Leadership for Resilience
CREATING SUSTAINABLE RESULTS IN HEALTHCARE
NURSING RETENTION IN COLORADO
The purpose of this program is to address challenge of keeping trained nurses in the workforce. The nursing shortage in Colorado is severe. Our state is projected to have 17% fewer nurses than needed by 2020 (Projected Supply, Demand and Shortages of Registered Nurses: 2000-2020, DHHS, HRSA, Bureau of Health Professions, July 2002). The increase in demand for nurses in Colorado in the decade from 2002 to 2012 is projected to be the 5th highest in the country. The Regional Institute for Health and Environmental Leadership (RIHEL) will conduct a year-long leadership development fellowship for health care provider teams to address this challenge.
THE TEAM APPROACH
Five interdisciplinary teams of about five persons per team (all five from the same organization/ community, each team including at least one nurse) will be recruited. The interdisciplinary team from one organization would likely comprise a physician, a nurse, another patient care professional who is not a physician or a nurse (such as a psychologist or a social worker), a non-clinician (such as a human resources professional or administrator), and a fifth teammate of their choosing from their workplace or community, who may be another nurse. To successfully handle the difficult challenge of nurse retention may require the group approach. The propensity to take risks is increased in the presence of collective action, and small groups act less conservatively than individuals. The innovations required to address intractable problems require the leaders involved to take risks. Health care system reform, including strategies for nurse retention, will also involve taking some risks or trying out some new approaches. The solitary nurse working in a health care hierarchy to affect system change simply has the decks stacked against her. Conversely, when a group of interested, diverse professionals comes together by choice to affect a change that is important to them all, it is more likely that there will be an impact.
There are three major elements of the fellowship: (1) Leadership Didactics: The ~25 fellows will come together at retreat-like settings four times for three days each during the course of the fellowship year. During these four “on-site events”, RIHEL facilitators will conduct a total of about 60 contact hours of leadership training. (2) The Team Project: All teams will be required to conduct a leadership project, and they must accomplish it as a team (although they are encouraged to involve additional people in their project). The goal of the project must be related to the retention of nurses (probably at their own worksite or in their community). The teams will operationally define “nursing retention”, and there will be a reward for the successful accomplishment of the project goal. The team will be awarded implementation funds of $10,000 upon the approval of their project plan by a Panel of Advisors. (3) Coaching: An experienced executive team coach will coach each team twice per month. Coaching will be focused on the development and implementation of the Team Project. The team dynamics will also be addressed, as well as insights that the individual teammates achieve about leadership, about themselves, and about the nursing shortage.
An agency, organization, department or group that participates in this program will need to provide:
- Time away from work for up to five employees in different positions for 12 days during the year
- Reliable internet access to post information and updates to the RIHEL website
- Senior level engagement in the project goal of the team and conceptual support for the project
- Participation in the evaluation of the impact of the program and the team members’ project. Teammates who participate in the fellowship will need to commit:
- Twelve working days of active participation in educational workshops
- Time to read three books and complete short assignments related to the training workshops
- Time to implement a team project
- At least two hours of team coaching per month
- Participation in the evaluation of the impact of the program and the team members’ project.
RIHEL will provide:
- Leadership training: faculty, coaches and nearly all materials
- All lodging and nearly all meals during the four 3-day retreats
- Two of the three required books
- Executive coaching
- $10,000 project implementation funds, upon the approval of the team project
No tuition will be charged for this program.
SUPPORT FOR THIS PROGRAM<
This Leadership for Resilience program is funded by the Robert Wood Johnson/Northwest Health Foundation Partners Investing in Nursing’s Future (PIN) initiative to address the nursing shortage. The Colorado Health Foundation (CHF) matched the support provided by the PIN program in an innovative way with a Colorado-specific approach to the nursing retention issue (i.e., through this leadership development fellowship.) RIHEL is grateful to the PIN program and to the CHF for their generous support, for their wisdom and courage in taking on this challenge, and for supporting an innovative approach to meeting it.
Dates for the Leadership for Resilience program:
- December 15, 2008 – Orientation in Denver, CO
- February 23-24-25, 2009 – Garden of the Gods, Colorado Springs, CO
- May 11-12-13, 2009 – Nature Place, Florrisant, CO
- August 10-11-12, 2009 – The Stanley Hotel, Estes Park, CO
- November 18-19-20, 2009 – Devil’s Thumb Ranch, Tabernash, CO