Bedside Nursing Leadership
Development for Interprofessional
Collaboration
Amy J. Costanzo, MSN, RN-BC
University of Cincinnati Medical Center
Denise K. Gormley, PhD, RN
University of Cincinnati College of Nursing
Jessica N. Hill, MA, BS
University of Cincinnati College of Nursing
HRSA NEPQR Funding
This project is supported by the Health Resources and
Services Administration (HRSA) of the U.S. Department of
Health and Human Services (HHS) under grant number
UD7HP28546 and Nurse Education, Practice, Quality and
Retention – Interprofessional Collaborative Practice for $1.2
million. This information and conclusions are those of the
author and should not be construed as the official position or
policy of, nor should any endorsements be inferred by HRSA,
HHS or the U.S. Government.
Faculty Disclosure
Faculty Name
Conflict of Interest
Employer
Sponsorship/Commercial Support
Amy J. Costanzo MSN, RN-BC
None
University of Cincinnati Medical Center
None
Faculty Name
Conflict of Interest
Employer
Sponsorship/Commercial Support
Denise K. Gormley PhD, RN
None
University of Cincinnati College of Nursing
None
Faculty Name
Conflict of Interest
Employer
Sponsorship/Commercial Support
Jessica N. Hill MA, BS
None
University of Cincinnati College of Nursing
None
Learning Objectives
• The learner will be able to plan nurse-led interprofessional
bedside rounds in their own clinical environment.
• The learner will be able to describe the development of
bedside nursing leadership education.
• The learner will be able to apply ways to measure nursing
leadership self-efficacy.
Nurse-led Interprofessional
Bedside Rounds
• Bedside rounding is defined as interprofessional practice
teams collaborating with patients daily to plan care for the
next 24-hours.
• The charge nurse is the leader of the bedside rounds.
Framework for Bedside Nursing
Leadership Development
Concepts from Kouzes & Posner (2002)
• Leadership as influence
• Connecting leadership with everyday work
• Reframing leadership as more than formal leadership
positions
Learning Methodologies
• Tools
– Script
– The “Why”
• Value Self Assessment
• Video Examples
– Miss America 2016 Talent Monologue – Kelley Johnson
– Everyday leadership – Drew Dudley
• Role playing
Bedside Nursing Leadership
Development
Designed to:
• Prepare for implementation of innovative nurse-led
interprofessional bedside rounds
• Empower acute care inpatient bedside nurses to lead teams
• Provide opportunities to apply leadership principles
Leadership Self-Efficacy
• Task Specific Leadership Self-Efficacy Questionnaire
(Isaac et al, 2012)
• Measured pre-development, 3 months, 6 months, and
annually
Task Specific Leadership SelfEfficacy Questions
1. I know more than most health care professionals about what it
takes to be a good leader.
2. I know what it takes to make a group accomplish a task.
3. In general, I’m not very good at leading a group of my peers. (R)
4. I am confident of my ability to influence a group I lead.
5. I have no idea what it takes to keep a group running smoothly. (R)
6. I know how to encourage good group performance.
7. I am able to allow most group members to contribute to the task
when leading a group.
8. Overall, I doubt that I could lead a group successfully. (R)
(Isaac et al, 2012)
Bedside Nurse Demographics (n = 53)
Age
Degree
Mean 36.1 ADN
Range 23-61 BSN
MSN
Ethnicity
18 Afr American
26 Caucasian
7 Nat. Hawaiian
Not answered
Experience
Shift
4 Mean 8.9 yrs. Day shift
15
41 Range 0-41 yrs. Night shift 5
1
Not noted 33
4
Leadership Self-efficacy
Test Period
N
Mean
Std.
Dev.
Test Period
N
Mean
Std.
Dev.
Q1
Pre-test
3 months
33
20
3.15
3.50
.870
1.000
Q5
Pre-test
3 months
33
20
3.91
4.10
.678
.718
Q2
Pre-test
3 months
33
20
3.67
4.00
.924
.858
Q6
Pre-test
3 months
33
20
3.94
4.00
.556
.562
Q3
Pre-test
3 months
33
20
3.82
3.60
.727
.883
Q7
Pre-test
3 months
33
20
3.91
4.00
.805
.459
Q4
Pre-test
3 months
33
20
3.73
3.90
1.008
.788
Q8
Pre-test
3 months
33
20
3.94
4.10
.747
.718
Total
Pre-test
3 months
33
20
30.12
31.20
3.646
3.847
Interprofessional Team
References
• Isaac, C., Kaatz, A., Lee, B., & Carnes, M. (2012). An
educational intervention designed to increase women’s
leadership self-efficacy. Life Sciences Education, 11, 307-322.
• Kouzes, J.M., & Posner, B.Z. (2002). The Leadership Challenge.
3rd ed. San Francisco, CA: Jossey-Bass.
• Miss America 2016 Talent – Kelley Johnson. Retrieved from
https://youtu.be/nYoCW1DQWQE
• Everyday Leadership – Drew Dudley. Retrieved from
https://youtu.be/uAy6EawKKME