leadership Flashcards

1
Q

Leadership

A
  • The ability to direct or motivate an individual or group to achieve set goals by the use of explicit power or implied power
    โ€” Explicit are those who are elected, where implicit is more due to someoneโ€™s personality
    โ€” The power to lead all depends on a personโ€™s personality, and how they lead
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2
Q

CALIFORNIA BOARD OF REGISTERED NURSING*

A
  • State governmental agency established by law to protect the public by regulating the practice of registered nurses. The BRN is responsible for implementation and enforcement of the Nursing Practice Act: the laws related to nursing education, licensure, practice, and discipline. The Nursing Practice Act created a nine-member Board which serves as the BRN decision-making body.
  • Setting RN Educational Standards
  • Approving California Nursing Programs
  • Evaluating Licensure Applications
  • Issuing and Renewing Licenses
  • Issuing Certificates
  • Taking Disciplinary Action
  • Managing an Intervention Program
  • Operating an Online License Verification System
  • *manage our license/ protect the public
  • oversee nursing schools
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3
Q

NCSBN NATIONAL COUNCIL STATE BOARD OF NURSING*

A
  • NCSBN is a not-for-profit organization whose U.S. members include the nursing regulatory bodies in the 50 states, the District of Columbia and four U.S. territories.
  • The purpose of NCSBN is to provide an organization through which boards of nursing act and counsel together on matters of common interest and concern affecting the public health, safety and welfare, including the development of licensing examinations in nursing.
  • *create NCLEX (national exam)
  • every state has their own BRN
  • some states have reciprocity to allow you to be certified in other states
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4
Q

AMERICAN NURSING ASSOCIATION*

A
  • Represent the interests of the nationโ€™s 3.6 million registered nurses.
  • ANA advances the nursing profession by fostering high standards of nursing practice, promoting a safe and ethical work environment, bolstering the health and wellness of nurses, and advocating on health care issues that affect nurses and the public.
  • ANA is at the forefront of improving the quality of health care for all.
  • *writes the scope of practices
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5
Q

STANDARD OF PRACTICE AMERICAN NURSING ASSOCIATION
The registered nurse:

A
  • Oversees nursing care given by others while retaining accountability for the quality of care
  • Abides by the vision, the associated goals, and the plans to implement and measure progress of an individual healthcare consumer or progress within the context of the healthcare organization.
  • Demonstrates commitment to continuous, lifelong learning & education for self and others.
  • Mentors colleagues for the advancement of nursing practice, the profession, and quality healthcare.
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6
Q

STANDARD 12 LEADERSHIP AMERICAN NURSING ASSOCIATION

A
  • Treats colleagues with respect, trust, and dignity.
  • Develops communication and conflict resolution skills.
  • Participates in professional organizations.
  • Communicates effectively with the healthcare consumer and colleagues.
  • Seeks ways to advance nursing autonomy and accountability.
  • Participates in efforts to influence healthcare policy involving healthcare consumers and the profession.
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7
Q

STANDARD 11. LEADERSHIP

A
  • THE RN DEMONSTRATES LEADERSHIP IN PROFESSIONAL PRACTICE SETTING AND PROFESSION
  • Competencies for The registered nurse:
  • Contributes to the establishment of an environment that supports and maintains respect, trust, and dignity.
  • Encourages innovation in practice and role performance to attain personal and professional plans, goals, and vision.
  • Communicates to manage change and address conflict.
  • Mentorsโ€™ colleagues for the advancement of nursing practice and the profession to enhance safe, quality health care.
  • Retains accountability for delegated nursing care.
  • Contributes to the evolution of the profession through participation in professional organizations.
  • Influenceโ€™s policy to promote health.
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8
Q

WHEN DO NURSES PROVIDE LEADERSHIP

A
  • Bedside nursing
  • Develop evidence driven clinical protocols
  • Design care delivery systems
  • Influence healthcare policy
  • Bridge critical thinking with critical actions
  • Engage others (families, supervisors, patients, other professionals & community members)
  • Make Changes in healthcare
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9
Q

Nurse Leadership traits: you are a:

A
  • expert
  • educator
  • advocate
  • role model
  • voice
  • nurse
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10
Q

QUALITIES OF A LEADER*
SPECKPCDF

A
  • Self-directed
  • Poised
  • Enthusiastic
  • Charismatic
  • Knowledgeable
  • Politically aware
  • Confident
  • Dynamic
  • Flexible

dynamic leaders are mentors who not only influence and develop the people they lead, but are able to read and react to different individuals and situations; be able to change

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11
Q

LEADERSHIP SKILLS

A
  • Commitment to excellence
  • Problem-solving skills
  • Commitment to and passion for oneโ€™s work
  • Trustworthiness and integrity
  • Respectfulness
  • Accessibility
  • Empathy and caring
  • Responsibility to enhance personal growth of all staff
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12
Q

LEADERSHIP STYLES
Autocratic

A
  • Leadership style in which the leader assumes complete control over the decisions and activities of the group, efficient process, yet many resent this leadership approach when used regularly. Staff and team members have limited opportunity to contribute suggestions and participate in organizational decisions.
  • High staff turnover and burn out are more common with this style of leadership.
  • Dictator
  • best during a code
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13
Q

LEADERSHIP STYLES
Democratic

A
  • Leadership style characterized by a sense of equality between the leader and followers. Also called participative, decisions and activities are shared.
  • Participants are encouraged to develop their skills and strength within the group. The group and leader work together to accomplish, mutually set goals and outcomes.
  • As professionals, nurses generally respond well to this style of leadership when they are the followers and feel more comfortable when they are the leaders of Democratic groups. Group satisfaction, and motivation are excellent benefits of the style.
  • In situations in which a rapid response is essential, however, a democratic approach to leadership that requires gathering the input of team members may slow decision-making
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14
Q

LEADERSHIP STYLES
Laissez-faire:

A
  • Leadership style in which the leader relinquishes all power to the group
  • No leadership
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15
Q

LEADERSHIP STYLES
Transactional

A
  • Leadership style based on maintaining control by rewarding, good behavior and punishing negative or detrimental behavior
  • Team members agreed to a satisfactory salary and working condition in exchange for commitment and compliance to their leader. Healthcare organizations have often use transactional leadership strategies to provide direction and recognize employeesโ€™ progress in meeting preestablish goals and work deadlines.
  • Transactional leaders, maintain control by rewarding, good behavior and punishing behavior. They perceive as detrimental or negative. Employees have minimal opportunities for creative, thinking and involvement in organizational decisions, and employer and employee may not share a common vision.
  • Transactional leaders provide little inspiration for nurses to participate in reforming, healthcare, problem-solving, or engaging in practices and research that promote nursing excellence
  • about money or incentive for doing well or disincentive for not doing well
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16
Q

LEADERSHIP STYLES
Transformational

A
  • type of leadership in which the person creates revolutionary change and commits to the personal and professional growth of self and others
  • Often described as Carismatic, transformational leaders are unique in their ability to inspire and motivate others. They create intellectually stimulating practice environment and challenge themselves and others to grow personally and professionally, and to learn.
  • Gifted in creating a common vision, they demonstrate passion for their vision and keep others similarly focused. One of the unique qualities of transformational leaders is their vulnerability. They communicate and openly and can express emotions as well as ideas as they share themselves with others. They concern and care for others, and are willing to take risks. They pay attention to process as well as outcomes.
  • best style
  • we value those who work for you
  • let them make decisions
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17
Q

ROLE OF THE LEADER

A
  • Leading is a process of engaged decision making linked with actions
  • Develops a vision, sets a direction
  • Found at all levels of nurse Novice to expert
  • People become leaders through experience
  • Believe in others, motivate others
  • Transactional leader: superior makes decisions, little input from subordinates
  • Transformational leader: inspires, motivates, shared vision, empowers others
  • Selects a mentor: models behavior, offers advice, criticism, coaches
  • Lead by example
  • Accept responsibility
  • Shares rewards
  • Has a clear vision
  • Be willing to grow
  • Maintains balance in life
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18
Q

DEVELOPING LEADERSHIP RESPONSIBILITIES
Mentorship

A
  • A relationship in which an experienced person (the mentor) advises and assists an inexperienced person (protรฉgรฉ).
  • This is an effective way of easing a new nurse into leadership responsibilities. Mentors link with protรฉgรฉ by common interest and provide support, information, and network links. Their relationship does not include financial reward. The advantages of having an effective mentor or highlighted inbox 22โ€“5.
19
Q

DEVELOPING LEADERSHIP RESPONSIBILITIES
Preceptorship

A
  • The preceptor (experienced nurse) is selected (and generally paid) to introduce an employee to new responsibilities through teaching and guidance. This orientation ensures that the new RN gains the appropriate knowledge, skills, and support to care for patient safely and effectively.
  • Preceptors also assist new RNs the policies and procedures of a new facility, and can serve as a mentor by modeling excellent nursing practice. The relationship is limited by the new employeeโ€™s needs.
20
Q

DEVELOPING LEADERSHIP RESPONSIBILITIES
Nursing organizations:

A

The many nursing organizations at the international, national, state, district, and a local levels. They are major forces for nursing leadership, and have active groups throughout the United States and abroad. The more than 100 professional organizations, address, specialty interest, goals, and purposes, as well as advocate for nurses and nursing.

21
Q

LEADERSHIP VS MANAGEMENT

A

Leadership: is setting a new direction or vision for a group that they follow, ie: a leader is the spearhead for that new direction.
Management: controls or directs people/resources in a group according to principles or values that have been established.

22
Q

ROLE OF THE MANAGER

A
  • Guides others through a set of practices and procedures
  • Establish and communicate goals
  • Organizes, Analyzes, Divides work
  • Budgets, sets goals
  • Motivates and communicates
  • Performance evaluations
  • Develops people, including self
23
Q

LEADER TRAITS:

A
  • Values commitments, relationships with others
  • Long-term vision
  • Communicates rationale
  • Takes risks to bring change
  • Demonstrates positive feeling in workplace
24
Q

MANAGER TRAITS:

A
  • Organizes, coordinates, controls resources
  • Attends to short term objectives
  • Maximizes results from existing resources
  • Interprets policy and procedures, mandates
  • Moves cautiously, dislikes uncertainty
  • Enforces, policies mandates, contracts, gatekeeper
25
Q

FOLLOWER TRAITS:

A
  • Perceives needs of both leader and manager
  • Cooperative and collaborative behavior
  • Exerts power to communicate through various channels
  • Fully accountable for actions, relinquish some autonomy and authority to the leader
  • Willing to lead and follow peers, as situation warrants, allows competency based leadership
  • Understand acceptable and unacceptable organizational risks
26
Q

Magnet Recognition*

A
  • hospital applies for it (hospital transformational leadership/ shared governance: meetings of employees)
    What Keeps Nurses in their Jobs?
  • Transformational leadership
  • Structural empowerment
  • Exemplary professional practice
  • New knowledge, innovation, and improvements
  • Empirical quality results
27
Q

Significance of Magnet Recognition*

A

Empowers Organizations to:
- Attract and retain top talent
- Improve care, safety, and satisfaction
- Foster a collaborative culture
- Advance nursing standards and practice
- Grow business and financial success

28
Q

Just Culture*

A
  • Commitment to accountability
  • Universal safety
  • Encourage discloser of clinical errors or potential errors without fear of punitive actions.
29
Q

Shared Governance

A
  • Decision-making model focused on empowering those who care for the patients.
  • Critical when making decisions that affect clinical team and patients
  • Promotes partnership and collaboration of healthcare team
  • Gives bedside caregivers a voice and opportunity to help with providing the best, safest care possible.
30
Q

Value

A
  • set of beliefs that are meaningful in life and that influence relationships with others
  • An individual is not born with values; rather, values are formed during a lifetime involving influences from the environment, family, and culture.
31
Q

Altruism

A

is a concern for the welfare and well-being of others

32
Q

Autonomy

A

is the right to self-determination. Professional practice reflects autonomy when the nurse respect patients to make decisions about their healthcare
- Plans care in partnership with patients
- Honors the right of patients and families to make decisions about healthcare
- Provides information so that patient can make informed choices

33
Q

Human Dignity

A

Is respect for the inherent worth and uniqueness of individuals and populations. In professional practice, human dignity is reflected when the nurse values and respects all patients and colleagues sample professional behaviors include.
- Provides culturally, competent and sensitive care
- Protects the patientโ€™s privacy
- Preserves the confidentiality of patients and healthcare providers
- Designs care with sensitivity to individual. Patient needs.

34
Q

Integrity

A
  • is acting in accordance with an appropriate code of ethics and accepted standards of practice. Integrity is reflected in professional practice when the nurse is honest and provides care based on an ethical framework that is accepted within the profession
  • Provides honest information to patient and the public
  • Documents care accurately and honestly
  • Seek to remedy errors made by self or others
  • Demonstrates accountability for own actions
35
Q

Social Justice

A

upholding, moral, legal, and humanistic principles. The value is reflected in professional practice when the nurse works to assure equal treatment under the law and equal access to quality healthcare.
- Supports fairness, and non-discrimination in the delivery of care. Promotes universal access to health care.
- encourages legislation in policy consistent with the advantage of nursing care and healthcare

36
Q

Ethics

A

system dealing with standards of character and behavior related to what is right and wrong
- ethics is a systemic study of principles of right and wrong, virtue and vice, and good and evil, as they relate to conduct and human flourishing. The ability to be ethical, to make decisions and act in an ethical manner, begins in childhood, and develops gradually.

37
Q

Ethical dilemma

A

situation that arises when attempted adherence to basic ethical principles results in two conflicting courses of action

38
Q

Ethical distress

A

occurrence when the nurse knows the right thing to do but either personal or institutional factors make it difficult to follow the correct course of action

39
Q

Advocacy

A

protection and support of anotherโ€™s rights
- Nurses spend much of their time representing a patientโ€™s interest.
- Nurses are often involved when the patient and the family have conflicting ideas as well as the patient and the Doctor.

40
Q

COMMON ETHICAL ISSUES

A
  • Cost Containment
  • Issues that jeopardize patient welfare
  • End of Life decisions
  • Breaches of patient confidentiality
  • Incompetent, unethical or illegal practices of colleagues
41
Q

WHAT IS ACCOUNTABILITY?

A

The ability and willingness to assume responsibility for onesโ€™ actions and accepting the consequences of oneโ€™s behavior

42
Q

TO WHOM ARE WE ACCOUNTABLE?

A
  • To the profession
    โ€” ANA Code for Nurses
    โ€” ANA Standards of Nursing Practice, Service and Education
    โ€” Quality improvements
    โ€” Professional Nursing Organizations
  • To the patients
    โ€” Clinical competence
    โ€” Safe nursing care
    โ€” Respect patient differences
    โ€” Patient choices
    โ€” Patient advocate
  • To other members of the health care team
    โ€” Bring your skills
    โ€” Share information
    โ€” Confront if potential errors may occur
    โ€” Competence
    โ€” Dignity and respect
  • To the employing agency
    โ€” Quality of work
    โ€” Protect against unsafe practice situations
    โ€” Attitude
  • To self
43
Q

POSITIVE ASPECTS OF ACCOUNTABILITY

A
  • Increased respect
  • Rewards
  • Effectiveness
  • Control
  • Action
  • Responsible and commended for maintaining safe standards for patient care