The DNP Nurse in Executive Leadership Roles

Edited by: Joyce E. Johnson, PhD, RN, NEA-BC, FAAN, Associate Professor, The Catholic University of America, School of Nursing, Washington, DC and Linda L. Costa, PhD, RN, NEA-BC, Assistant Professor, University of Maryland, School of Nursing, Baltimore, MD  

978-1-60595-492-9, May 2019, 394 pages, 6×9, Hardcover book

  • Presents the knowledge and skills necessary to achieve and advance in C-Suite positions
  • Designed for novice and experienced DNP nurses alike
  • Envisions DNP leadership potential in the context of healthcare reform and transformation
  • Addresses the DNP nurse leader role in advancing quality improvement initiatives and collaborating to increase clinical nursing research
  • Focuses on business-oriented skill sets and performance expectations required of upper-level executives including informatics and “soft skill” development
  • Includes practical “how-to’s” for successful financial planning, business case development, and sustaining business transformations
  • Contains a full “high-level” business plan exemplar and a full summary policy analysis exemplar
  • Offers readily usable techniques for technical writing improvement and executive level writing mastery
  • Provides “takeaways,” summaries, and reflection questions for each chapter
  • Techniques are aligned with the American Association of Colleges of Nursing (AACN) DNP Essentials and the American Organization for Nursing Leadership (AONL) Competencies™ (formerly the American Organization of Nurse Executives)

Written by experienced nurse executives who teach in rigorous academic programs and are executive practice experts, this book offers important insights into the nurse executive role and key management and leadership principles critical for success. Nursing faculty and students will find these principles embedded in quality improvement and evidence-based practice, and advanced by Joint Commission accreditation as well as the Quadruple Aim and Magnet Designation models. The book addresses critical business topics such as health care policy, informatics, and business planning, and also offers a glimpse into today’s C-Suite and the complex contemporary business challenges being navigated by today’s healthcare executives.


From the Foreword

The editors and their contributors have done an outstanding job of creating a book that will be of benefit to nurses during their doctoral training and in their professional practice.

The book offers proven approaches for nurse leaders in working collaboratively with C-Suite colleagues by analyzing long-term strategies and the ways organizations position themselves for future success. Strategic initiatives are presented in terms of 1) finance, 2) knowledge management, and 3) quality of care, patient safety, and outcomes. In these pages, one will find extensive information on how nursing professionals work most effectively with others in universities, business, and hospitals. Covered here are ways nurse leaders can establish legislative agendas to implement new policies at the local level and to change laws in the political arena. In this respect, the authors are in harmony with Ken Blanchard, who noted that “None of us is as smart as all of us.”

Bob Dent, DNP, MBA, RN, NEA-BC, CENP, FACHE, FAAN, FAONL
Senior Vice President, Chief Operating and Chief Nursing Officer at Midland Memorial Hospital
Adjunct Faculty at the Texas Tech University School of Nursing and the University of Texas of the Permian Basin School of Nursing
2018 President of the American Organization for Nursing Leadership

Foreword
Preface
Acknowledgments
List of Contributors

Chapter 1. The Evolution of DNP Programs in the United States
T. WAXMAN

  • Chapter Objectives
  • Introduction
  • Current State of DNP Programs Nationally
  • Differences Between the DNP and the PhD/DNS
  • The Evolution of Doctoral Education in Nursing
  • The DNP Essentials and the AONL Nurse Executive Competencies
  • Where Do We Go From Here?
  • Testimonial #1: My Executive Leadership DNP Journey
  • Testimonial #2: DDNP Executive Testimonial
  • Chapter Takeaways
  • Chapter Summary
  • Chapter Reflection Questions
  • References

Chapter 2. The DNP Nurse Executive in the Healthcare Environment
LINDA L. COSTA

  • Chapter Objectives
  • Introduction
  • Value-Based Care and the DNP Nurse Executive
  • Strategic Agility and the DNP Executive
  • Case Study
  • Adaptive Leadership and the DNP
  • IOM Recommendations and the DNP-prepared Nurse Executive
  • C-Suite and the DNP Nurse Executive: Performance Expectations
  • Assessment Tools for the DNP executive
  • Transition to DNP Executive Leadership Practice
  • Chapter Takeaways
  • Chapter Summary
  • Chapter Reflection Questions
  • References

Chapter 3. The DNP Nurse Leadership Potential: Evolution and Challenges
ADRIANA PEREZ AMADO, COURTNEY VOSE and KARI A. MASTRO

  • Chapter Objectives
  • Introduction
  • The Challenge of Changing Educational Requirements for Nurse Managers
  • The Evolution of Entry Level Degree Requirements of Nursing Leaders
  • Rationale for Degree Progression
  • Evolution to the DNP
  • Building Personal Resilience
  • Emotional Intelligence
  • Behavioral Styles
  • Change in Nursing: The Leadership Mindset of the Future
  • Chapter Takeaways
  • Chapter Summary
  • Chapter Reflection Questions
  • References

Chapter 4. The Clinical DNP Practice Environment and Leadership Transformation
NANCY B. LERNER

  • Chapter Objectives
  • Introduction
  • APN Role Transformation
  • APN Transition to the DNP
  • DNP Role Development
  • Vignette 1: The Role of the DNP in Leadership
  • DNP APN Possibilities in an Aging and Diverse Health Care Population
  • Vignette 2
  • Vignette 3
  • Emerging Roles
  • Chapter Takeaways
  • Chapter Summary
  • Chapter Reflection Questions
  • References

Chapter 5. Healthcare System Transformation, Quadruple Aim, and Quality Improvement
KARI A. MASTRO, JOAN GLEASON-SCOTT and CHRISTA PREUSTER

  • Chapter Objectives
  • Introduction
  • The Delivery of Safe, Reliable, and Effective Care
  • The Institute of Health Care Improvement
  • The Evolution of the Quadruple Aim
  • The Role of Patients and Families in Quality and Safety Outcomes
  • Future Projections
  • Chapter Takeaways
  • Chapter Summary
  • Chapter Reflection Questions
  • References

Chapter 6. Clinical Research, Quality Improvement, and the DNP Nurse Executive
PETRA GOODMAN

  • Chapter Objectives
  • Introduction
  • The DNP Nurse and Clinical Research
  • Collaboration to Increase Research Capacity
  • The DNP Nurse and Quality of Care
  • Quality Improvement Initiative: The National Quality Strategy (NQS)
  • Organizations Measuring Health Care Quality
  • Dashboards
  • Quality Improvement Methods
  • Chapter Takeaways
  • Chapter Summary
  • Chapter Reflection Questions
  • References

Chapter 7. Health Policy Development, Critical Analysis and the DNP-Prepared Nurse Executive
JOYCE E. JOHNSON

  • Chapter Objectives
  • Introduction
  • Definition of Health Policy
  • The Government and Health Care
  • The Social Compact and the Federalist Model
  • The Impact of Health Politics
  • Health Policy and the Government
  • Defining Characteristics of Public Policy and Policy Analysis
  • Evidenced-Based Analysis
  • The Policy Analysis Process
  • Healthcare Policy and the Role of the DNP-Prepared C-Suite Nurse Executive
  • Chapter Takeaways
  • Chapter Summary
  • Chapter Reflection Questions
  • References
  • Appendix A—Policy Example

Chapter 8. Healthcare Finance and the DNP Nurse Executive
MARY A. PATERSON

  • Chapter Objectives
  • Introduction
  • Health System Financing and Regulation
  • Mini-Case #1: Heartland Memorial Hospital
  • Business and Financial Risk in Health Care Organizations
  • Mini-Case #2: Suburban Family Practice Associates LLC
  • Strategic Financial Management Tools
  • Mini-Case #3: St Alban’s Hospital Management Team
  • Chapter Takeaways
  • Chapter Summary
  • Chapter Reflection Questions
  • References
  • Appendix A
  • Appendix B

Chapter 9. The C-Suite Business Case: The Critical Role of Business Planning
JOYCE E. JOHNSON

  • Chapter Objectives
  • Introduction
  • Business Acumen and the C-Suite DNP-prepared Nurse Executive
  • Think Like an Entrepreneur
  • Learn How to Write a Winning Business Plan
  • The Business Plan Framework
  • Sample Business Plan—Lourdes Family Clinic
  • Package the Business Plan Professionally
  • Chapter Takeaways
  • Chapter Summary
  • Chapter Reflection Questions
  • References

Chapter 10. Informatics for the DNP Nurse Executive
ROSEMARY VENTURA

  • Chapter Objectives
  • Introduction
  • Essential HIT Skill Set for the DNP-prepared Nurse Executive
  • The Role of the DNP Nurse Executive in Technology Selection and Life Cycle
  • Overcoming Challenges in Health Care Technology Adoption and Utilization
  • Big Data and Analytics
  • Health Care Legislation and the Electronic Health Record
  • eHealth
  • Future Projections
  • Chapter Takeaways
  • Chapter Summary
  • Chapter Reflection Questions
  • References

Chapter 11. Disseminating Knowledge Through Mastering Writing Competency
KEVIN RULO

  • Chapter Objectives
  • Introduction
  • What Writing Is
  • Technical Writing Basics
  • Case Study—Mary Jones
  • Techniques for Writing Improvement: A Ten-Point Plan
  • Chapter Takeaways
  • Chapter Summary
  • Chapter Reflection Questions
  • References

Chapter 12. C-Suite Soft Skills and the Diverse Workforce
CAROLYN K. ROOT, JEFFREY A. JOHNSON and ROBIN WIKLE

  • Chapter Objectives
  • Introduction
  • The Leadership “Soft Skills” Toolbox
  • The Workforce in 2020 and Beyond
  • Chapter Takeaways
  • Chapter Summary
  • Case Study: 5G Power Skills
  • Chapter Reflection Questions
  • References

Chapter 13. The Executive Leadership Role in Transforming Health Care: Journey into the
Executive Suite
JEFFREY A. JOHNSON

  • Chapter Objectives
  • Introduction
  • The C-Suite Agenda
  • Whitewater, Black Swans, Leadership and Learning
  • Chapter Takeaways
  • Chapter Summary
  • Chapter Reflection Questions
  • Case Study #1: Trial by Technology
  • Case Study #2: Capturing the Patient’s Journey
  • References

Index

  1. :

    THE DNP Nurse in Executive Leadership Roles by editors Joyce E. Johnson and Linda L. Costa is a clear roadmap for a nurse who aspires to be a nurse executive or one who is already in such a role. Having the opportunity to read this review of key competencies for a DNP-prepared nurse provides readers with an in-depth understanding of the opportunities that abound for DNP nurses in key leadership roles and the skills needed to be successful in transforming healthcare.

    As the DNP degree is evolving within our profession, having a clear picture of what a DNP-prepared nurse in executive practice can accomplish serves as a practical guide for students, educators and for practicing nurse leaders. In reading the literature on the contrast between PhD/DNS and the DNP, descriptions seem to begin by emphasizing what the DNP-prepared nurse is not doing as compared to a PhD/DNS-prepared nurse, rather than providing a compelling description of what the DNP-prepared nurse is clearly prepared to do. This book fills in that gap for nurse leaders and their associates.

    Using the AACN Essentials of Doctoral Education for Advanced Practice, the authors provide an in-depth overview of all the elements of healthcare that are pertinent to the specific chapters; evolution of DNP programs in the US, the DNP nurse executive in the healthcare environment, leadership potential, the clinical DNP practice environment and leadership transformation, quality aspects of system transformation, clinical research and quality improvement, health policy opportunities, finance, business planning, informatics, dissemination of knowledge, managing diverse workforces, and preparing for the journey into the C-Suite. Each of these topics flow with specific chapter guides that include: chapter objectives, testimonials, chapter take-aways, chapter summary and reflective questions. Using charts, graphs and tables, a large volume of content is organized into a useful illustration and information at a glance summary of key points.

    Who would benefit from reading? Anyone who wants to take a DNP educated nurse and unleash their ability to make a difference. The text serves as a guide for executive practice DNP nurses to transform healthcare by providing a more thorough understanding of complex issues in healthcare and explaining how to effectively address these challenges by taking a rigorous approach to program planning, implementation, and evaluation; in essence, “upping the game” for the drive to attain outcomes using knowledge, skills and influence.

    As DNP-prepared nurses begin to view themselves clearly as executive level implementation scientists and facilitators with the skills and abilities to solve problems, propose novel solutions, and provide the data that measures impact—such individuals will make a significant mark on their organizations to better meet client needs and to increase quality, policy, and program outcomes in a cost effective manner.

    Nancy M. Valentine, PhD, D.Sc. (Hon.), MPH, RN, FAAN, FNAP
    Interim Chair
    School of Nursing
    Northern Illinois University/DeKalb, Illinois

The DNP Nurse in Executive Leadership Roles (Entire eBook)
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Chapter 13: The Executive Leadership Role in Transforming Health Care: Journey into the Executive Suite
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Chapter 1: The Evolution of DNP Programs in the United States
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Chapter 2: The DNP Nurse Executive in the Healthcare Environment
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Chapter 3: The DNP Nurse Leadership Potential: Evolution and Challenges
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Chapter 4: The Clinical DNP Practice Environment and Leadership Transformation
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Chapter 5: Healthcare System Transformation, Quadruple Aim, and Quality Improvement
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Chapter 6: Clinical Research, Quality Improvement, and the DNP Nurse Executive
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Chapter 7: Health Policy Development, Critical Analysis and the DNP-Prepared Nurse Executive
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Chapter 8: Healthcare Finance and the DNP Nurse Executive
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Chapter 9: The C-Suite Business Case: The Critical Role of Business Planning
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Chapter 10: Informatics for the DNP Nurse Executive
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Chapter 11: Disseminating Knowledge Through Mastering Writing Competency
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Chapter 12: C-Suite Soft Skills and the Diverse Workforce
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