Foresight Leadership: The Future of Nursing and Health

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The purpose of the Foresight Leadership initiative is to design and build a transformational leadership capacity ecosystem that is organized around five design elements: Purpose (why the work is important to the community), Principles (what rules must be obeyed in order to realize purpose), Participants (who must be included to achieve the purpose), Structure (how will organization distribute control), Practice (what is to be done-what and how will offers be to users and clients).

The University of Minnesota School Of Nursing and the Katharine J Densford International Center for Nursing Leadership will be the first to establish a nursing foresight initiative to educate, train, and consult with organizations about the use of foresight methods in nursing and health to support the health of people and communities. Products of such an initiative include courses, a certificate program offering, building on the planting seeds of innovation partnership, consulting partnerships, and expanding the scholarship and communities of practice and learning related to foresight and innovation.

Assumptions:

  • Visionary health innovation leadership presupposes a futures time orientation.
  • A future time orientation is reinforced by foresight thinking and strategic planning skills.
  • Foresight thinking is a skill that can be taught and used for strategic foresight planning.
  • Foresight thinking and strategic foresight planning are supported by environmental scanning of weak signals and trends that are likely to become movements.
  • Partnerships with organizations that do environmental scanning and foresight work can be useful to develop insights about nursing and health related trends locally, regionally, nationally, and globally.
  • Data gathered through scanning can be processed with several foresight methodologies to develop scenarios about preferred futures.
  • Scenarios regarding preferred futures can be used to promote organizational learning and support strategic foresight planning and build transformational leadership capacity.
  • Strategic foresight planning can be used to develop curriculum innovations, advance practice initiatives and create new products, services, and partnerships in health care contexts.
  • Through use and application of Rainforest Eco-System Innovation Principles, The Densford Center will partner with organizations to design, develop, implement and evaluate programs and services that build transformational leadership capacity with desired futures in mind. Examples include: Communities of the Future, Association of Professional Futurists, the World Future Society, World Futures Studies Federation, Shaping Tomorrow, Umio Health).
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    Anticipating Disruptive Innovations With Foresight Leadership
    (Lippincott, 2019-07) Pesut, Daniel
    The purpose of this article is to discuss the importance of foresight leadership to anticipate disruptive innovations in health care. Nursing foresight leadership is defined. Types of foresight leadership styles are described. Selected disruptive trends in health care are identified. Strategies to develop foresight leadership are discussed. Foresight requires transformational leadership skills. Resources to support the development of foresight leadership are referenced. Readers are invited to engage in actions and learning activities to develop foresight leadership capacity to anticipate disruptive innovations in health care and build transformational leadership capacity of people in the profession of nursing. Key words: foresight leadership, future of nursing, innovations
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    Strenths Based Leadership For Nursing Science
    (2024-03-01) Pesut, Daniel
    In this presentation Emeritus Professor of Nursing, Daniel J Pesut discusses a strengths, values, and individual development approach to personal and professional leadership development. He describes the positive aspects of doing a PhD and the leadership skill set necessary to succeed. He discusses the the difference between horizontal and vertical leadership development and draws attention to the developmental aspects of leadership over time. He suggests strategies to build on personal strengths and values to manage one’s professional identity, reputation, and legacy and provides links to resources to help people craft a leadership legacy in nursing.
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    Creativity, Foresight and Innovation: Advancing the American Nurses Association Innovation Enterprise
    (2024-03-01) Pesut, Daniel
    In this presentation Emeritus Professor of Nursing, Daniel J Pesut discusses the proposition that creative thinking is essential to support innovations in nursing and health care. He define the concept of foresight leadership to advance the development of innovation in nursing and health care and describes a set of resources to activate a community of practice and learning related to creativity, foresight, and innovation in nursing and health care.
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    Principles and Practices of Legacy Leadership: Recalling, Reclaiming, and Recasting
    (2024-03-01) Pesut, Daniel
    In this presentation University of Minnesota Emeritus Professor Daniel J Pesut through a personal and professional narrative, invites participants to recall, reclaim, and recast their professional nursing journey with legacy leadership in mind. In this presentation he defines the concept of legacy leadership to inform personal and professional reflection and action concerning leadership contributions in nursing education, practice, research, and policy. In this presentation he articulates five practices of legacy leadership to help participants gain insight into ways of leading, being, and doing to create leadership legacies. He challenges participants to appreciate the value and wisdom of knowing their strengths, values, and contributions to affirm their destiny, character, and calling. This presentation was delivered on March 15, 2024 at Penn State University.
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    The Katharine J. Densford International Center for Nursing Leadership A Tribute to the Three Directors
    (University of Minnesota School of Nursing, 2021-03) Linderman, Albert
    Dean Connie White Delaney notes: The purpose of “Katharine J. Densford International Center for Nursing Leadership: Tribute to the Three Directors” is to honor the first 3 directors spanning the initial 23 years of this Densford Center and the precious namesake legacy; lift up the major accomplishments of each director and applaud the uniqueness of each director and the common strands across leadership foci and priorities; create an official archival capture of this significant commitment of the school; and to inform the next era of the Densford Center, including leadership models and initiatives that span the “I Am — We Are” enlightening the School’s waves of impact on global and planetary health. Unwavering commitment to the next era of the Densford Center includes the continuing evolution of the Center as an incubator for foresight and futures thought leadership, an incubator of wisdom, and boldly leading action with impact. The Densford Center is called now more than ever called to nurture and empower Richard Olding Beard’s core constructs of the founding of this School and birthing its impact on the world: “help society recognize the worth of human life, conserve human health and provide for social justice”. The next era of the Densford Center is informed by the work that has gone before and as T.S. Eliot reminds us, “We shall not cease from exploration, and the end of all our exploring will be to arrive where we started and know the place for the first time.” This document describes the creation and evolution of the Densford Center with attention to the first, second and third Directors of the Center.
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    Summary of Katharine J. Densford Center Activities and Acccomplishments 2012-2020
    (2020-12) Pesut, Daniel J
    The purpose of this report is to summarize the activity of the Densford Center under the leadership of its third director, Daniel J Pesut, PhD, RN, FAAN, who served from 2012-2020. Detailed in this report is a brief history of the Densford Center followed by annual goals and accomplishments, which are supported by materials in the appendices. Established in 1997, the Katharine J. Densford International Center for Nursing Leadership was the nation’s first university-based center dedicated to improving health care worldwide through the development and promotion of nurses as leaders. The center is named after Katharine J. Densford, an internationally known leader and director of the School of Nursing from 1930 to 1959. Densford was an independent and visionary woman who changed the face of nursing in Minnesota and across the globe. She held offices in almost every nursing organization of the time and, more importantly, she was an agent for social change. Through her influence, the School of Nursing helped redefine how leadership could benefit patients, nursing, and health care. The center was created to perpetuate the legacy of this pioneering hero, and to assist nurses in addressing contemporary challenges in the same spirit as its namesake. Dr. Mary Jo Kreitzer was named the center’s first director, succeeded by Dr. Joanne Disch. Building on the work of the previous directors and grounded in the legacy of Katharine Densford, Dr. Pesut aspired to focus on the following goals and objectives • Convene communities of practice, learning and research regarding nursing leadership, foresight literacy, and interprofessional health professions education • Educate, coach, and build the competency and confidence of nurse leaders • Stimulate innovation in nursing and health care through the application and use of creative and design thinking principles • Communicate the value of nursing influence on policy, practices, and issues related to the greater public good regarding health and a care economy Appendix A is Dr. Pesut’s curriculum vitae documenting his faculty achievements through time including his tenure at the University of Minnesota School of Nursing. Conference and continuing education Evaluation data of Densford center program offerings is contained in Appendix B. An aggregation of Densford Center News Columns appearing in the Minnesota Nurse Magazine is contained in Appendix C. A list of selected external sales, consulting and speaking engagements can be found in Appendix D. A list of The Florence Schorske Wald Scholars can be found in Appendix E. Documentation of additional social media and recent podcasts related to various topics is found in Appendix F. Acknowledgment and thanks to Ms. Midori Green for her assistance in collating and aggregating these materials into the document.
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    Legacy and Wisdom of Sandra Edwardson PhD Dean of the School of Nursing 1991-2004
    (Sagis Corporation and the University of Minnesota School of Nursing Katharine J Densford International Center for Nursing Leadeship, 2013-08) Linderman, Albert
    In the summer of 2013 the Katharine J. Densford International Center for Nursing Leadership (K. J. Densford Center) Director, Daniel Pesut, asked Albert Linderman to partner with the School of Nursing to interview retired Dean Sandra Edwardson, who served as Dean from 1991 to 2004. The partnership’s goal was to provide historically significant documentation of her deanship as well as to elicit and represent her experiential wisdom for the benefit of others. Sandra Edwardson’s deanship, 1991- 2004, provided a needed bridge to allow the University of Minnesota School of Nursing to advance from its former status as an innovative education focused school to the sophisticated, technologically savvy, integrative health conscious force that it is today. She guided significant culture change during her tenure, emphasizing practice-based research and the building of a research focused faculty that has allowed the school to blossom under the leadership of current Dean Connie Delaney. During the summer of 2013, Albert Linderman of Sagis Corporation had the privilege to engage in interviewing Dr. Edwardson focused on her career as Dean. With the use of Sense Making Methodology, Dr. Linderman elicited significant insights from Dr. Edwardson. Linderman also surveyed numerous documents and interviewed others, including Dean Connie Delaney, faculty member Linda Halcon, and the Katharine J. Densford International Center for Nursing Leadership Director Daniel Pesut. These activities and findings serve as the foundation for this report.
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    Legacy and Wisdom of Joanne Disch PhD RN FAAN
    (Sagis Corporation and the University of Minnesota School of Nursing Katharine J Densford International Center for Nursing Leadeship, 2013) Linderman, Albert; Linderman, Albert
    Albert Linderman, Ph.D., cultural anthropologist, and CEO of Sagis Corporation has for more than 10 years, been eliciting, surfacing, and representing, with his Sagis team, the “deep smarts and wisdom” of leaders and experts. This surfacing and representation allows for the transference to others. Effective also with groups, this Sense‐Making approach, adapted from the work of Paulo Freire and Brenda Dervin, has been used with great results in many businesses and organizations in Minnesota. Albert also is the author of Why the world around you is and as it appears (2012, Steiner Books) and lead author of "Surfacing and transferring expert knowledge: the sense making interview," Human Resource Development International (07/2011: 14(3): 353‐362). This document summarizes the wisdom and legacy of Dr. Disch who developed her mastery through the many leadership positions she has undertaken during her career. She came to Minnesota in 1991 as Senior Associate Director/Director of Nursing of the University of Minnesota Hospital and Clinic. She oversaw a mammoth re‐organization and, in 1997, became the VP of Patient/Family Services of the merged Fairview Riverside Hospital and the University of Minnesota Hospital. In 2000, she became the Director for the Katharine J. Densford International Center for Nursing Leadership, a position she held until 2012. Along the way she served numerous significant positions of leadership, most notably as Interim Dean of the University of Minnesota School of Nursing (UMN SoN) (2004), President of the AAN (2011‐2013) and Chair of the Board of AARP (2006‐ 2008).
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    Foresight Leadership: Anticipating the Future of Doctoral Education in Nursing
    (2020-01-30) Pesut, Daniel
    Foresight leadership is an essential for 21st century health care leaders who want to be successful. How well one can anticipate disruptive innovations and the consequences of hard trends pivots on the degree to which leaders in an organization are focused on the future rather than the immediate present or past. The purpose of this presentation is to discuss principles and practices that support the development of foresight leadership and futures literacy to anticipate future trends influencing doctoral nursing education.
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    Nursing Foresight Leadership
    (University of Minnesota School of Nursing Katharine J Densford International Center for Nursing Leadership, 2019-02) Pesut, Daniel
    This brief video lecture is an introduction to the concept of Nursing Foresight Leadership. Nursing foresight leadership is defined and Dr. Pesut discusses nine principles to deepen understanding, insight and action related to the development of Foresight Leadership in Nursing.
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    Initial Meeting of the Minnesota Nursing Community Policy Forum
    (University of Minnesota School of Nursing Katharine J Densford International Center for Nursing Leadership, 2018-02-15) University of Minnesota School of Nursing
    This document reports the results of a Community Policy Forum to leverage the power of nurses across all areas of nursing (Home Health, LTC, Acute Care, APRN etc) to support public policies which improve the health of Minnesotans. A Community Policy forum was held to meet the following goals and objectives: Build the capacity of the nursing community for grassroots organizing to support the goal of improving the health of Minnesotans through nursing coalitions and legislative action.
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    Developing Foresight Leadership Through Horizon Scanning
    (University of Minnesota School of Nursing Katharine J Densford International Center for Nursing Leadership, 2018-06-12) Pesut, Daniel
    Horizon scanning models and methods: A half day workshop presented by University of Minnesota Librarians Jonathan Koffel, Caroline Lilyard, Daniel Pesut ,Liz Weinfurter and Melissa Bond to support the University of Minnesota School of Nursing Foresight Leadership: The Future of Nursing and Health initiative.
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    Foresight Leadership: The Future of Nursing and Health
    (University of Minnesota School of Nursing Katharine J Densford International Center for Nursing Leadership, 2018-04) Pesut, Daniel J
    An orientation to foresight leadership and horizon scanning as a key skill for aspiring nurse futurists and those interested in advancing foresight leadership in nursing and health care.
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    Looking at the World in a Different Way
    (Association of Professional Futurists, 2018-01) Pesut, Daniel
    A review of Richard Slaughter’s (2013) book, To See with Fresh Eyes: Integral Futures and the Global Emergency
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    Navigating the Future with Nursing Foresight NCSBN Keynote Presentation
    (University of Minnesota School of Nursing Katharine J Densford International Center for Nursing Leadership, 2018-01-24) Pesut, Daniel
    Keynote presentation for the National Council of State Boards of Nursing 2018 Institute of Regulatory Excellence Conference
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    The Future of Learning With Design Thinking in Mind
    (University of Minnesota School of Nursing Katharine J Densford International Center for Nursing Leadership, 2017) Pesut, Daniel
    Resource and key points handout associated with invitational key note address to the International Nursing Association for Clinical Simulation Learning (INACSL) held in Washington DC June 22, 2017.
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    Wisdom, Challenges and Choices Nursing Foresight 2017 Summit Harvest Document
    (University of Minnesota School of Nursing Katharine J Densford International Center for Nursing Leadership, 2017) University of Minnesota School of Nursing; University of Minnesota School of Nursing
    Nursing foresight is the ability to foresee and anticipate what will happen or be needed in the future in light of emergent health care trends that have consequences for population and planetary health, as well as the nursing professions purpose, definition, professional scope, and standards of practice. The Nursing Foresight Summit brought together leaders of the University of Minnesota School of Nursing and the Katharine J. Densford International Center for Nursing Leadership with invited experts and thought leaders to explore the expanded role of the Densford Center in supporting a community-based model of health transformation through the application of foresight methods and thinking. Leadership at the University of Minnesota School of Nursing and the Densford Center are committed to the development of foresight leadership, and innovation that drives and activates futures thinking, planning and action skill sets of nurses and health professionals to advance the transformation and development of a 21st century health care learning system.