Week 1; Leadership and Managment Flashcards

1
Q

Leadership

A

Ability to influence other people to accomplish specific goals
Enable the movement of people toward a common goal
Please see video for qualities of leader vs manager. Are there areas that are the same? Different?
Managers hold an official title
Formal vs Informal Leaders

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2
Q

Informal leaders

A

Become leaders due to talent, ability, seniority, age, experience, knowledge or skill. Are recognized by others in the group as a leader

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3
Q

Tasks of a leader:

A

Help people develop sense of direction/purpose.
Build group’s commitment to its goal.
Face daily challenges.
Get people moving and inspire!

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4
Q

Trait theories

A

The traits most often identified are intelligence and initiative. Other qualities that were found to be associated with leadership are excellent interpersonal skills, high self-esteem, creativity, willingness to take risks, and ability to tolerate the consequences of taking risks (Northouse, 2015; White & Lippitt, 1960).

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5
Q

Classic leadership theories

A

Concerned with what the leader does. One of the most influential of these behavioral theories is concerned with leadership style. Authoritarian leadership is also called autocratic, directive, controlling. The authoritarian leader gives orders, makes decisions for the group as a whole, and bears most of the responsibility for the outcomes.

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6
Q

In democratic or participative leadership

A

in contrast to the authoritarian leader, the democratic leader shares the planning, decision making, and responsibility for outcomes with other members of the group.

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7
Q

Laissez-faire leadership

A

gives followers the majority of control in the decision-making process. For example, when a decision needs to be made, a laissez-faire leader may postpone making the decision or never make it at all.

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8
Q

Bureaucratic Leader

A

relies on the organization’s rules, policies, and procedures to direct the group’s work efforts. Many members are often dissatisfied due to inflexibility and impersonal relations.

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9
Q

Emotional intelligence theory

A

Focuses on the ability of leaders to manage their emotions and those of their followers. They possess traits, such as:
Empathy: Able to make emotional connections with others.
Self-awareness: Recognize and understand their own emotions.
Self-management: Control their personal emotions.
Relationship management: Use self-emotions to successfully interact with and manage others. Ability to build trust, respect, and cooperation within the team.
Social awareness: Accurately assess and respond to the emotions of others. Ability to listen and accurately interpret unspoken emotions.

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10
Q

Situational theories

A

People and leadership situations are more complex. Instead of assuming one style or approach works, adopt style or technique based on the situation.

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11
Q

Transactional theories

A

Transactional leadership uses more of a “telling” style. Transactional theory assumes that people are motivated by reward and punishment and that they work best within a clear chain of command. The leader creates structures to make clear what is required of subordinates and what the rewards are.

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12
Q

Transformational theories

A

People need a sense of mission that goes beyond good interpersonal relationships or the appropriate reward for a job well done (Bass & Avolio, 1993; Salanova, 2011). Transformational leaders in nursing require effective leaders who are compassionate and dedicated to team, patients, and the nursing profession.

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13
Q

Servant leadership

A

Selflessly serve others. Believes people have value as people. Cultivates an environment of trust. Views people have value as people, not just workers.

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14
Q

The new charge RN on a hospital unit is leading a committee that must choose new paint colors for the nurses’ station. The charge RN elicits the opinions of all group members and then organizes a vote. The charge nurse’s leadership style can be said to be

a. Laissez-faire
b. Autocratic
c. Democratic
d. Scientific

A

C
The charge RN is sharing the responsibility for the decision with her staff. She seeks their input and allows them to have a voice in the final outcome.

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15
Q

Manager

A

DIFFERENT THAN LEADER. Appointed officially, position of power and authority, employee of an organization, responsible for directing the work of others, duties include but not limited to:
Hiring
Corrective action and Disciplinary process
Budgeting
Staffing and scheduling
Directing and organizing
Performance Evaluation

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16
Q

Human relations–oriented management

A

Work will motivate people
Considers feelings of staff

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17
Q

McGregor’s Theory X and Theory Y

A

Theory X – Managers believe that most people do not want to work very hard and the managers job is to make sure they do.
Theory – Managers believe that work itself can be motivation, that people want to do their jobs well

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18
Q

Qualities of a manager

A

Qualities
Leadership
Clinical expertise
Business sense

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19
Q

Leadership:

A

All of the “people skills” and other leadership qualities are the core skills the nurse needs to function as an effective manager.

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20
Q

Clinical expertise:

A

If a nurse manager is to help others develop their skills and evaluate how well they have done so, they need a certain amount of clinical expertise. It is not necessary (or even possible) to know everything every other professional on the team knows, but it is important to be able to assess the effectiveness of their work in terms of client outcomes.

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21
Q

Business sense:

A

Nurse managers need to be concerned with the “bottom line;” that is, with the cost of providing care, especially in comparison with the benefit received from that care. Nurse managers need to be able to analyze how much time is spent to provide a given amount of client care, how effective that client care has been, how much will be paid to the institution for the care delivered, and who will pay for it (e.g., private insurance, government insurance, or the client). These are complex tasks that require knowledge of budgeting, staffing, and measurement of patient outcomes, most of which are beyond the scope of this textbook.

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22
Q

Interpersonal:

A

Networking: Managers must clearly articulate nurses’ roles and value to the institution.

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23
Q

Conflict negotiation and resolution; Employee development:

A

This includes providing for continuing learning and upgrading employees’ skills

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24
Q

Rewards and punishments:

A

Examples include salary increases, time off, and praise

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25
Q

Coaching:

A

The goal is to help the employee do a better job through learning.

26
Q

Qualities/tasks of a manager: Decisional:

A

Employee evaluation
Resource allocation (e.g., budgeting and how to use available funds wisely);
Hiring and terminating employees;
Planning for future changes
Job analysis and redesign (e.g., to make the units run as efficiently as possible);
Unit-based decisions (e.g., staffing policies, space utilization)
Safety – assuring safe environment for patients and staff

27
Q

Qualities/tasks of a manager: Informational:

A

Spokesperson: The manager relays information from administration to staff members and speaks to administration on behalf of staff members;
Monitoring: managers monitor the activities of their units or departments (e.g., the number of clients seen, length of stay), as well as the staff (e.g., absenteeism) and the budget (e.g., money spent);
Public relations: nurse managers share information with clients, staff members, and employers, for example, regarding new developments in healthcare and policy changes.

28
Q

Disciplinary actions:

A

Verbal
Written
Suspension
Termination

29
Q

Becoming a leader/manager

A

Identify skills possessed and skills needed.
Strategic planning aided by:
SWOT analysis (Strengths, weakness, opportunities, threats)
Work with a preceptor.
Choose a mentor.
What is the difference between a mentor and a preceptor?

30
Q

Mentor:

A

someone with more experience who provides career development assistance such as coaching, sponsoring advancement, promoting positive visibility, protecting protégés from adversity

31
Q

Preceptor:

A

an experienced nurse who provides practical teaching and guidance for a student or new employee

32
Q

The new graduate RN needs to have a preceptor assigned to them as they begins working in the pediatric clinic. The BEST person for this assignment would be
a. The charge RN who is a natural leader and knows all of the policies.
b. The staff RN who has 3 years of experience and enjoys orienting new employees.
c. The LPN with 15 years of experience who knows all of the doctors’ preferences.
d. The staff RN with 10 years of experience who refuses to work with students

A

B
The preceptor role often includes orienting a new employee to the routine of the work area as well as to the policies and procedures. The preceptor must have ample time, adequate experience, and a positive attitude to complete the new employee’s training.

33
Q

Power

A

Ability to influence others despite their resistance
Sources of power:
Positional/legitimate
Referent
Reward
Expertise
Coercion

34
Q

Lisa is an RN who transferred to the pediatrics unit 2 months ago. She noted the low morale and conflict among the nurses based on the manager’s authoritarian leadership style. What are Lisa’s best actions? Select one.

a. Talk with the manager in private about the unit’s needs.
b. Ask the nursing supervisor to talk with the manager about her leadership style.
c. Do nothing and continue to observe for improvements.
d. Organize a staff meeting so the nurses can voice their concerns to the manager.

A

A
Caring: Lisa’s desire to improve the situation demonstrates a concern for the overall work environment, nurses, and clients. She recognizes the manager as a unique individual and, as a strong follower, avoids what may appear as sabotage and demeaning by organizing a staff meeting so nurses can air their concern. Communications with the manager should be done in private and not through a third person (nursing supervisor).

35
Q

Empowerment:

A

A feeling that one has been given the power to solve problems, take initiatives, and exercise autonomy.
Empowerment Includes:
Self-determination
Meaning
Confidence
Impact

36
Q

Ability to communicate

A

Circular process
Active listening

37
Q

Ability to delegate

A

Be aware of rules and regulations for delegating to nursing assistive personnel (NAP).

38
Q

Ability to manage change

A

Unfreezing
Overcoming resistance
Implementing change
Integrating change

39
Q

A nursing unit is now doing a walking change-of-shift report. The unit manager puts out a survey asking for employee feedback about the new process. This would be termed:

A. Overcoming resistance
B. Unfreezing
C. Implementing change
D. Integrating change

A

D
Integrating change occurs after the change has been made and involves evaluating acceptance, comfort levels, and residual resistance of those affected.

40
Q

Ability to manage conflict

A

Strive for “win-win”
Conflict resolution
Informal negotiation

41
Q

Ability to manage time

A

Schedule.
Identify goals.
Set priorities.
Organize work.
Delegate.

42
Q

Schedule:

A

Make a “to do” list and prioritize the tasks in order of importance. Determine how much time each task will require, and when each must be completed. If you find yourself postponing an item for several days, decide whether to give it top priority the next day or drop it from the list altogether.

43
Q

Daily worksheet:

A

To help organize your day, provide yourself with reminders of various tasks and when they need to be done. Without some type of schedule, you are more likely to drift through a day or shift from one activity to another in a disorganized fashion.

44
Q

Identify goals:

A

Goals help clarify what you want and give you energy, direction, and focus. Once you know where you want to go, set priorities.

45
Q

Organize work:

A

Organizing your work can:
eliminate extra steps or serious delays
reduce the amount of time you spend doing things that are neither productive nor satisfying.
To begin managing your time, you need to develop a clearer understanding of how you use your time. A personal time inventory helps you estimate how much time you spend in typical activities. Keeping the inventory for a week gives a fairly accurate estimate of how you spend your time. The inventory also helps identify “time wasters.”

46
Q

Ability to problem solve

A

Focus is trying to solve immediate problems
Methods
Trial and error: repeated attempts at different solutions until one is identified that works best, used by inexperienced staff
Experimentation – Study problem using trial periods or pilot projects, will have great probability of achieving best outcome if sufficient time devoted
Purposeful inaction – do nothing, use when problem is judged to be insignificant or outside a person’s control

47
Q

Problem solving steps

A

Define the problem
Gather data
Analyze data
Develop solutions
Select and implement solution
Evaluate results

48
Q

Documenting license and degrees

A

Be as clear as possible.
Once licensed, write RN after your name.

Example: Jose Carmel, RN

Do not put an associates degree after your name
Do not put ACLS, PALS, or BLS after your name.
Please note that anyone may take ACLS but that your LICENSE allows you to give medications by scope of practice. Just because someone takes and passes ACLS does not permit them legally to carry out the algorithms.

49
Q

Degrees and certs

A

When you obtain advanced degrees, highest degree is written first.
Example: John Diminno, MSN, RN
Certs come last.
Example: Toni College, RN, BC

50
Q

Legal issues

A

Manager is responsible for assuring legal requirements are met in the environment of care
Safety of patients, staff, and visitors
Proper orientation and training
Proper supervision
Nurse Practice Act is being followed
Hospital P&Ps are being followed
State or Federal Regulations
Mandatory Reporting Laws
Americans with Disabilities Act – reasonable accommodations
Non-discriminatory practices, fairness and equality
Occupational Safety and Health Administration – Safety in the workplace

51
Q

Continuous quality improvement

A

A systematic way to improve quality
Previously called quality assurance
Prevention-focused approach provides basis for managing risk
Track and Trend incident reports - look for patterns. Identify and develop improvement plan
Committees review issues and identify problems, develop solutions, implement plans, and evaluate progress
Coordinators ensure and facilitate process, provide education

52
Q

Risk management

A

Planned program of loss prevention and liability control
Problem-focused
Identifies, evaluates, develops plan and takes corrective action against potential risk that would injure clients, staff, visitors
Focuses on noncompliance, informed consent, refusal of treatment, and safety practices
Tracking and trending of incidents, prevention program

53
Q

Assignment vs delegation

A

Review Oregon Board of Nursing: Delegation
Assignment is allocating work required to care for groups of patients.
Determine care required to meet client’s needs
Take into account time required, complexity of activities, acuity of clients, and infection control
Decide which staff person is best able to provide care
Determine assignments for efficiency
Be specific about expected results
Provide additional help

54
Q

Delegation

A

Responsibility and authority for performing a task (function, activity, decision) is transferred to another individual who accepts that responsibility and authority
Depends on Nurse Practice Acts
Delegator is responsible for the task
Can only delegate tasks for which that nursing care level is responsible for (can’t delegate something you are not responsible for)

55
Q

Responsibility is determined by:

A

Nurse practice acts – each state is different
Standards of Care – determined by the organization
Job description – defined by the organization
Policy statement

56
Q

Steps for delegation

A

Define task to be delegated
Determine who should receive delegated task
Identify what the task involves, determine its complexity
Match task to the individual by assessing individual skills and abilities
Provide clear communication about your expectations regarding the task, answer questions.

57
Q

More on delegation

A

Identify variables that would change authority and responsibility
For example: “Feed client if coherent and awake; if client is confused, do not feed and notify me immediately.”
Obtain feedback from delegatee to make sure they understand tasks to be performed
Give constructive feedback
Do not delegate: Total control, discipline issues, confidential tasks, technical tasks in which someone is not capable or qualified, controversial tasks

58
Q

Rights of delegation

A

Right task
Right person (knowledge, skills, ability)
Right time
Tight information
Right supervision
Right Follow up

59
Q

RN responsibility

A

Handling hazardous waste and Infectious Materials
It is the RNs responsibility to know the organizations policies and procedures. It is the manager’s responsibility to monitor nurses’ performance and compliance.
Examples:
What is considered biohazardous waste?
How is biohazard waste disposed of?
When to empty sharps containers? Who does this?
How do you remove contaminated linens from a room?
What is a Safety Data Sheet?

60
Q

What is an SDS? (formerly Material Data Safety Sheets)

A

A Safety Data Sheet (SDS) is a document produced in alignment with the UN’s Globally Harmonized System of Classification and Labelling of Chemicals (GHS) that the manufacturer, importer, or distributor of a chemical product is required to provide to downstream users.
An SDS needs to have a specific format.
The purpose is to ensure that all workers who handle chemicals have the hazard information they need to safely use, handle and store them.
Where are these kept in your organization?

61
Q

The RN is responsible for knowing the emergency response plan for a fire or internal/external disaster

A

This is covered in orientation as a new employee.
For example:
PASS – used to remember handling a fire extinguisher. Pull Aim Squeeze Sweep
RACE – used when a fire is noted. Rescue, Alarm, Contain, Extinguish

62
Q

The RN is also required to know security measures.

A

This includes measures for:
Violence or active shooter
Controlled access to certain areas such as medication carts or supplies
Protection of patient belongings and hospital property
Wearing ID badges
Newborn Nursery Security