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Lead to manage: Inspiring nurses to improve the quality of care
Alessandro Pizzo
RN, MSc Management, Country Nursing Manager, NephroCare Italy
Country Nursing Manager of NephroCare Italy.
Alessandro has 17 years experience in Hemodialysis field (previously as renal nurse and Regional nurse responsible).
Responsible for strategic planning of nursing units, coordinates the training plans in e-Learning modality and the patients educational programs.
Coordinates and promote educational workshops for enhancing professional and technical knowledge, directs and develops healthcare staffing.
Lead to manage – Inspiring nurses to improve the quality of care
Alessandro Pizzo, Country Nursing Manager, NephroCare Italy
Genoa, Italy, September 16, 2018
EDTNA/ERCA 15-18.09.2018
Lead to Manage – Inspiring nurses to improve the quality of care, Alessandro Pizzo © Fresenius Medical Care
Page 3
Introduction
• The European populations’ life
expectancy increases
• In the times of economic crisis it is necessary to make wise decisions
Italian Nursing Coordination Challenges
Lead to Manage – Inspiring nurses to improve the quality of care, Alessandro Pizzo © Fresenius Medical Care
NURSING CARE MANAGEMENT LEADERSHIP / RELATIONSHIP
Implement the best practices to
ensure the adequate quality of
the service as per Local
requirements and Corporate
Directives, Supervision of
Regional nursing activities and
training Plan, Research
activities.
Putting together
ideas, people,
energies to compete
for one or more
common goals
PLANNINGHUMAN RESOURCES
MANAGEMENT
TECHNICAL RESOURCES
MANAGEMENT
OPTIMIZATION OF RESOURCES
EVALUATION / CONTROL (AUDIT)
Directing staff toachieve organizationalgoals by highlightingtheir personal energiesand skills
EDTNA/ERCA 15-18.09.2018
Page 4
"Within the next few years 90,000 nurses will be neededin our country, keeping in mind the number of those whowill retire, those who will join or have joined the part-time and those who make the profession“*.
EDTNA/ERCA 15-18.09.2018
Lead to Manage – Inspiring nurses to improve the quality of care, Alessandro Pizzo © Fresenius Medical Care
Page 5
General Situation in Italy
Individual and distinct regional needs and requirements
The critical issues of the Italian Healthcare system
SUM
Milan 2016 - National Conference Nursing Degree Courses, the "EUHWForce Project: a forecast of the needsof Nurses in Italy in the next 20 years", realized by the National Federation of Nursing Professions AssociationFNOPI.
450.000 Nurses
work across the
Country
13
7
21
10
4
Nurse Management Team
8 REGIONS
54 ≈ 2.300
Dialysis Units Patients
Lead to Manage – Inspiring nurses to improve the quality of care, Alessandro Pizzo © Fresenius Medical Care
Page 6
78%
19%
1%2%
Vascular Access
AVF
CVC
TEMP.CVC
GRAFT
EDTNA/ERCA 15-18.09.2018
Lead to Manage – Inspiring nurses to improve the quality of care, Alessandro Pizzo © Fresenius Medical Care
Page 7
Nurses’ clinical challenges
0,4%
6,4%
28,7%26,5%
37,9%
0,0%
5,0%
10,0%
15,0%
20,0%
25,0%
30,0%
35,0%
40,0%
1 – 24, 25 – 44, 45 – 64, 65 – 74, ≥ 75 years
Age of NC Italian Patients
Average 68,1
Standard dev 14,1
Lack of resources
Goals Complexity
High quality of care requirements
66%
34%
HD Treatment
HDF
Online
HD
EDTNA/ERCA 15-18.09.2018
Lead to Manage – Inspiring nurses to improve the quality of care, Alessandro Pizzo © Fresenius Medical Care
Page 8
Staff Complexity and Patients Expectations
Quality treatment
Full staff engagement
Empowerment
19,9%
47,1%
18,9%14,1%
0 - 2 3 - 10 11 - 20 > 20
0,0%
10,0%
20,0%
30,0%
40,0%
50,0%
354
6723
81 79
0
100
200
300
400
Nurses Phisycians Health Care
ass.
NC Health Care Staff
EMPLOYEE FREELANCE
23%
29,6%
70,4%
Male Female
Nurses years of service
• Leaders do more than organize, direct, delegate, and havevision; they use interpersonal skills to help others achievetheir highest potential.
EDTNA/ERCA 15-18.09.2018Lead to Manage – Inspiring nurses to improve the quality of
care, Alessandro Pizzo © Fresenius Medical CarePage 9
People Management
Leadership
Motivation
Teamwork
Goal
ManagementVision
Strategy
Challenges
• Challenge is managing teams:
professionals having different
skills and characteristics
need to work together.
Lead to Manage – Inspiring nurses to improve the quality of care, Alessandro Pizzo © Fresenius Medical Care
Page 10
People Management
People Management is a fundamental pillar to manage and lead all activities.
EDTNA/ERCA 15-18.09.2018
EDTNA/ERCA 15-18.09.2018
Lead to Manage – Inspiring nurses to improve the quality of care, Alessandro Pizzo © Fresenius Medical Care
Page 11
People Management
Employee involvement
Effective communication
Interpersonal skills
• An opportunity for Nurses to
take part in decisions that affect their work: either in their immediate job (task discretion) or related to wider company issues (organizational participation). It appears to be a precious resource to stimulate autonomous and quality oriented behaviors.
• When the communication between workers and health managers is well focused on the objectives, it contributes positively to activating the involvement of individuals with respect to the strategic goals of the organization.
• Leadership skills : Inspireothers to accomplish theplanned goals with commitmentand dedication.
• Team work: involves co-operating with fellow memberswhile nurturing theiraspirations. A leader develops asense of collaboration whileworking with its peers and othermembers of the staff.
EDTNA/ERCA 15-18.09.2018
Lead to Manage – Inspiring nurses to improve the quality of care, Alessandro Pizzo © Fresenius Medical Care
Page 12
Planning & Organizing
“Failing to plan is planning to fail”(Diplomat, Inventor, Writer, Scientist, 1706 - 1790)
Benjamin Franklin
EDTNA/ERCA 15-18.09.2018
Lead to Manage – Inspiring nurses to improve the quality of care, Alessandro Pizzo © Fresenius Medical Care Page 13
Planning & Organizing
PlanningLong and short term plans
Measuring PerformanceControlling
Implementing plansDirecting and Motivating
D e c i s i o n
M a k i n g
Comparing actualto planned
Planning can be defined as … “where one wants to go, how to get there and the timetable for the journey” …Complete planning sets out indicators for tracking progress and ways to measure if the trip was worth the investment. 1
1)Ontario Ministry of Health and Long-Term Care. The health planner’s toolkit. Ontario: Ministry of Health; 2006
• Digital transformation in a dialysis unit affects the entireorganization. It requires management changing. In fact, it callsfor open-mind healthcare professionals in welcoming the newtechnology and relying on so-called digital leaders with ITskills and attitudes to facilitate their better integration andacceptance in their daily activities
EDTNA/ERCA 15-18.09.2018
Lead to Manage – Inspiring nurses to improve the quality of care, Alessandro Pizzo © Fresenius Medical Care
Page 14
Digital Transformation
Satisfaction Level & Participation Rate
100% 97% 100%
97% 97% 93%
2015 2016 2017
Tasso di partecipazione
Livello di soddisfazione
EDTNA/ERCA 15-18.09.2018
Lead to Manage – Inspiring nurses to improve the quality of care, Alessandro Pizzo © Fresenius Medical Care
Page 15
Digital Transformation
6 459
5 643 5 442 5 428
7 383
8 299
7 624
9 593
9 3689 959
0
2 000
4 000
6 000
8 000
10 000
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2Nephro
Care
Website V
isits (
no.)
Via Direct entry
Via Search engine
Via Other websites
Lead to Manage – Inspiring nurses to improve the quality of care, Alessandro Pizzo © Fresenius Medical Care
CHALLENGES
To combine in the best way all the activities
Training
EDTNA/ERCA 15-18.09.2018
Page 16
EDTNA/ERCA 15-18.09.2018 Page 17Lead to Manage – Inspiring nurses to improve the quality of
care, Alessandro Pizzo © Fresenius Medical Care
Thank You Very Much for Your Attention !
Naples - Italy
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