A Model for Change to Evidence-Based Practice
Mary Ann Rosswurm, June H. Larrabee
A Model for Change to Evidence-Based Practice
Based on your strengths and weaknesses identified in the leadership profile, how will you work with your DNP Project team, using your own strengths and weaknesses, to more effectively lead your team? How will you choose team members, knowing your own strengths and weaknesses?
Strengths Based Leadership: Great Leaders, Teams, and Why People Follow (Rath & Conchie, 2009) is a book about identifying one’s own leadership strengths and weaknesses and being able to delegate tasks to others who encompass strengths in areas of self-identified weakness. After reading the book, I completed the CliftonStrength Assessment tool that categorizes leadership strengths into 34 themes that are organized in 4 domains: Executing, Influencing, Relationship Building, and Strategic Thinking.
The Relationship Building domain is one of the four domains of leadership strength that integrates abilities to create teams and hold teams together. I was intrigued but not surprised to find that three of my top CliftonStrength themes, Harmony, Adaptability and Empathy, were grounded in the Relationship Building domain. Harmony was my strongest theme. People strong in the Harmony theme strive to find areas of agreement and consensus, thus, reducing friction and conflict. I always thought an aversion to conflict as a weakness but from the perspective of the Harmony theme, it is an opportunity to seek common ground, hear each person’s point of view, develop conflict resolution skills and find solutions through consensus. As a DNP, this strength will serve me well as I am now and will become more involved in groups and teams within institutions, professional organizations and local government.
So what are the Adaptability and Empathy themes?
- Those who lead with the Adaptability are able to “go with the flow” reduce team stress by creating a freedom from team anxiety and reducing team members frustrations.
- Leaders with a strong Empathy theme are sensitive to the feelings of team members and recognize and celebrate their achievements.
My remaining strengths fell under the Executing domain and include the Consistency and Restorative themes. Leaders with strength in the Executing domain will work tirelessly to implement the project, make it a reality and get the job done. Being project oriented will help me as a leader to follow through with meeting deadlines and time-frames set forth by the team while being considerate of my team members.
So what are the Consistency and Restorative themes?
- Leaders strong in the Consistency theme strive to treat everyone on “equal footing” by setting up clear rules and having a strong appreciation for fairness and equity.
- Restorative leaders are adept at dealing with problems and reinstating order to get the job done.
I recognize that there are 2 additional domains that were not a addressed in my profile, Influencing and Strategic Thinking which can be considered my weaknesses. While my strengths may lie at holding the team together and focusing on getting the job done, I would need Influencers and Strategic Thinkers on my DNP project team to address my weak areas and build a strong team. An Influencer is needed to sell the team’s ideas, while obtaining buy-in from stakeholders and a Strategic Thinker, to analyze information and stretch the teams thinking forward into the future for sustainability of the project.
Rath, T. & Conchie, B. (2009). Strengths based leadership: Great leaders, teams, and why people follow. New York: Gallup Press.
In the US, 6 in 10 adults have a chronic disease and 4 in 10 have two or more. Hypertension is one chronic disease that affects ~75 million adults, 1 in 3. The under-management of hypertension poses significant quality and safety concerns. It is known that traditional healthcare delivery methods, primarily through family physicians inadequately address the challenges of hypertension management. There is lack of access to healthcare services in underserved urban areas which results in higher rates of negative outcomes.
In Chesterfield County, VA, where I live, there are no free clinics, therefore, no access for the uninsured hypertensive patient to receive ongoing care. It is my thought that implementing policies that support APRN-led community-based clinics for long-term management of hypertension in urban areas can potentially reduce health disparities, disease risk factors and costs. Which I believe will improve the quality and safety of patients in underserved communities.
DNP Essentials II, V, VII
Allen, J. K., Dennison Himmelfarb, C. R., Szanton, S. L., & Frick, K. D. (2014). Cost-effectiveness of Nurse Practitioner/Community Health Worker Care to Reduce Cardiovascular Health Disparities. Journal of Cardiovascular Nursing, 29(4), 308–314. https://doi-org.proxy.library.vcu.edu/10.1097/JCN.0b013e3182945243
Shennen Smith, E. (2018). Implementation of a Community-Based Outreach Hypertension Program in an Urban Beauty Salon. Implementation Of A Community-Based Outreach Hypertension Program In An Urban Beauty Salon, 1. Retrieved from http://proxy.library.vcu.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&AuthType=ip,url,cookie,uid&db=ccm&AN=131799050&site=ehost-live&scope=site
This Saturday, Feb. 2nd, I attended the 7th annual Emswiller Interprofessional Symposium. There were a number of excellent presentations. The theme this year was “Collaborating for the Community: The Role of Interprofessional Practice in Addressing Current Healthcare Issues”.
The Keynote speaker offered a dynamic presentation on the topic of healthcare inequity. He is the Director of Health Equity Research and Policy at the Association of American Medical Colleges. It’s interesting that he is a PhD. in public health and not an MD. He describes health inequities in phases. The detecting phase, is well studied and known. We know that there are health inequities for a multitude of reasons. The solution phase, which is how we do something about the inequities, he describes as a “very new science”. It will take explicit policies and interprofessional practice changes to address the healthcare policies in the US. It was a very enlightening presentation, I knew it would be a good day.
There were multiple breakout session throughout the day and posters to view on a wide range of topics from the community setting to the operating room. Of course I was torn between two breakouts sessions several times. I wanted to go to both.
All in all an excellent conference.
Wish you were here! I miss our study sessions, dinners and holiday time spent together. For 3 years we were inseparable (evenings, weekends, holidays) we even vacationed together with my family. I am grateful to have spent this time with you. You were truly inspiring and motivating to me. I will never forget you.
At the Emswiller Interperfessional Symposium yesterday, February 2, 2019, that I’m sure we would have attended together, others missed you as well, as there was a touching memoriam and moment of silence dedicated to you.
Rest in peace my friend, my brother!
I am thrilled to begin my journey in the DNP program. I just completed my second Masters Degree in May of this year (2018) and chose to continue my commitment to life long learning here at VCU. This is my blog, I look forward to hearing from you.