Professional Documents
Culture Documents
Smith, A.D. & Kautz, D.D. (2007). Case study: A day with Blake:
Hope on a Medical-Surgical unit. MEDSURG Nursing, 16, 378-
382.
Don wants you to Address Sexuality and
Intimacy Concerns
Kautz, D.D., Van Horn, E. R., and Moore, C. (2009). Sex
after stroke: An integrative review and
recommendations for clinical practice. Critical
Reviews in Physical and Rehabilitation Medicine, 21,
99-115.
Nightingale
Was a passionate statistician
Belief based on her faith in a God of order
Used statistics to indicate serious problems, assist in
policy making, monitor outcomes
Legacy for Nursing
Statistics is a required course in BSN programs
Even though.....
We are all taught, we must show the effect of our
care......
Unfortunately our data....
Nursing is still billed as part of the room charge
Nurses enter data everyday which is never used......
This data is rarely available to practicing nurses.
Legacy for nurses in 2011
We say that our practice is based on evidence, but
much of our care is still based on tradition.
The technology is here for us to now to use ALL the
data we collect. There will be more and more and
more changes to come...
Is it STILL the Crimean War? Here?
Today? NO? Yet we act like it is!
Through the continued development of theory, science, and
practice we can continue to REDUCE the rare
incidences of:
Nosocomial infections
Patient Falls
Medication Errors
I believe Nightingale would be horrified we continue to
focus our measurement of quality on the reduction of rare
occurrences. But this is where nursing needs to come of
age
We need to truly use the data we collect and enter into the
electronic medical record.
A nurse caring for an elderly man who had an elective hip
replacement the day before should be able to walk in and say:
I see from this mornings print out that:
Your wound was clean and dry yesterday, and the surgeon
changed the dressing this morning. You inspected the wound,
and told the surgeon how you would care for it at home. You
were also able to state all the signs of infection, and when you
should come back to see your doctor after you are discharged.
Your blood pressure and temperature have been normal. You
ate all of your dinner and breakfast without nausea, had a bowel
movement, have been up to the bathroom with help, and
walked 100 feet in the hallway. Your pain has never been above
a 3 by taking Vicodin every 4 hours. Your son, Joe, from
Milwaukee is here to stay with you for the next week, and you
should be ready to go home tomorrow.
Nightingales Personality Type
(Dossey, 2010)
I (Introversion) N (Intuition)
Nightingale was an introvert. When she Nightingales greatest gifts came from
was alone, she experienced her best her intuition flashes of inspiration,
ideas her intuition and brilliance insights into relationships of ideas and
flourished when she worked by herself meaning of symbols.
T (Thinking) J (Judging)
Nightingales preference was to make Nightingale loved to live her life in a
decisions based on her logical analysis of manner that is decided and settled.
the facts and her own experience. She Nightingale had a system for everything,
was proud that she had never been a planned life, sustained effort, and
swayed by a personal consideration of acceptance of routine.
anothers feelings.
INTJ Personality Type
A major legacy for nursing
Traditionally, nursing has valued nurses who are
independent, individualistic, single-minded, love
rules and order, and tough minded with others and
follow the leaders who think and act just like them.
The pitfall is that nursing leaders may have difficulty
letting go of impractical ideas, ignore the impact of
their leadership style on others, and criticize others
who strive for the ideal.
Some would argue that this personality type has led us
to be a profession that
New leadership models are emerging!
New Leadership Models
A Caring Leadership Model for Nursings Future
Williams, McDowell, and Kautz, 2011
Exemplar of Caring Leadership:
Caring Leadership Model I have two RNs in my
Model of Care department who desire to cut
Patient/Family, Team, Self, Community back on their work hours.
These employees are long-
McDowell-Williams
time, seasoned nurses. I sat
Core Values of Caring Leadership
down with both of these
Always live with kindness, compassion and equality employees and allowed them
to discuss their concerns and
Generate hope and faith through co-creation wishes. I could have ignored
their request but instead have
worked with them to create
Actively innovate with insight, reflection and wisdom
work hours that meet their
Purposely create protected space founded upon personal needs. I allowed
mutual respect and caring them to vent and gave them
guidance and support. We
Embody an environment of caring-helping-trusting
are in a trial period with their
for self and others schedules.
Shared Decision-Making ~~C. M.
New Leadership Models
Goldin, M. & Kautz, D.D. (2010) Nurturing Nursing
Students During Intensive Care Unit Clinical Practicum.
Dimensions in Critical Care Nursing, 29(5), 238-240.
With Marlienne Goldins leadership, staff transformed
the ICU using Watsons 10 Caritas processes:
Practice of loving kindness
Staff nurses love having students
Relationship based care (based on Watson science)
New Leadership Models
Goldin, M and Kautz, D.D. (2010) Applying Watsons
caring theory and caritas processes to ease life
transitions. International Journal of Human Caring, 14,
11-14.
This personal account of Mariliennes transformed life illustrates
how as a clinical expert, confronted by a major change,
Marlienne applied Watsons (2008) caring theory and caritas
processes to her life. By sharing her story our hope is that others
who find their lives turned upside down can see it is possible to
take control, heal and grow.
Nightingales Challenge for Nurses
Dossey, 2010
Nightingales INTJ personality allowed her to be a practicing
mystic, mange her chronic illness, and her ability to
create new models of nursing care.
Nightingales legacy is a challenge for nurses to:
- educate political leaders to create health reform
- integrate healing, spirituality AND technology
- respond with the same courage she demonstrated in
carrying our vision to the world
Nightingale would argue there is still a need for a rebirth
of the true values of nursing which is what Watson
argues
For an eye-opening source on rebirth of nursing see the
Future of Nursing: Leading Change, Advancing Health
(www.nap.edu) (Often referred to as the IOM report)
In summary, Nightingale was:
A nursing theorist
A visionary
A statistician
A nursing instructor