Exam #1 Flashcards
(97 cards)
1
Q
What is Emotional Intelligence (EQ)?
A
Self-mastery or the ability to understand and control what we feel (our emotions) and the way we act (our response to these emotions)
- -The “It” factor, affects how we manage behavior, negotiate complex social situations, and make decisions.
- -most important leadership competency
2
Q
What are the 4 components of EQ?
Emotional intelligence
A
Self Awareness
Self Management
Social Awareness
Relationship Management
3
Q
What is social Awareness?
A
Social Awareness is our ability to recognize our own emotions and how they affect our:
- -thoughts/behaviors
- -Strengths/weaknesses
- -Self Confidence
4
Q
What is Self Management?
A
Self Management is our ability to:
- -control impulsive feelings and behaviors
- -manage our emotions
- -take initiative
- -follow through on commitments
- -adapt to change
5
Q
What is Social Awareness?
A
Social Awareness is understanding:
- -emotions, needs, and concerns of others
- -pick up emotional cues
- -feel comfortable socially
- -recognize the power dynamics in an organization
6
Q
What is relationship Management?
A
Relationship Management is knowing how to:
- -develop and maintain good relationships
- -communicate clearly
- -inspire and influence others
- -work well in a team
- -manage conflicts
7
Q
What are the consequences of a lack in emotional intelligence (EQ)?
A
A lack of emotional intelligence can result in:
- -higher staff turnover
- -reduced engagement
- -poor work relationships
- -unhealthy work environment
8
Q
What are the 6 suggestions to developing emotional intelligence?
A
- Seek feedback on your behavior
- evaluate all negative feedback and reactions
- Self-reflect on how you have managed your emotions in highly charged situations
- Assess how you manage your stress level and whether it interferes with relationships
- determine your EQ strengths and weakness and develop a personal action plan
- Do cognitive rehearsals– assess how you respond if you are loosing control of a situation
requires intentionality—stepping back and asking yourself what you would do differently in future situations
9
Q
What is motivation?
A
Motivation is the art of getting people to do what you want them to do because they want to do it
–intrinsic quality
10
Q
What are the 3 key elements needed to promote motivation?
A
Autonomy-urge to direct own life, feeling involved and valued
Mastery-getting better and better at something that matters
Purpose-yearning to connect to something larger than ourselves.
11
Q
What were the 4 suggestions for managers to promote autonomy to staff?
A
- lead with questions not answers
- engage in dialogue and debate
- conduct autopsies without blame
- make it easier for staff to talk about problems they see and solutions they recommend
12
Q
What are the 9 things that make good employees quit?
People don’t leave jobs, they leave managers
A
- They overwork people
- They don’t recognize contributions and reward good work
- They don’t care about their employees
- They don’t honor their commitments
- They hire and promote the wrong people
- They don’t let people pursue their passions
- They fail to develop people’s skills
- They fail to engage their creativity
- They fail to challenge people intellectually
13
Q
Florence Nightingale (1859)
A
“Putting the client in the best possible condition of nature to act upon him”
Crimean War- brought about basic concepts on nursing
–nurturing, nutrition, environmental cleanliness, and charting
Infection control, assessment, self care, therapeutic communication, spirituality, recording
14
Q
Virginia Henderson (1966)
A
“The unique function of the nurse is to assist the individual, sick or well, in the performance of those activities contributing to health or its recover that he would perform unaided if he had the necessary strength, will, or knowledge.”
**20th century Nightingale; utilized textbook on Nursing Fundamentals
emphasized independence so that recovery would be successful, categorized nursing to pt needs in 14 components similar to Maslow’s, relationship between all needs.
15
Q
Martha Rogers (1988)
A
“the process by which this body of knowledge, nursing science, is used for the purpose of assisting human being to achieve maximum health within the potential of each person”
16
Q
Lillian Wald
A
development of the Henry Street Settlement: a role model for contemporary community health; bringing healthcare to people
17
Q
Margret Sanger
A
Political activist: brought birth control to those who needed/wanted it; leader in child labor laws
18
Q
Mary Mahoney
A
1st black women as a nurse in the US.
19
Q
Mildred Montag
A
Developed the 1st associate degree program; proposed 2 levels of nursing
20
Q
Adelaide Nutting
A
1st graduate of John Hopkins School of Nursing
- superintendent of nursing
- developed the 3 yr, 8 HR/day that became the diploma nursing
- created Dept of Nursing at Columbia University; believed hospitals should not take ownership in education of nurses
21
Q
Jean Watson
A
- The theory of caring in nursing
- Caring complements curing
- An environment of caring allows for an individual to decide on how to care for themselves
- caring has no sociocultural borders
22
Q
Patricia Benner
A
Novice to expert
Excellence and power in nursing
Levels of learning
Civility
(Nursing eats their young!)
23
Q
Hildegard Peplau
A
Mother of Psychiatric nursing
Interpersonal relationship theory
Nurse-client relationship
Listening as a key to care
24
Q
Ida Jean Orlando
A
theory of nursing process
Meeting immediate needs
Recognizing subtle clues as a cry for help
How people perceive a situation as it relates to health
25
Nola Pender
- Health promotion model
- each person has a unique personal experience that influences subsequent actions
- nurse's influence people
- self initiation is essential to change behavior
26
Madeleine Leninger
Culture Care theory
Provides culturally congruent nursing care
Culturalogical assessments (demographics, socioeconomic, foods, gender considerations)
Cultural Competency is the outcome of the nurse
27
Margret Newman
Health as an expanding consciousness
Health of the individuals in the presence of illness or not
People are looking for the meaning of life and we need to assist them
28
Dorothy Johnson
Behavioral System model
A steady stet is maintained through adjusting and adapting to internal and external forces
Health is stability and balance, nursing is needed when they do not exist
29
Imogene King
Open system theory
Human beings are open systems that constantly interact with the environment
Everyone brings different values, ideals, and attitudes to every situation
Nurse's work with individuals to set individual goals
30
Myra Levine
Conservation model
Wholeness exists when the interaction or constant adaptations to the environment permits the assurance of integrity
Each individual brings a number of adaptions
31
Betty Neuman
Each individual is a complete system with interrelated parts
Our focus should be on stress and stress reduction
We should maintain a balance between internal and external environments in order to reach harmony
32
Dorothea Orem
Self care model
Self care comprises those activities performed independently by an individual to promote a d maintain persons' well being
The nurse then meets the self care needs by acting or doing for; guiding, teaching, supporting, or providing the environment to promote patient's ability
33
Sister Callista Roy
Adaptation model
The person is an open adaptive system with input who adapts by processes or control mechanisms
The output can be either adaptive responses or ineffective responses
Nursing activities direct adaptation
34
Leadership
The ability to influence the behavior of others
35
Leadership competencies
Diagnose: ability to understand the situation you want to influence
Adapt: Make changes that will close the gap between current and where you want to be
Communicate: if you do not communicate effectively, you will not met your goal
36
That theories:
Attention: communicate a sense of goal direction
Meaning: create and communicate meaning and purpose
Trust: demonstrate reliability and consistency
Self: know themselves and work within their strengths and weaknesses
37
Autocratic leadership
Authoritarian- does not recognize others or their creativity
high degree of control
Leader assumes responsibility
Very efficient
38
Democratic Leadership
Participative: flexible but not efficient, gives people the ability to think and increases motivation
Moderate degree of control
Shared responsibility
Less efficient that authoritarian
39
Laissez-Faire
Non-direct: decisions may not be made, leaves people incomplete and confused; only self-motivated thrive
Little degree of control
Abdicate responsibility
Inefficient
40
Motivational theories:
Motivates us to do well, achieve, perform
41
Situational theories:
Adaptability is KEY
Assure readiness
Leaders need to guide, tell, direct, observe, monitor
42
Transformational theories
Sense of mission: to do something for the good of humankind
43
Moral theories
Deciding to remain honest, fair and socially responsible
44
Caring theories
Servant: serve 1st, lead 2nd; make sure everyone's needs are met
Emotional intelligence: aware of own feelings and others; calm/clearheaded/suspend judgements; welcomes constructive criticism, asks for help, juggles multiple demands, listens with meaning
45
Leadership qualities:
```
Integrity
Courage
positive attitude
Initiative
Optimism
Perseverance
Generosity
Balance
Ability to handle stress
Self awareness
```
46
Leadership behaviors:
```
Prioritize
Critically thinking
Solve problems
Respect and value others
Communicate a vision
Develop oneself and others
```
47
Leadership Communication:
Listening
Encouraging
Shares information
Provides useful feedback
48
Follower ship
Self directed, professional and participates through investing time and energy; wants to learn
NOT A PASSIVE ROLE
49
Management:
Based on authority
A formally designed role
An assigned position
Usually responsible for budgets, appraising, hiring, firing
Improved by the use of effective leadership skills
Getting wrk done through others
50
Leadership:
```
Based on influences and shred meaning
An informal role
An achieved position
Part of every nurse's responsibility
requires initiative and independent thinking
```
51
Scientific management theory:
Efficiency focused
Goal: increase productivity
Workflow and time to complete tasks is measured and evaluated
Rewards go to those who accomplish the most
52
Human relationship management: Theory X
Theory X
Work is something to be avoided
People want to do as little as possible
Use: control, supervision, punishment
53
Human relationship management: Theory Y
Theory Y
Work can be rewarding
People want to do their job well
Support using guidance, development, reward
54
Management: Servant
People have value as people
Commit to improving treatment at home
Employee is first
55
Management Qualities:
```
Leadership
Professionalism
Clinical expertise
Staff development
Financial management
Coordination of care
```
56
Management. Behaviors:
```
Network
Conflict resolution
Employee development
Coaching
Rewards and punishment
Evaluations
resource allocation
Hiring and firing
Planning
Job analysis/redesign
Spokes person
Monitor
Report
```
57
Meaning of Law
Any system of regulations that govern the conduct of individuals within a community and or society in response to the need for regularity, consistency, and justice
Rules that prescribe and control social conduct in a formal and legally binding manner
58
Statutory Law
Governs nursing
Created by legislative bodies
American disabilities act
Good Samaritan act
Nurse practice act
59
Common law
Based on custom and usage
| Develops within the court system as judicial decisions are made
60
Administrative Law
Created by admin agencies given to governmental agencies by legislation
Board of Nursing, licensing agencies
Established through authority
City council, county boards, state government
61
Sources of law:
Constitutional: foundation of American law, Bill of Rights, Protects citizens rights
Statues: local, state, and US congress statues, ordinances
Administrative: State boards oversee nursing licenses
62
Criminal:
Felony
Misdemeanor
Juvenile
63
Felony:
Homicide
Grand larceny
Nurse practice act violations
64
Misdemeanors:
Traffic violations
| Shoplifting (small amounts)
65
Junvinile:
Carried out by a minor (under the age of 18)
66
Civil law:
Tort
Quasi-intentional tort
Negligence
Malpractice
67
Tort:
Legal or civil wrong carried out by one person against another or property
Nurse's harm an individual/consumer of care (intentional or unintentional)
68
Quasi-intentional tort:
Voluntary acts that directly cause harm or distress (defamation of character, invasion of privacy, breach of confidentiality)
69
Negligence:
Unintentional tort of acting or failing to act as an ordinary, reasonable, prudent person, resulting in harm to the person; standard of care not provided
70
Malpractice:
The person in charge is held accountable for those failing under them
71
Good Samaritan Law:
When administering emergency care, nurse's and physicians are protected as long as they behave in teh same manner as a reasonable and prudent professional would in the same/similar situation
Do not hold if payment is sought for services
72
Confidentiality:
HIPPA: Health Insurance Portability and Accountability Act
- preserve confidentiality and protect the privacy of health information and to improve the portability and continuation of healthcare coverage.
- Shared information with only others that have a need to know
- Permission is needed in order to share information
73
Social Networking:
Use of technology has increased in violation of confidentiality
Immediate termination
Cancellation of contract
74
Slander
Spoken word
Quasi-intentional tort
75
Libel
Written word
Quasi-intentional tort
76
False imprisionment:
Confining an individual against their will
Restrains, detains
Removal of pt clothes
Keeping a pt who has been medically discharged for an unreasonable amount of time
77
Assault
Threat to do harm
78
Battery
Touching without consent
79
Standards of Practice
Purpose: guidelines to assure quality of care
```
Internal standards:
Develop within institution
Found in policy/procedure Manuel
Based on current literature and research
Nurse's responsibility to meet standards
```
80
Bill of Rights:
Determined by ANA and now called Patient Care Partnership
Rights were developed utilizing the principles of autonomy
81
Informed consent
Legal document; required physician to divulge benefits/risks etc
Allows pt to make an educated decision regarding their care
MUST BE:
Mentally competent, acting voluntarily
Client understands what they are consenting to
Consent includes risks/benefits, alternatives, risk for refusal
written document
82
Implied informed consent
Emergency situation \ consent assumed
83
PREVENT staying out of court:
```
Practice caring behaviors
Demonstrate an interest in pt/family
Assist pt and family in making choices
Maintain accountability
Adhere to standards of practice
```
84
Patient self-determination act
Right to exclude advance directives
Documentation must be made on all clients living wills or powers of attorney
Education must be given
respect given
Familiarize self with beliefs and culture of pt
85
Mandatory overtime
affects pt safety
| Held accountable for safety and welfare of pt
86
Values
Judgements about the importance or unimportance of objects, ideas, attitudes, attributes
Learned; change with maturity and experience
Significant to individual
Ones beliefs are important
Clarification allows decision making to occur
87
Morals
Founded in individual values
Good and bad behaviors
Individuals code of acceptable behaviors
Arise from conscience
Guide individual behaviors
Learned
88
Values system
Intrinsic: related to sustained life
Extrinsic: things, people, materials
Personal: qualities important to people's private lives
Professional: qualities important to a profession
**motivated by their values
89
Ethics
Rightness or wrongness of human behaviors
Concerned with motivation behind behaviors
BIOETHICS: application with life or death issues
Ethical Principles: used to judge behaviors
90
Autonomy
Respect the right to make decisions on their own
91
Nonmaleficence
No harm done
92
Beneficence
Good be done to benefit others
93
Justice
Treat everyone equal
94
Fidelity
Fulfillment of all commitments made to self or others
95
Confidentiality
Providers are held to the strictest of confidence
96
Veracity
Requires truthfulness
97
Accountability
Accepting responsibility for ones own actions
