M 6 Leadership and Management Flashcards
What is change
Organization transitioning from it’s current to a more desired state
Change theory
How change should occur to meet the least resistance
Planned change
Deliberate application of knowledge and skills
Drift change
Happens accidentally
Change agent
Group person or agent designated to bring about change
Change agent skills
Leadership
Conflict resolution
Change agent characteristics
Developmental
Rational
Time oriented
3 stages of the lewis’ model for change
Unfreeze (contemplation)
Change (movement)
Refreeze (maintenance)
Unfreeze contemplation stage
Change agent convinces a group to change
Gather data
Change movement stage
ID plans and implement them
Set goals, develop strategies, evaluate change
Refreeze maintenance stage
Stabilize new system
Full integration
most important step
Different change strategies
Rational/empirical
Normative/reeducative
Power/coercive
Rational/empirical strategy
use of rational to ease resistance
Normative/reeducative strategy
use of peer pressure to influence change
Power/coercive strategy
use of authority, law and policies to force change
The expected response to change
Resistance
Contributors to change resistance
Lack of trust
Edu level
Culture
Life experience
To encourage collaboration, key is to ID
Driving force of resistance
Collaboration can also be encouraged through
Making benefits clear
Addressing rumors and gossip
Including those impacted in the planning process
Key concepts of care coordination
Right care
Right time
Right person
Right setting
Most efficient/cost effective manner
Goal of care coordination
Link pt to resources
Improve info exchange
Reduce duplication of services
To have effective care coordination you need to know the patients
preferences
Results of good care coordination
cost decrease
better handoffs
patient satisfaction
Patient centered care focus
Client or designee are in full partnership and control
To provide patient centered care we need to have
compassion and coordination based on patients
preferences
values
needs
Keys to advocacy
Representation of patient
Self determination
Whistle blowing
Trustworthiness
Cultural competence involves respecting peoples
values
beliefs
practices
National standards issues by the office of minority health
All people are to be provided equitable treatment
To understand a patients culture it is important for a nurse to grasp
Their culture first
To develop cultural knowledge
Learn about the people and teh culture of your area
