L and M Flashcards
Critically analyse resource management
based on case study and leadership
Time constraints
focus on budget and nurse as human resource
discussion on
Current policy and barriers
Resource management
effective and efficient use of resources
leaders and managers
ensure effective use
Robbins et al
management proactive, get things done
leader
influence and motivate (Kings fund 2011; Northouse 2016)
Gill (2011)
vision of current and future priorities, communicate and motivate
Good leader
tailor approach - situation
leadership theories
ingrained or taught (Northouse 2016)
inherent trait
great people with right skills
natural emotional intelligence
self confidence and determination (Goleman 2000; Northouse 2016)
Leaders emerge
right skills taught and developed
Combination of
Natural ability and gained knowledge
Matron
senior management - quality
Remit, control budget
maximise service, minimise cost
charge nurse
new to ward
completed leadership course
staff morale low
Ward sickness 8%
unfilled vacancies
staff look to leaders
to resolve
Different approaches
to leadership
Bass and Riggio (2012)
transactional - rewards or threats
Transformational
elevate to look beyond self
relational
Wong et al 2013 - fewer adverse effects
Get to know staff
create effective team
Gills (2011)
two polar opposites
Autocratic dictates
dissonant leadership
negative work environment
Boyatzis et al (2005)
Democratic leader
shares authority (Gill 2011)
Bolden et al (2013)
leaders emerge - accepted by followers
Nurses everyday look to leaders
resolve problems for patients
Team in case study
nursing and MDT
Team followers
maintain ward and patient safety
Jackson and Parry (2008)
six types of follower
Recipient
passive, wait for instruction - student
Moderator
instructing newly qualified
Substitute
experienced staff
Constructed
problem for new leader
Everyone given chance to lead
Share coordinator
Mutual exchange
MDT
Complaint, parent, - emergency admittance
Acute Lymphoblastic leukaemia - neutrapenic sepsi
IV antibiotics
immediate
No oncology beds
staffing issues - 2 hour delay
Candour
no trained staff
patient unwell
incident report not clear
NMC (2015)
leadership ensure well being - manage resources
NHS England (2015)
staff and skill mix
Ward could not predict patient needs
providers have duty (WHO 2000)
Staff/resources
greatest benefit, minimise harm
Grint (2005)
tame problem - complicated but solveable
long term vacancies
chronic understaffing
Agency staff
over budget
Tackle - wicked problem
no clear solution
Crisis
immediate leadership action
NHS
reached crisi
Tragic Francis report
nhs under scruitny
WHO (2006)
difficult to recruit
Fall
agency and fewer people training (RCN 2011)
Cummings (2016)
9 of 10 commitments - right staff, place and time
NHS period of austerity
£22 billion productivity improvements
Generic prescribing
Saves £7billion
Over use antibiotics
resistance
underuse anticoagulants
stroke
Misuse harm
second checker
Freeze to staff pay
causing tension - strong leadership
Conclusion leadership
an art form
effective resource management
avert crisis
case study highlight
ineffective use of resources
put patient lives at risk
immenitent priority to save nhs