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MS3 Exam 3 > Leadership and Management > Flashcards

Leadership and Management Flashcards

1
Q

What is Leadership

A
  • influences beliefs, opinions, or behaviors of person/group
  • guides people towards a common goal
  • combination of intrinsic, personality traits, learned skills and situation
  • creates and cultivates a team
  • motivates and inspires
  • a change agent
  • can be formal or informal
  • looks a mission/values and strategic plan
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2
Q

Trait Theory

A
  • leaders are born with certain leadership characteristics

- intelligence, energy, decisiveness, self-confidence, and cooperative

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3
Q

Interactional Theory

A

-includes situational and behavioral theories that stress that leadership success comes from the interactions between the leader and their followers

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4
Q

Moral Leadership Theory

A

-remaining honest fair and socially responsible under any circumstances

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5
Q

Emotional Intelligence Theory

A

addresses the effect of people’s feelings on the team’s emotional reality

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6
Q

Transformational Leadership

A
  • teach, coach, and inspire
  • seek input from followers
  • continually striving to improve the workplace environment
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7
Q

Transactional Leadership

A
  • focused on daily activities
  • negotiates work tasks and rewards
  • monitors work performance and corrects when needed
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8
Q

Followership

A
  • role held by individuals in an organization
  • team or group
  • capacity or willingness to follow a leader
  • the reciprocal social process of leadership
  • believe in the vision
  • an ACTIVE participant
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9
Q

What is Management?

A
  • coordinates resources (people, time, and supplies to achieve desired outcomes
  • plans and organizes what is to be done, how it is to be done, and who is to do it
  • supervises staff
  • controls day to day operations
  • directs activities
  • budgets
  • achieves organizational goals
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10
Q

Management Theory

A

3 prevalent management styles:

  1. authoritarian-autocratic
  2. democratic-participative
  3. laissez-faire
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11
Q

Management Functions

A
  1. planning
  2. organizing
  3. staffing
  4. directing
  5. controlling
  • interrelated
  • various phases occur simultaneously
  • processes should be circular
  • manager always working towards improving quality, patient safety, staff and customer satisfaction
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12
Q

Management Skills

A
  • stays current with own skills
  • organized and thinks ahead proactive
  • approachable
  • knows policies and procedures
  • treats everyone fairly
  • role model
  • communicates realities of complex situations
  • problem-solver
  • knowledgeable of administration theory
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13
Q

Registered Nurse

A
  • patient team management
  • working with different customers: patient, nurses, doctors, support staff, families
  • ensure that doctors orders are carried out in a timely manner
  • the patient receives ordered care and services in a timely manner
  • patient meets the goals of hospitalization
  • contributes to departmental goals
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14
Q

Team Leader

A
  • Charge Nurse
  • organizes and plans care for the entire unit
  • problem solves
  • a resource for staff
  • staffing-shifts
  • evaluates immediate care provided
  • involvement on committees
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15
Q

Clinical Coordinator

A
  • staffing schedules
  • audits on care provided
  • coordinate nursing schools
  • patient advocate
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16
Q

Nurse Manager

A
  • unit budgets
  • performance evaluations
  • ensure adherence to policy/procedures and accrediation requirements
  • enhances the quality of care
17
Q

Being a change agent

A
  • change=constant
  • change should be for good reason, planned and implemented gradually, never be unexpected or abrupt, participative
  • reasons for change?
  • stages: unfreezing, moving, refreezing
  • leaders: imperative to be change agent
  • willing to confront the demand for change
  • recognizes resistance is natural response
  • be an example
  • implement effective strategies
  • be inclusive
  • educate
18
Q

HCAHPS

A

Hospital Consumer Assessment of Healthcare Providers and Systems

  • national, standardized, publicly reported
  • ALWAYS answers (9&10s)
  • 10 Domains
19
Q

Create “The Environment”

A
  • caring and respectful for All-How
  • reward & recognize- thank you
  • rounding on staff and spending time

meet staff’s personal needs- scheduling

  • guidance and support
  • positive work environment
  • address and prevent bullying
20
Q

Increasing transformational leadership in order to increase patient safety by:

A
  • maximizing work force capability
  • ensuring efficiency and productivity
  • increasing implementation of EVP at the bedside
  • creating a culture of professionalism
  • redesigning patient flow through facilities
  • understanding healthcare politics
21
Q

Budgeting

A
  • details how financial resources will be allocated to achieve strategic goals
  • dynamic plan
22
Q

Budgeting functions

A
  • planning
  • coordinating and communicating
  • monitoring progress
  • evaluating performance
23
Q

Operations control: budget

A
  • first step: look at needs of unit
  • get input from staff
  • develop draft of budget
  • review draft with nursing admin
  • revise and submit to office of finance
  • revise and submit to CFO and CEO
  • organizational budget submitted to institutional board
24
Q

WOO

A

Winning Others Over

  • relationship-based persusion
  • “helping people see things differently-engaging their minds and imaginations, then getting them to take action on the idea you recommend”
  • use influence and persuasion rather than coercion and force
25
Q

Evaluating Staff

A
  • occur at first 90 day period, then at one year mark, then annually
  • coaching and feedback should occur in both informal and formal ways
  • documentation of interactions should be kept
  • assist employee to develop goals
  • must include a timeframe for action and re-eval
26
Q

Staffing

A
  • ensuring adequate number and mix of healthcare team members to meet the needs of the patient
  • must ensure patient safety and quality of care
  • research validating value of RNs to improve patient outcomes, reducing complications, LOS, and preventing premature mortality
27
Q

Primary considerations for staffing a nursing unit

A
  • number of patients
  • intensity, complexity of care required (acquity)
  • staff experience, competency, and preparation
  • availability of staff
28
Q

Classic Nursing Care: Delivery Models

A
  • total patient care
  • functional nursing
  • team nursing
  • primary nursing
29
Q

Total Patient Care

A

-nurse is responsible for planning, organizing, and performing all patient care during the assigned shift

30
Q

Advantages of Total Patient Care

A
  • RN maintains a high degree of practice autonomy
  • Lines of responsibility and accountability are clear
  • Patient receives hollistic un-fragmented care
  • communication at shift change is simple and direct
31
Q

Disadvantages of Total Patient Care

A
  • number of RNs required is very costly
  • some tasks could be accomplished by a caregiver with less training and at a lower cost
  • nursing shortage will affect RN availability
32
Q

Functional Nursing

A
  • staff members are assigned to complete certain tasks for a group of patients rather than care for specific patients
  • RN nurse manager assigns responsibility for completion of tasks to a group of health care workers
  • RN is responsible for planning care and supervising workers
  • RN retains accountability for the patient care provided
33
Q

Team Nursing

A
  • RN functions as a team leader and coordinates care for a small group of patients
  • RN team leader responsible for planning care, assigning duties, directing, supervising, and assisting team members, giving direct care
  • RN retains accountability for aall patient care
34
Q

Primary Nursing

A
  • RN primary nurse assumes 24 hour responsibility for planning, directing, and evaluating the patient’s care from admission through discharge
  • provides total patient care while on duty
  • while off duty, care is provided by an associate nurse who follows the care plan established by the primary nurse

MS3 Exam 3 (6 decks)

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