Nursing 4440A/B Chapter Notes - Fall 2018 Chapter 11 - Canadian Nurses Association, Canadian Medical Association, Diminished responsibility
20 Sep 2018
School
Department
Course
Professor
1
Week 11
Leadership in Nursing Practice
Lewis, S. (2014). Some wicked thoughts on nursing leadership. Canadian Journal of
Nursing Leadership. 27 (4), pp. 65-70.
On the surface, one might expect that nursing would play a powerful role in the
course of our healthcare system
• It’s the largest profession numerically
• Its reach extends all sectors (public health to ICU)
There is a sense that the profession doesn’t exert the influence it should
• There could be a number of explanations for that:
o Historically, it has been overwhelmingly female in a male-dominated world
o Also, nursing took cues from 2 institutions that prized order, uniformity,
submission and respect (religious orders and the military)
Nursing has come a long way
• Triumphs of feminism and the transformation of healthcare into a public enterprise
have created a different outlook on the profession
• The change of politics in healthcare have mirrored politics on the global stage
That we have yet to achieve perfection should not deter us from celebrating progress
• It is no longer news when a woman – more often than not a nurse – becomes a chief
executive officer or a deputy minister
• Nursing organizations are sophisticated political actors
• Today’s nurses have many more avenues for pursuing their ambitions
within/beyond nursing
There is good reason for nursing to think long and hard about its roles and its future
• Nursing is rarely a leading role regarding health system reform
• There is underused intellectual and political capital in nursing
What does the public need from professions?
• We need professions to own the system’s problems and co-create its solutions
• Professions need to articulate their values
• Professions need to distinguish their self-interest from public interest
• Professions need to be self-critical (as the public, we tend to give providers a “free
pass” when we shouldn’t)
• Professions need to keep healthcare in context
• Professions need to be honest about benefits and risks of healthcare
Document Summary
On the surface, one might expect that nursing would play a powerful role in the course of our healthcare system. Its reach extends all sectors (public health to icu) That we have yet to achieve perfection should not deter us from celebrating progress. It is no longer news when a woman more often than not a nurse becomes a chief: today"s nurses have many more avenues for pursuing their ambitions. A nursing-specific example (2102 report of the national. Nurses association typically address topics of wider concern) agencies) Canadian healthcare is lacking because it is not well-integrated, it suffers from misalignment of policies and goals, and can ultimately be inefficient are to make a great leap forward: great leaders transcend their identities without abandoning them. If nursing only talks about issues of policy and system design that affect nursing directly, it will risk being pigeon-holed as an advocacy group rather than as the.
