question

Nursing leadership (LEADER)

answer

-Ability to guide or influence others -Guide people & groups to accomplish a common goal -May or may not have formal authority, but are still able to inspire, motivate or influence others to act THESE ARE THE QUALITIES OF A LEADER

question

Nursing management (MANAGER)

answer

-Coordinate people, time or supplies to achieve a desired outcome in a defined area of responsibility -Appointed position with formal line of authority & accountability THESE ARE QUALITIES OF A NURSING MANAGER

question

Power (IN NURSING)

answer

-The ability to motivate people to get things done with or without the formal right granted by an organization

question

Authority (IN NURSING)

answer

-A legitimate right, granted by an organization, to direct others

question

Leaders referred to as...

answer

...The most powerful or most influential

question

The continuum of leadership (T.H.C)

answer

-Technical skills-----Human skills----Conceptual skills

question

Technical skills (LEADERSHIP)

answer

-Clinical expertise & knowledge

question

Human skills (LEADERSHIP)

answer

-Ability & judgement to work with people

question

Conceptual skills (LEADERSHIP)

answer

-Ability to understand the "BIG PICTURE" -How the area of primary concern fits into the complexities of a total organization

question

Leadership Theories (NURSING)

answer

-TRANSACTIONAL LEADERSHIP -TRANSFORMATIONAL LEADERSHIP

question

Transactional Leadership (NURSING) Incentive

answer

-Management style of leadership -Leadership (Influencing/Motivational change) based on a system of rewards & punishments -Common style of leadership in business industry --ie company/employees successful, then all rewarded -- When company/employees fail, all get reprimanded or punished Management style that motivates change, most common style

question

Transformational Leadership (NURSING) relationships

answer

-Relationship style of leadership -focus on connections formed between leaders and followers -Leader able to motivate.inspire people by helping group members see the importance and higher good of actions -Outcome of the group is highly important, as well as, fulfillment of each persons potential -Leaders with this style often have higher ethical and moral standards -Build a relationship to achieve the overall vision -Influences to make work life better

question

Key behaviors/qualities of an effective leader

answer

-Behavior and qualities are the same no matter where they lead

question

Leadership Trait Theory aka "Great Man Theory"

answer

-Based on the assumption that leaders are born with certain leadership characteristics -Traits associated with leadership include: intelligence, alertness, dependability, energy, drive, enthusiasm, ambition, decisiveness, self-confidence, cooperativeness, and technical mastery. -PEOPLE ARE BORN TO LEAD

question

Common characteristics of leaders

answer

-Intelligence -Alertness -Dependability -Energy -Drive -Enthusiasm -Ambition -Decisiveness -Self confidence -Cooperativeness -Technical Mastery (Compentency_

question

Behaviorism (Theory)

answer

-Theory is based on belief that leadership is a behavior, and therefore is learned -Great leaders are made, not born -Leaders learn to lead through direct teaching and observation

question

What is management

answer

-Coordinate people, time, and supplies to achieve desired outcomes in a defined area of responsibility -Appointed position with a formal line of authority and accountability ALL LEADERS WILL HAVE A MANAGEMENT STYLE, BUT MAY NOT BE A GOOD MANAGER

question

Management styles

answer

-Authoritarian (Hitler style) -Democratic (all have a say) -Laissez Faire (little guidance)

question

Authoritarian Management

answer

-All decisions are made by the leader without input from the followers -Questioning of the leader by the follower in not seen as positive -Not a good leader type, rules are rules, most on a curriculum - problematic if leader ask you to do unethical actions

question

Democratic Management

answer

-Input from the followers is encouraged -Input from the followers is considered in all goal setting, problem solutions, and decision making

question

Laissez Faire Management

answer

-Leader provides little guidance or direction to follower -Decision making responsibility is not owned by manager

question

Management Theories

answer

-Bureaucracy (authority and apply rules) -Organizational (emphasis on the outcome of the whole organization) -Chaos (always look at worse case scenario)

question

Bureaucracy Management Theory

answer

-Requires authority and ability to apply general rules -Big emphasis on rules -Rewards competency, not favoritism -Does not consider complexity of human behavior in a changing environment

question

Organizational Management Theory

answer

-Emphasis is on the outcome for the organization as a whole -Views organization as a set of independent parts -The effect on the entire organization is considered in any decision/occurrence/incident happening on one part of the organization -The effect of outside of the organization factors to the organization is also considered

question

Chaos Management Theory

answer

-Always preparing for randomness within an organization -Preparing for "worse case scenario" -Views complicated behaviors, situations and variables as predictable -Accounts for complexity of the organization in: Cultural diversity Fluctuating customer/patient count Staffing shortage

question

Management Functions

answer

-Goal -Planning -Organizing -Staffing -Directing -Controlling

question

Management function-GOAL

answer

Goal-Promote a caring environment -Offer positive recognition such as praise and appreciation -Spend time with staff members (model expected behaviors) -Meet staff personal needs whenever possible -Provide guidance/growth -Promote +, confident attitude -respond quickly to needs and concerns, will help decrease stress

question

Management function-PLANNING

answer

-Foundation for all management functions. -Answer to "How, When,Where" questions -Critical components-supporting mission, goals, objectives. -Customer service provided Corporate supportive- Between departments -Unit Representative- in hospital wide meetings

question

Management function-ORGANIZING

answer

-Establish formal structure of authority and communication -Establish philosophy of decision making within unit -Defines each persons roles -Coordinate with departments outside unit/organization -Creates caring environment (Patients,Family,Staff) -Staff that feels cared for passes the attitude of caring toward their patients.

question

Management function-STAFFING

answer

-Recruitment, interviewing, diversity of staff hiring -Development of competency (orientation, Training, Socialization with staff) -Development of scheduling (creative and flexible for staff and floor needs) -Team builder -Staff developer -Resource Manager

question

Management function-DIRECTING

answer

-Communicate expectations for each defined role -Role model expected behaviors -Create motivating environment -Promote definition of team and meeting organizations goals -Manage conflicts -Decision maker -Problem solver

question

Management function-Controlling

answer

-Establish performance outcomes/standards -Measure/evaluate performance against standards -Determine action plan to improve substandard performance -Change agent -Clinical consultant -Mentor

question

What is delegation?

answer

-Transformation of responsibility for the performance of an activity to another. -Must know scope of practice, standard of practice, and institutional policy -Both delegate and the person that delegated would be responsible.

question

What delegation IS NOT!

answer

-Transfer of accountability of outcome of activity -Person that transfers responsibility is still accountability for outcome

question

Responsibility of delegator of a task (person giving task)

answer

-proper delegation -Supervising the completion of the task -Assessment of progress -Assessment of outcome -Intervention or action to assure completion of task toi delegated

question

Responsibility of delegated (Person task delegated to)

answer

-Accepting task, task within parameters/experiencing/education -To complete the assigned task -Communicate with delegator of task

question

Characteristics of delegation (Nursing)

answer

-Establish foundations of knowledge (legal, standards of practice, policy/procedure) -Know the patient -Know the staff member -Know the action to be delegated -Explain the action and expected outcome -Expected responsible action -Assess and supervise job performance -Evaluate and follow up -Foundation of knowledge -Be aware of patient norms that could affect care

question

RN can NOT delegate the following (nursing delegation)

answer

-Assessment that requires nursing knowledge, skills, or judgement -Determination of nursing diagnosis -Establishment of nursing care goals -Development of a nursing care plan -Evaluation (assessment) of patient progress -Health counseling/teaching -Activities that require special nursing skills, knowledge, or judgement

question

State nursing acts require

answer

-Legal scope of RN practice -legal scope of LPN care partner -Some LPN's will be allowed to give meds

question

Job descriptions in nursing (nursing delegation)

answer

-Describes tasks, duties, and responsibilities required as condition of employment -What the organization states as the allowed actions of a person in a certain role within the organization -Legal requirements over-rule organizational policy or usual

question

Competencies (nursing delegation)

answer

-Person must delegate a task to a person who is competent to meet responsibility -Joint commission: requires written proof of completed competency on all staff members within an institution that receives accreditation -Joint commission needed for funding

question

Organizational policies/procedures (nursing delegation)

answer

-Policies and procedures may require additional training before allowing assignment (IV insertion, Administer chemo,wound vac) -CNA care partners: scope of practice does not have an association to state statue, but guided by organizational policy/procedure -If written policy seems different than norms, question policy

question

Patient needs (nursing delegation)

answer

-Rn should retain responsibility for patient that requires assessment or a complex level of care -The more stable the patient status, more appropriate to delegate -Who can complete the majority of patient care needs to be considered when making assignments

question

Clinical situation considerations (nursing delegation)

answer

-Is the nursing care partner able to realistically care for the patient in the proposed time? -Familiar with the characteristics of the care for the assigned patient? -Able to handle the complexity of the assigned task? -ABLE TO ACQUIRE THE RESOURCES REQUIRED TO COMPLETE THE TASK? -Can the RN delegator provide adequate supervision to the nursing care partner?

question

Novice Nurse (Nursing delegation)

answer

-May accept delegated task that is inappropriate because....fear of being disliked...seen as a hiring mistake...inappropriate sense of competition -More likely to take risk and make mistakes -Lack of confidence (benefits if closely supervised) -Lack of knowledge (benefits if closely supervised) -Not aware fully of what they can or cant do

question

Communication (nursing delegation)

answer

-Will know what is to be done, how to be done, exact in assigned responsibility -Listen to the person who has been delegated the task to see if they id the correct components of the task -Determine comfort level, hesitation to task -Ask open ended feedback..non-threatening..non-judgmental statements -Have a environment of trust and cooperation -Provide feedback/follow-up

question

Summary of delegation (nursing delegation)

answer

Five Rights 1.Right task 2. Right circumstance 3. Right person 4. Right direction & communication 5. Right supervision & evaluation

question

Client (patient) Centered care

answer

-IOM promotes this philosophy of care -Patient values should guide all patient care -Provides care that is respectful of and responsive to individual patient (preferences, Needs, & Values)

question

Classic Nursing Care Delivery Models

answer

1) Total Patient Care 2) Functional Nursing 3) Team Nursing 4) Primary Nursing

question

Total Patient Care (nursing care model)

answer

-Assigned nurse responsible for all aspects of care during assigned shift -Nurse will do planning,Organizing, Preforming care -Mainly used in ICU, Post Anesthesia, Procedural care ICU/PACU use total patient care

question

Total Patient Care-PROS (nursing care model)

answer

-High degree of autonomy -Clear lines of accountability/responsibility -Holistic, non-fragmented care -Simple hand-off communication

question

Total Patient Care-NEGATIVES (nursing care model)

answer

-Number of RN's required is cost prohibitive -Challenged by RN shortages

question

Functional Nursing (nursing care model)

answer

-Staff members assigned to complete certain task for entire patient population -RN assigns task, responsible for planning care and supervision of staff -Retains responsibility for all patient care provided -Commonly used in surgical areas

question

Functional Nursing-POSSITIVE (nursing care model)

answer

-Economic & efficient -Minimal number of RN's required -Clear line of responsibility

question

Functional Nursing-NEGATIVE (nursing care model)

answer

-Fragmented patient care -Deficiency of patient nurse relationship -Caregivers may become "silo" and loose ability to give complete care -Not challenging for care giver

question

Primary Nursing (nursing care model)

answer

-Total patient care with 24 hour responsibility when on/off duty -Planning, directing, evaluation of care from admission to discharge -Generally requires total patient care assignment while on duty Commonly used in Hospice, Home Care, Long Term Care

question

Primary Nursing-NEGATIVE (nursing care model)

answer

-24 hour on call responsibility for unexpected occurrences -Nurse may not have the ability to make the required independent clinical decisions

question

Primary Nursing-POSITIVE (nursing care model)

answer

-High quality, holistic care -Clear establishment of a relationship between patient and nurse -High amount of autonomy

question

Case Management (nursing care)

answer

-Nurse case manager usually handles "Case load" from onset to resolution of illness -"Manages" requires collaboration with health care services to reach patient care goal -Commonly used: Insurance compliance, Seriously ill/injured, Long term (high cost) care -Not usually long term care

question

Case Management-POSITIVE (nursing care)

answer

-Broad assessment of identification & facilitation of care options/services -Decreases fragmentation/duplication of care -Cost effective

question

Primary Nursing-Negative (nursing care)

answer

-Rare to have direct patient care responsibilities with patients

question

Critical Pathway (nursing care)

answer

-AKA critical path, practice protocols, care maps -Pre determined written plan of care for particular health problem -Specifies clear outcomes, time frame for interdisciplinary intervention -Common medical diagnosis with care maps include CHF, Pneumonia

question

Essential Components of Critical Pathway (nursing care)

answer

-Consults -Lab and DX test -Treatment and medications -Safety and self care activities -Nutrition -Patient and family education needs -Discharge planning

question

Priorities when managing group care help how?

answer

-Improves effectiveness of nurse (dependent on assessment and clients needs) -Improves nurse efficiency (smooth flow, conserves effort, minimizes interruptions)

question

Managing group care Priority 1

answer

-Threats to client's immediate survival or safety -Demand immediate nursing intervention

question

Managing group care Priority 2

answer

-Frequently related to comfort: Pain, Nausea, Full Bladder, Need to empty bowels -Respond as soon as possible

question

Managing group care Priority 3

answer

-Actual/Potential problems that client or family does not recognize (relative urgency) -Nurse monitors and manages -Often teaches client/family about condition to reduce urgency of nurse monitoring

question

Managing group care Priority 4

answer

-Actual or potential problems with which client/family may need help with in the future -Preparation for discharge -Self care/treatment procedures -Teaching/discharge planning

question

Baccalaureate BSN in Nursing

answer

-2 years provides a solid foundation in arts/sciences -2 years in clinical nursing casework -Total curriculum credits (120-130) -Includes focus on *Community Health*Research*Statistics*Epidemiology*

question

Masters MSN in Nursing

answer

-Beyond the bedside nursing preparation -Preparation for *Advanced Nurse Practitioner*Clinical Specialists*Nurse Educators*Nurse Administrators*

question

Doctoral Degrees in Nursing

answer

-EdD: Doctoral degree in Education (Focus on education) -PhD: Doctoral degree in Philosophy (Focus on research) -DNS or DNSc: Doctoral degree in Nursing Science (Focus on advanced clinical practice) -ND: Doctoral degree of Nursing (For candidates who have BS degree in another discipline)

question

EdD

answer

-Doctoral degree in Education (Focus on education)

question

PhD

answer

-Doctoral degree in Philosophy (Focus on research)

question

DNS or DNSc

answer

-Doctoral degree in Nursing Science (Focus on advanced clinical practice)

question

ND

answer

-Doctoral degree of Nursing (For candidates who have BS degree in another discipline)

question

Articulation/Dual Enrollment

answer

-Process that facilitates transition of student from *one educational institute to another*One level of education to the next with minimum duplication of coursework

question

State nursing statute added in 2010

answer

-Requires nurses to have continuing education -Pa state added to assure nurses could get education without conflict form employers -Hospitals not letting RN attend courses -Hospitals neglected responsibility to continuing education for nurses

question

Pa state statute on continuing education for nurses

answer

-PA CODE S21.131

question

PA CODE S21.131 requirements for nurses

answer

-Maintain clear understanding of the expected role & expectations of that role in constant changing world of healthcare

question

What the Public expects from the nurse in safe patient care

answer

-Respond to socioeconomic issues -Respond to political issues -Practice with evidence based care standards -Implement technology in practice -Respond to emergency response situations

question

Current issues/trends in health care

answer

-Aging population -Diversity/Cultural awareness -Increase in poverty level -Under-insured & Healthcare act -Domestic abuse -Increased disrespect/horizontal violence in society -Response to mass disasters -Violence in homes/schools/public places -Obesity epidemic -Non Traditional families -Technology

question

horizontal violence

answer

involve conflictual behaviors among individuals who consider themselves peers with equal power, but with little power within the system -Adult to adult bullying -Nurse to Nurse bullying

question

Issues related to technology (Nursing)

answer

-Computer documentation system -Electronic Health Records -Social media and the effects on privacy law in nursing -Ethics in technology and health care -Legal ramifications of technology in health care (HIPPA)

question

Professional Protection Requires:

answer

-Knowledge of legal ramifications of practice -Knowledge of nursing standards of practice

question

Issues related to Professional Practice Protection

answer

-Changing lines of responsibility -Changing lines of Accountability -Changes in practice acts -Changes in evidence based practice standards of nursing

question

Definition of Credentials (Nursing)

answer

-A title which indicates that the person has achieved a certain qualification -Intended to increase the confidence in a persons competence to serve Must be on legal documents ( Progress notes, prescriptions)

question

State Credentials requirements

answer

-Must be on legal documents (Progress notes, Prescriptions) -Must use in signature for the applicable state credentials issued/practiced

question

National Credentials requirements

answer

-Advanced Practice Nurses -Certifications will follow educational credentials

question

American Nurses Credentialing Center (ANCC)

answer

-Recognizes excellence in nursing practice -Nongovernmental agencies, Usually professional nursing organizations, grant certification -Requirements and practice opportunities vary -Some states require certification for advance practice nurses

question

Steps to certification (nursing)

answer

-Become informed about specific requirements in chosen specialty -Contact ANCC or specialty nursing organization to determine requirements -Contact state Board of nursing for information about legal requirements in a specific area

Nursing 204 – Flashcards

Unlock all answers in this set

Haven't found what you were looking for?

Search for samples, answers to your questions and flashcards