Ch. 41 Flashcards
Leadership
An interactive process that provides needed guidance and direction
Three leadership dynamics
Leader
Follower
Situation
Formal leadership
Individuals who occupy designated administrative or management positions in an organization
Informal leadership
Individuals who do not occupy a designated administrative or management position also occurs
Perceived by their supervisors and peers because of their capabilities and actions
Six attributes for effective leadership
Followers, visions, communication, decision making, change and social power
Followers
No leaders without followers, and no followers without leaders.
Vision
Ideological statement of a desired, long term future for an organization
Communication
Essential function of effective leadership
Leadership has been referred to as an ongoing conversation between a leader and follower
Decision making
Affect others and their organizations success
Change
Transition process from an old state to a new state
Social power
Potential influence of one individual over another
Coercive
Uses threat of punishment to get followers to respond
Legitimate
Recognition that formal leaders have power over their followers because of the position they hold
Referent
Results when followers identify with or aspire to be like their leader
Reward
Ability of one person to reward another for compliance with expectations
Expert
Results when followers respond to their leaders directions because they perceive that the leader knows best
Informational
Based on the leaders ability to influence followers to act by using clear logic, rational argument and information
Great man/trait theory
Leaders are born not made.
Leaders emerge to assume control
Prior education or special prep doesn’t occur
Behavioral leadership
Effective leaders use different behaviors than ineffective leaders
Shown that effective leaders demonstrate high concern for employee needs, feelings, and moral
Address task accomplishment and organizational productivity
Situational and contingency theory
Aims to explain why some leadership approach are effective in one situation and not in another
Subtle and complex ways i I which a leaders traits and behaviors, followers needs and values, and situational parameters interact
Charismatic and transformational leadership
Leaders inspire, intellectually stimulate, and recognize the contributions of their followers
Complexity leadership
The reflects the dynamism and knowledge based nature of the world in the 21st century
Assumes interconnectedness among the parts of a system and between the system and its external environment.
Interaction among the interconnected parts can affect the entire system, in substantial ways
Formal nursing leadership
Nursing leadership are to ensure quality patient care and to create supportive practice environments for nurses
Executive level leadership
Partner with other executives to establish the organizational vision and then align the goals and operations of the nursing department with the organizational vision
Lower level leadership
Report to the nurse executive
To ensure that day to day patient care operations meet established standards, to empower staff to participate in improving patient care
Preparation for formal leadership
Care coordination
Communication
Collaboration
Health care quality
Evidence
Ethics
Formal nurse leader examples
Chief nursing officer
Nursing director/assistant director
Nurse manager
Charge nurse/team leader
Dean
Associate dean
State board of nursing executive director
Clinical nurse leader example
Experienced staff nurse
Clinical nurse educator
Experienced advanced practice nurse
Interprofessional leader examples
Director of clinical service line
Associate director of infection control
Chairperson, quality improvement
Chairperson, reaccreditation steering
Leadership styles
Autocratic
Democratic
Laissez-faire
Transactional
Transformational
Authentic
Shared
Autocratic leader
Make decisions and are generally most concerned with the tasks to be accomplished
Maintain distance from followers
Democratic leaders
Involve followers in decision-making process
Laissez-Faire leaders
Don not interfere with employee and their work
Transactional leaders
Focus on the daily operations of an organization and develop an exchange relationship with followers
Transformational leader
Approaches that change or transform individuals
Inspire and intellectually stimulate followers and recognize contributions
Authentic leaders
Transparent and ethical in their dealings with followers
Shared leadership
Type of leadership associated with work teams is shared leadership
Employees are empowered to distribute leadership responsibilities broadly within a group
First Principle of Delegation:
Nurses must have knowledge of the nurse practice act in the state where they are licensed
•Second Principle of Delegation:
The RN cant delegate assessment, planning, evaluation or accountability for the assigned task
The RN is responsible for assessment of patients even if certain tasks are delegated to others
•Third Principle of Delegation:
The person to whom the assignment was delegated cannot delegate that assignment to someone else
