Leadership & Management Flashcards
Management
the process of coordination and integration of resources through planning, organizing, coordinating, directing and controlling to accomplish specific institutional goals and objectives.
Leadership
Process of influencing people to accomplish goals
leader
informs others of the goal to be obtained to solutions can be co-created in the best manner to serve clinical and organizational needs
motivator
motivates others assertively toward the objective at hand
communicator
deals with people skillfully: coach, communicate, and counsel
Decision maker
uses critical thinking skills in decision making
followers
engages with others who are leading or managing in contribution to problem identification, completing tasks, and providing feedback
goals/vision/holistic vew
engage others to asses the current reality, determine and specify a desired end point state, and then strategize to reduce the difference
Delegation
transfer of responsibility for the performance of a task from one individual to another while retaining accountability for the outcome
responsibility
obligation involved when one accepts an assignment
accountability
being responsible and answerable for the actions or inactions of self of others in the context of delegation
authority
right to act or command the action of others, based on the Texas Nurse Practice Act
Supervision
the provision of guidance or direction, over-sight, evaluation, and follow-up by the licensed nurse for the accomplishment of a delegated nursing task by a UAP
Competence
the ability to perform a skill according to a set of procedural standard
Delegation Decision Tree
Assess and Plan
Communication
Surveillance/Supervision
Evaluation and Feedback
other definitions of accountability
“Being answerable for what one has done, and standing behind that decision and/or action” (Hansten & Jackson, 2009, p. 79)
“Being responsible and answerable for actions or inactions of self or others in the context of delegation” (NCSBN, 1995, p. 1)
The delegate is accountable for accepting the delegation and for his/her own actions in carrying out the task (NCSBN, 1995, p. 3)
You are accountable for:
Deciding to delegate Assessing patient’s needs Planning desired outcomes Assessing competency of delegate Giving clear directions and obtaining acceptance from delegate Following up and providing feedback
5 Rights of Delegation
Deciding to delegate Assessing patient’s needs Planning desired outcomes Assessing competency of delegate Giving clear directions and obtaining acceptance from delegate Following up and providing feedback
factors to assess before delegating
Potential for harm Complexity of the task Amount of problem solving Unpredictability of outcome Level of patient interaction
RN v. LVN
RN’s- assess, plan care, monitor, and evaluate all patients, especially complex, unstable patients with unpredictable outcomes.
LVN’s- care for stable patients with predictable outcomes, they work under the direction of the RN and are responsible for their action within their scope of practice.
Cannot Delegate
Assessments that identify needs or problems or diagnose human responses
Any aspect of planning
Health counseling, teaching, or referrals to other health care providers
Therapeutic nursing techniques and comprehensive care planning
How to give/receive feedback effectively
Ask for input Give credit for effort Share perceptions Explore differing points of view Determine what steps are needed for desired outcomes Revisit plan and results achieved
Commonly delegated tasks
Non-invasive and Non-sterile treatments
Vitals signs, height, weight, intake and output, glucometer
Ambulation, positioning, turning
Transporting of client within the facility
Personal hygiene and elimination, activities of daily living
Feeding, cutting up food, or placing meal trays at bedside
Socialization activities
Under delegation
The delegator fails to transfer full authority to the delegate.
The delegator take back responsibility for aspects of the task.
The delegator fails to equip and direct the delegate.
