Leadership Exam 1 Flashcards
Why create a document that lists organization’s values?
Establish consonant organizational culture
Nurse leader at staff meetings should encourage?
Relevant questions respectfully
Blame game examples (2)
Med Errors
Workarounds
Work Arounds (with example)
improvised response to breakdown work w/out correcting underlying problem
(plugging of machine)
5 R’s of ▲
Re-engineering organization - efficiency Re-designing workforce - business model Re-regulating practice - licensing Rightsizing workforce - good budgeting Restructuring education - continuous
Change makes a…?
DIFFERENCE!
Plan, Do, Study, Act model is used to…?
and (4)
test change Plan - stated with predictions Do - test w/ data collection Study - analysis of data Act - change based on previous
Lewin’s Change Theory (4)
Unfreezing - status quo
Moving - action plan/working stage implemented
Refreezing - preventing past, begins at start
Force field analysis - ↑driving/↓restraining forces (or both!)
6 Pillars of Institute of Medicin
Safe Effective Efficient Timely Patient Centered Equitable
Magnet Nursing
recognition program where forces of magnetism create excellence (nurse, govt, BSNs, staffing ratios).
Transformational Leadership Theory
focus on leaders who embrace change, reward/guide self aware staff to take risks to improve
THEY CREATE VISIONS AND GOALS
Clinical Pathways
sequence and time interventions “cookbook” medicine
goal is to manage cost but maximize efficiency
What do vision statements describe?
Where organization wants to be.
Innovators % Adopters Early Majority Late Majority Laggards
2.5
13.5 - Maloney’s 16%
34
34
16
Once 16% hit, need to focus on SOCIAL PROFF to accelerate ▲
Successful leadership qualities (5)
foundational thinking - address issues
personal disciplines - act on own strengths/weakness
systems thinking - consider whole
succession planning - promote via role model
change management - plan, support, adapt ▲
PICO Components
patient
intervention
comparison
outcome
Autocratic
Bureaucratic
Laissez-faire leadership
makes decisions by ordering, assumes external motivation
relies on rules/policy to give direction
assumes internal motivation/recognition, lets staff do
Country Club Team Organizational Impoverished Authority-Obedience Management Styles
Top left = + people, - production
Bottom right = +production, - people
Country Club Team
Org.
Impoverished Authority
Connective Leadership Theory
nurturing environment based on emotions, self-awareness, and interconnectedness
Transformational Leadership Theory
MOST accepted
Leaders empower/motivate staff via recognition
Leaders v. Managers
Leaders maintain charge
Managers maintain equilibrium
NEED BOTH
Peter Principles
staff can be promoted but not competent to fill new position (not everyone is a leader)
Policy Making Process (basically ADPIE)
define problem specify criteria display solutions implement evaluate
Complementary/Dual operating system
Management hierarchy working with strategy network
David Harkin’s ▲ Adoption Curve (5)
ignore complain plead sulk accept Inevitable, but we can control the speed.
Project Plan focus vs. Strategic Plan focs
focus on operation/completing work
focus on long term goal/vision
4 Major Phases staff nurses should be included in?
Application/Designation
Documentation
Site Visit
Review/Decision
Magnet Hospital
discrete departments with nurse researchers
Focus of “Healthy People 2020”
Eliminate health disparities
IOM Elements of Quality Care
Staying healthy
Getting better
Living with illness
Coping with end of life
Patient Protection and Quality Improvement Act improves safety by…?
encouraging voluntary/confidential reporting of events that adversely affect patients
Social Security
Tax Equity
Consolidated Omnibus
Medicare Catastrophic Act Breakdown
established medicare/medicaid
established reimbursement for the above
ED care is not optional
Elderly should pay more for medicare = repealled
Balanced Budget
Medicare Prescription
Patient Protection/Affordable Care Act Breakdown
increase medicare contracting
medicare can cover prescriptions
Obama care, ↑ affordability of health care
Patient Centered care
identify, respect, and care about pt differences, values, preferences, expressed needs; relieve pain and suffering; coordinate continuous care; listen to, clearly inform, communicate with, educate, share in management…
and so on! (from IOM)
Scope of Clinical Pathways (3)
inpatient care
complete episode of care
specialized applications
Practice guidelines
statements that help practitioners make decisions on clinical conditions
Aone Guiding Principles
Guide nurse leader in achieving a diverse work force by being a resource advocate
3 factors of Health Literacy
Accessing care
illness management
general information processing
4 Areas covered by JC
Emergency Management
HR
Environment of Care
Information Management
