Set 13 - Leadership Flashcards
Leadership style in which the leader makes decisions without input from the team
Authoritarian/autocratic
Authoritarian leadership style is not ideal because
It can lead to a lot of high turnover and employee dissatisfaction
Under which circumstances can authoritarian leadership style be useful?
During emergency situations (ex: mass casualty event)
Leadership style in which the leader allows for the team to make decisions for themselves
Laissez-Faire
Laissez-Faire leadership can lead to
Low productivity and frustration (as there is no actual leadership — decisions are up to the team members themselves)
Leadership style where the leader and the team work together towards to goals and outcomes
Democratic
Democratic leadership style promotes group satisfaction, but may
Slow decision making (because it takes into account EVERYONES input)
Leadership style where there is a reward in exchange for tasks being done
Transactional
Transactional leadership style may lack _________ motivational factors
Intrinsic
What is the ideal leadership style?
Transformational
Leadership style that promotes teamwork and shared decision-making. The leader is seen as trustworthy and respected.
Transformational
A conflict happening within a person’s own self (internal struggle)
Intrapersonal conflict
A conflict between two people
Interpersonal conflict
A conflict between groups or departments
Intergroup conflict
Stage of conflict in which individuals are unaware of the conflict yet, but it could occur at any moment
Latent stage
Stage of conflict where individuals are aware of conflict, but there is no emotional response yet
Perceived stage
Stage of conflict where there is emotional response to conflict like stress, anxiety, fear, sadness, etc.
Felt stage
Stage of conflict when an action begins to resolve the conflict
Manifest stage
Stage of conflict where the conflict has been resolves with either positive or negative results
Aftermath stage
Stages of conflict
Latent, perceived, felt, manifest, aftermath
Conflict management strategies
- Avoiding
- smoothing (complimenting)
- competing (win-lose: one party wins at the expense of the other)
- accommodating (lose-win: one party gives in and allows other party to win)
- compromising (lose-lose: both parties make sacrifice)
- Collaborate (win-win: both parties put aside previous goals and work towards a common goal)
Ideal conflict management strategy that produces the best outcome
Collaborate
Tools useful for answering nursing prioritization test questions
ADPIE, Maslow’s hierarchy of needs, ABCs
When considering acute versus chronic concerns, which would take priority of the other?
Acute
Additional ways of setting priority
Unexpected verses expect findings, least invasive to most invasive, survivability potential
Survivability potential is most often used in community settings (such as mass casualty) and prioritizes
Individuals who are most likely to survive
List the five rights of delegation
The right: task, circumstance, person, direction, supervision
T or F: The delegatee is responsible for evaluating the outcome of the delegated task
FALSE! The delegator (the RN who delegated the task) is responsible for evaluating the outcome of the delegated task
Tasks that can be delegated to Unlicensed Assistive Personnel (UAP) such as CNAs, techs, PCAs, etc.
- Personal care such as hygiene, bathing, dressing, feeding (UNLESS on swallow precautions), toileting needs, repositioning
- CPR (if certified)
- ambulation
- ROUTINE (scheduled) vital signs (NOT the initial admission vitals or change in status)
- obtaining height and weight
- reporting changes to licensed provider (however, the RN is the one who needs to assess)
- noninvasive specimen collections (ex: urine specimen collect)
- charting I&Os
Tasks outside of UAP scope of practice (tasks that cannot be delegated)
Medication administration, wound care, insertion/removal/use of invasive items (IV catheter, enema, Foley catheter)
Tasks that can be delegated to LPN/LVNs
- administration of MOST medications and enteral feedings
- wound dressing changes
- insertion/removal/maintenance of invasive items
- tracheostomy care
- reinforcement of teaching (AFTER RN has done INITIAL teaching)
- assessment (but NOT the INITIAL assessment)
Tasks that CANNOT be delegated to LPN/LVNs
- creation of nursing diagnosis or care plan
- administration of IV medications (IVP, cardiac drips, etc.)
- administration of blood products or chemotherapy
- verbal orders from provider
Only RNs can EAT meaning
Evaluate, assess, and teach (these tasks CANNOT be delegated!)
Any event that could or did lead to harm in a patient
Patient safety event
Type of patient safety event in which an error did not result in patient harm but COULD have
Near miss
Type of patient safety event that results in patient harm, but it may not be severe
Adverse event
Patient safety event that results in temporary severe harm, permanent harm, or death
Sentinel event
The RN should complete an incident report within ___ hours or per facility policy
24
T or F: incident reports should be documented in patients’ charts
FALSE (this is an internal facility document!)
