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Glossary of Lect 1 - Nursing Leadership & Management (N3113)

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Created by daisy497

Overview of course
- "Leadership is leading"
- you can't be a leader unless you have followers

**Will not be tested on articles but NEED to read CNA articles & handouts (for exam)




What is LEADERSHIP?
- a VITAL component of CHANGE
- the PROCESS of PERSUASION & EXAMPLE by which an individual (or leadership team) includes a GROUP to PURSUE OBJECTIVES held by the leader or shared by the leader and his/her followers
- the ART of getting WORK DONE through OTHERS WILLINGLY
- You can be a LEADER and NOT a MANAGER


Factors affecting nursing leadership & management:
1. INTERNAL ENVIRONMENT
- organizational structure/culture
- policies & procedures
- changing role of nurse managers
2. POLITICAL
- party agendas
3. SOCIETAL
- consumerism [patients today have MORE knowledge because of the internet, etc.]
4. DEMOGRAPHICS
- aging population
- RN retirement
5. REGULATORY
- competence
- specialization
6. TECHNOLOGICAL
- computers
- EHR
7. ECONOMICAL
- public vs. private
- budgets
More??



















Leadership Theories:
- TRANSFORMATIONAL leadership
- "GREAT MAN" Theory: (meaning you have to be BORN a leader to be a leader; no longer considered relevant - you can BECOME a leader)
- SITUATIONAL THEORIES: [focus will be on situational theory]
*organization structure
*followers - attitudes
*stage of development of organization
*external environment
- CONTINGENCY THEORY:
*3 dimensions:
1. LEADER-MEMBER RELATIONSHIP (most important variable in determining the situation's favourableness)
2. Degree of TASK STRUCTURE (2nd most important)
3. Leader's POSITION POWER (obtained through formal authority; 3rd most important)
[Contingency leadership suggests that no one leadership style is ideal for every situation]











LEADERSHIP STYLES:
- if one leadership style is used all the time, this can create problems
1. AUTHORITARIAN [or dictator] - "my way or the highway"
- control/coercion
- "I" vs "you" or "us"
2. DEMOCRATIC
- participative (deciding together)
- Motivates
- emphasizes "we"
3. LASSEZ-FAIRE
- non directional (do what you want attitude)
- little control
- non-directional










CHARACTERISTICS of a GOOD LEADER:
1. Confident
2. Organized
3. Fair
4. Experienced
5. Respectful
6. Approachable
7. Knowledgeable
8. Reliable
9. Honest
10. Flexible
11. Gives feedback
12. Helpful
13. Motivates
14. Down to earth
15. Good communicator
16. Admit their own mistakes














Leadership Roles:
1. INTERPERSONAL
- figurehead
- leader
2. INFORMATIONAL
- monitor information
- disseminator
3. DECISIONAL
- negotiator
- resource handler







LIST OF LEADERSHIP ROLES:
1. Decision maker
2. Communicator
3. Evaluator
4. Facilitator
5. Risk-taker
6. Energizer
7. Mentor
8. Critical thinker
9. Buffer
10. Advocate
11. Coach
12. Counselor
13. Teacher
14. Forecaster
15. Visionary
16. Influencer
17. Creative problem solver
18. Change agent
19. Diplomat
20. Role model


















CHARACTERISTICS of FOLLOWERS:
1. Self-management
2. Responsibility
3. Integrity
4. Commitment
5. Competence
6. Focus
7. Ownership
8. Versatility
[characteristics of followers are similar to that of leaders]
[follower role is just as important as leadership role]
[followers should challenge leaders to take action; leaders cannot do anything unless they know it is an issue]









MANAGEMENT vs. LEADERSHIP
1. MANAGEMENT
- involves an OBLIGATION to ACHIEVE organizational GOALS through prudent use of HUMAN, MATERIAL and FISCAL resources
[manager is there for primarily achieving organizational goals]
[managers should also be leaders]

2. LEADERSHIP
- is about RELATIONSHIPS with FOLLOWERS and about INFLUENCING the process by which they JOINTLY ACHIEVE organizational GOALS while striving for HIGHER LEVELS of QUALITY & EFFECTIVENESS







The MANAGEMENT PROCESS:
--> planning --> organizing --> staffing --> directing --> controlling -->
[circular process]
FUNCTIONS of a NURSE MANAGER:
[see textbook for explanations]
1. PLANNING
2. STAFFING
3. ORGANIZING
4. DIRECTING [motivating staff, how to delegate, etc.]
5. CONTROLLING [performance appraisal, giving feedback, managing budgets]
6. DECISION-MAKING [how to solve problems using critical thinking]




COMMON TASKS of a NURSE MANAGER:
1. Orientation
2. Scheduling
3. Assigning specific patients & teams
4. Budget recommendations
5. Calculating nursing hours
6. Calling extra help
7. Preparing reports
8. Daily patient rounds
9. Management meetings
10. Leading unit meetings
11. Discussing unit problems with physicians
12. Total quality management










STAFF NURSE:
1. ASSESSMENT:
- observe patient
2. PLANNING:
- interpret data in light of clinical knowledge
- set goals for patient & family
- involve patient & family
3. IMPLEMENTATION:
- consider patient's resources (ex. knowledge)
- meet teaching needs of patient & family
- provide team leadership
4. EVALUATION
- analyze results of NCP
- make changes as necessary
- apply research findings
- provide team leadership













NURSE MANAGER:
1. ASSESSMENT
- observe patient/observe staff
2. PLANNING
- interpret mission/goals in light of "managerial" knowledge
- set goals for service
- involve staff & other disciplines
3. IMPLEMENTATION
- consider staff resources (ex. experience)
- meet teaching needs - ongoing & orientation
- provide unit leadership
- organize budget/staffing
- consumer relations
4. EVALUATION
- analyze results
- make changes as necessary
- facilitate clinical nursing research to critique practice














COMPARISONS OF STAFF NURSE, PATIENT CARE COORDINATOR & NURSE MANAGER:
1. Staff Nurse
- patient care (nursing process)
- in-charge:
- patient care accountability

2. Patient Care Coordinator
- patient/family care
- program implementation
- program accountability

3. Nurse Manager
- patient/staff management
- resource management
- quality assurance












STAFF NURSE vs. PATIENT CARE COORDINATOR
1. STAFF NURSE:
- Patient Care (nursing process)
- In-charge
*resource
*delegation
*collaboration
*planning & evaluation
*coordination
- Program Accountability
*Education
*Policies/Procedures
*Resource utilization
*Performance management

2. PATIENT CARE COORDINATOR:
- Patient/family care
*resources
*delegation
*collaboration
*liaison
*coordinator
- Program Accountability
*policies & procedures
*resource utilization
*performance management
*education
*quality
*professional standards
*planning & evaluation



























PROGRAM DIVISIONAL MANAGER
1. Patient Management
- policies & procedures
- standards of care
- collaboration
2. Resource Management
- financial & human resources
- planning & evaluation
3. Quality Management
- evaluation of outcomes
4. Liaison
- other programs & corporation









Health Care Corporation St. John's
1. CEO (chief executive officer)
2. VP Patient Care Services (2)
3. VP Medical Services
4. VP Human resources
5. VP Administrative services



Discussion Questions:
1. Analyze the leadership/management styles or traits utilized by nurse managers/leaders you have observed
2. Are there specific traits common to each?
3. What contributed to their "effective" or "poor" leadership?
4. Wha



Discussion Answers - Characteristics of Leaders:
Good leaders:
1. Approachable
2. Encouraging
3. Understanding
4. Non-judgmental
5. Reliable
6. Flexibility
7. "Pitch in"
8. Foster relationships
9. Passionate
10. Positive feedback
11. Empathy
12. Acknowledge limitations
13. Being present

Bad Characteristics:
1. Demanding
2. Unreasonable
3. Inconsistent
4. Improper delegation
5. Not clear
6. Poor decisions
7. Ignore issues
8. Non-supportive
9. Condescending
10. Misuse of power
11. Irresponsible
12. Unprofessional
13. Not knowing staff
14. Prejudice
15. Blaming - scapegoat






























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