FUNDA LEC WEEK 5 (PART3) Flashcards
The Institute of Medicine (IOM) and the Robert
Wood Johnson Foundation (RWJF) agree that
without exceptional nursing care and leadership,
readily available high-quality care cannot be attained.
true
have the central role in ensuring high
quality, person-centered, safe and effective care.
charge nurses
• In most cases, people
will perform at about
60% of their potential
with no leadership at
all
• Thus, an additional
40% can be realized if
effective leadership is
available
true
defined as “the
process of influencing the activities of an
organized group in its efforts toward goal setting
and goal achievement.”
Stogdill (1982)
It is a process whereby a nurse influences two or more
persons to achieve specific goal in the provision of
nursing care for one or more clients.
true
• Gardner (1986) believes that 90% of leadership can be
taught.
• When nurses graduate they are not ready to assume a
leadership role. They require opportunities for self-
discovery to understand their strengths for skill
building.
true
Formula for a successful
nurse leader performance
SKILLS: Technical, behavioral, conceptual
+
VARIABLES: Motivational, Abilities, Role Clarity
=
SUCCESSFUL NURSE MANAGER
If anything goes really good then ‘you’ did it”.
bear bryan
6 impact of nursing leadership style
employee attrition
high turn over
morale
patient care
poor feedback
less productivity
models to help to guide
senior nurses in leading other staff. The two most
common are :
transactional models and transformational
10 Roles of nurse manager
- Creation of vision
- Implementation of the vision
- Facilitation of changes
- Mentoring
- Information collection
- Evaluation of information
- Communication
- Decision making
- Relationship development
10.Control work environment
• Visionary leaders lead organizations towards
success cause they have clear of organization’s
missions.
• Helping the associates also to focus on the same.
creation of vision
• A nurse manger breaks down the mission into
specific & attainable goals.
• Manager helps the associates to recognize that how
the work done by them influences the mission of the
organization
implementation of vision
• Dynamic organizations are always changing & the
mangers help to bring changes through their role of
change agents.
• They bring changes according to the specific
situational needs or an up gradation in facilities.
• They do this with full understanding of the concept
behind & also convey the rational behind to the
associates.
facilitation of changes
• Dynamic organizations are always changing & the
mangers help to bring changes through their role of
change agents.
• They bring changes according to the specific
situational needs or an up gradation in facilities.
• They do this with full understanding of the concept
behind & also convey the rational behind to the
associates.
facilitation of changes
• Manager recognize the talent of the employee & &
groom him for the up coming responsibilities.
• Managers with great visionary leadership motivate &
mentor their associates.
• Managers contribute to the professional development of
their employees by conducting performance appraisals,
encouraging personal growth, & increase productivity.
mentoring
• New trends that might be needful to be implemented in
future are gathered by the manager.
• Maintain an ‘open door’ policy with their employees to
keep updated knowledge with issues that might be
causing dissatisfaction & discomfort among associates.
information collection
• Received information must be evaluated in order to
determine who should receive the information & mode
of communication.
• Relevancy of the information to be passed on must be
checked by the manager.
• Data necessary to be shared with associates must only
be shared.
evaluation of information
• Precision of time, place & person is must when the
process of communication runs.
• Use of appropriate method of communication, be it
face to face or in written form or be it through
electronic technical mode.
communication
• Decision making at all levels is necessary for a
manager.
• Matters with little concern or with grave impact must
be dealt with fine precision by a manager.
decision making
• A healthy environment is necessary in an organizations.
• A manager helps in construction of desired climate that
must prevail in an organization.
• Manager’s healthy interpersonal relationship with his
subordinates & superior, brings him ease with getting
tasks done by his subordinates & get directed by his
superiors.
relationship development
• Manager must provide a nourishing & positive
environment to his associates.
• Work place with more supportive & collaborative
environment brings promotional vibe & satisfaction to
the employees.
• Negative environment brings down an organization.
control work environment
5 qualities of nurse manager
CLINICAL EXPERTISE
COMMUNICATION SKILLS
FLEXIBILITY
MANAGING PEOPLE
OTHER SKILLS
3 steps on how to be assertive
- be confident, not pushy
- listen, don’t pretend to hear
- be clear, not confused
CDP STANDS FOR
Continuing Professional Development.
Continuing professional development should be a lifelong, systematic
and planned process to maintain and develop professional competence,
creativity and innovation.
Continuing professional development helps ensure your skills and
knowledge are up to date.
CPD means by which professionals maintain, improve and broaden
their knowledge and skills and develop the personal qualities and
competencies required in their working lives.
true
she introduced the concept of quality nursing
care in 1855 while attending the soldiers in the hospital during the
Crimean war.
Florence nightingale
_________ is an ongoing systemic process
designed to evaluate and promote excellence in the health care provided
to the clients. - KOZIER-
• It is a sequential process that involves setting standards of care,
measuring patient care, according to those standards, gathering data
from chart review, observing patient care, interviewing patient care givers
and then making recommendations for improvement.
quality assurance
it involves large governing of persons or agency ability to meet
established criteria or standards at a given time.
general approach
Quality assurances are methods to evaluate identifies instances of
providers and client interaction.
specific approach
refers to ways in which professional competence is
ensured and maintained. Three processes are used for credentialing in
nursing. They are accreditation, licensure and certification.
credentialing
is a specialized form of credentialing based on laws passed by
a state legislature. A license is a legal document that permits a person to
offer to the public skills and knowledge in a particular jurisdiction, where
such practice would otherwise be unlawful without a license.
licensure
State legislative bodies have authority to enact laws controlling occupational and
professional groups. Nursing is one of the groups operating under state laws that promote the general welfare by determining minimum standards of education through
accreditation of school of nursing.
accreditation
Where as licensure measures entry-level competence, certification validates specialty
knowledge, experience and clinical judgment. Nursing certification is offered by professional organizations.
certification
an organized effort whereby practicing professionals review
the quality and appropriateness of services ordered or performed by their
professional peers. Peer Review in Nursing is the process by which
practicing Registered Nurses systematically assess, monitor and make
judgments about the quality of nursing care provided by peers, as measured
against professional standards of practice.
peer view
is a pre-determined baseline condition or leve
standard
is defined as “an evaluation of patient care and analysis of
the written records maintained by nurses in patients treatment profile”.
nursing audit
2 types of nursing audit
concurrent nursing audit
retrospective nursing audit
5 nursing audit process are:
- identify problem or issue
- set criteria & standard
- observe practice/data collection
- compare performance with criteria and standard
- implementing change
9 FACTORS AFFECTING QUALITY ASSURANCE• Lack of resources
• Lack of resources
• Personal problems
• Unreasonable patients and attendants
• Improper maintenance
• Absence of accreditation laws
• Legal redress
• Lack of incident review procedures
• Lack of good hospital information system
• Absence of conducting patient satisfaction surveys
8 QUALITY ASSURANCE PROCESS
1) Identify values
2) Identify structure, process and outcome standards and criteria
3) Select measurement
4) Make interpretation
5) Identify course of action
6) Choose action
7) Take action
8) Reevaluate
