Final Study!!! Flashcards
(27 cards)
Define nursing leadership
Nursing leadership is about the competent and engaged practice of nurses, who provide exemplary care, think critically and independently, inform their practice with evidence, delegate and take charge appropriately, advocate for their patients and communities, insist on practicing to their full and legal scope, and push the boundaries of practice to innovative new levels.
Name 4 historical nursing figures and what they’re known for.
Florence Nightingale- racist, colonial violence
Mary Seacole- Black nurse, treated wounded soldiers
Edith Monture- Indigenous nurse, advocated fro maternal and Indigenous care, first Indigenous woman to vote federally
Emma Goldman- Jewish nurse, advocated for women’s health and working people after industrialization
Relationally focused leadership styles
Strengths base, authentic, servant, principal agent, transformational (influence, motivation, intellectual stimulation, consideration), feminist, quantum, dyad
Task focused leadership styles
Transactional, laissez faire, manage by exception, instrumental, passive avoidant, dissonant
4 themes of nursing voices in the media during COVID
- Answering the call
- Nurses as foot soldiers
- Exposing the systems faults
- We are not essential, we are sacrificial
Emancipatory nursing theory
Social justice
2 contextual: relational, reflexivity
4 processes: transforming, engaging, awakening, becoming
Lewin’s Unfreeze-Change-Refreeze model
Controlled by driving and restraining forces
1. Unfreeze- strengthen driving forces, or reduce restraining
2. Change- most difficult due to uncertainty and fear
3. Freeze
Criticism: too simplistic and linear
Planned change- Lippitt, Watson, Westley
- Diagnosing the problem
- Assessing motivation and capacity for change in the system
- Assessing the resources and motivation of the change agent
- Establishing change objectives and strategies
- Determining the role of the change agent
- Maintaining the change
- Gradually terminating the helping relationship
Phases of Change- Havelock
- Building a relationship
- Diagnosing a problem
- Acquire resources for change
- Selecting a pathway
- Establishing and accepting change
- Maintenance and separation
Innovation diffusion theory and Roger’s 5 steps
Innovators, early adopters, early majority, late majority, laggards
Roger’s steps:
1. Knowledge
2. Persuasion
3. Decision
4. Implementation
5. Confirmation
Chaos theory
Subset of complexity science.
Small changes of randomness, make long term changes in the system
Suites nursing well as it is unpredictable and always changing, and the healthcare system is very complex
Nursing process
- Assessment
- Planning
- Implementation
- Evaluation
Medicine wheel
Body, mind, spirit, emotions
Roles of a change coach
Guide others, set expectations, provide feedback, facilitation, inspiration
Change strategies based on characteristics of the change agent
- Power coercive- need to be in position of authority
- Empirical rational- people will follow the change if it is logical and beneficial
- Normative reeducative- people follow what goes allow with their norms, values, and beliefs
Indigenous leadership- 4 components
- Circle of life teachings- life is not linear and always brings us back to ourselves, family, and community, and earth.
- Individual- mental, emotional, physical, spiritual
- Family
- Community
Define Cultural competence
Ability to interact effectively with people of various racial, ethnic, socioeconomic, religious, and social groups
Define cultural safety
The outcome of respectful engagement in an environment free of racism and discrimination where people feel safe when receiving healthcare
Madeleine Leininger’s Transcultural Nursing Model
- Worldview
- Cultural and social dimensions
- Technological factors, religious and philosophical factors, kinship and social factors, cultural values, beliefs, and lifeways, political and legal factors, economic factors, educational factors
- Care expressions, patterns, and practices
- Holistic health/illness/death
- Individuals, families, groups, communities, or institutions in diverse health context of
- Generic or folk care; nursing care; professional systems
- Nursing care decisions and actions
- Cultural care preservation and maintenance, accommodation and negotiation, repatterning and restructuring
- Culturally congruent care for health, wellbeing, and dying
Relational leadership
Purpose, inclusive, empowering
Sources of power
Reward
Coercive
Legitimate
Referent
Expert
Relational leadership
Purpose, inclusive, empowering, ethical
Relational dimensions of leadership
Authentic
Empathetic
Foster mutuality
Tend of the quality of relationships
Sporting and honorable
Find meaning in relationships
Indigenous vs Western worldviews
Indigenous:
- Collectiveness, wealth is shared, natural world is important, land is sacred, silence is valued, generosity
Western:
- Individualism, accumulate wealth, laws of humans are most important, nature is human’s control, silence needs to be filled
