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Leadership N222

Leadership and Management (Karcher)

Transactional traditional boss image. Understands there is a superior that makes decisions with little or no input from other.
Transformational seeks input from others, collaborates, consensus seeking, works on interpersonal skills
Formal Person who has the title and office. Based on official position in organization.
Informal person without office and title. Has followers'. Has respect of individuals. Derive power from their unique characteristics.
Core Traits of Leaders Passion, integrity, curiosity, intelligence, interpersonal skills.
Styles of Leadership Autocratic, laissez-faire, democratic
Autocratic authoritative, dictation, strong control over group
Autocratic works well in code or disaster situation
Laissez-faire permissive little or no control over the group
Laissez-faire no direction, but you know end product
Democratic less control, decision making involves others
Management Functions planning, staffing, organizing, directing, controlling
Planning philosophy, goals, objectives, managing planned change
Staffing recruiting, interviewing, hiring, and staffing development
Organization determine patient care delivery, working within within the structure of the organization
Directing human resources management, motivating, conflict management, delegating.
Controlling performance appraisals & quality control
Nurse Practice Act law in each state protecting you. Board of nursing enforces this and it defines scope of practice- legal
Nurse Practice Act LPN, RN, APN
Nurse Practice Act in charge of examination and education guidelines. They also design the scope of the practice
ANA Code of ethic & Standards of practice. Not legal
Communication Skills Aggressive & Passive
Aggressive communication is direct and in a hostile manner that does infringe on a person's right
Passive occurs when a person suffers in silence although they feel very strongly about an issue
aggressive "I'm gonna humiliate you & prove you did wrong."
passive these people avoid conflict
Emotional Intelligence capacity to get optimal results from relationships with others
Accountability individual agrees to be morally responsible for the consequence of their actions
leadership key to organizational success
communication skills the exchange of thoughts, messages, or information by speech, signals, writing or behavior
assertive communication allows one to express themselves in a direct honest approach that does not infringe on another person's right
time management making optimal use of available time
time management time to be set aside for planning; completion of highest priority task and completion of one task before starting another; reprioritization of new task based on new information
change theory dynamic process leading to alteration in behavior
change agent good leadership skills are needed to take you through the change process
Strategies of Change: Traditional normative;rational;power
normative reeducative
rational empirical
power coercion
normative social/group norms, influenced by peers to change
rational if you give them evidence and information, they will change
power threatening with authoritative model
lewin's model of change planned change occurs in a 3 step process: unfreezing, moving and refreezing
unfreezing assessing and planning
moving implementation
refreezing evaluation
conflict internal or external discord that results from differences in values, ideas or feelings between two or more people
intergroup conflict between two or more groups of people, departments, or organizations
interpersonal conflict "horizontal violence" or "bulling" happens between two or more people with differing values, goals and beliefs.
workplace violence various antisocial behaviors and incidents that lead a person to believe that he or she has been harmed by the experience
compromising each party gives up something it wants
competing one party pursues what it wants at the expense of others
coooperating/accomodating one party sacrifices his or her beliefs and allows the other to win
smoothing one person smoothes others involved in the conflict to reduce the emotional component of the conflict
avoiding both parties aware but choose not to acknowledge it or resolve it
collaborating an assertive and cooperative means of resolution that results in a win-win situation
organizational structure centralization and decentralization
centralization no input from people below; limited number of people at the top making decisions
decentralization everyone has input
chain of command formal path of communication
Nursing Care Delivery transitional: total care, functional, team nursing, primary nursing, modular nursing
Nursing Care Delivery contemporary: case management, patient centered care, differentiated practice
total care referred to as the case method
total care total responsibility for the planning and delivery care to a patient
total care high autonomy
total care RN delivers everything- making all of the decisions
total care you dont have to delegate to anyone
total care still working under HCP orders
functional nursing also known as task nursing
functional nursing assembly line
functional nursing used by ancillary services
functional nursing fragmented care
functional nursing decreased staff satisfaction and patient satisfaction
team nursing group dynamics
team nursing has a leader who is not a the bedside, but makes the assignments
team nursing team conference
team nursing job satisfaction
primary nursing relationship based nursing
primary nursing model of organizing- bring back RN to the bedside
primary nursing autonomy, authority, accountability
primary nursing from admission to discharge
primary nursing 24 hour responsibility
modular nursing team concepts in small groups that remain constant
modular nursing are defined in a geographical area
case management quality care while streamlining cost
case management critical pathways
case management expected outcomes with timeframes
case management standardized care for diagnosis
length of stay used to measure the duration of a single episode of hospitalization
nurse role in LOS as soon as patient is admitted the nurse must have a discharge plan in place
Created by: ltruluv516