!"#$#%"&'()*+#,(#-.*/0%1"*2345637!*(8*91$/,*!%1":*;#</.

6*=%18>/"(%8*-%$*?%'1,/"(%8@+/.#>*A/'/)("&*+1(,>(8B

Jeff Watson, DNP, RN, NEA-BCAssistant Professor of Graduate Nursing Leadership Studies

Texas Tech University Health Sciences Center School of NursingLubbock, Texas

!"#$%& '"(#)*%+"$ ,-.#/*)

!*)0"#$ 123456 7689:+%% 153746 65;")+*< =3>62 255;"$?*)9@ 153576 46A*BC@"$ 273166 41D*E*B* 2F374G G2

H+B%"/+* GF314F 1=

!"#$%&'($()*+,-./0123

'/"I)9J-K-L9%%+$M

!'45,(67)*+,-./0183

!"#$%&#'%$()$*"$+

,'--$../'0(1233'4"#5(6'#%$&-7(!"#$%&$'()*"&+',#$-.)*/*0#$+.1)*23456

! 8%3(#7$(-233'4"#5(+"#7("4/2%3&#"24(&49(.:"00! 1244$-#(#7$(-233'4"#5(2%;&4"<&#"24.(#2(24;2"4;(/'49"4;(&49(%$.2'%-$.=&-"0"#&#2%.(2/(>4;&;$3$4# !0$%''.+7.+)*8&-#+7&)*9.$.)*":0$.&$()*/*;#$$)*2345<*=&>>?@A"#+'.1)*"#$B&+)*C#D%'#)*E$%1F()*/*G+&1'&$%#)*234H<*I:,+.%7.$)*J,#?)*/*K&?@&++)*2345<*E#>L.*.'*&>M)*234H6*

! ?$$%(-244$-#"24.(+"#7"4(.'@-'0#'%$.(#2(%$9'-$(7";7A%".:(@$7&*"2%.B&%%"$%.(#2(>4;&;$3$4#(!E%>>%&@1)*G@%:#)*/*8#+N>.AO&$N.$)*23446

! 123C$#"4;(C%"2%"#"$.(! 123C0$D"#5(2/(#7$(7$&0#7(-&%$(.5.#$3(! EFG(7$&0#7(@$0"$/.(! ,#";3&

!"#$"%&'"

(")"*+,-+.$/0123,#4,/#25.26#30325710"

8.(9.:;<9=>7"*12"$.$/0123,#

8.(9.:;++++++41/?"+

@<,A,?"B/1*325C

8.(9.:;+++++<9=>%"*12"$

4,#-3$"#231*325

8.(9.:;++++++<9=

D%1#?A3??3,#

E2"%",25F"?+1G,/2+<9=H&9IE+E01*"

!"#$%%&'()##$*'+',-./)#&'01102

!"!"#$%&'&())*

!"!"#$%&'&()))*&&

!"!"#$%&'&()*+&&

!"#$%&'(%)*+,-).,/.'&(%&0

102%)*'$,34""%(,%*,5%&().%'6,708'+,9':,;<6,=>;?

!"##$%&'()*$&+,'-./01

!23&4,'"*%%*45,'6'7*$&,'-./-1

!"#"$"%&"'!"#$%&'(%&)*++*$,%&-(%&.&/*0#%&1(&234536(&7&898,#:*,;<&=#>;#?&@A&BCDE7CFG&8H=>;>*+&*$I&I#+*9#I&I;*0$@8;8&*:@$0&B;8J*$;<8&;$&,"#&

K$;,#I&G,*,#8( !"#$%&'(")(*++,-$&%.(/(0,%"$,.1(23&'.45(67256%&LMNO5(&I@;P54(544QE 854R4SN455NRTRQN9!;,9NI*,*(<@:&2345M6(&&U#,=;#>#I&A=@:&",,JPEE???(<;,9NI*,*(<@:!=;,,#$I#$%&1(%&G(%&1*J@$I*%&!(%&/('(%&-#=#%&F(%&V(%&W<!=#*=9%&V(%&V(%&.&'@==%&1(%&X(&2345M6(&/*=,;<;J*,;@$&*$I&I;AAH8;@$&#AA#<,8&@A&*&J##=N

;$,#=>#$,;@$& A@=&BCD&J=#>#$,;@$&*:@$0&*IH+,8&;$&=H=*+&W*+*?;( 8"9,&'(89,3%93(/(03:,9,%35(6;;%&5SLN5TT(&I@;P54(545LEY(8@<8<;:#I(345M(4S(4MM

B*++H:NW@$,#8%&U(%&W@=0*$%&G(%&U@>;,@%&B(%&W(%&Z=;8[9%&!(%&.&7$*8,*=;@%&W(%&/(&2345S6(&V;$\;$0&J##=8%&J*,;#$,8%&*$I&J=@>;I#=8P&7]H*+;,*,;>#&8,HI9&@A&*&J##=&;$,#0=*,;@$&J=@0=*:&A@=&"*=IN,@N=#*<"&J*,;#$,8&+;>;$0&?;,"&BCDE7CFG( <*=8(>&$35(?@2O6%&RLONRQ3(&I@;P54(54O4E4RMT4535(3453(QTOOLR

G<"$#;I#=%&-(%&7(%&^"@H%&7(%&'(%&.&V*H:*$$%&_(%&`(&2345M6(&7&$#?&BCD&J=#>#$,;@$&$#,?@=\&*JJ=@*<"P&G@<;@:#,=;< J##=&<"*$0#&*0#$,&8#+#<,;@$( 8"9,&'(89,3%93(/(03:,9,%35(6?@%&5R3N343(&I@;P54(545LE Y(8@<8<;:#I(345S(53(4ST

G$#++%&Z(_(&-=(%&X;$$#9%&/(F(%&.&)@I?;$%&V(-(&234456(&!@++#0#&8,HI#$,8a&8,#=#@,9J#8&*[@H,&7CFG(&C$&Z(&_(&-(&G$#++&2_I(6%&A3B(:,$39.,"%C(,%(.43(DC194"'"-1(")(4#+&%(C3E#&',.1F G3C3&$94(&%:(.43"$1 2JJ(&5NT36&!*J#&);=*=I#*H%&W`P&G$#++&/H[+;<*,;@$8(&G$#++%&Z(_(%&X;$$#9%&/(F(%&.&)@I?;$%&V(-(&25RR56(&G,#=#@,9J#8&*[@H,&7CFG( >"%.3+D"$&$1(8"9,&'(HC194"'"-15(25M6%&5ONSO(&

Z;++;*:8%&b(%&7:;<@%&1(%&U(%&.&1@$\+#N/*=\#=%&F(&234556(&cH*+;,*,;>#&*88#88:#$,& @A&[*==;#=8&*$I&A*<;+;,*,@=8&,@&BCD&,=#*,:#$,(!<A<>F(!"#$%&'(")(.43(<CC"9,&.,"%(")(A#$C3C(,%(<*=8(>&$35(??2T6%&S4QNS53(&I@;P54(545LEY(Y*$*( 3454(55(445

Z@+A#%&B(%&B*++#=%&F(%&V(%&b#$@;,%&_(%&b@+0#=%&1(%&Z(%&!*$<;#$$#%&-(%&!(%&C$0#=8@++%& 1(%&G(%&.&G"*=J%&D(&2345S6(&F#>#+@J;$0&/##=V;$\ ,@&#$0*0#&@H,N@AN<*=#&BCDd&8H[8,*$<#&H8#=8P&e=*;$;$0&J##=8&,@&I#+;>#=&*&J##=N+#I&:@,;>*,;@$*+&;$,#=>#$,;@$&?;,"&A;I#+;,9(<*=8(>&$35(?@2Q6%&OOONORT(&I@;P54(54O4E4RMT4535(3453(QTO5LR