Exam 1 Flashcards
Benner’s Levels of Nursing Experience - Novice, Advanced beginner, Competent, Proficient, or Expert?
No experience, taught rules, limited relevance to real life or exceptions
Novice
Benner’s Levels of Nursing Experience - Novice, Advanced beginner, Competent, Proficient, or Expert?
Acceptable performance, recognizes meaningful components, forms principles to guide actions
Advanced beginner
Benner’s Levels of Nursing Experience - Novice, Advanced beginner, Competent, Proficient, or Expert?
2 to 3 years of work, long-term goals, greater efficiency based on own actions
Competent
Benner’s Levels of Nursing Experience - Novice, Advanced beginner, Competent, Proficient, or Expert?
Understands situations as whole parts, holistic in decision making, learns from experience and can modify plans
Proficient
Benner’s Levels of Nursing Experience - Novice, Advanced beginner, Competent, Proficient, or Expert?
No longer relies on principles/rules, strong experience, intuitive in clinical situations, fluid/flexible performance
Expert
Feeling overwhelmed, conflicted, and frustrated due to gap between academic and practice expectations
Reality shock
Educational setting to ease transition from academic to practice
Anticipatory socialization/preceptorship
Shadow with nurse managers/leaders to model stress management techniques
Role overload- employers
Prolonged orientation periods to ease new grad nurse into work environment and acclimate to performance expectations
Internships/Preceptorships/Residencies
What are the strategies for success?
-Role models & mentors
-Preceptors
-Develop self through self-mentoring
-Organizational skills, identify clinical skill that need strengthening, interpersonal skills, work w/ staff development department, develop relationships with co-workers for mutual support, share and reflect on experiences
-Role model, educator, socializer, friend and confidant.
-Model new skills, observe and help the new nurse with these skills and evaluate the new nurse accomplishing these skills.
-Observe the preceptee with this process and evaluate his or her competency to perform this task independently.
-Involves an intense time commitment and has well-defined outcomes.
-Ends with the completion of orientation, although the relationship may continue.
Precepting
-Formal or informal process that works best when it is intentional.
-Purpose is to encourage, support and guide nurses in their positions so that they will continue to grow personally and professionally.
-Are coaches, advisors, friends, cheerleaders and counselors.
-Not responsible for the nurse’s day-to-day activities or for solving problems.
-Offer a nonjudgmental listening ear for the mentee.
-May help with continued socialization within the institution, communication issues, career goals and problem solving.
-Relationship is built on trust and is confidential.
A formal relationship is usually time limited and ranges anywhere from six months to a year.
Mentoring
-Gather data
-Asking what is possible
-Help employee recognize how to increase effectiveness, identify potential opportunities, and advance knowledge, skills, and experience
-May be short- or long-term depending on employee’s needs for growth, motivation, and career plans
Coaching sessions
What are some wellness willpower principles?
Arrange your environment: clean (get rid of temptations), commit (accountability partner), optimize (time tasks, ex, do groceries when you are full).
Boost your willpower in the moment: postpone (“not now, maybe later”), distract (avoid impulses by focusing on something else), hide (remove yourself from situation)
Strengthen your ongoing willpower: meditate (10 minute mindful meditation session), sleep (think of rest as a shield from temptations), stop swearing (helps to learn to extend your willpower)
Contingency theories focus on
focuses on situational variables that affect the leader–member relationship, task structure, and position power
What are the four situational leadership styles?
Telling- for low-maturity groups that need direction
Selling- for moderate-maturity groups that are unable, but willing and need direction
Participating- for moderate- to high-maturity groups that are able, but unsure and need support
Delegating- for high-maturity groups that are able and need little direction
What type of leadership is this?
-A philosophy and set of practices that enriches the lives of individuals, builds better organizations and ultimately creates a more just and caring world.
-Focuses primarily on the growth and well-being of people and the communities to which they belong.
-Shares power, puts the needs of others first and helps people develop and perform as highly as possible; pulls alongside
Servant leadership
What type of leadership is this?
-Generally involves the accumulation and exercise of power by one at the “top of the pyramid”
Traditional leadership