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Med Surg > Chapter 1:Leadership > Flashcards

Chapter 1:Leadership Flashcards

1
Q

Five major management functions

A
  1. Planning-what needs to be done and who is going to do it.
  2. Organizing-determines the lines of authority, channels of communication, and where decisions are made.
    3.Staffing-need adequate staffing
    4.Directing-leadership role assumed by a manager that motivates staff to perform roles.
    5.Controlling; evaluation of staff performance and evaluation of unit goals to ensure outcomes are met
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2
Q

Is management the same of leadership?

A

No

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3
Q

What is management?

A

The job role

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4
Q

What is leadership?

A

Something that you do. The ability to inspire others.

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5
Q

Characteristics of Leaders

A
  1. Initiative
  2. Inspiration
  3. Energy
  4. Positive attitude
  5. Communication Skills
  6. Respect
  7. Problem solving/Critical thinking skills
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6
Q

What are the types of leadership styles?

A

Autocratic/Authoritarian

Democratic

Laissez-faire

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7
Q

What is autocratic leadership

A

“Strict”

Makes decisions for the group

Motivates by coercion

Communications occurs down the chain of command

Effective for employees with little or no formal education

Work output by staff is usually high; good for crisis situations and bureaucratic settings

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8
Q

What is a democratic leadership style?

A

Includes the group when decisions are made.

Motivates by supporting staff achievements.

Communications occurs up and down the chain of command.

Work output by staff is usually of good quality when cooperation and collaboration are necessary.

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9
Q

What is Laissez-faire leadership?

A

“Lazy”

Makes very few decisions and does little planning.

Motivation is largely the responsibility of individual staff members.

Communication occurs up and down the chain of command and between group members.

Work output is low unless an informal leader evolves from the group.

Effective with professional employees.

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10
Q

Emotional intelligence is the ability of an individual to perceive and manage the ______ of self and others.

A

emotions

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11
Q

Emotional intelligence is tan important characteristic of?

A

the successful nurse leader.

providing high quality care

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12
Q

Critical thinking is used when?

A

analyzing client issues and problems

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13
Q

Critical thinking inludes?

A

Interpretation

Analysis

Evaluation

Interference

Explanation

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14
Q

Critical thinking is used to?

A
  1. reflect upon the meaning of statements
  2. examines available data
  3. uses reason to make informed decisions
  4. necessary to reflect and evaluate from a broader scope of view
  5. think outside the box
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15
Q

Clinical reasoning is?

A

the mental process used when analyzing the elements of a clinical situation and using analysis to make a decision.

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16
Q

True or False

You should continue to use clinical reasoning to make decisions as the client’s situations changes.

A

True

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17
Q

Definition:
The decision is made regarding a course of action based on a critical analysis of data.

A

Clinical judgement

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18
Q

Clinical judgement considers the client’s ______ when deciding to take an action or modify an intervention based on the client’s response.

A

needs

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19
Q

Clinical Judgement model is

*Hint: ADPIE

A

Assessment (recognizing cues)
Analysis
Planning
Implementation
Evaluation

20
Q

True or False

Nurses must continuously set and reset priorities to meet the needs of multiple clients

A

True

21
Q

Priority setting requires that decisions be made regarding the order in which:

A

clients are seen

assessments are completed

interventions are provided

steps in a client procedure are completed

components of client care are completed

22
Q

Prioritization Principles

A

systemic before local

acute before chronic

actual problems before potential problems

listen carefully to clients and don’t assume

reorganization and respond to trends vs. transient findings

recognize indications of medical emergencies and complications vs. expected findings

apply clinical knowledge to procedural standards to determine the priority action

23
Q

What are the two types of priority setting framework?

A
  1. Maslow’s Hierarchy
  2. ABC framework
    -airway
    -breathing
    -circulation
    -disability
    -exposure
24
Q

What is evidence-based practice?

A

Using current data to make informed clinical decisions to provide the best practice.
-best practice is determined by current research collected from several sources that have desirable outcomes.

Uses knowledge of evidence-based practice to guide prioritization of care and interventions.`

25
Q

How do you ensure proper time management?

A

Organize care according to client care needs

What must be done immediately
-administration of an analgesic

What must be done at a specific time
-vitals, blood sugar check

What must be done by the end of the shift
-dressing change, ambulation

What can the nurse delegate

26
Q

What is good time management?

A
  1. facilitates greater productivity
  2. decreased work-related stress
  3. helps ensure the provision of quality client care
    4.enhances satisfaction with client provided
27
Q

What is poor time management?

A
  1. impairs productivity
  2. leads to feelings of being overwhelmed and stressed
  3. increases omission of important task
  4. creates dissatisfaction with care provided
28
Q

Examples of time savers

A
  1. documenting nursing interventions as soon as possible
  2. grouping activities that are to be performed on the same client
  3. estimating how long each activity will take and planning accordingly
    4.delegating activities to other staff when client care workload is beyond what can be handled by one nurse
29
Q

Examples of time wasters

A
  1. documenting at the end of the shift
  2. make repeated trips to the supple room for equipment
  3. providing care as opportunity arises regardless of other responsibilities
  4. failing to plan or manage by crisis
30
Q

Time management is a ______ process.

A

cyclic

Time
Set
Complete
Reprioritize
Perform

31
Q

Conflict is a inevitable part of professional, social, and personal life and can have _________ or _________ results

A

constructive; destructive

32
Q

What can nurses use to prevent a problem from evolving into a conflict

A

problem-solving and negotiation strategies

33
Q

A lack of conflict can create?

Too much conflict can create?

A

lack: organizational stasis

too much: can be demoralizing, produce anxiety, and contribute to burnout

34
Q

If conflict interrupts productivity and quality of care who should intervene?

A

Unit manager
must attempt to identify the origin of the conflict and attempt to resolve it.

35
Q

What is intrapersonal conflict?

A

Occurs within the person and can involve internal struggles related to contradictory values or wants

ex: a nurse wants to move up the career ladder but is finding that time with their family is compromised

36
Q

What is interpersonal conflict?

A

Occurs between two or more people with differing values, goals, or beliefs.

In a healthcare setting it involves disagreement among nurses, clients, family members, and within a health care team
-significant issues

ex: new nurse given a client assignment that is heavier than other nurses and when the new nurse ask for help it is declined.

36
Q

Interpersonal conflict contributes to _______ and work related stress

A

burnout

37
Q

What is intergroup conflict?

A

Occurs between two or more groups of individuals, departments, or organizations and can be caused by a new policy or procedure, a change in leadership, or a change in organizational structure.

Ex: there is confusion as to whether it is the responsibility of the nursing unit or dietary department to pass meal trays to clients

38
Q

What are the 5 stages of conflict?

A
  1. Latent phase- actual conflict has not developed but factors are present that have high likelihood of causing conflict to occur
  2. Perceived conflict- a party perceives that a problem is present, though an actual conflict might not actually exist
  3. Felt Conflict- those involved begin to feel an emotional response to the conflict
  4. Manifest conflict- parties involved are aware of the conflict and action is taken. Actions at this stage can be positive and strive toward conflict resolution, or they can be negative and include debating, competing, or withdrawal of one one or more parties form the situation
  5. Conflict aftermath- is the completion of the conflict process and can positive or negative
39
Q

What are the conflict resolution strategies?

A

Problem Solving

Open communication and de-escalate conflict
- Use “I” statements

40
Q

Steps of the problem-solving process

A

Identify the problem

Analyze identified solutions

Select a solution

Implement the selected solution

Evaluate the solution’s ability to resolve the original problem

41
Q

Negotiations is a Win-_____ situation

A

Win-Win

42
Q

Negotiation is when the interested parties?

A
  1. resolve ongoing conflicts
  2. agree on steps to take
  3. bargain to protect individual or collective interest
  4. pursue outcomes that benefit mutual interest
43
Q

When would assertive communication be necessary?

A

during conflict negotiation

44
Q

Assertive communication allows?

A

expression in direct, honest, and nonthreatening ways that do not infringe upon the rights of others

45
Q

Assertive communication is a style that?

A

acknowledges and deals with conflict

recognizes others as equal

provides a direct statement of feelings

46
Q

What is a grievance?

A

a wrong perceived by an employee based on a feeling of unfair treatment that is considered grounds for a formal complaint.

if it can’t be satisfactory resolved then it can require management by a third party

Med Surg (5 decks)

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