Learn to Manage Yourself.

It's the first step in learning to manage others.

The Art of Giving Feedback.

For many leaders, giving positive feedback comes easily, but giving negative feedback can be more challenging. This article provides best-practice strategies for giving effective feedback-through building trust, promoting a growth mindset, and developing the courage to tackle difficult performance conversations.

The Experience of Being a Millennial Nurse Manager.

OBJECTIVE: The aim of this study was to explore the experience of being a Millennial nurse manager with a goal to better understand the influence of organizational factors on role expectations, satisfaction, support, development, and intent to stay. BACKGROUND: Research on Millennial nurse leaders is scarce. Understanding the perception of these young managers is needed to create succession and retention planning that meets the needs of this generation of leaders. METHOD: A national sample of 25 Millennial nurse managers participated in a qualitative interpretative phenomenological study. Audio-recorded telephone interviews were conducted and analyzed. RESULTS: Millennial leaders have a unique perspective on role expectations and support variables. Seven themes of experience emerged: coming into the role, learning as I go, having the support of my director, making an impact, helping staff succeed, and managing change. CONCLUSIONS: Opportunities to develop and retain Millennial leaders are shaped by understanding the support variables that are important to them.

Sucessão de lideranças: uma reflexão necessária para o futuro da enfermagem / Leadership succession: a necessary reflection for the future of nursing

Artigo teórico cujo objetivo foi apresentar uma reflexão sobre planejamento de sucessão de lideranças em enfermagem, destacando bases conceituais e desafios para a formação de novas lideranças no contexto acadêmico e nas instituições de saúde. Para tal, foram organizados dois eixos de discussão "A sucessão de lideranças em enfermagem: fundamentos, estratégias e evidências de seus benefícios" e os "Elementos essenciais no planejamento para formação de novas lideranças em enfermagem". O planejamento de sucessão de lideranças em enfermagem pode auxiliar instituições formadoras e organizações de saúde no desenvolvimento de competências dos enfermeiros para assumirem cargos de gestão. Para isso, valoriza a história e a perspectiva dos jovens e dos mais experientes em busca de melhor qualidade da assistência prestada. Esse estudo instiga lideranças de enfermagem, enfermeiros, docentes e estudantes de enfermagem a conhecerem o planejamento de sucessão como uma estratégia para garantir conquistas da profissão e construir o seu futuro.

A theoretical article whose purpose was to present a reflection on planning of leadership succession in nursing, highlighting its conceptual bases and challenges to the creation of new leaderships in academic contexts and healthcare organizations. Two key points were defined for this discussion: "Leadership succession in nursing: the fundamentals, strategies, and evidence of its benefits"; and "The essential elements in planning the creation of new nursing leadership". The planning of leadership succession in nursing can help both training institutions and health organizations to develop the skills and competencies of nurses so they can take over management positions. This planning must consider the history and perspective of young people and those of people who have more experience so that the care provided achieves greater quality. This study encourages nursing leaders, nurses, professors and undergraduate students to learn succession planning as a strategy to ensure achievements in the profession and help build their future.

Transitioning Emerging Leaders Into Nurse Leader Roles.

Millennials will soon comprise 50% of the nursing workforce. Leaders in organizations look to this generation to assume leadership roles. This is proving to be challenging in many settings. Learning how to more effectively recruit, transition, and retain these emerging nurse leaders will be critical to organizations and the future of nursing. This article presents academic and organizational practices in emerging leader transition tailored to the needs of the millennial generation.

Structured Coaching Programs to Develop Staff.

Health care environments are complex and chaotic, therein challenging patients and professionals to attain satisfaction, well-being, and exceptional outcomes. These chaotic environments increase the stress and burnout of professionals and reduce the likelihood of optimizing success in many dimensions. Coaching is evolving as a professional skill that may influence the optimization of the health care environment. This article reflects on three coaching programs: Gallup Strengths-Based Coaching, Dartmouth Microsystem Coaching, and Health and Wellness Nurse Coaching. Each approach is presented, processes and outcomes are considered, and implications for educators are offered. Continuing education departments may recognize various coaching approaches as opportunities to support staff professionals achieve not only the triple aim, but also the quadruple aim. J Contin Educ Nurs. 2017;48(8):373-378.

Leading in the Healthcare Vortex.

The 2016 International Nursing Administration Research Conference, Leading in a Healthcare Vortex, was held in Orlando, Florida. The program drew 116 attendees with representation from Canada and Brazil. Participants from practice, education, and research discussed leadership in our turbulent healthcare climate, which are highlighted in this column. The conference was dedicated to the memory of Dr Heather S. Laschinger in recognition of her distinguished research legacy of empowering nursing work environments and mentorship of prominent nursing administration researchers.

Chief Nursing Officers' Experiences With Moral Distress.

OBJECTIVE: This study explores if moral distress and its lingering residue were experienced by chief nursing officers (CNOs). BACKGROUND: Chief nursing officers, by virtue of their position and experience, are expected to uphold their professional values and act for the benefit of others. Exploration is needed to determine if the inability to do so contributes to the moral distress of these leaders. METHODS: Twenty CNOs were interviewed to determine the lived experience related to moral distress and moral residue. An interpretive phenomenological analysis approach was used. RESULTS: Six themes emerged describing CNO experience of moral distress including lacking psychological safety, feeling a sense of powerlessness, seeking to maintain moral compass, drawing strength from networking, moral residue, and living with the consequences. CONCLUSION: Moral distress is a common experience for CNOs. Although CNOs act with moral courage, they still experience moral distress. Further research and professional discussion are needed to support nurse executive leaders.

Growing Nurse Leaders: Their Perspectives on Nursing Leadership and Today's Practice Environment

With the growing complexity of healthcare practice environments and pending nurse leader retirements, the development of future nurse leaders is increasingly important. This article reports on focus group research conducted with Generation Y nurses prior to their initiating coursework in a Master's Degree program designed to support development of future nurse leaders. Forty-four emerging nurse leaders across three program cohorts participated in this qualitative study conducted to capture perspectives about nursing leaders and leadership. Conventional content analysis was used to analyze and code the data into categories. We discuss the three major categories identified, including: idealistic expectations of leaders, leading in a challenging practice environment, and cautious but optimistic outlook about their own leadership and future, and study limitations. The conclusion offers implications for future nurse leader development. The findings provide important insight into the viewpoints of nurses today about leaders and leadership.

Charge Nurses' Experiences With Horizontal Violence: Implications for Leadership Development.

HOW TO OBTAIN CONTACT HOURS BY READING THIS ISSUE Instructions: 1.2 contact hours will be awarded by Villanova University College of Nursing upon successful completion of this activity. A contact hour is a unit of measurement that denotes 60 minutes of an organized learning activity. This is a learner-based activity. Villanova University College of Nursing does not require submission of your answers to the quiz. A contact hour certificate will be awarded after you register, pay the registration fee, and complete the evaluation form online at http://goo.gl/gMfXaf. In order to obtain contact hours you must: 1. Read the article, "Charge Nurses' Experiences With Horizontal Violence: Implications for Leadership Development," found on pages 493-499, carefully noting any tables and other illustrative materials that are included to enhance your knowledge and understanding of the content. Be sure to keep track of the amount of time (number of minutes) you spend reading the article and completing the quiz. 2. Read and answer each question on the quiz. After completing all of the questions, compare your answers to those provided within this issue. If you have incorrect answers, return to the article for further study. 3. Go to the Villanova website to register for contact hour credit. You will be asked to provide your name, contact information, and a VISA, MasterCard, or Discover card number for payment of the $20.00 fee. Once you complete the online evaluation, a certificate will be automatically generated. This activity is valid for continuing education credit until October 31, 2019. CONTACT HOURS This activity is co-provided by Villanova University College of Nursing and SLACK Incorporated. Villanova University College of Nursing is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation. OBJECTIVES Describe types of horizontal violence experienced by charge nurses. Identify the skills needed for charge nurses to combat horizontal violence. DISCLOSURE STATEMENT Neither the planners nor the author have any conflicts of interest to disclose. BACKGROUND: A safe work environment is a prerequisite for the provision of high-quality patient care. Horizontal violence can undermine the culture of safety and the well-being of the nurses in the work unit. Charge nurses, whose role encompasses both staff and manager responsibilities, play an important role in team building and care delivery. Yet, little is known about their experience with horizontal violence. A lack of adequate leadership education and role delineation may predispose charge nurses to horizontal violence. METHOD: A descriptive study was conducted to describe the incidence of horizontal violence of charge nurses. The Horizontal Violence Scale was used to collect data from a convenience sample of 366 charge nurses. RESULTS: Charge nurses reported experiencing horizontal violence with some regularity. DISCUSSION: Nurse leaders must critically evaluate the work culture and provide appropriate education and support to charge nurses to combat horizontal violence. J Contin Educ Nurs. 2016;47(11):493-499.

Florida Nurse Leader Survey Findings: Key Leadership Competencies, Barriers to Leadership, and Succession Planning Needs.

OBJECTIVE: This study examined barriers to nursing leadership and succession planning needs for nurse leaders in Florida. BACKGROUND: The Florida Action Coalition responded to the call to prepare and enable nurses to lead change to advance health, through a grant supported by the Robert Wood Johnson Foundation and Florida Blue Foundation. METHODS: This is a nurse leader subset of a 56-item statewide survey of actively licensed RNs and advanced RN practitioners in Florida conducted via a cross-sectional, exploratory descriptive research design. RESULTS: Key findings included a description of leadership competencies, barriers, and succession planning practices. Florida nurse leaders are aging and less diverse than the general population and report limited utilization of succession planning by their organizations. CONCLUSIONS: In Florida, attention must be directed to resources and strategies to develop skilled nurse leaders and plan succession.