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nursing leadership

Components of the system: Organizational Structure, Management and Leadership Styles, Regulatory requirements/priorities for care
Relationships and Chain of Command horizontal or vertical. Dotted lines-staff. Solid-formal relationships
Span of Control # of people directly reporting to any one manager. Narrow span at top but now leaning towards flattening
Managerial Levels top level chief nursing officer. (DON) 1st level-specific units workflow-charge nurse. Middle in between-NUS
Centrality middle manager large degree of centrality.
Line structure authority and responsibility clearly defined. Produce monotony, alienate works.
Ad Hoc Design project team or task approach. Disband after project
Matrix focus on product and function. Less formal rules. Decision making can be slow, confusion and frustration.
Service Line care centered, smaller in scale than burearucratic
Flat remove hieracherical layers. More authority occur where work is carried out.
The management process involves: Planning, Organizing, Staffing, Directing, Controlling
Leadership styles (describe) Authoritarian, Democratic, Laissez-faire authoritarian control, motivated by coercion, commands, I/You. Democrati-economic and ego awards to motivate, we. Laissez-faire-group, permissive.
Servant leadership-listen deep level, open mind, clear goals, servant, helper teacher 1st then leader,
Principle agent theory followers motivated to act in best interest of the leader.,
Human and social capital theory -attributes of a person that are productive in some economic context,
Emotional intelligence- appraising and expressing emo in self/others, regulation emo in self/others, using emo in adaptive ways,
Authentic leadership purpose, values, heart, relationships, self-discipline
Thought leadership, innovators, challenge status quo.
Quantum leadership, transformations leadership, leaders much work w/ staff to identify common goals, exploit opportunities, empower staff
MAGNET denotes organization that were able to attract and retain professional nurses. 14 forces of magnetism.
Define and know differences: Decision Making, Problem Solving, Critical Thinking critical broadest, problem solving one step in decision making.
Decision making: 1-Define objectives clearly (assess) 2-Gather data carefully 3-Generate many alternatives 4-Thinking logically 5-Choose and act decisively
Decision making tools: decision grid, Decision tree, Consequence table
3 steps of time management 1- make a plan, set priorities 2- complete highest priority task. Finish one task before starting another. 3-reprioritize remaining tasks
staff nurse time mgt: Gather all supplies and equipment, Group activities in same location, Use time estimates, Document as soon as possible, Always strive to end the workday on time
Unit nurse mgr time mgt: priorities and actions, delegate , Review short and long term plans regularly, Plan ahead for meetings, assess progress
delegation– “SMART” specific, measureable, achievable, realistic, time-bound
errors in delegating Underdelegating, Overdelegating, Improper delegating overdelegating burdening subordinates, need to be aware of workload constraints. . underdelegating-not delegating in time or at all. Improper-wrong time, wrong person or wrong reason. Or beyond capability.
5 rights in delegation Right task, Right circumstance, Right person, Right direction/communication, Right supervision
Part of the quality improvement process is data collection, Data can be used to …. identify areas for improvement
6 domains (in pt paper) Describe. Safe, effective, patient centered, timely, efficient, equitable.
Stare decisis let decision stand uses precedents as guide for decision making.
Res judicata a think or matter settled by judgment.
Malpractice aka professional negligence must have 5 things. 1-duty to use due care 2-breach of duty 3-forseeability of harm 4-breach and injury can be proved 5- injury resulted.
Respondeat superior state of federal gov employs nurse
Tort legal wrongs committed against a person or property, indep of a contract, that render the person who commits them liable for damages in a civil action. Prof. neg. is unintentional tort. Battery/assault intentional.
Assault vs battery. assault threat. Battery-physical contact.
Defamation vs libel vs slander. libel written slander spoken
2 common mistakes novice managers make. 1-underestimating importance of daily plan 2- not allowing adequate time for planning.
4 time wasters 1-technology (FB, email) 2-socializing 3-paperwork overload 4-poor filing system
Bureaucracy- clear division of _______, well defined hierarchy of _______, impersonal rules , procedures for deal w/ work, rules covering rights/duties each position, selection of employment and promotion. labor, authority.
Quality control 5 steps. 1-standards of care/best practice 2-what info needed to measure criteria. 3-ways to collect info. 4- collecting and analyzing info 5- re-evaluation
ANA has 28 different standards. 1st 6 are…. ADPIE.
Natioanl Guideline clearinghouse free comp database of EBP guidelines/ease to access.
Leapfrog conglomerate of non-healthcare fortune 500 companies ware are doing what? modernize current health care system to reduce errors.
Leapfron Have identified 4 EBP they believe will have greatest impact. 1-computerized physician order entry. 2-Evidence based hospital referral,3- ICU physical staffing. 4-using leapfrog safe practices scores.
Six sigma approach sigma is a statistical measurement that reflects how well a produce or process is performing. Higher value denotes better performance. Healthcare-uses 3. Banking/airline-6.
Created by: kerinska