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16.9: Summary

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    Given the multiple challenges and uncertainty now and into the future, it is imperative for nurse managers and leaders to continue to enhance their leadership effectiveness. Carroll (2006) describes several effective ways to become a nurse leader, regardless of your current training or position. Among these, the following relate directly to nursing management and the journey toward career success:

    • Make a commitment to lifelong learning through a self-development plan.
    • Find your passion and begin to build and develop your strengths in this area.
    • Get involved in the nursing community and keep abreast of changing issues affecting nursing.
    • Understand your personal leadership style and how it impacts your work.

    After completing this chapter, you should now be able to:

    1. Recognize rapidly changing approaches to nursing management and leadership within unit-level environments in Saskatchewan, in Canada, and around the world.
    2. Assess changing care priorities and turbulent issues within our current health system, and approaches to managing them.
    3. Identify the importance of business acumen skills and concepts as expectations for administrative roles.
    4. Recognize the importance of, and approaches for, client- and family-centred care and shared decision making as critical concepts for collaborative and effective care management.
    5. Propose the importance of the manager or leader’s personal journey planning for fruitful and fulfilling career development and professional growth.
    6. Recognize transition shock.
    7. Describe the five foundational elements of professional role transition for new nurses.

    Figure 16.7.4 Letter from Katherine McKenzie Ross to All New Nursing Graduates

    “From the Superintendent of Nurses: To the Graduating Class, 1929,” article published in the 1929 edition of The Torch. Photo courtesy of the Saskatchewan Health Authority(formerly Regina Qu’Appelle Health Region) is licensed under a Creative Commons Attribution 4.0 International License.


    1. Select a manager you know from one of your clinical sites. Interview this manager to gain insights into the nursing management. Consider asking the following questions: Why did you become a manager? How would you describe your management style? What turbulent changes have you seen in the health system in the past two to five years? How have you adapted to this changing management landscape?
    2. What are the key findings of the “Optimizing and Integrating Patient-Centred Care” 2016 report? How do you think these findings will impact managers and leaders in Saskatchewan?
    3. What are three key considerations for nurse managers when assisting with the implementation of an electronic health records system in a nursing unit?
    4. Review the current age of the patient population in a clinical setting you are or have been in. What are the key health challenges that each age group faces and how are they reflected in your chosen setting? What are you going to do to maximize this engagement in care for this patient group?
    5. Assess the current activities underway in each of your clinical settings to promote PFCC.
    6. Consider the rapidly changing and emerging uses of wireless devices and the internet in everyday patient care. Do you think that wireless applications in health care settings improve the efficiency of care delivery systems? Why or why not? How could we measure return-on-investment for these wireless delivery systems over the long term?
    7. Reflect on your own career path in nursing. What content in this chapter will be useful to you regardless of the type of leader you become in nursing (e.g., bedside, unit leader, manager, director)?
    8. Looking back to the Global Leadership Series video by Dr. Shamian, how will you find a “spot at the table”? What is your ten-year plan?


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    Bradberry, T. & Greaves, J. (2009). Emotional Intelligence 2.0. San Diego, CA: TalentSmart.

    Canadian Nurses Association [CNA]. (2016). Nurse practitioners. Retrieved from

    Canadian Nurses Association [CNA]. (2012). Primary health care [Position statement].Retrieved from

    Canadian Nurses Association and Canadian Medical Association. (2011). Principles to guide health care transformation in Canada. Retrieved from

    Carroll, P. (2006). Nursing leadership and management: A practical guide. Clifton Park, NJ: Thomson Delmar Learning.

    Duchscher, J. E. B. (2012). From Surviving to Thriving: Navigating the First Year of Professional Nursing Practice (2nd ed.). Calgary, AB: Nursing the Future.

    Duchscher, J. E. B. (2009). Transition shock: The initial stage of role adaptation for newly-graduated Registered Nurses. Journal of Advanced Nursing, 65(5), 1103–­13.

    Duchscher, J. E. B. (2008). A process of becoming: The stages of new nursing graduate professional role transition. Journal of Continuing Nursing Education, 39(10), 441–­450.

    Echevarria, I. M., Patterson, B. J., & Krouse, A. (2016). Predictors of transformational leadership of nurse managers. Journal of Nursing Management, 25(3), 167–175. doi:10.1111/jonm.12452

    Gottleib, L., Gottleib, B., & Shamian, J. (2012). Principles of strengths-based nursing leadership for strengths-based nursing care: A new paradigm for nursing and healthcare for the 21st century. Nursing Leadership, 25(2), 38–50. doi:10.12927/cjnl.2012.22960

    Health Quality Council, Saskatchewan. (2010). Shared decision making: Helping the system and patients make quality health care decision. Retrieved from

    Institute for Patient- and Family-Centered Care [IPFCC]. (2017). Advancing the practice of patient and familycentered care in hospitals. Retrieved from

    Kotter, J. P. (1995). Leading change: Why transformational efforts fail. Harvard Business Review. Retrieved from

    Laschinger, H. K., & Fida, R. (2014). New nurses’ burnout and workplace wellbeing: The influence of authentic leadership and psychological capital. Burnout Research, 1(1), 19–28. doi:10.1016/j.burn.2014.03.002

    Mate, K., & Rakover, J. (2016). Four steps to sustaining improvement in health care. Harvard Business Review. Retrieved from

    Pangman, V. C., & Pangman, C. H. (2010). Nursing leadership from a Canadian perspective. Philadelphia, PA: Lippincott Williams & Wilkins.

    Pringle, D. (2007). From the editor-in-chief. Nurse practitioner role: Nursing needs it. Nursing Leadership (1910-622X), 20(2), 1–5. Retrieved from

    Public Health Agency of Canada [PHAC]. (2016). Health status of Canadians, 2016. Retrieved from

    Rath, T., & Conchie, B. (2008). Strengths-based leadership. New York: Gallup Press.

    Saskatchewan Advisory Panel on Health System Restructure. (2016). Optimizing and integrating patient care. Retrieved from

    Saskatchewan Health. (2012). Patient centred, community designed, team delivered: A framework for achieving a high performing primary health care system in Saskatchewan. Retrieved from

    Saskatchewan Health. (2009). Forpatients’ sake:Patient First Review Commissioner’s Report to the Saskatchewan Minister of Health. Retrieved from

    Sherman, R. (2006). Leading a multigenerational nursing workforce: Issues, challenges and strategies. Online Journal of Issues in Nursing, 11(2), manuscript 2. doi:10.3912/OJIN.Vol11No02Man02

    Sherman, R., & Pross, E. (2010). Growing future nurse leaders to build and sustain healthy work environments at the unit level. Online Journal of Issues in Nursing, 15(1), manuscript 1. doi: 10.3912/OJIN.Vol15No01Man01

    Spinks, N., & Moore, C. (2007). The changing workforce, workplace and nature of work: Implications for health human resource management. Nursing Leadership, 20(3), 26–41. doi:10.12927/cjnl.2007.19286

    Stahlke, S., Rawson, K., & Pituskin, E. (2017). Patient perspectives on nurse practitioner care in oncology in Canada. Journal of Nursing Scholarship, 49(5), 487–495. doi:10.1111/jnu.12313

    Thrasher, C., & Purc-Stephenson, R. (2008). Patient satisfaction with nurse practitioner care in emergency departments in Canada. Journal of the American Academy of Nurse Practitioners, 20(5), 231–237. doi: 10.1111/j.1745-7599.2008.00312.x

    Wheatley, M. “35 Magnificent Margaret J. Wheatley Quotes,” (blog) Retrieved from

    16.9: Summary is shared under a not declared license and was authored, remixed, and/or curated by Brendalynn Ens, Susan Bazylewski, Judy Boychuk Duchscher, & Judy Boychuk Duchscher.