Ameritech Transitions Chapter10: Nursing Management and Leadership – Flashcards

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Leader
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-Selects and assumes the role -models change -establishes trust -sets the pace -create vision -provides focus and builds commitment
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Leadership
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-Is a way of behaving -it is the ability to cause others to respond, not because they have to, but because they want to
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Manger
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-Assigned or appointed to a role -determines the agenda -Set time limits -Facilitates group of functioning
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Management
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Is a problem oriented process with similarities to the nursing process
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Characteristics of leaders
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-Focus is on effectiveness -ask what and why -deal with people and relationships -initiate innovation **Focuses on staff and their needs** Example: Charge Nurse
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Characteristics of managers
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-Focus is on efficiency -asks how -deal with systems, controls, and policies -maintains the status quo **Focuses on rules and regulations** Example: Unit manager or director
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Managers Preform 4 Functions
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1.Planning 2. Organizing 3. Directing 4. Controlling **effective managers must have good communication and interpersonal skills**
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Functions of Management: Planning
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-Helps develop goals: patient satisfaction, falls, CAUTIs -Being prepared for the unexpected -Making what is needed available
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Functions of Management: Organizing
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-Aligned work with resources available -Knowledge of all parts of the work -Understanding of the competencies of staff members
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Functions of Management: Directing or supervising
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**The manager retains the accountability for ensuring the work is completed in a timely and competent manner** -Ensuring proper care of a patient by proving care and safety - Determines performance of the staff proving care -Determines what level of supervision is required
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Functions of Management: Controling
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**Controls are needed d/t healthcare being highly regulated** What needs to be done is dictated by governments, insurers, evaluating agencies, health policies, and institutional policies
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Theories of Management (4)
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1. Traditional (scientific) 2. Behavioral (Human interaction) 3. Systems 4. Contingency (motivational)
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Theories of Management: Traditional (scientific)
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-AKA bureaucratic theory -Has strong lines of authority and control -High productivity level is expected from the worker **The manager follows rules closely and understands the chain of command** Example: The army, capstone coordinator
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Theories of Management: Behavioral (human interaction)
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-Humanistic side of management -Considers the workers needs -Maintains a stable and satisfied work place Example: Charge nurse knowing the needs of the unit and staff
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Theories of Management: Systems
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-Decisions are based on how others will be affected -Considers parts of a system as a whole -Maintains a stable and satisfied workplace
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Theories of Management: Contingency (motivational)
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-Blends the elements of all the other theories -Examines what motivates workers to be productive and effective in completing work Example: rewards system, semester competition, evaluations
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Management Style (3)
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1. Autocratic manager 2. Democratic manager 3. Laissez- faire manager
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Management Style: Autocratic
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-Uses an authoritarian approach to direct activities of others -Makes decisions without input from others -Emphasis is on the task **Best for a crisis situation**
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Management Style: Democratic
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-People oriented -Emphasis on effective group functioning -Open communication that flows both ways **The manager is a group member who organizes and keeps the group moving in the right direction**
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Management Style: Laissez-fiare
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-Maintains a permissive climate with little direction or control -Allows staff members to make and implement decisions and relinquishes most of their power and responsibility **Good in highly motivated groups**
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The nurse manager on a surgical unit received notification that multiple victims of a plane crash will arrive at the hospital momentarily. What is the most appropriate leadership style to adopt in the situation? A. authoritarian B. democratic C. Laissez-faire D. Eclectic
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A
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Characteristics and theories of leadership
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1. Born leaders: desired traits are inherited 2. "The great man theory": it was thought that leadership was generally a male quality **BUT desired leadership traits can be learned thought education and experience.**
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Types of Leadership (6)
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1. Contingency leadership 2. Situational leadership 3. Interactional leadership 4. Transactional Leadership 5. Transformational Leadership 6. Complex Theory Leadership
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Types of Leadership: Contingency leadership
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Leadership is FLEXIBLE enough to address varying situations
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Types of Leadership: Situational Leadership
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SITUATION IS ANALYZED leadership style is selected that will best address an issue Example: Punishing children differently based on their personalities
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Types of Leadership: Interactional Leadership
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-Development of TRUST in relationship -Uses democratic concepts and views tasks from others perspective
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Types of Leadership: Transactional Leadership
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Hold POWER AND CONTROL over followers by PROVIDING INCENTIVE when followers respond in a positive way Example: PUNISHMENT AND REWARD
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Types of Leadership: Transformational Leadership
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Leaders and followers WORK TOGETHER in a way that changes or transforms the organization, employees, and leaders
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Types of Leadership: Complexity Theory Leadership
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LOOK AT SYSTEMS AS A WHOLE -Example: healthcare organizations- look at what patterns of relationships and interactions occur among those in the system
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Veteran Nurses (1925-1942)
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10% of the workforce Retiring group of nurses Taught to rely on tried, true, and tested ways of doing things **High value on loyalty, discipline, teamwork, and respect for authority** Uses autocratic styles of leader and managers
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Baby Boomers (1943-1960)
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45% of the workforce Embraced technology as a method for being more productive Focus on careers invested in organizational loyalty **Believe in hierarchy theory leadership with some behavioral elements**
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Generation X (1961-1979)
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30% of the workforce Change Jobs frequently and will stay in a position as long as it is good for them Have no aspirations for retirement **employees have little loyalty or confidence in leaders and institutions** Want to work under motivational leadership with a democratic manager
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Generation Y (1980-2000)
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10% of the workforce Optimistic, interactive, learn and adapt quickly Traits in this group are individuality, uniqueness, ability to multitask, think fast, and creativity **challenging to work with because they are not team players**
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Generation now
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5% of the workforce AKA the iGeneration Have never known a world without immediacy
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Power
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Having the ability to affect change and influence others
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Authority
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Relates to a specific position and the responsibility associated with that position
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Types of power (6)
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1. legitimate power 2. reward power 3. coercive power 4. expert power 5. referent power 6. leadership power
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Types of power: legitimate power
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power connected to a position of authority Example: Head nurse
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Types of power: reward power
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Comes about because the individual has the power to provide or withhold words Example: supervisors
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Types of power: coercive power
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Power derived from fear of consequence Example: parents and supervisors
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Types of power: expert power
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Based on specialized knowledge, skills, or abilities that are recognize and respected by others Example: Clinical nurse leader
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Types of power: referent power
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Power a person has because others closely identified with that person's personal characteristics -they are liked and admired by others Example: People who have an addictive personality
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Types of power: information power
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Knowledge a person possesses that is needed by others to function effectively Example: Nurse educators
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Types of power: leadership power
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Having the ability to create stability and calmness out of the chaos created by conflict, problems, and disorder -used to empower nurses and provide them with a greater power in the profession and decision making opportunities in the roles
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Management Problem Solving
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Problem solving is relatable to the NURSING PROCESS **First step is IDENTIFY THE PROBLEM** After that it does not always flow in an orderly manner from one stage to the next
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How to deal with change
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1. Move out of the situation and possibly miss opportunities 2. Stand and withdraw and do what youre told to avoid conflict 3. Run with the change and help steer it in a positive direction
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Phases of the change process (3)
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1. Unfreezing Phase 2. Moving Phase 3. Refreezing Phase
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Change process: Unfreezing Phase
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-All factors that may cause resistance to change are considered -Will need to determine whether the environment of the organization is receptive to change
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Change process: Moving Phase
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-Occurs once a group of individuals has been recruited to take on responsibilities for implementing to change -The group then identifies strategies to implement change
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Change process: Refreezing Phase
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-Occurs when the plan is in place and everyone involved knows what is happening and what to expect -Need to publicize the ongoing assessment of pros and cons of the plan to change -Someone needs to be responsible for continuing to work on the plan
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What initiates change?
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1. System: what was working is no longer working 2. Management: New management brings new perspective 3. When patients are unhappy change is needed 4. Yourself
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What action would be an appropriate first step for the nurse to take toward becoming an effective manager? A. learn how to affect and direct the change process B. assess individuals source of power C. develop communication and interpersonal skills D. employment effective nursing care plans
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C
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The nurse manager is beginning the process of problem-solving. Which action should be taken first? A. define the problem B. gather information C. analyze information D. consider the alternatives
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A
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Which of the following actions is consistent with the nurse leader? A. encourages staff to give excellent patient care B. Rights yearly staff evaluations C. Performs chart audits on her staff D. Gives pain medication to assigned patient
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A
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Which of the following actions by the nurse would indicate an autocratic management style? A. allows staff members to make most of the decisions B. makes most of the decisions without input from staff members C. exerts little control over stuff D. emphasizes effective group functioning
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B
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