Leadership Test 1

Management Roles

- Have an assigned position of authority - responsible for the overall function of the unit 24/7 - responsible for the decision making, decision analysis, and results - Manipulate people, environment, money, time, and other resources to achieve the organizational goals - possess clinical expertise

Situational and Contingency Theory

- Suggest that the traits required of a leader differ according to the varying situations - leader may be a leader in one situation and a follower in another or vice versa - A leader will be effective or ineffective based on the situation

Managers should never delegate

- Their own personal accountability - Discipline - Praise and recognition

Improper Delegation

- Delegating without providing adequate information - results from management making decisions based on incomplete information

Operational Planning

- Extends from 1 hours to 3 years - focuses on achieving specific tasks - usually done in conjunction with budgeting - develops the departmental maintenance and improvement goals for the coming year

Tasks that can be delegated to UAP

- answering the phone - cleaning after procedures - transportation of patients - clerical tasks - assisting with procedures - data collection without analysis

Tasks that should not be delegated to a UAP

- anything that involves nursing judgement or application of the nursing process - assessment of patients - assessment of pain - teaching - evaluation of treatment - interpreting test - identifying needs - triage - counseling

Leaders

- are out front making decisions - obtain authority - have goals

Full Range Leadership Theory

- articulate and are able to represent their vision well - leader has charisma, is able to create emotional ties with the followers that builds trust and confidence - able to create a collective sense of the mission and values and prompts other to to act on these values - challenges and analyzes subordinates problems and possible solutions - recognizes and appreciates the staff's unique needs, strengths, and challenges

interactional leadership

- behavior is generally determined by the relationship between the leader's personality and the specific situation - foster autonomy by valuing and empowering followers - focus on leadership as a process of influencing others within the organizational culture

Benefits of Strategic Planning

- clarifies beliefs and values of the organization - direction to the organization - improves efficiency - evaluates programs (weeds out bad and over used ones) - eliminates duplication of services - allows for adaptation to the changing environment

Resistance to Delegation

- common response by subordinates to delegation - one of most common causes: failure of the delegator to see the subordinate's perspective - may occur when tasks are over-delegated in terms of frequency or micro-managed - they believe they are incapable of completing the task - may lack confidence - may need coaching - may need to build self-confidence

Transactional Leadership

- focus on management task - a caretaker - uses trade-offs to meet goals - does not identify shared values - examines causes - uses contingency reward - ID common values - committed - inspires others with a vision - has long-term visions - looks at effects - empowers others

Nurses must be able to

- integrate management and leadership skills in their practice - to see how a unit fits into the large picture of the organization - influence others positively - sensitive to others - cope with conflicting requirements and expectations from many constituencies - change in order to meet the needs of the organization

Under delegation

- lack of ability to manager's part to do the job correctly or completely - Manager's desire to complete the job himself - lack of trust in the subordinate - lack of experience - need to control

Traits of a leader

- more intelligent than the group - possess initiative - have a sense of purpose and direction, persistence, dependability, and objectivity - must be able to communicate effectively - need to be perceptive enough to distinguish allies from enemies - use persuasion to gain the consent of followers

RNs responsibility with UAPs

- must know the UAPs job description - Must know their knowledge base - must know their demonstrated skills

Leadership

- not one definitive thing

Effective Delegation Steps

- plan ahead - identify the skill - identify the person - communicate - empower the delegate - set deadlines and monitor progress - model and provide guidance - evaluate performance - reward perfomance

Over Delegation

- poor managers of time - trying to get organized - feel insecure in their ability to perform a certain task

Strategic planning focuses on:

- purpose - mission - philosophy - goals

Reasons Managers Delegate

- so that managers are free to handle problems - if someone is better prepared or has greater expertise - learning experience for others for professional growth

Organizational Planning

- strategic planning - extends 3-10 years into the future - analysis of the internal environment, strengths, weakness, and threats to the organization - determines the direction of the organization - allocates resources - assigns responsibilities and determines time frames for accomplishments to be completed

supervising

- the provision of guidance, direction, oversight, evaluation, and follow up by the licensed nurse for accomplishment of a nursing task delegated to nursing assistive personnel - the process of directing, monitoring, and evaluating the performance of a task of another team member - RNs supervise UAP and LPN

Delegation errors

- under delegating - over delegating - improper delegation

Ten Fatal Leadership Flaws

1. A lack of energy and enthusiasm 2. Acceptance of their own mediocre performance 3. Lack of a clear vision and direction 4. Having poor judgment 5. Not collaborating 6. Not walking the talk 7. Resisting new ideas 8. Not learning from mistakes 9. A lack of interpersonal skills 10. Failing to develop others

A nurse in a LTC facility consistently administers client's medications 60 to 90 minutes after the scheduled administration time. The nurse also leaders scheduled treatment procedures for nurse to complete on the next shift. Which would be an appropriate strategy for this nurse to pursue?

A. Reschedule treatment procedures for the next shift B. Ask the nurse manager for a lighter load C. Pre-pour medications for the shift to expedite the process D. Seek input and direction on time management and priority setting.

The most important responsibility of the nurse of to prioritize and ensure that routine nursing measures on non-critical clients are assigned. The nurse is performing which of the following functions?

A. Delegation B. Networking C. Clinical coordination D. Advocacy

A registered nurse should assign a nursing assistant to care for a client with inflammatory bowel disease who:

A. requires assistance with ambulation B. requires NG suctioning C. requires continuous pulse ox monitoring D. is receiving patient controlled analgesia

Delegation is the process of transferring work to subordinates. A nurse manager may appropriately delegate which task?

A. scheduling staff assignments for the next month B. terminating a nursing assistant for insubordination C. Deciding on salary increases for nurses after they complete orientation D. Telling a staff nurse to initiate disciplinary actions against one of her peers.

Great Man Theory

Believes that a few people are born with the necessary characteristics to be great Able to organize, control the activities of subordinates to accomplish the organization's goals Allow participation and consultation from subordinates for decisions that affect them Leaders are born, not developed

Proactive planning

Is dynamic, and adaptation is considered to be a key requirement since the environment changes so frequently - considers the past, present, and future

Delegating

Process of transferring authority and responsibility to another member of the health care team to complete a task, while retaining accountability

Five Rights of Successful Delegation

Right Task Right Circumstances Right Person Right Direction/Communication Right Supervision/Evaluation

Management

The process of leading and directing all or part of an organization through the deployment and manipulation of resources

Planning

deciding in advance what to do, who is to do it, and how, when, and where it is to be done

SWOT analysis

identifying internal strengths (S) and weaknesses (W) and also examining external opportunities (O) and threats (T)

Reactive planning

occurs after a problem exists

Inactivism

seeks the status quo

position power

the authority inherent in a position, the power to use rewards and punishment and organizations support of ones decision

leader-member relations

the degree of confidence, trust, and respect subordinates have in their leader

task structure

the degree to which the requirements of a subordinate's tasks are clearly defined and measurable

Assigning

the process of transferring authority, accountability, responsibility of client care to another health care member.

Strategic Planning Involvement

top level managers board of directors input from subordinates of all levels

UAP

unlicensed assistive personnel who are trained to function in an assistive role to the RN in the provision of the patient activities as delegated by the RN

Preactivism

utilize technology to accelerate change and are future oriented. *Unsatisfied with the past or present, preactivists do not value experience and believe that the future is always preferable to the present.*