Leadership in Faculty and Nursing Home Facility Practice: GNP-Led Intervention

Saturday, 29 October 2011

Ginger Rogers, DNP, ARNP, GNP-BC
13927 Monroe St, University of Nebraska College of Nursing, Omaha, NE

Learning Objective 1: The learner will be able to identify the targeted intervention

Learning Objective 2: The learner will be able to define geriatric assessment

As a geriatric nurse practitioner (GNP) based in a college of nursing faculty practice, my  Geriatric Nursing Leadership Academy experience challenged current nursing home processes  and inspired shared vision of optimal behavioral care through personal leadership development, an interprofessional team project, and impacting both academic and clinical organizations.  Development of a collaborative, interdisciplinary team in this setting can be challenging if the purpose of the team is not clearly defined and the leadership is not consistent.  These are areas where my personal leadership journey has provided ample opportunity for refinement and practice.

To improve behavioral care by optimizing interventions, a team led by a GNP and a pharmacist was formed with broad representation of nursing managers and staff, social work, physical and occupational therapy, as well as the resident and primary medical provider. Based on comprehensive assessment by the GNP and psychiatric nurse practitioner, the pharmacist and GNP make recommendations to the team. Outcome measurements to be evaluated include:  reduction of psychotropic medication use and the increase of non-pharmacological interventions for behavior regulation measured at baseline, 4 and 8 weeks.

 

Good leaders align values and principles with actions, while great leaders do this guided by a moral compass. My role as the GNP is to model these leadership behaviors to nursing home staff, academic faculty and students. As we moved through this process of team building and interventions, staff and administrators have seen the benefit of a GNP, enabling some to act upon pursuing advanced degrees in nursing.  Our nursing home partner and their corporate ownership are now making arrangements to install a GNP in their home as an in-house provider.  This model of practice is also being used for classroom and clinical site teaching for a variety of healthcare providers and a model of entrepreneurship for our GNPs.