Objectives
   Discuss the factors that contribute to the need for a nursing leadership evidence 
    based project
   Explore the impact of nurse manager leadership practices on organizational 
    outcomes
   Describe search strategies and evaluation of the literature
   Illustrate the evidence regarding TL, exemplary leadership practice, RN satisfaction 
    and retention 
   Summarize the evidence and recommendations for translation of practice 
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     “It is impossible in a book to teach a person 
     in charge of the sick how to manage, as it 
     is to teach her how to nurse.”
                            Florence Nightingale, 1860
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      John Hopkins Model –Project Management 
  Practice Question (Steps 1-5) Evidence (Steps 6-10)
     • Recruit team                       • Conduct internal and external 
     • Develop and refine the              search for evidence*
       question*                          • Appraise the level and quality 
     • Define the scope of the EBP         of each piece of evidence*
       question and identify              • Summarize the evidence*
       stakeholders*                      • Synthesize overall strength 
     • Determine responsibility for        and quality of evidence*
       project leadership*                • Develop recommendations 
                                           based upon strength of 
     • Schedule team meetings              evidence*
                                                             (Dearholt & Dang, 2012)
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      Why focus on nursing 
      leadership?
    The transformational leader must lead people to where they 
      need to be in order to meet the demands of the future (ANCC, 
      2013)
     
    Nurse Managers (NM) have a direct impact on both clinical 
      and organizational outcomes (Zori, Nosek,& Musil, 2010)
    Leadership ability, lack of support, guidance and 
      engagement issues with the NM impact RN satisfaction. 
      (Fenimore & Wolf, 2011)                                                       5
      Responding to the call for action
 Institute of Medicine-Future of Nursing Report (IOM, 
   2010)
     Imperative to prepare nurses for leadership
     Future of nursing depends upon educating and supporting 
      all levels of nurse leaders 
     Recommendation for nurse residency program
         Could include a nurse leader residency?
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