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Hit the Ground Running Your first 90 Days as a Nurse Leader Aydrian - PowerPoint PPT Presentation

Hit the Ground Running Your first 90 Days as a Nurse Leader Aydrian DeDiemar, MBA BSN NEA-BC Objectives Identify 3 tools that assist in leader onboarding Create a plan for supporting new and existing leaders in the onboarding process


  1. Hit the Ground Running Your first 90 Days as a Nurse Leader Aydrian DeDiemar, MBA BSN NEA-BC

  2. Objectives • Identify 3 tools that assist in leader onboarding • Create a plan for supporting new and existing leaders in the onboarding process • Recognize successful leader assimilation

  3. Disclosures I have nothing to disclose and no commercial interests.

  4. AT’s Case • Internal promotion • Extravert • Takes time to figure things out • Asks questions • Post 90 days- perceived by leaders as “floundering” • Post 180 days- perceived by leadership as “inadequate” • Performance evaluation

  5. HDs Case • Hired from outside organization • Extravert • Makes needs known • Asks questions • Post 90 days- perceived as “needy” and • Post 200 days- perceived as “incompetent” by leadership • Not meeting performance measures and meeting “some” strategic initiatives

  6. SB’s Case • Hired from outside organization • Extravert • Makes needs known • Asks questions • Assigned Mentor • Post 90 days- assimilated well • Post 180 days- achieving performance and exceeding in key strategic initiatives

  7. CK’s Case • Hired from outside organization • Introvert • Observes • Asks questions privately • Post 90 days- perceived by leadership as functioning and “competent” • Post 180 days- achieving performance and exceeding in strategic initiatives

  8. What determines failure or success? • Culture fit • Resource availability • Learning • Team connection • Keeping balanced

  9. Your First 90 Days • Self-Promotion • Accelerated learning • Creating coalition (making friends that have your back) • Building your team • Aligning • Gaining balance

  10. Self-Promoting and Learning • Just enough to start • New Leader Orientation • New Leader Checklist

  11. Aligning and Creating Coalition • Buddy system • Navigator program • Detailed checklist for Navigator • Defines needs of new leader • Opens doors • Assists with early assimilation

  12. Building Your Team • Leader assimilation exercise • Non-Threatening facilitated activity • 6 months of knowledge in 1 day • Early understanding of team and leader expectations

  13. New Leader Responsibilities • Seek out cultural learning opportunities • Ask questions (of your colleagues) • Learn your team first • Be nice to administrative assistants • Coffee and thank you cards go along way

  14. Organization’s Responsibilities • Provide resources • Create space for leader to learn • 60-90 day hands off rule • Offer safe space for silly questions

  15. Reference • Watkins, M. (2013). The first 90 days: Proven strategies for getting up to speed faster and smarter . Boston, MA: Harvard Business review.

  16. Thank You and Lead On

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