INNOVATIVE LEADERSHIP AND RETENTION Appendix C Figure C1. Johns Hopkins Evidence-Based Practice Conceptual Model ©The John Hopkins Hospital/The John Hopkins University INNOVATIVE LEADERSHIP AND RETENTION Figure C2. Johns Hopkins Nursing Process for Evidence-Based Practice ©The John Hopkins Hospital/The John Hopkins University 55 INNOVATIVE LEADERSHIP AND RETENTION Appendix D Project Conceptual Model 56 INNOVATIVE LEADERSHIP AND RETENTION Appendix E ASU IRB Approval 57 INNOVATIVE LEADERSHIP AND RETENTION 58 INNOVATIVE LEADERSHIP AND RETENTION 59 Appendix F Approval from System and Facility Date: July 8, 2015 To: Robyn Schlabach, MBA, RN, CNE Cc: Dr. April Hill From: Dr. Deborah Martin Re: Inspiring Innovative Leadership Behaviors to Improve Emergency Department Nurse Retention I have assessed your project proposal for implementation potential and appropriateness of the project within Banner Thunderbird Medical Center. From my review I have determined that the project is feasible and congruent with Banner Health initiatives. Please follow the Banner Health “Process to Approve DNP Students Academic Projects”. In accordance with that process, your next steps will include submitting the following required materials to me via email: o o Banner Nursing EBP Project Proposal (done 7/6/2015) University IRB approval/determination letter I will forward these materials to the chair of our Nursing Research/EBP committee for their review and approval. Please do not start this project until you have received their approval letter. Best wishes on the successful completion of your project. Sincerely, Deborah J. Martin, DNP, MBA, RN, NE-BC, FACHE SR. Director of Professional Practice Banner Health INNOVATIVE LEADERSHIP AND RETENTION 60 INNOVATIVE LEADERSHIP AND RETENTION Appendix G Permission to use Multifactor Leadership Questionnaire 61 INNOVATIVE LEADERSHIP AND RETENTION 62 Appendix H Table 1 Description of Participants n Minimum Maximum Mean (SD) Age 7 34 55 45.00 (7.62) Years in Nursing 8 8 24 16.25 (5.55) Years as Nursing Leader 9 .50 17 7.28 (6.39) Years in Current Position 9 .10 9 2.76 (3.35) Years with System 9 6 30 16.22 (8.01) Table 2 Highest Education Level of Participants Frequency Associate 2 Relative Frequency (% of Total Sample) 22.2 Cumulative Frequency (Cumulative %) 22.2 Bachelor 2 22.2 44.4 Masters 4 44.5 88.9 Missing 1 11.1 100.0 Total 9 100.0 INNOVATIVE LEADERSHIP AND RETENTION 63 Appendix I Table 1 Descriptive Statistics of Leadership Components Pre- and Post-intervention (n=9) Pre Idealized Influence (A) Leaders Raters Idealized Influence (B) Leaders Raters Inspirational Motivation Leaders Raters Intellectual Stimulation Leaders Raters Individual Consideration Leaders Raters Contingent Reward Leaders Raters Management by Exception (A) Leaders Raters Management by Exception (P) Leaders Raters Laissez-faire Leaders Raters Post M(SD) Range M(SD) Range M Delta 2.64(.49) 2.86(.90) 2.00-3.50 1.33-3.75 2.78(.61) 2.83(.67) 1.75-3.50 1.58-3.67 .14 -.03 3.11(.57) 2.66(.77) 2.25-4.00 1.67-4.00 3.17(.28) 2.68(.59) 2.75-3.50 1.55-3.33 .06 .02 3.14(.75) 2.92(.69) 1.75-4.00 1.83-3.67 3.17(.40) 2.99(.65) 2.50-3.75 1.82-3.75 .03 .07 2.86(.40) 2.71(.77) 2.25-3.50 1.50-3.45 3.14(.53) 2.84(.63) 2.25-3.75 1.75-3.73 .28 .13 3.44(.42) 2.98(.73) 2.50-4.00 1.83-3.75 3.39(.49) 2.82(.58) 2.25-4.00 2.00-3.83 -.05 -.16 2.92(.68) 2.94(.80) 2.00-3.75 1.73-3.75 2.94(.50) 2.82(.53) 2.25-4.00 2.08-3.60 .02 -.12 1.70(.73) 1.73(.66) .50-2.75 .92-2.75 1.61(.60) 1.62(.60) .75-2.50 .45-2.17 -.09 -.11 1.00(.45) .97(.68) .50-1.75 0-2.09 .81(.73) .76(.66) 0-2.00 .08-1.92 -.19 -.21 .42(.33) .64(.56) 0-1.00 0-1.67 .52(.40) .57(.74) 0-1.00 0-2.36 .1 -.07 INNOVATIVE LEADERSHIP AND RETENTION 64 Table 2 Addition Subscales Included in MLQ5 (n=9) Pre M(SD) Extra effort Leaders Raters Effectiveness Leaders Raters Satisfaction Leaders Raters Range Post M(SD) Range M Delta 2.78(.71) 2.83(.95) 2.00-4.00 1.22-4.00 2.96(.75) 2.62(.78) 2.00-4.00 1.56-4.00 .18 -.21 2.97(.51) 2.97(.94) 2.25-3.75 1.25-4.00 3.17(.77) 2.93(.76) 2.00-4.00 1.42-4.00 .20 -.04 3.33(.71) 3.08(.91) 2.00-4.00 1.50-4.00 3.23(.71) 2.96(.86) 2.00-4.00 1.17-4.00 -.1 -.12 INNOVATIVE LEADERSHIP AND RETENTION 65 Appendix J Table 1 Comparison of Leaders’ Self-Evaluation Pre- and Post-intervention (n=9) Idealized Influence - Attributed Pre Median 2.50 Post Median 2.75 z score -.940 p value .347 Idealized Influence - Behavior 3.25 3.25 -.256 .798 Inspirational Motivation 3.35 3.25 -.061 .952 Intellectual Stimulation 3.00 3.25 -1.319 .187 Individual Consideration 3.50 3.50 -.702 .483 Contingent Reward 3.00 3.00 -.212 .832 Management by Exception - Active 1.75 1.75 -.238 .812 Management by Exception - Passive .75 .50 -.781 .435 Laissez-faire .50 .25 -.632 .527 Extra Effort 2.67 2.67 -.586 .558 Effectiveness 3.00 3.25 -.955 .339 Satisfaction 3.50 3.50 -.577 .564 INNOVATIVE LEADERSHIP AND RETENTION 66 Table 2 Comparison of Raters’ Evaluation Pre- and Post-intervention (n=27) Idealized Influence - Attributed Pre Median 3.33 Post Median 2.83 z score -.561 p value .575 Idealized Influence - Behavior 2,83 2.92 -.178 .858 Inspirational Motivation 3.00 2.92 -.105 .916 Intellectual Stimulation 3.08 3.00 -.415 .678 Individual Consideration 3.33 3.00 -1.127 .260 Contingent Reward 3.33 3.00 -.889 .374 Management by Exception - Active 1.50 1.92 -.507 .612 Management by Exception - Passive 1.00 .45 -.059 .953 Laissez-faire .50 .33 -1.016 .310 Extra Effort 3.22 2.50 -.980 .327 Effectiveness 3.25 3.08 -.654 .513 Satisfaction 3.33 3.17 -.676 .499