Nursing Management: DIRECTING

Question 1

It is the issuing of assignments, orders, instructions that permit the worker to know what is expected of him, and the guidance and overseeing of the worker so that he can contribute effectively to the attainment of organizational objectives.

It actuates effort to accomplish goals.

Answer 1

Directing

Question 2

Avoid giving too many directions at one time
Personalize directions
Always check to make sure directions have been followed; and
Provide feedback for actions done.

Answer 2

Characteristics of good direction

Question 3

Elements of Directing

Answer 3

Delgation
Supervision
Coordination
Communication

Question 4

is the process by which a manager assigns
specific tasks/duties to workers with commensurate
authority to perform the job

It is a means of allocating and decentralizing authority, imposing responsibility and accountability and assigning tasks down to the lowest possible level

Answer 4

Delegation

Question 5

Basic Concepts of Delegation

Answer 5

Authority
Responsibility
Accountability

Question 6

The right to decide and command

Answer 6

Authority

Question 7

Obligation to do what is asked

Answer 7

Responsibility

Question 8

Responsible/answerable for one’s actions

Answer 8

Accountability

Question 9

Matters that cannot/should not be delegated:

Answer 9

Authority to sign one’s name
Evaluating the staff & giving corrective or disciplinary actions.
Maintaining morale or words of encouragement.
Too technical jobs

Question 10

It is the process of getting the work done through others which is done properly, on time and within the budget

Answer 10

Supervision

Question 11

Good supervision focuses on three areas of skills

Answer 11

Conceptual
Technical
Interpersonal

Question 12

enhance knowledge through adequate information and feedback.

Answer 12

Conceptual

Question 13

refinement of skills through in-service trainings and seminars.

Answer 13

Technical

Question 14

develop communication skills through constant dialogues and conferences.

Answer 14

Interpersonal

Question 15

unites personnel and service to a common objective.

Synchronization of activities with the various services and departments enhances collaborative efforts resulting in efficient, smooth, and harmonious work flow.

Answer 15

Coordination

Question 16

coordination is usually within
the department.

Answer 16

Intradepartmental

Question 17

Coordination between one department to another department

Answer 17

Interdepartmental

Question 18

Coordination is from hospital to another agency

Answer 18

Extra-installation

Question 19

Is the process whereby a message is passed from sender to receiver with the hope that the information exchange will be understood as the sender intended.

Answer 19

Communication

Question 20

Lines of communication
higher to lower level

• Traditional type, from superior to subordinate

Answer 20

Downward

Question 21

Lines of communication
lower level mgt. to higher

• a form of feedback from subordinate

Answer 21

Upward

Question 22

Lines of communication
between hierarchal levels

• Lateral communication, Endorsements, rounds

Answer 22

Horizontal

Question 23

Lines of communication
deals with info that flows from caregivers
to the patients, their families & relatives, visitors

Answer 23

Outward

Question 24

Types of communication

Answer 24

Verbal communication
Written communication
Non-verbal communication

Question 25

Types of Non-verbal communication
the appearance of a person gives the general impression of his personality and self concept.

Answer 25

Personal appearance

Question 26

Types of Non-verbal communication
the intonation of the nurses’ voice should be soft and gentle. It should not be irritating to the ear.

Answer 26

Intonation of the voice

Question 27

Types of Non-verbal communication
A friendly smile establishes immediate rapport with the client and invites trust and confidence in the nurse.

Answer 27

Facial Expression

Question 28

Types of Non-verbal communication
The nurse’s indicate his physical wellness, his emotions, and attitude towards his clients.

Answer 28

Posture and gait

Question 29

Types of Non-verbal communication
is a way of caring.
A gentle conveys a caring person.
A rough person indicates insensitivity to the patients and unresponsiveness to their needs.

Answer 29

Touch

Question 30

Modes of Communication
used by Managers

Answer 30

Written communication- electronic mail, memo
Face to face communication- oral, direct

Non- verbal- facial expression, body language

Telephone- rapid & allows the receiver to clarify messages at the time it is given

Question 31

A natural, inevitable conditions and often a pre-requisite to change.
A consequence of real or perceived differences in goals, values, ideas, attitudes, beliefs, feelings and actions.

Answer 31

Conflict

Question 32

Two main types of conflict
occurs when two or more groups attempt the same goals and only one group can attain them.
* Conflict is resolve by determining the set of rules.

Answer 32

Competitive Conflict

Question 33

Two main types of conflict takes place in an environment filled with fear, anger and stress.
* No mutually acceptable set of rules and the goal of each party is to eliminate the opponent.

Answer 33

Disruptive Conflict

Question 34

Conflict Management /Conflict Resolution
focus on goals and attempts to meet the needs of both parties.

Answer 34

Win-win resolution

Question 35

Conflict Management/Conflict Resolution
one which neither side wins, the settlement reached is unsatisfactory to both sides.

Answer 35

Lose-lose resolution

Question 36

Conflict Management/Conflict Resolution
this strategy represses rather than settles conflict, creates situation that the loser left angry and antagonistic.

Answer 36

Win-lose resolution/Dominance or Suppression

Question 37

Conflict Management/Conflict Resolution
conflicting parties give and take on various issues.

Answer 37

Negotiation
Negotiators must:
Clarify common purpose
Keeps discussion relevant
Agree on terminology
Avoid abstract principle / concentrate on facts
Look for potential trade offs
Listen…
Avoid debating tactics
Keep personal elements
Look for solutions that satisfy the other person’s real interests