Enabling Leadership and Professionalism Within Nursing

1. 2019 Perspectives Symposium
January 31, 2019
#TSINPerspectives2019

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

3. 3

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. 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. 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. 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. 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. 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. Leading the Future Together:
Learning from the Past, Acting on the Present
and Creating the Future
10

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. Values
Leading the Future
Powering Health Professionals
12

13. Powering Health Professionals with Policy
Analysis and Political Advocacy
13

14. 14
Powering Evidence to Move Policy

15. Powering Health Professionals
Through Evidence-Based Advocacy
ENOs
Assembly
Members
Interest Groups
Chapters
15

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. 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. 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. Social Enablers
19

20. 20
RNAO Best Practice Guideline Program
Powering Health Professionals with
Evidence-Based Tools

21. RNAO Best Practice Guidelines in 4 Categories
21
Population &
Public Health
ClinicalFoundational
System &
Healthy Work
Environment
www.RNAO.ca/bpg

22. System & Healthy Work Environment
Best Practice Guidelines
22

23. Best Practice Guidelines for
Leadership & Professionalism

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. 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. • 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. • 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. 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. 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. 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. RNAO: Powering Health Professionals
31
Fellows
Mentor
SponsorOrganization

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. 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. 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. 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
Ontario BPSOs
76 BPSOs in Ontario representing over
400 health-care and academic organizations
BPSO
LTC-BPSO

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. Global BPSO Network
7
BPSO Hosts
WITH
138
BPSOs Direct
REPRESENTING
700
health-care
and academic
organizations 38

40. Leading Public Policy to
Improve Health for All

41. 4
1
Leading Public Policy to
Improve Health for All
D. Grinspun, RNAO, All Rights Reserved.

42. 42
Leading with Results

43. Leadership for All

44. 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.

45. 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