policies/Standards
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Special Acknowledge WHO-Collaborating Centre UTS/JCU Under the
ALA Scholarship AUT- Zealand JICA International cooperation
urgencies UPNG FNU- FSM For others organization and individuals
Tagio Tumas for your help
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So, who are you called to Be? Be the change you wish to see in
this world. Mahatma Gandhi
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We come a long way & there still a long way to go a head of
us TAGIO TUMAS.