Chapter 16 Flashcards

Exam 2

1
Q

Philosophy of Learning Organizations #1

The learning organization (LO): What does it promote?

A

The learning organization (LO) promotes a shared vision and collective learning in order to create positive and needed organizational change.

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2
Q

Philosophy of Learning Organizations #1

What does collective learning do? Who gains from it?

A

Collective learning goes beyond the boundaries of individual learning and releases gains for both the individual and the organization.

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3
Q

Philosophy of Learning Organizations #2

What is a premise of the learning organization?

A

A premise of the learning organization is that learning itself enhances the team.

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4
Q

Philosophy of Learning Organizations #2

What is a common feature of learning organizations?

A

A common feature of learning organizations is their tolerance for mistakes as an inevitable part of the learning process

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5
Q

Key Characteristics of Senge’s Model of LOs:

What does it include?

A

Systems thinking

Personal mastery

Team learning

Mental models

Shared vision

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6
Q

Key Characteristics of Senge’s Model of LOs:

What does his model recognize?

A

Senge’s Model of LO’s - Recognizing that mistakes are an inevitable part of the learning process.

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7
Q

Key Characteristics of Senge’s Model of LOs:

Systems thinking: What does the organization encourage? How are work activities seen?

What does this create?

A

The organization encourages staff to see themselves as connected to the whole organization, and work activities are seen as having an impact beyond the individual.

This creates a sense of community and builds a commitment on the part of individual workers not only to the organization but also to each other.

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8
Q

Key Characteristics of Senge’s Model of LOs:

Personal mastery:

A

Each member of the staff has a commitment to improve their personal abilities.

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9
Q

Key Characteristics of Senge’s Model of LOs:

Team learning: How do learning organizations achieve their goals?

A

It is through the collaboration of team members that LOs achieve their goals.

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10
Q

Key Characteristics of Senge’s Model of LOs:

Team learning: What are important characteristics of an LO?

A

Values, such as trust and openness, commitment to one another’s learning, and acknowledgment that mistakes are part of the learning process, are important characteristics of a LO.

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11
Q

Key Characteristics of Senge’s Model of LOs:

Mental Models: What is it?

A

Mental models. A mental model is the set of assumptions and generalizations (or even pictures or images) that influence how we understand the world and how we take actions (The Busy Lifestyle, 2020).

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12
Q

Key Characteristics of Senge’s Model of LOs:

Mental Models: What is the goal of learning organizations (LO)?

A

The goal in the LO is to foster organizational development through diverse thinking.

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13
Q

Key Characteristics of Senge’s Model of LOs:

Mental Models: What happens to the assumptions made?

A

Assumptions held by individuals then are challenged because this releases individuals from traditional thinking and promotes the full potential of individuals to learn.

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14
Q

Key Characteristics of Senge’s Model of LOs:

Shared vision: What happens when employees share a common vision?

A

When all the employees of the LO share a common vision, they are more willing to put their personal goals and needs aside and instead focus on teamwork and collaboration.

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15
Q

Training Versus Education #1

Training: How is it defined?

A

Training may be defined as an organized method of ensuring that people have knowledge and skills for a specific purpose and that they have acquired the necessary knowledge to perform the duties of the job.

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16
Q

Training Versus Education #1

Education: How does education compare to training?

A

Education is more formal and broader in scope than training.

Whereas training has an immediate use, education is designed to develop individuals in a broader sense.

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17
Q

Training Versus Education #1

What does developing a training program start with?

A

Developing a training program starts with identifying the knowledge or skill needed

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18
Q

Training Versus Education #2

Managers and education department staff- What is their role in training staff?

A

Managers and education department staff have a shared responsibility for the education and training of staff.

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19
Q

Learning Theories:

What is included?

A

Adult learning theory

Social learning theory

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20
Q

Learning Theories:

Adult Learning theory include:

A

Pedagogy vs Andragogy

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21
Q

Learning Theories:

Adult Learning theory include: Andragogy- who does this work well for?

A

*Andragogy works well with those who have had life experiences because they are mature and can take part in their own learning experiences.

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22
Q

Learning Theories:

Adult Learning theory: Andragogy- in this type of learning, how is the learner?

A

In this type of learning, the learner is self-directed rather than dependent.

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23
Q

Learning Theories:

Adult Learning theory include: Pedagogy- What is it?

A

Child Learning

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24
Q

Learning Theories:

Social learning theory: What is it?

A

(Bandura, 1977): learning from interactions with others in a social context

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25
Q

Learning Theories:

Social learning theory: Why is it important?

A

Social learning theory is also an important part of LOs because it suggests we learn from our interactions with others in a social context.

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26
Q

Learning Theories:

Key components of social learning theory include:

A

(1) group work

(2) demonstration (modeling), and

(3) hands-on practice in a group setting –are all central to social learning theory.

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27
Q

Learning Theories:

What would be less indicative of social learning theory?

A

*Written information and online materials that learners complete on their own would be less indicative of social learning theory, even though they may benefit some learners.

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28
Q

Learning Theories:

What are other learning concepts?

A

Other learning concepts:

readiness to learn;

motivation to learn;

reinforcement;

task learning;

transfer of learning;

span of memory;

chunking;

knowledge of results

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29
Q

Learning Theories:

Other learning concepts: Readiness to learn

A

This refers to the maturational and experiential factors in the learner’s background that influence learning; it is not the same as motivation to learn.

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30
Q

Learning Theories:

Other learning concepts: Readiness to learn -What does maturation mean?

A

Maturation means that the learner has received the prerequisites for the next stage of learning.

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31
Q

Learning Theories:

Other learning concepts: Readiness to learn -What are experiential factors?

A

Experiential factors are skills previously acquired that are necessary for the next stage of learning.

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32
Q

Learning Theories:

Other learning concepts: Motivation to learn

A

If learners are informed in advance about the benefits of learning specific content and adopting new behaviors, they are more likely learn.

Ex; Telling employees why and how specific educational or training programs will benefit them personally (to gain buy in) is a vital management function in staff development.

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33
Q

Learning Theories:

Other learning concepts: Reinforcement

A

Because a learner’s first attempts are often unsuccessful, good preceptors are essential to reinforce desired behavior.

Once the behavior or skill is learned, it needs continual reinforcement until it becomes internalized.

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34
Q

Learning Theories:

Other learning concepts: Task learning

A

The learning of complex tasks is facilitated when tasks are broken into parts, beginning with the simplest and continuing to the most difficult.

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35
Q

Learning Theories:

Other learning concepts: Task learning

How is learning motor skills most effective?

A

When learning motor skills, spaced practice (short time periods but multiple sessions) is more effective than massed practice (a single longer session).

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36
Q

Learning Theories:

Other learning concepts: Transfer of learning

What is the goal of training?

A

Transfer of learning. The goal of training is to transfer new learning to the work setting.

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37
Q

Learning Theories:

Other learning concepts: Transfer of learning

The goal of training is to transfer new learning to the work setting. For this to occur, what should there be?

A

For this to occur, there should first be as much similarity between the training context and the job as possible.

Second, adequate practice is mandatory, and overlearning (learning repeated to the degree that it is difficult to forget) is recommended.

Third, the training should include a variety of different situations so that the knowledge is generalized.

Fourth, whenever possible, important features or steps in a process should be identified.

Finally, the learner must understand the basic principles underlying the tasks and how a variety of situations will modify how the task is accomplished.

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38
Q

Learning Theories:

Other learning concepts: Transfer of learning

For learning in the classroom will not be transferred without what?

A

Learning in the classroom will not be transferred without adequate practice in a simulated or real situation and without an adequate understanding of underlying principles.

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39
Q

Learning Theories:

Other learning concepts: Span of memory

A

The effectiveness of staff development activities depends to some extent on the ability of the participants to retain information.

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40
Q

Learning Theories:

Other learning concepts: Span of memory

The effectiveness of staff development activities depends to some extent on the ability of the participants to retain information. What do effective strategies include?

A

Effective strategies include the chance for repeated rehearsal, grouping items to be learned (three or four items for oral presentations and four to six visually), having the material presented in a well-organized manner, and chunking.

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41
Q

Learning Theories:

Other learning concepts: Chunking

When does chunking occur?

A

This occurs when two independent items of information are presented and then grouped together into one unit.

Although the mind can remember only a limited number of chunks of data, experienced nurses can include more data in those chunks than can novice nurses.

For example, experienced nurses are typically better able to recognize subtle changes in a patient’s condition based on the assessments they have made or changes in lab values, whereas the novice nurse may take a bit longer to connect these pieces of information.

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42
Q

Learning Theories:

Other learning concepts: Knowledge of results

How do people learn faster?

A

Research has demonstrated that people learn faster when they are informed of their progress.

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43
Q

Learning Theories:

Other learning concepts: Knowledge of results

Research has demonstrated that people learn faster when they are informed of their progress.

How should the knowledge of results be?What do people need to experience?

A

The knowledge of results must be automatic, immediate, and meaningful to the task at hand.

People need to experience a feeling of progress, and they need to know how they are doing when measured against expected outcomes.

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44
Q

Implications of Knowles’s Work for Trainers and Educators #1:

What kind of climate is needed to assist in what adult learners need and want?

A

A climate of openness and respect will assist in the identification of what the adult learner wants and needs to learn.

45
Q

Implications of Knowles’s Work for Trainers and Educators #1:

How do adults feel about their learning experiences?

A

Adults enjoy taking part in and planning their learning experiences.

46
Q

Implications of Knowles’s Work for Trainers and Educators #1:

How should adults be involved in their progress?

A

Adults should be involved in the evaluation of their progress.

47
Q

Implications of Knowles’s Work for Trainers and Educators #1:

What techniques work best with adults?

A

Experiential techniques work best with adults.

48
Q

Implications of Knowles’s Work for Trainers and Educators #1:

What are opportunities for adult learning?

A

Mistakes are opportunities for adult learning.

49
Q

Implications of Knowles’s Work for Trainers and Educators #2

What are times the adult may feel rejected?

A

If the value of the adult’s experience is rejected, the adult will feel rejected.

50
Q

Implications of Knowles’s Work for Trainers and Educators #2

When is adult readiness to learn the greatest?

A

Adults’ readiness to learn is greatest when they recognize that there is a need to know (such as in response to a problem).

51
Q

Implications of Knowles’s Work for Trainers and Educators #2

What do adults need the opportunity to do?

A

Adults need the opportunity to apply what they have learned very quickly after the learning.

52
Q

Implications of Knowles’s Work for Trainers and Educators #2

What is important to adult learning?

A

Assessment of need is imperative in adult learning.

53
Q

Obstacles to Adult Learning include:

A

Institutional barriers

Time

Self-confidence

Situational obstacles

Family reaction

Special individual obstacles

54
Q

Three Reasons for Staff Development

A
  1. To establish competence
  2. To meet new learning needs
  3. To satisfy interests the staff may have in learning in specific areas
55
Q

Sequence for Developing an Educational Program:

What is included?

A

Identify the desired knowledge or skills that the staff should have.

Identify the present level of knowledge or skill.

Determine the deficit of desired knowledge and skills.

Identify the resources available to meet needs.

Make maximum use of available resources.

Evaluate and test outcomes after use of resources.

56
Q

Evaluation Criteria for Staff Development Activities

A

Learner’s reaction

Behavior change

Organizational impact

Cost-effectiveness

57
Q

Evaluation Criteria for Staff Development Activities

Learner’s reaction: What does this mean?

A

How did the learner perceive the orientation, the class, the training, or the preceptor?

58
Q

Evaluation Criteria for Staff Development Activities

Behavior change: What does this mean?

A

What behavior change occurred because of the learning? Was the learning transferred?

59
Q

Evaluation Criteria for Staff Development Activities

Behavior change: What does not confirm that the learning changed behavior?

A

Testing someone at the end of a training or educational program does not confirm that the learning changed behavior.

There needs to be some method of follow-up to observe if behavior change occurred.

60
Q

Evaluation Criteria for Staff Development Activities

Organizational impact: What are examples?

A

Although it is often difficult to measure how staff development activities affect the organization, efforts should be made to measure this criterion.

Examples of measurements are assessing quality of care, medication errors, accidents, quality of clinical judgment, turnover, and productivity.

61
Q

Evaluation Criteria for Staff Development Activities

Cost-effectiveness: What should be quantified? How should this be evaluated?

A

All staff development activities should be quantified in some manner. This is perhaps the most neglected aspect of accountability in staff development.

All staff development activities should be evaluated for quality control, impact on the institution, and cost-effectiveness.

62
Q

Evidence-Based Practice:

Who is involved in this?

A

Facilitating evidence-based practice is a shared responsibility of the professional nurse, the organization, leader-managers, and the education or staff development department.

63
Q

Strategies for Promoting Evidence-Based Practice:

What should you develop?

A

Develop and refine research-based policies and procedures.

64
Q

Strategies for Promoting Evidence-Based Practice: What should you build?

A

Build consensus from the interdisciplinary team through development of protocols, decision trees, standards of care, institutional clinical practice guidelines, etc.

65
Q

Strategies for Promoting Evidence-Based Practice: What should be accessible?

A

Make research findings accessible through libraries and computer resources.

66
Q

Strategies for Promoting Evidence-Based Practice: What should you provide?

A

Provide organization support, such as time to do research and educational assistance to teach staff to interpret research statistics and use findings.

67
Q

Strategies for Promoting Evidence-Based Practice:

What should you encourage?

A

Encourage cooperation among professionals.

68
Q

Strategies for Promoting Evidence-Based Practice #2:

When possible, what should you do?

A

When possible, hire nurse researchers or consultants to assist staff.

69
Q

Socialization: What is it?

A

Learning the behaviors that accompany each role by instruction, observation, and trial and error

70
Q

Socialization: What does it involve?

A

Involves a sharing of the values and attitudes of the organization

71
Q

Socialization:

What does it create?

A

Creates a fit between new staff members and the unit by introducing them to the norms of the group

72
Q

Socialization:

When does the first socialization to the nursing role occur?

A

The first socialization to the nursing role occurs during nursing school and continues after graduation.

73
Q

Socialization:

What are several mechanisms to ease role transition of new graduates?

A

Anticipatory socialization

Managers should be alert for signs and symptoms of role stress and role overload in new nurses

74
Q

Resocialization: When does this occur?

A

Occurs when individuals are forced to learn new values, skills, attitudes, and social rules as a result of changes in the type of work they do, in the scope of responsibility they hold, or in the work setting itself

75
Q

Resocialization:

Difficulties with resocialization include:

A

*Difficulties with resocialization usually center on unclear role expectations (=role ambiguity),

an inability to meet job demands,

or lack of motivation.

Role strain and role overload contribute to the problem.

76
Q

Resocialization:

Difficulties with resocialization DO NOT include:

A

*Difficulties with resocialization are not related to Lack of a dedicated coach, mentor, and preceptor.

77
Q

Role Change

What do organization often fail to address?

A

Organizations often fail to address socialization problems that occur in job, position, or status changes.

78
Q

Role Change:

Role overload: When does this occur?

A

Role overload occurs when the demands of the role are excessive.

79
Q

Role Change

Role Ambiguity: What is an example?

A

A nurse who provides client care half of the time and who is in a management role half of the time will have a high risk for role ambiguity

80
Q

Team Building via Role Models, Preceptors, and Mentors:

What do the roles of role models, preceptors and mentors help do?

A

These roles help to clarify role expectations through the use of social interaction and educational processes.

81
Q

Team Building via Role Models, Preceptors, and Mentors:

What does each role have?

A

Each role has a different focus and uses different mechanisms.

82
Q

Role Models:

What kind of behavior do they have?

A

Behavior you want to emulate

83
Q

Role Models:

What kind of relationship do you have with them?

A

May be a passive or nonexistent relationship

84
Q

Role Models:

How many role models can a person have?

A

A person can have many role models.

85
Q

Role Models:

What kind of effect is there?

A

There is a cumulative effect.

86
Q

Preceptor: Who are they? What do they provide?

A

An experienced nurse who provides knowledge and emotional support, as well as a clarification of role expectations, on a one-to-one basis

87
Q

Preceptor:

How do they treat the learner?

A

Effective preceptors role model and adjust teaching to each learner as needed.

88
Q

Mentoring:

What kind of relationship occurs in mentoring?

A

An in-depth supportive and nurturing relationship between an expert and a novice

89
Q

Mentoring:

What kind of relationship is this? How long does it last?

A

Formal relationship typically lasts 2 to 5 years, with mentor being one generation older than mentee

90
Q

Mentoring:

How often do nurses have mentors?

A

Many nurses have limited opportunities to have a true mentoring relationship in their lives.

91
Q

Mentoring:

How does a mentor come to assist a protege?

A

The mentor makes a conscious decision to assist the protégé in career development, with the relationship usually lasting several years.

92
Q

Mentoring:

How does mentor and preceptor differ?

A

Mentorship and preceptorship differ in purpose and duration.

Mentorship does not necessitate putting aside one’s personal goals and beliefs.

Mentorship relationships are intended to have a longer duration; most nurses do not have several mentors during their career.

93
Q

Mentoring:

What do individuals normally NOT have at the same time?

A

Individuals do not normally have an assigned mentor, coach, and preceptor at the same time.

94
Q

Phases of the Mentoring Process:

What is being explored?

A

Exploring whether to begin a mentoring relationship

95
Q

Phases of the Mentoring Process:

What is being negotiated?

A

Negotiating a mentoring agreement, with a goal(s) and deadline(s)

96
Q

Phases of the Mentoring Process:

What is being implemented?

A

Implementing the agreement and periodically reviewing progress made

97
Q

Phases of the Mentoring Process:

What is being summarized and formally concluded?

A

Summarizing and formally concluding the mentoring relationship

98
Q

Phases of the Mentoring Process:

What are the four phases?

A

Exploring whether to begin a mentoring relationship

Negotiating a mentoring agreement, with a goal(s) and deadline(s)

Implementing the agreement and periodically reviewing progress made

Summarizing and formally concluding the mentoring relationship

99
Q

Behavioral Sanctions: What is it?

A

The bestowing of rewards and punishments

100
Q

Behavioral Sanctions: What does it show employee?

A

Used to show employees what behavior is rewarded or eschewed in an organization

101
Q

Behavioral Sanctions:

How is it rarely carried out?

A

Rarely carried out on a systematic and planned basis

102
Q

Group Norms:

What should a manager know?

A

The manager should know what the group norms are and should be observant of the sanctions used by the group to make newcomers conform.

103
Q

Group Norms:

What should a manager do if group norms are not part of the organizational culture?

A

The manager should take appropriate intervention if group norms are not part of the organizational culture.

104
Q

Meeting the Educational Needs of a Culturally Diverse Staff

What should be respected?

A

Respect cultural diversity—recognize its desirability.

105
Q

Meeting the Educational Needs of a Culturally Diverse Staff

What should be recognized?

A

Recognize different perceptions of classroom and instruction learning.

106
Q

Unique Socialization Needs of International Nurses

What do international nurses often experience?

A

Often experience cultural, professional, and psychological dissonance

Communication problems

Anxiety, homesickness, and isolation

107
Q

Coaching:

What occurs in this?

A

One person helping another to achieve an optimal level of performance

108
Q

Coaching:

What is it a tool for?

A

Tool for empowering subordinates, changing behavior, and developing a cohesive team

109
Q

Coaching:

What is there an emphasis on?

A

Emphasis on assisting the employee to recognize greater options, to clarify statements, and to grow