Transcript AACN Key Initiative: Healthy Work Environment (HWE)

AACN Key Initiative:
Healthy Work Environment
(HWE)
Pam Madrid, Chapter Adviser Region 13
Marcia Kummer, Chapter Adviser Region 16
April 2010
Reviewed 9/2012
Objectives
• Review elements included in Healthy
Work Environment standards.
• Discuss HWE best practices and gaps
within your chapters.
• Increase comfort with HWE standards
to enable you to make changes in
chapter and workplace environments.
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AACN Healthy Work
Environment (HWE)
• 2001: AACN commits to the ideal of Healthy
Work Environment.
• 2005: Standards are complete and
published.
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AACN Healthy Work
Environment Standards
• Skilled communication
• True collaboration
• Effective decision-making
• Appropriate staffing
• Meaningful recognition
• Authentic leadership
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Skilled Communication
• Standard: Nurses must be as proficient in
communication skills as they are in clinical
skills.
• Transfer of information from one to
another
• More than one-way delivery of information
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Skilled Communication
• Use first party communication–avoid
triangulating.
 Talk directly with the person with whom you have an
issue rather than discuss it with anyone else.
 If someone attempts to get you involved in a
triangular discussion, recommend first-party
communication to them.
• Communication is verbal and non-verbal.
 Verbal: e mail, voice mail, videoconference, phone,
face-to-face
 Non-verbal: body language, facial expressions, silence
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Skilled Communication
• Communication is:
 55% body language
 38% tone of voice
 7% content
• When these elements of communication
do not align, body language and tone will
be believed over content .
• Consider how technology affects these
elements of communication.
Skilled Communication
in Chapters
• Consensus on how to communicate
 Use of technology
 Within Board
 With general membership
• Parliamentary procedure vs. informal
 How to assure all voices are heard
• Written policies, strategic plan and
budget
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Skilled Communication
in Chapters
• What are some examples of best practices
in skilled communication within your
chapters?
• What are some gaps in skilled
communication within your chapters?
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True Collaboration
• Standard: Nurses must be relentless in
pursuing and fostering true collaboration.
• It is a process, not an event.
• Requires: skilled communication, trust,
knowledge, shared responsibility, mutual
respect, optimism and coordination.
• Everyone must embrace and invest in
collaboration to ensure sustained culture.
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True Collaboration in Chapters
• Assignments, reports and projects are
completed on time.
• All views are presented during the
meeting (not after).
• Members contribute to the common goal.
• Disputes are resolved as they occur.
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True Collaboration in Chapters
• What are some examples of best practices
in true collaboration within your chapters?
• What are some of the gaps in true
collaboration within your chapter?
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Effective Decision-Making
• Standard: Nurses must be valued and
committed partners in making policy,
directing and evaluating clinical care and
leading organizational operations.
• Articulates values;
uses them in decision-making.
• Ensures respect for all individuals;
incorporates key perspectives.
• Designs clear accountabilities.
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Effective Decision-Making
Decision-making using Six Thinking Hats
• Each "Thinking Hat" is a different style of thinking.
• Looks at the decision “wearing” each of the
thinking hats.
• Defuses disagreements that happen when people
with different thinking styles discuss the same
problem.
• Actively pursues other decision options.
http://www.mindtools.com/pages/article/newTED_07.htm
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Effective Decision-Making
Six Hats: Perspectives
White Hat:
• Focus on available data; analyze past trends.
• Look for gaps in knowledge.
Red Hat:
• Use intuition, gut reaction and emotion.
• Think of how others will view the decision.
Yellow Hat:
• Embrace optimistic view point.
• Look for benefits and value.
• Identify opportunities that arise from decision.
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http://www.mindtools.com/pages/article/newTED_07.htm
Six Hats: Perspective
Black Hat:
 Look for why ideas/approaches won’t work.
 Use pessimism, caution and defensiveness.
 Highlights weak points of the decision which
allows for development of more resilient plan.
Green Hat:
 Think of creative solutions.
 Freewheeling of thinking without critical
analysis.
Blue Hat (process control):
 Worn by facilitator of a meeting.
 Directs which colored hat to “think from.”
Effective Decision-Making
in Chapters
• Determine how you will make decisions.
 Consensus – takes time, but is best
 Majority
 Authoritarian
• Decisions should promote the mission
and vision of the chapter.
• Use strategic plan, budget and policies as
a reference.
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Effective Decision-Making
in Chapters
• What are some examples of best practices
in effective decision-making within your
chapters?
• What are some of the gaps in effective
decision-making within your chapters?
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Appropriate Staffing
• Standard: Staffing must ensure the effective
match between patient needs and nurse
competencies.
• Complex process
• Ongoing evaluation of staffing decisions
• Might require innovative thinking
to ensure competence matches need
• Use of support services
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Appropriate Staffing in
Chapters
• Succession planning.
• Assure good matches (ability with duties).
• Committees should support chapter
mission.
• Mentor a replacement; limit terms.
• Offer smaller or short-term projects.
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Appropriate Staffing
• What are some examples of best practices
for appropriate staffing within your chapters?
• What are some of the gaps in appropriate
staffing within your chapters?
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Meaningful Recognition
• Standard: Nurses must be recognized
and must recognize others for the value
each brings to the work of the
organization.
• Fundamental human need.
• Everyone needs to play an active role.
• System in place ensures ongoing
recognition.
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Meaningful Recognition
in Chapters
• Board or committee members
 NTI or educational scholarships
 Free membership – national and local
• Newly certified members
 National office cannot notify chapters due to
privacy regulations
 Individual chapters need to find a method
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Meaningful Recognition
in Chapters
• What are some examples of best practices in
meaningful recognition within your chapters?
• What are some of the gaps in meaningful
recognition within your chapters?
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Authentic Leadership
• Standard: Nurse leaders must fully
embrace the imperative of a healthy
work environment, authentically live it
and engage others in its achievement.
• Model and support skilled
communication, true collaboration,
effective decision-making and
meaningful recognition.
• Mentoring.
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Authentic Leadership
in Chapters
• Translate the vision of a healthy work
environment to meetings.
• Excel at generating enthusiasm of members.
• Engage others in the vision and goals of the
chapter.
• Provide a good transition for new Board
members.
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Authentic Leadership
• What are some examples of best practices in
authentic leadership within your chapters?
• What are some of the gaps in authentic
leadership within your chapters?
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Resources - www.aacn.org
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Resources - HWE
Akfj
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Resources – bottom of page
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Resources
Akfj
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Resources
• Website
 www.aacn.org
• HWE Assessment Tool
 http//www.hweteamtool.org/main/index
• Video - 11 minutes
 Access on HWE page
• Your Chapter Adviser
• AACN Chapter Specialist
Reviewed 9/2012