Registered Nurses' Association of Ontario

Nursing Best Practice Guidelines

Recommendations

LEADERSHIP RECOMMENDATIONS

1.0 Nurse leaders use transformational leadership practices to create and sustain healthy work environments.

1.2 Nurse leaders build relationships and trust.

1.3 Nurse leaders create or contribute to an empowering work environment.

1.4 Nurse leaders create or contribute to an environment that supports knowledge integration.

1.5 Nurse leaders lead, support and sustain change.

1.6 Nurse leaders balance the complexities of the system, identifying and managing competing values and priorities.

PERSONAL RECOMMENDATIONS

2.0 Nurse leaders continually develop their personal resources for effective leadership.

2.1 Nurse leaders exhibit a strong professional nursing identity.

2.2 Nurse leaders reflect on and take responsibility for the growth and development of their own leadership expertise.

2.3 Nurse leaders act as coaches and mentors to develop leadership expertise in others and further develop their own professional skills.

2.4 Nurse leaders cultivate professional and personal social supports.

2.5 Nurse leaders exhibit a strong professional nursing identity.

2.6 Nurse leaders reflect on and take responsibility for the growth and development of their own leadership expertise.

EDUCATION RECOMMENDATIONS

3.0 Educational programs provide formal and point-of care opportunities for leadership development for nurses.

3.1 Nursing leadership programs incorporate evidence-informed models and theories.

3.2 Nursing leadership programs offered through undergraduate, graduate and continuing education include formal and point-of care opportunities for leadership

ORGANIZATION AND POLICY RECOMMENDATIONS

4.0 Health-service organizations provide supports for effective nursing leadership

4.1 Health-service organizations demonstrate respect for nurses as professionals and their contribution to care.

4.2 Health-service organizations respect nurses as individuals.

4.3 Health-service organizations plan and provide opportunities for growth, advancement and leadership development, not only for nurses in formal leadership positions but also for nurses at the point-of-care.

4.4 Health-service organizations support empowerment, enabling nurses to be responsible and accountable for their professional practice.

4.5 Health-service organizations provide timely access to information, decision-support systems and the resources necessary for care.

4.6 Health-service organizations promote and support teams, collaborations and partnerships.

4.7 Health-service organizations support leaders to assist and facilitate change.

4.8 Health-service organizations give managers spans of control that enable effective nursing leadership.

4.9 Health-service organizations invest in training and succession planning to develop future leaders.

STRUCTURAL RECOMMENDATIONS

5.0 Governments develop policies and provide resources that support effective leadership.

5.1 Governments in all provinces and territories establish a senior nurse leader as a policy advisor.

5.2 Governments in all provinces and territories provide links among these nurse leaders.

5.3 Governments in all provinces and territories establish a nursing advisory council.

5.4 Governments in all provinces and territories establish, fund and maintain programs for nursing leadership development.

5.5 Governments in all provinces and territories establish, fund and maintain programs of nursing leadership research.

6.0 Researchers partner with governments and educational and health-service organizations to conduct nursing leadership research.

6.1 Researchers study the impact of nursing leadership on nurses, patients/clients, organizations and systems.

6.2 Researchers develop, implement and evaluate a leadership intervention based on the Conceptual Model for Developing and Sustaining Nursing Leadership.

6.3 Researchers conduct research on health human resources planning for nursing leadership roles.

6.4 Researchers conduct research on nursing leadership education and development.

7.0 Health-service and educational accreditation bodies incorporate into their standards this guideline’s organizational support recommendations for formal and informal leaders.

For detailed recommendations, please refer to the guideline at http://rnao.ca/bpg/guidelines/developing-and-sustaining-nursing-leadership