Finding the Balance in Finding the Balance in Nursing Education Nursing Education

ManagementManagement

Dr Sharon VasuthevanDr Sharon Vasuthevan

NEA ConferenceNEA Conference

NMMU – 15 November 2006NMMU – 15 November 2006

Change, Change and more Change, Change and more Change!!!!Change!!!!

LegislationLegislation Workplace practicesWorkplace practices Human resourcesHuman resources TechnologyTechnology FundingFunding

Definition of major changeDefinition of major change

PERSONAL shifts in values, PERSONAL shifts in values, aspirations and behavioursaspirations and behaviours

Usually accompanied by:Usually accompanied by:

ORGANISATIONAL shifts in ORGANISATIONAL shifts in processes, strategies, practices processes, strategies, practices

and systemsand systems

Change is disruptiveChange is disruptive

• Control becomes an issue• Fears are raised• Opportunities seen

Future way of working

The way people

work now

Current State

FutureState

And challengingAnd challenging

Threatens/Disrupts person’s:

• Competence

• Confidence

• Comfort

• Control

• Capacity

LegislationLegislation

South African Qualifications Authority South African Qualifications Authority ActAct

Skills Development ActSkills Development Act Employment Equity ActEmployment Equity Act Higher Education ActHigher Education Act General & Further Education & General & Further Education &

Training ActTraining Act Nursing ActNursing Act

StrategiesStrategies

Higher Education PlanHigher Education Plan Skills Development StrategySkills Development Strategy Human Resource Development Human Resource Development

StrategyStrategy Further Education & Training Further Education & Training

CertificateCertificate General Education & Training General Education & Training

Certificate Certificate

"The best of times and the worst "The best of times and the worst of times".of times".

Employers are being sold on training Employers are being sold on training due the skills shortage in the due the skills shortage in the country. country.

Virtual consensus amongst Virtual consensus amongst executives that learning must be a executives that learning must be a major factor in their ongoing major factor in their ongoing strategies for business successstrategies for business success

Focus on the solutionFocus on the solution

Quality of Solution

Quality of Implementation

Success

Times - Nursing Education Times - Nursing Education

Past Nursing Education

Current

Future

Highly regulatedPredictableStandardizedSingle ETQA

New legislationMultiple ETQAsDisorganizedUnpredictableChallenging

?

Balancing Act for ManagersBalancing Act for Managers

Staff

Learners

Programmes

Regulating Authorities

Employer needs

Legislation

Human resources demandsResearch

Financial control

Physical Resources

Clinical resources

FocusFocus

Focus on what you are doing in your Focus on what you are doing in your present job - Passion will shine present job - Passion will shine throughthrough

Your performance will lead you to Your performance will lead you to your next job - Don’t think about your next job - Don’t think about your next jobyour next job

People will want to take a chance on People will want to take a chance on you because of your performanceyou because of your performance

Leader versus ManagerLeader versus Manager

LeaderLeader Creates something Creates something

newnew Sees what others Sees what others

don’t seedon’t see See See

possibilities/take possibilities/take risksrisks

ManagerManager OrganizeOrganize ProcessProcess Work hardWork hard Mitigate risksMitigate risks

2121stst Century Leadership Changes Century Leadership Changes

Information is no longer power. Information is no longer power. No longer barriers of time, access No longer barriers of time, access

and wealthand wealth Technology can unlock human Technology can unlock human

potential – empower peoplepotential – empower people Once every process becomes digital, Once every process becomes digital,

virtual, mobile and personal – anyone virtual, mobile and personal – anyone can leadcan lead

Role of authority is differentRole of authority is different

LeadershipLeadership

1.1. Requires moving beyond subject matter Requires moving beyond subject matter expertsexperts

Leaders can access SMEs to figure it outLeaders can access SMEs to figure it out Most SMEs like to share their knowledge Most SMEs like to share their knowledge

and opinions – Ask for helpand opinions – Ask for help2. Requires understanding that common 2. Requires understanding that common

sense and logic are important – sense and logic are important – Never underestimate the power of the Never underestimate the power of the

right question, common sense and logicright question, common sense and logic

Leadership (cont)Leadership (cont)

3. The ability to provide a suitable alternative3. The ability to provide a suitable alternative Criticism, problem identification are easierCriticism, problem identification are easier Suggesting alternatives and solutions are difficultSuggesting alternatives and solutions are difficult4. Overcoming FEAR4. Overcoming FEAR Scary to lead – risk takingScary to lead – risk taking Many people have the potential to lead – few take Many people have the potential to lead – few take

it – most of them are afraid to take a risk or make it – most of them are afraid to take a risk or make a standa stand

Leadership happens in big ways and small ways - Leadership happens in big ways and small ways - in a family, community, city, country, field of workin a family, community, city, country, field of work

Leadership (cont)Leadership (cont)

5. Leadership requires TRUST5. Leadership requires TRUST People you are leading put their trust in youPeople you are leading put their trust in you Leadership cannot happen aloneLeadership cannot happen alone When you trust people, they can succeed you, When you trust people, they can succeed you,

betray you or assist you.betray you or assist you. Trust determines success or failureTrust determines success or failure6.Requires BALANCE6.Requires BALANCE Balance is the art of leadershipBalance is the art of leadership Not valued very much –swing between the Not valued very much –swing between the

extremesextremes Balance between profit and growth – businessBalance between profit and growth – business

Universal Balance PointsUniversal Balance Points

1.1. Optimism and realismOptimism and realism Leaders have to be optimisticLeaders have to be optimistic Ability to know that things will change for Ability to know that things will change for

the betterthe better Opposites – Pessimists(worse), Cynics(no Opposites – Pessimists(worse), Cynics(no

faith), Sceptics( fence sitters)faith), Sceptics( fence sitters) Reaism is understanding the barriers, Reaism is understanding the barriers,

SWOT, difficultiesSWOT, difficulties Unrealistic leaders will not succeed or Unrealistic leaders will not succeed or

achieve the goalachieve the goal

Universal Balance PointsUniversal Balance Points

2. Consistency & Flexibility2. Consistency & Flexibility Consistency is about Consistency is about

predicatability,people know what the predicatability,people know what the leader believes in and wants to achieveleader believes in and wants to achieve

Goals do not change frequentlyGoals do not change frequently Flexibility – things happen e.g. sailing, Flexibility – things happen e.g. sailing,

you do not sail in a straight line, we you do not sail in a straight line, we tack.tack.

Leaders can change the path or change Leaders can change the path or change the tacticsthe tactics

Universal Balance PointsUniversal Balance Points

3. Confidence & humility3. Confidence & humility Confidence that you can make a difference Confidence that you can make a difference

– take a risk– take a risk Humility – you cannot do it aloneHumility – you cannot do it alone Leaders don’t know everything. Know what Leaders don’t know everything. Know what

you know and what you don’t know.you know and what you don’t know. Best leaders are those who surround Best leaders are those who surround

themselves with people who are different themselves with people who are different to themselves – complicated – but there to themselves – complicated – but there will be a better outcome – different will be a better outcome – different thinking!thinking!

Leaders are PresentLeaders are Present

Effective leaders bring all of Effective leaders bring all of themselves to the jobthemselves to the job

Understand the big picture and the Understand the big picture and the detaildetail

Cannot have big picture but not Cannot have big picture but not understand the detailunderstand the detail

Execution without strategy is Execution without strategy is problematicproblematic

Strategy without execution is futileStrategy without execution is futile

Leadership requires an Internal Leadership requires an Internal CompassCompass

Never sell your soul. No one can pay Never sell your soul. No one can pay you back!you back!

There will be many things to throw you There will be many things to throw you off courseoff course

Leaders get lots of advice, but take Leaders get lots of advice, but take decisions alonedecisions alone

Know who you are and what you Know who you are and what you believe inbelieve in

Don’t make choices or trade offs that Don’t make choices or trade offs that don’t feel rightdon’t feel right

Leadership & AuthenticityLeadership & Authenticity

Leadership is not about style – all Leadership is not about style – all leadership styles work in different leadership styles work in different situationssituations

Cannot fake itCannot fake it Use your head, listen to your gut and Use your head, listen to your gut and

heartheart Ask the same of your followersAsk the same of your followers Be present in all of your job or tasksBe present in all of your job or tasks

Leadership is a ChoiceLeadership is a Choice

Leadership is not about power, titles, Leadership is not about power, titles, pay cheques etcpay cheques etc

It is a CHOICE that anyone can makeIt is a CHOICE that anyone can make It is about raising people’s sights, It is about raising people’s sights,

making them see what they could making them see what they could not see and helping the achieve not see and helping the achieve more than they thought possiblemore than they thought possible

Leadership is….Leadership is….

Focussing on possibilitiesFocussing on possibilities CapabilityCapability CollaborationCollaboration CharacterCharacter

Circle of InfluenceCircle of Influence

Future Nurses

If life is an auditorium, If life is an auditorium, where are you sitting?where are you sitting?

SeatingSeating

Front row – participatingFront row – participating Back row – detachedBack row – detached Middle row – sitting on the fenceMiddle row – sitting on the fence

Only the crazy will Only the crazy will survive……survive……

IQ + EQ + HUGG = MaDIQ + EQ + HUGG = MaD

Intelligence + Emotional Intelligence + Huge Unbelievably Great Goals= Making a difference

In this generation of nursing education managers……..

Nursing Education – from……Nursing Education – from……

What is inside the box?

Good or OK

Future Nursing Education

•Attitude•Confidence•Will power•Commitment•Perceptions of yourself•Expectations•Perseverance•Goals

Current Nursing Education

Great

Which room are you in?Which room are you in?

Complacency Regeneration

Denial Chaos

Basement (or death)

BIG 5BIG 5

Choose a positive attitudeChoose a positive attitude Understand the impactUnderstand the impact Set HUGGSSet HUGGS Develop resilienceDevelop resilience Take personal responsibilityTake personal responsibility

Get OrganizedGet Organized

Information is power!

Create a forum for networkingCreate a forum for networking

Share current informationShare current information Lobby on nursing education issuesLobby on nursing education issues Establish your own professional Establish your own professional

websitewebsite Make representations to top level Make representations to top level

personspersons Protect your interestProtect your interest Encourage participationEncourage participation

Be at the cutting edge!Be at the cutting edge!

Get involvedGet involved

Get involvedGet involved

Present papersPresent papers Write about your experiencesWrite about your experiences Set high standards for yourselfSet high standards for yourself Share success storiesShare success stories Engage in researchEngage in research

Nursing:The Backbone of Healthcare

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