Now Viewing: Health Leadership Development

How to Build a More Diverse and Inclusive Nursing Workforce

May 9, 2016, 9:32 AM, Posted by Lucia Alfano

A nurse leader shares how she overcame significant barriers to pursue a successful career and what we can do to help minorities in nursing succeed.

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I became a nurse by accident at a time in my life when I had no direction. My family had moved from Ecuador to Queens, New York when I was a child.

As a teen, there were times when I lived in group homes or even the streets and I felt completely lost. I dropped out of junior high.

When an acquaintance suggested in passing that I enroll in the nursing program at Queensborough Community College, I followed her advice without realizing that nursing would become my calling. I had to overcome obstacles that included lack of family support, finances and even basic academic skills.

I wanted so badly to be educated, that I persevered through these struggles. I found that I loved everything that had to do with nursing—from what we learned in class, to what we learned in the clinic, to volunteer work in the community.

I believe there are many young people who, like me, would thrive in nursing. But because of their background or existing challenges, they may believe that a career in nursing is not an option. In particular, young students may think that they cannot afford nursing school.  

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Four Enduring Life Lessons from a Career in Public Health

Feb 17, 2016, 10:30 AM, Posted by Najaf Ahmad

New York City’s new deputy mayor for health and human services shares how inspirational mentors and rich experiences have cultivated her career.

Herminia Palacio speaks at the RWJF Scholars Forum 2014.

She was abruptly awakened by a phone call at 5:00 in the morning as Hurricane Katrina was ravaging New Orleans. Evacuees were fleeing the devastation and arriving in Houston by the tens of thousands to escape. Herminia Palacio was then the executive director of Houston’s Harris County Public Health and Environmental Services. She had until 11:00 p.m. to figure out how to care for them.

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Change Leaders: A New Network, Engaging Every Sector, to Build a Culture of Health

Feb 12, 2016, 10:00 AM, Posted by Pam S. Dickson

RWJF is opening applications for new programs that support the development of diverse health care leaders as well as leaders from other sectors who can help build health into our communities and the nation as a whole.

Attendees sit in the audience at The Science of Placebo conference.

Few things inspire me like the challenge to build a Culture of Health in America. But success depends on the skills and creativity of our leaders—their ability to influence, inspire and lead in a rapidly changing world. Many of these leaders must also be part of those communities with limited resources and opportunities, if we are to tackle the pernicious effects of racism, poverty and inequity. They must represent every sector and discipline, recognizing that health is influenced by complex social factors beyond health care. These leaders have to abandon status quo, silos and their assumptions, and create a new reality.

This is the opportunity before us as we open applications for new Advancing Change Leadership programs on February 22. It continues our decades of work to support the development and diversity of health care leaders, and expands our investment to leaders from other sectors who have the passion, ingenuity and influence required to build health into our communities and nation as a whole. We are profoundly excited by the idea of a diverse network of dedicated leaders committed to equity and better health. Imagine how they will approach their work, cultivate the next generations of leaders, and accelerate the journey toward a Culture of Health!

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New Partners, New Ways of Thinking: Supporting “Change Leadership” to Build a Healthier Nation

Nov 19, 2015, 1:17 PM, Posted by Herminia Palacio

Building a Culture of Health requires supporting and connecting leaders who can drive change by tolerating risk and seeking inspiration through collaboration.

Audience members listen during a presentation.

Building a Culture of Health isn’t easy. It may seem obvious, but think about it: Our nation didn’t develop its current Culture of Unhealth overnight. Reversing it won’t happen quickly, either. As John Lumpkin pointed out recently, paraphrasing Albert Einstein: “You cannot fix problems with the same logic you used in creating them.”

That’s why change leadership is so important.

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One Cure for the World’s Toughest Challenges? Bold Leaders, Connected

May 19, 2015, 9:00 AM, Posted by Herminia Palacio

Change leadership means thinking big about impact, responding to urgent needs, and actively tolerating risk. This is the kind of big, bold way of working—together—that will get us to a Culture of Health.

Members of the Camden Coalition make home visit to patients around Camden, NJ.

Just over a year ago, I started in a new role at the Robert Wood Johnson Foundation. Not long after, my colleagues and I began the exciting, challenging, and collaborative process of co-designing four new programs that will develop, train, and network change leaders who will help build a Culture of Health.

You may be wondering – What is change leadership? How do we know it when we see it? And, why is it essential for achieving RWJF’s vision?

>>Could your organization serve as a National Leadership Program Center? View the call for proposals.

Here's the type of challenge our nation's leaders often face:

For a half-century, charities, nonprofits and local and federal governments have poured billions of dollars into addressing the problems plaguing [many] Americans. But each issue tends to be treated separately – as if there is no connection between a safe environment and a child’s ability to learn, or high school dropout rates and crime. –The Wall Street Journal, September 2013

Now here's an example of what change leadership looks like:

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Journey Towards Becoming a Mindful Leader

Feb 2, 2015, 11:35 AM, Posted by Teri Pipe, PhD, RN

Mindfulness zen garden

In our fast-paced, overcommitted world, our typical automatic first response—to be better multitaskers and problem solvers—often leads to increased stress and reduced satisfaction. As leaders—especially in the high-stakes, quickly changing health care sector, we focus our attention outwardly on the well-being of others. We’re faced with a number of competing priorities, interruptions, and distractions that too often get the best of us. It seems that, for many, the noisy world has taken up residence within us.

As a nurse focusing on gerontology and oncology, I learned to help others find what was most important during times of bittersweet transition, prioritizing where and how their energy was spent. Through my clinical research experiences, I learned that the perception of stress, rather than a specific circumstance, could just as easily lead to physiologic consequences. I also observed how some people used their challenges to become more resilient, while others weakened.

Because of these experiences, the ideas of resiliency, mindfulness, and caring began shaping my research questions and investigations. My research and my work with my nursing colleagues showed me that teaching self-awareness, compassion and attention-focusing practices can reduce stress, build resilience and extend the positive impact of nurses and other leaders, including their ability to care for patients, strengthen communication, mentor others and lead successful organizations.

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Nurses Are Leading the Way to Better Health Care for Older Patients

Jan 21, 2015, 12:00 PM

Barbara Bricoli, MPA, is executive director of Nurses Improving Care for Healthsystem Elders (NICHE), an international program based at New York University’s College of Nursing that is designed to help improve the care of older adults. The program was developed by Terry Fulmer, PhD, RN, FAAN, chair of the National Advisory Committee for the Robert Wood Johnson Foundation (RWJF) Executive Nurse Fellows program.

Aging in America

The rapid expansion of the aging population is a national concern. Nearly 20 percent of the U.S. population will be over age 65 by 2030, according to the U.S. Administration on Aging. And our aging population will place a heavy burden on our health care system; older adults, in fact, are hospitalized at three times the rate of the general population.

Yet health care providers lack adequate training in geriatrics and gerontology to care for older patients. Nurses Improving Care for Healthsystem Elders (NICHE) is working to change that.

Based at New York University’s College of Nursing, NICHE aims to better enable hospitals and health care facilities to meet the unique needs of older adults and embed evidence-based geriatric knowledge into health care practice. Hospitals and organizations that adopt NICHE report improved outcomes, decreased lengths of stay, better patient and staff satisfaction levels,  and higher success in building systemic capacity to effectively integrate and sustain evidence-based geriatric knowledge into practice.

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Rare Mettle

Dec 9, 2014, 9:00 AM

For the 25th anniversary of the Robert Wood Johnson Foundation’s (RWJF) Summer Medical and Dental Education Program (SMDEP), the Human Capital Blog is publishing scholar profiles, some reprinted from the program’s website. SMDEP is a six-week academic enrichment program that has created a pathway for more than 22,000 participants, opening the doors to life-changing opportunities. Following is a profile of Rachel Torrez, MD, a member of the Class of 1990.

Rachel Torrez, MD, is a member of the SMDEP Class of 1990.

The year was 1992. Rachel Torrez, a second-year medical student, was in line waiting for coffee at the University of Washington when a White male student confronted her.

“You took my best friend’s spot because of quotas,” he sneered.

The granddaughter of Mexican migrant workers, Torrez enrolled at a time when students of color were few and some people—especially in Washington state—were questioning the fairness of affirmative action. Clarence Thomas, an outspoken opponent of affirmation action, had recently joined the Supreme Court.

“We don’t have quotas,” Torrez shot back. “I took your best friend’s spot because I was smarter.”

That mix of brains and backbone is characteristic of Torrez, who conquered severe dyslexia and cultural constraints on her way to an MD. Now a family-practice physician in the Ballard neighborhood of Seattle, Torrez gives as good as she gets.

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Conference to Focus on Integrating Policy into Nursing Curricula

Nov 24, 2014, 9:41 AM

Hotel Del Coronado The Hotel Del Coronado in San Diego

The conference will feature interprofessional panels of speakers who will discuss strategies to develop faculty and student expertise in policy analysis and research. Panel topics will include:

  • shaping health policy leadership through doctoral nurse education;
  • exercising health policy leadership through nursing and community organizations;
  • strategies for enriching doctoral health policy education; and
  • integrating health policy content into doctoral nursing programs.

The conference supports RWJF’s work to promote a Culture of Health across America. It aims to support faculty in preparing students to address health policy issues, developing programs of research that relate to health policy, and integrating an understanding of social determinants of health into policy analysis and research.

More information on the conference is here and registration is here.

This commentary originally appeared on the RWJF Human Capital Blog. The views and opinions expressed here are those of the authors.

The Legacy of PIN: Strengthening Long-Term Care in Arkansas

Nov 21, 2014, 9:00 AM, Posted by Chris Love

Partners Investing in Nursing's Future Logo

As PIN holds its final national meeting this week, the Human Capital Blog is featuring posts from PIN partners about the program’s legacy of encouraging innovative collaborative responses to challenges facing the nursing workforce in local communities. PIN is an initiative of the Northwest Health Foundation and the Robert Wood Johnson Foundation (RWJF).

Portrait of Chris Love.

The PIN journey with Arkansas Community Foundation and University of Arkansas for Medical Sciences (UAMS), among other partners, has been one of both providence and progress. It was in the fall of 2008 that we were approached by leaders from UAMS with the idea for us to become partners with them in this endeavor.

At first, the idea seemed daunting. Then, after some consideration by our senior leadership, it became an open door for opportunity—an opportunity to leverage the structure and resources of our foundation to complement the expertise of our colleagues and friends at UAMS to address a major issue of mutual concern: the aging population in our state and the significant shortage of adequately prepared nurses to care for that population. Not long into the partnership, our organizations realized this would be a match made in heaven.

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