Nursing Leadership Midterm Exam Nova – Flashcards
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A process of influence in which the leader influences others towards goal achievement
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Leadership
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When a person is in a position of authority or in a sanctioned, assigned role within an organization that connotes influence such as a clinical nurse specialist.
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Formal leadership
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An individual who demonstrates leadership outside the scope of a formal leadership role or as a member of a group rather than as the had or leader of the group
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Informal Leadership
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1. Guiding vision 2. Passion 3. Integrity
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What are the 3 characteristics of leadership?
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Focused on a professional and purposeful vision that provides direction toward the preferred future
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Guiding vision
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Involves the ability to inspire and align people toward the promises of life. The passion about assisting patients to recover helps the patient and significant others live to the fullest extent possible.
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Passion
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Based on knowledge of self, honesty and maturity that is developed through experience and growth
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Integrity
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1. Autocratic 2. Democratic 3. Laissez-faire
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What are the three leadership styles?
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Involves centralized decision making, with the leader making decisions and using power to command and control others
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Autocratic leadership
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Participatory, with authority delegated to others. To be influential the democratic leader uses expert power and the power base afforded by having close, personal relationships
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Democratic leadership
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Passive and permissive. Leader defers decision making
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Laissez-faire leadership
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1. The right task, circumstance, person, direction and communication, supervision and evaluation
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What are the five rights of delegation?
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The right to act or to command the action of others, it comes with the job and is required for a nurse to take action. The person to whom a task and authority have been delegated must be free to make decisions regarding the activities involved in performing that task.
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Authority
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Being responsible and answerable for actions or inactions of self or others in the context of delegation
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Accountability
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Involves reliability, dependability and the obligation to perform at an acceptable level-the level to which the person has been educated.
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Responsibility
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Defined by both the ANA nada the NCSBN as the distribution of work that each staff member is to accomplish during a given shift or work period. The nurse directs an individual to do something they re already authorized to do.
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Assignment
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The application of knowledge and the interpersonal decision making and psychomotor skills expected for the practice role, within the context of public health
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Competence
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The provision of guidance or direction, evaluation and follows up by the licensed nurse for accomplishment of a nursing task delegated to NAP. Described by the ANA as the active process of directing, guiding, and influencing the outcome of an individuals performance of an activity.
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Supervision
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1. Assessment and planning 2. Communication 3. Surveillance and supervision 4. Evaluation and feedback
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What are the steps of the decision tree?
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A formal expression of the purpose or reason for existence of the organization. It defines how an institution is unique and different from other organizations that provide a similar service
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Mission Statement
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Tells how the people of an normalization plan to actualize its mission. It portrays what people would like to think of the organization and how it envisions itself to be in 3 to 5 years
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Vision
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Is embedded in the mission statement. Its a value statement of the principles and beliefs that direct the organization's behavior.
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Philosophy
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The sum total or outcome of the process by which an organization engages the environmental analysis, goal formulation and strategy development with the purpose of organizational growth and renewal
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Strategic planning
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1. Perform environmental assessment, SWOT analysis 2. Conduct stakeholder analysis Review literature for evidence-based best practice 4. Determine congruence with organizational mission 5. Identify PLANNING goals and objectives 6. Estimate resources required for the plan 7.Prioritize according to available resources 8.Identify timelines and responsibilities 9.Develop a marketing plan 10. Write and communicate the business plan/strategic plan 11. Evaluate
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What are the steps in strategic planning process?
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A tool that is frequently used to conduct environmental assessments. Strengths, Weakness, Opportunities, Threats
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What is SWOT and what does it stand for?
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An organizational framework grounded in a philosophy of decentralized leadership that fosters autonomous decision making and professional nursing practice.
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Shared goverance
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Principles believes that partnership, equity, accountability, and ownership apply to all professionals practicing in the organization
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Whole systems goverance
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This principle connotes horizontal linkages with nursing and other staff roles that are clearly negotiated
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Partnership
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individual staff roles are based on relationships not titles. The contribution stemming from staff roles are understood and valued
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Equity
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Comes from within. Individuals are encouraged to report, explain and justify their actions.
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Accountability
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1. Clinical 2. Quality 3. Education 4. Research 5. Management 6. Coordinating
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The six areas of the Nursing advisory council
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Purpose is to establish the practice standards for the workshop. Is often unit level committee that works in conjunction with the organizational omitted accountable for determine policy and procedures related to clinical practice
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Clinical council
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Purpose is two fold. 1. To credential staff: committee is responsible for interviewing potential staff and reviewing their qualifications or credentials. It then makes recommendations regarding hiring. 2. To oversee the unit quality management initiates * also reviews staff credentials on an ongoing basis and makes recommendations regarding promotion * also reviews the units overall clinical performance such as medications, patient falls, family satisfaction, response time in answering call lights
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Quality council
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Purpose is to assed the learning needs of the unit staff and develop and implement programs to meet these needs
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Education council
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Advances evidence based practice with the intent of staff incorporating research-based findings into the clinical standards of unit practice. It involves staff critiquing the available research literature and the making recommendations to the practice council so that clinical policies and procedures can be based on evidence based research findings.
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Research council
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Ensures that the standards o practice and governed agreed upon by unit staff are upheld and that there are adequate resources to deliver patient care. Members include 1st line patient care manager, assistant nurse manager, charge or resource nurse from each shift
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Management Council
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Purpose is to facilitate and integrate the activities of the other councils. Council is composed of 1st line patient care manager, the chairpeople of the other councils. The council usually facilitate the annual review of the unit mission and vision and develops the annual operational plan.
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Coordinating council
