Leadership Flashcards
Laissez -fair
Permissive, nondirective, passive
Allows people to choose what they want to do and how they will do it. This works best when all members have the same education level & leader performs the same task.
Can lead to the group feeling lost and frustrated becuase of lack of direction from the leader
- not a good idea if people aren’t educated and know what to do
Democratic
All aspects of the process shared by the group
Time consuming and inefficient when members disagree.
Leadership listens to input from the group to make a decision
Hallmarks of democratic
Trust, collaboration , confidence, and autonomy
Authoritarian
Provide direction by giving orders w/o question
Autocratic is the overseer and delegates how and when to do things
Micro manages & followers feel fearful and harbor hostile feelings..
Useful in code and crisis situation
Servant leadership
Main goal of the leader is to serve
Help ppl w life issues , thinks you and not me , thinks long term
Takes time to develop trust
Thinks before reacting
Listens and understands truely
Hallmark of servant
Encouragement
Transformational
Based on external forces , not intrinsic values
“Buy -in “ from followers
Best coupled with transactions
We dont have leaders if we dont have followers
Vision , empowerment , charisma , inspiration , intellectual stimulation
Causes followers to rise above their own needs
Leadership styles defined
Different combinations of task and relationship behaviors used to influence others to acccomplish goals
Transactional leader ship
Provide a goal , and give rewards to get there
I get something out of it , and so do you
Performance is obtained and not exceeded
Authentic
Bring in their values, open , lead based on what they believe and principles
Lead by inspiration and not by external forces
Builiding honest relationships with followers
Value their input
Fair n supportive
Situational
Uses a combo of styles badged on the current circumstances according to the needs of the group and task needing to be achieved
Bureacratic
Motivated by external sources, relies on organizational policies and procedures for decision making
Emotional intelligence (either,eq) categories
Self awareness
Self regulation
Motivation
Empathy
Social skills
Emotional intelligence
Defined as the ability to perceive, control and evaluate emotions
Emotional awareness
Managing your emotions and remaining calm
Helping others manage their emotions
Self awareness
Being aware of ones strengths , weaknesses , style , personality , preference , etc
What is driving ur behavior?
What do you look like at your best and worst?-check urself b4 u wreck urself (me)
Self management
Stress management , time management, organizing skills, prob solving , decision making , confidence , self protection and preservation (work life balance)
Relationship management
Use of effective communication with others to disarm conflict and the bility to develop the emotional maturity of team members
Social awareness
You can learn to tap into what others are thinking and feeling . Know people well that most ppl do not understand or have trouble putting into words their own thoughts and feelings
The ripple effect of a great leader
Nurses need to feel goal directed and feel that their contribution is important so they can feel motivated for work
Leaders can help be a bridge and glue to hold things together
Even though the environment in nursing Change what is important throat we must do
Have the ability to adapt in an environment that always changes
Negative behaviors / ineffective leaders
Lack trust and transparency
Incongruency as a leader
Cannot approach or talk to them
Cannot manage conflict
Poor communication
Destructive self management
As far as human and caring relationships.. what is one thing we must act with when it comes to taking steps to understand where the pt is coming from and what these things are as they relate to that person
We must act with assertiveness
Meet the pt where they are and figure out how we can move forward
K
Time management
Based on priority
Clustering care
Do high task first before getting interrupted by less important activity
Fidelity
Ethical principe of keeping a promise
Do what we say we are going to do
Beneficence
What is the benefit of this
Do good to a pt to make sure they have a good outcome
Nonmaleficence
Obligation of a physician not to harm the pt
Justice
Ethical principle of fairness , not based on race or gender , we want to make sure everyone is treated fair and equal
Veracity
Requires nurses to provide honest and accurate information even if the news is difficult for pt to hear
Leadership
The ability to inspire others to achieve a desired outcome
Management
The process of planning and coordinating the work within an organization
Leaders and followers
Both have a role and need eachother
Informal leader
Someone who leads without a title .. builds culture and drive behavior in the unit when charge nurse or nurse manager is not there. ( like a preceptor)
Leaders focus
People
Manager focus
Systems and structure
Management functions
Planning
Organizing
Staffing
Directing
Controlling
When it comes to making people more effective and safer within our hospital setting .. what are the communication tools to help enhance safety?
SBAR
Call- out (something critical)
Check - back
Hand off
Time outs
Strategies put into place to help us be more effective and safer for our pt
Brief
Huddle (OR staff or CN meeting)
Debrief
Follow up
Qualities of a Follower
Manage themselves
Ability to think for themselves
Higher purpose where we are working toward the good of the organization
Values outside themselves
Strengths and standards of high performance
Texas board of nursing
To protect and promote the welfare for the people of texas
What is the importance of learning to delegate
Promote pt care
Time management
Prioritizing - freeing time for us for an emergent sit
Promotes colaberation and team work
Increases job satisfaction
Authority
The legal authority to perform a task
Scope of practice
The actions , procedures and processes that are permitted with the terms of the professional licensure
And also within hospitals policies
Supervision
Guiding or monitoring a delegated nursing task
Accountability
Being answerable for ones own actions
Delegator
RN
Delegatee
UAP (CNA, nurse tech, pt care assistant , RNA and med tech)
First thing to do before delegation
Recent assessment , initial assessment
Five rights of delegation
Right task
Right person
Right direction or communication
Right supervision or feedback
Right circumstances
Right task
Do the task delegated follow written policy guidelines?
Right person
Does the person have the right education, right competency, and proper qualifications for the task?
Right direction or communication
Are the instructions and outcomes clearly stated? When should the person report changes?
Right supervision or feedback
How can the delegation process be improved ?are the patient goals being achieved?
Right circumstances
Are the task that are being delegated possible without independent nursing judgement?
The RN cannot delegate any of the following
Full assessments
Formulation of nursing diagnosis
Formulation of care plans
Delegate any process of the nursing process ‘implementing the initial intervention
Evaluation of care
RN must do these things “TAPE”
Teaching
Assessment
Planning
Evaluation
Assignment
The portion of task that each staff member is already authorized to perform during a shift
Professional judgement
A process in which the nurse exercises in forming option and reaching a clinical decision based uptown the analysis of evidence or data (NCSBN)
LVN scope of practice
Can function independently in a stable routine situation
Focused assessments and monitoring pt findings
Reinforce pt teaching
Conduct nursing procedures based one on education and training
Nclex what Lvn and Lpn cant do a
Admission assessment
Give IVP meds
Nursing diagnosis
Most teaching
Complex skills
Can’t care for acute conditions or unstable clients
