Transcript Nurse Staffing In Ohio

Establishing Nurturing,
Good Committee Work
…or How to Avoid “Death by Meeting”
Jann Marks, RN, MBA, NEA-BC
Objective:
We’ve Got To Start Meeting Like This…
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Members
Committee charter
Agenda
Team building/development
Resources
Member Selection
• 50% management / 50% staff
• How do you select a high performing team?
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Volunteers?
Speak up or silent?
From every area with inpatients?
Level of care reps?
• Ensure representative sample across svc lines
Structure: Adopt Committee Charter
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Committee name
• Nursing Care Committee
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Committee membership
• 50/50
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Objectives, Tasks and Accountabilities
• HB 346
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Schedule of meetings
• At least annually
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Record keeping / minutes / decisions made
Attendance & participation expectations
Expected outcomes & timeline
The “Accountability Agenda”
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Right people at right time
Know topics in advance
Know when agenda will get to each subject
Everyone gets a chance to be heard
Actions & Accountabilities…Who Does What by When
Nursing Care Committee Agenda
Date & Time: 11/7/08 9-10:30 AM Place: Classroom 1
Attendees:
Objective of the Meeting: Develop a house-wide staffing plan
Topic
(What)
Person
Process
Responsible
(Who)
(How)
HB 346
C. CNO
Time
(When)
Presentation 9:00-9:30
Discussion
Team Building & Development
1. Forming, norming, storming, performing…mourning
2. Group norms
• Ground rules
• Decision-making standards
3. Cultural norms
The Path To High-Performance Teams
Bruce Tuckman - 1965
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Forming
Storming
Norming
Performing
Mourning (Adjourning)
Team “Rules of the Road”…
• Group Norms
– Guide team member behavior
• Ground Rules
– Guidelines for participation
– Goal: open, respectful dialogue
• Decision-Making Standards
Need a break? Almost there…
Cultural Norms
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Shared leadership – participative management
Interest based decision making
Collaboration
Consensus building
Shared Leadership
Participative Management
Participative Management
• Open form of management
• Employees: strong decision-making role
• Managers seek strong cooperative relationships
Interest-based Decision Making
Principles & Assumptions
• Issues not personalities
• Interests not positions
• Create options to satisfy mutual and separate
interests
• Principled bargaining enhances relationships
• Mutual gains are possible
• Open discussion expands mutual interests/options
Collaboration
• A process of participation through which people, groups
and organizations work together to achieve desired
results.
• Team members:
• Contribute
• Take Responsibility
• Value Other’s Viewpoints
Consensus Building
• Everyone plays a role in group decision making
• Compromise may be needed
• Merriam-Webster dictionary definition:
– a : general agreement
– b : the judgment arrived at by most or all of those
concerned
– group solidarity in sentiment and belief
Defining resources needed
to support group work
• Secretarial support
* Meeting planning & communication
* Document development
* Minutes & Action Plans
• Accessibility to needed data & reports
* Data driven/evidence based decision-making
* Using data to evaluate staffing effectiveness
• Communication support
Questions?