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Nursing 226 Test #2

Test #2

Trait Theory identifies qualities that are common to effective leaders
Leadership Styles Democratic, Laissez-Faire, Autoritarian
democratic share in the responsibility and share in the success
democratic 4 beliefs -every member has decision making ownership -freedom of expression to maximize creativity -every member accepts responsibility -respect each others as contributors
Best thing about demcratic if the group has same authority and work together for a longer period, strong sense of ownership
downside of demcratic minimal leadership needed, if need leader - then participative leadership is good as it allows the leader to have the final say
Laissez-Faire group has responsibility and the success
best part of laissez-faire group members have same education and all share tasks
downside of laissez-faire lack of direction and avoidance of decision making
authoritarian group has no success or responsibility in decision making
dictator no regard for feelings and needs of the group; achieving goal is the only thing that matters
downside of dictator reduces motivation and increases passive aggressive behavior
benevolent leader paternalistic approach; attempts to include the group's feelings and concerns but will make the decision
a benevolent leader is best in... emergency situations where decisions need to be made
downside of a benevolent leader reduce long term effectiveness and suppresses creativity
high relationship - low task high respect, little involvement but very supportive
high task - low relationship leader does all the planning, little regard for employees
high relationship - high task combines best of both worlds, open to input, actively communicates, constructive direction, quickly resolves conflict, creative and effective solutions
low relationship - low task very ineffective leadership, no involvement, no direction
transformational multiple intangibles exist whenever people interact, meaning, creativity, inspiration, and vision, creating a sense of mission surpasses interpersonal relationships and rewards, inspire excitement and commitment because pts supersede all else
situational no one approach works for all situations, adjusts leadership styles to fit the situation, most often is instinctive behavior
(situational) key is what type of organization is it? military and hospital
key leadership behaviors critical thinking, problem solving, acknowledgement and respect for individual differences, active listening, skillful communication, establishing clear goals and outcomes, continued personal and professional development
critical thinking multistep process, analyze organize and plan using creativity
acknowledgement and respect for individual differences recognizes differences in people
active listening 7% verbal 93% non verbal
skillful communication frequent and positive feedback provide negative feedback is nonthreatening and constructive
continued personal and professional development lifelong learning, learning that affects attitudes, beliefs, and behaviors
key leadership qualities integrity, courage, initiative, energy, optimism, perseverance, well-roundedness, coping skills, self-knowledge
integrity ANA Code of Ethics
Courage maintain convictions
Initiative self starter
Energy do work AND display enthusiasm
Optimism positive attitude
perseverance work through difficult situations
well-roundedness balance work and personal life
coping skills positive and high resolution to stress
self-knowledge must understand their own biases, motivations and perceptions
Care delivery models function nursing, team nursing, primary nursing, modular nursing (also called client focused care)
function nursing task oriented with charge nurse
team nursing staff members divided into small groups with a team leader
primary nursing primary responsibilities for all of patient's care
modular nursing cared pair
civility authentic respect for others requiring time, presence, engagement, and an intention to seek common ground
incivility disregard and insolence for others, causing an atmosphere of disrespect, conflict, and stress
student incivility behavior that negatively impacts faculty well-being, sense of self-worth and commitment to teaching
faculty incivility behavior that damages student confidence, sense of self and psychological and physiological well-being
faculty-to-faculty incivility conflicted relationships with students, colleagues and administrators that cause stress and drain zest
dance of incivility interactive process where all participants are affected and all are responsible for creating a civil environment
negligence the omission of an act that a reasonable and prudent person would perform OR the commission of an act a reasonable and prudent person would not do
libel written damaging communication
liable guilty; responsible by law
malpractice suggests the existence of a professional standard of care and deviation from that standard
assault attempt or threat to touch another person
battery actual harm or unwarranted contact without consent
slander spoken damaging communication
defamation of character false statements made about a person that damages their reputation, esteem, confidence
Nurse Practice Acts define scope of practice, establish requirement for licensure, create a board of nursing to oversee nursing practice. establish grounds of disciplinary action
What do you do if an accident happens? file a incident report; do not put in patients chart
What are ethics? is the study of good conduct, character and motives
Nursing Code of Ethics the ethical principles that govern a profession. ANA has a standard code of ethics or principles that nurses follow
what are advanced directives? written instructions for health care; is a legal requirement of all clients
why do we need advanced directives? allows individuals to write down what medical treatment they wish to have if they are unstable to communicate their wishes
What must be in place for advanced directives to be legal? -needs to have 2 witnesses (non related) -patient cant be on pain meds -discussion starts early -explain info in layman's terms
Medical Power of Attorney legally acts as a spokesperson for the patient
Durable power of attorney power of attorney for health
Confidentiality Laws ensure privacy of personal health information, ensure health insurance portability, reduce health care fraud and abuse, guarantee security and privacy of health information, enforce standards for health information
How are the confidentially laws enforced? HIPAA (Health Insurance Portability & Accountability Act - 1996)
What are the agencies polices? each agency has their own policies and procedures
principles of decision making and delegation competent individual, transferring authority, selected nursing tasks, selected situation
Created by: laurenkraemer