Ch 16 leadership

Question 1

leader

Answer 1

person who influences the beliefs, opinions, and behaviors of a person or group, often to try and accomplish common goals. The person may not always have authority

Question 2

Manager

Answer 2

a person responsible for the allocation/coordination of resources like people, time and supplies. The person plans what is to be done, who does it and how…

Question 3

Authority

Answer 3

legitimate right to direct others through an authorized position in an organization.

Question 4

Power

Answer 4

ability to motivate ppl to get things done with or without the formal right granted by the organization.

Question 5

Formal leadership

Answer 5

a practice of higher positions that ppl are appointed to. Examples include unit managers, charge nurses, supervisors…

Question 6

informal leadership

Answer 6

act of influencing beliefs/opinions/behaviors/accomplishing goals practiced by one that isn’t appointed a position with authority. This can be a good or bad situation based on the person’s goals and how well they match the organization’s goals.

Question 7

Leadership trait theory

Answer 7

People are born to act as leaders and have certain traits which predispose them to leadership. These traits include motivation, intelligence, decisiveness, ambition… This theory ignores that leadership qualities can be learned.

Question 8

Interactional leadership theory

Answer 8

Theory that includes the environment along with coworkers and how they affect who is/isn’t a leader. The collective values/culture determine what makes the leader

Question 9

Transformational leadership theory

Answer 9

leaders have a vision and attempt to bring about that change. They are committed to organization’s goals, empower/mentor the workforce, and achieve higher levels of staff satisfaction as opposed to transactional

Question 10

Weber’s theory of bureaucracy

Answer 10

theory based on explaining authority within organizations, which stated that authority is determined by rules/rights granted by virtue of a management position rather than being r/t the person who takes the position.

Question 11

Systems theory

Answer 11

Views organization as a set interdependent parts that together form a whole, change in one area affects all else. In an open system, external environmental forces and internal problems affect the environment (the case with HC). Closed system ignores the affect of outside influences.

Question 12

Chaos theory

Answer 12

a theory which attempts to explain the complexity/randomness in organizations. This theory explains that by viewing complicated behaviors/patterns and unexpected situations as predictable, a degree of order can be obtained.

Question 13

Nurse as customer service provider

Answer 13

This realm/role for nursing focuses on patient safety and quality care. Defines internal customers (workers) and external (pts/fams/payers) and that customer service standards should be defined by these customers.

Question 14

Nurse as team builder

Answer 14

Nurse should act as a role model for teams and promote synergy defined goals and objectives, with a commitment to work together.

Question 15

nurse as resource manager

Answer 15

The nurse, in this realm, organizes resources (personnel, time, and supplies) to meet identified goals. The budget and financial reports are the primary tool for resource managers

Question 16

Lewin’s stages of change

Answer 16

Describes how to incorporate new policies within an organization. First, the unfreezing stage is identifying the need for change. The moving stage clarifies the need to change, exploring alternatives, defining the change. The refreezing stage integrates the change into the organization

Question 17

Nurse manager as clinical consultant

Answer 17

in this instance, the nurse would act as a resource for clinical advice. The consultant serves as a role model for excellence in care by guiding staff nurses to make appropriate decisions with difficult cases.

Question 18

Nurse manager as staff developer

Answer 18

The nurse should be mindful of, and orchestrate, opportunities for growth and knowledge for learning/training opportunities.

Question 19

Nurse as corporate supporter

Answer 19

In this role, the nurse has the responsibility to embrace the mission, goals, and objectives of the employing organization

Question 20

Proclamation for change: transforming the hospital pt care environment

Answer 20

a set of evidence-based recommendations to improve patient safety and retention in the nursing workforce. Has four basic tenets; patient-centered design, integrated technology, seamless work enviro, and vendor partnerships

Question 21

Keeping Patient’s safe: Transforming the work enviro of nurses (IOM report)

Answer 21

Report that revealed a strong connection b/w the nurses work environment and medical errors made. The report advocated for promoting transformational leadership and EBP, maximizing work capabilities through staffing, and redesigning processes to mitigate errors.

Question 22

The Future of Nursing: Leading change, advancing health (IOM)

Answer 22

result of a 2 year initiative launched by IOM and Robert Wood Johnson foundation. Purpose was to guide advancement of nursing with 4 key recommendations: practicing to full extent of education, higher levels of education, be partners with other HCP to redesign HC, and engage in effective workforce planning.