Friday, 22 February 2019: 1:05 PM
The purpose of this evidence-based project was to implement and test the effectiveness of a new approach to leadership development and follower development to enhance professional well-being. The Leadership Development Model emerged in response to multiple challenging issues facing the healthcare environment of Women’s Services in a large tertiary care facility in the southeast. The practice problem for this evidence-based project centered on reported episodes of incivility and disruptive behavior (IDB), lateral violence (LV), and workplace bullying (WPB) among the nursing staff in Women’s Services leading to poor interpersonal relationships, high RN vacancy rates, poor Trust index scores, poor communication and poor patient satisfaction scores. A comprehensive assessment was completed utilizing the American Association of Critical Care Nurses Healthy Work Environment Assessment Tool and Dumont, Riggleman, Meisner, and Lein’s (2011) Lateral Violence Assessment Tool. Once the results were in hand, a comprehensive literature search was conducted utilizing CINAHAL, PubMED, Google Scholar, PschyINFO, and Medline. What emerged were multifactorial problems contributing to the issues facing this service line; therefore, a creative multidimensional approach was necessary to implement the planned change. The leadership development model is a confluence of several theories (Homeostasis = Healthy Work environment, Power Theory, Chaos Theory, Parse’s Human Becoming Theory, Self-Efficacy, Mindful Presence and Maslow’s Hierarchy) into a unified approach for charge nurse leadership development and staff development to create a space of shared meaning co-creating a space for transcendence, living in the moments of understanding the inherent worth of each nurses 'humanness' creating salient moments of revealing, concealing, beholding and sharing in the experiences of caring for self and others. The goals was to see and understand if this would have any effect on their perception of a healthy work environment. The team is working on valuing the human dignity and respect of all health care workers and the value they bring to the work environment and have committed through brainstorming and collaboration developed a unique 'pledge to my coworker'.