Leadership & Management HESI Review
gardners tasks of leading/managing
a behavior of the executive position to asssist corporate leaders with planning and priority setting
innovation adopters: innovators
actively seek information and have vision for the organization
leadship quality
advocating on behalf of the client
satisfcing decision model
allows for quick decisions and is best to use when lack of time is an issue
organization conflicts
arise from a discord between policies and procedures and from hierarchical structure and role differentiation among employees
intrapersonal conflict
arises due to imbalances between the nurse's personal and professional priorities
gardner's task of "managing"
assisting clients and their families with planning, priority setting, and decision making; ensuring that the organizational systems work on the client's behalf
gardner's tasks of leadership: managing
assisting the staff with planning, decision making, priority setting
referant power and connection power
association with a powerful person grants power
gardner's task of "developing trust"
being honest and keeping promises to clients and families in the nursing profession
primary nursing model
brings the nurses back to direct client care - the primary nurse provides coordinated, comprehensive, and continuous care to the client and the family
nontraditional theory that has emerged from the physical and social sciences
complexity theory
veracity
concerns tellings the truth and demands involved, giving all the facts of a situation truthfully, and then assisting employess to make appropriate decisions
transformational leader
creates and shares a vision or goal for future nurses; corrects errors of followers by coaching and mentoring
optimizing decision style
decisions are made by analyzing pros and cons asscoiated with each option
shared decision making
decisions are made through an interactive, deliberate process
gardner's tasks of leadership: affirming values
describes leaders assisting the staff in interpreting organizational principles
gardner's task of "achieving workable unity"
developing the conflict resolution skills effectively
INTERpersonal conflicts
due to difference in opinions with others
leadership
earned honor and an action-oriented responsibility
qualities of an effective leader
elicit a vision from people, bring out the best in people, inspire people to bring the vision into reality
how does a nurse leader promote a health care climate where curiosity, reflection, and change are embraced?
empowering staff to be life-long learners and risk takers - promotes a healhcare environment where questioning the status quo, reflecting on processes, and advocating for change is welcome and encouraged
nurse leader
empowerment - empower followers or shhare the authority with the followers by asking them to actively participate in the given task
behavior of the clinical position
ensure that the organization systems work on the client's behalf
qualities of a professional nurse to lead, manage, and follow a team
exercise self-awareness, motivate self and others, manage emotions in self and others
nurse leader or manager in clinical research
facilitates the application of reserach findings in practice
bureaucratic type of decision making
focused on organization rules and policies
two-factor theory
focuses on motivation and job satisfaction based on hygiene factors and motivational factors
situational-contingency theory
focuses on the challenge of a situation and encourages an adaptive leadership style particular to that situation
stetlers model: validation phase
focuses on utilization with an appraisal of study findings rather than the critque of a study's design
role theory
framework used to understand how individuals perform within organizations
effects on the follow of transactional leadership
fulfilling the contract and doing the work and getting paid
task-oriented approach
functional model
effects on the follower of transformational leadership
increasing self-worth, coaching and mentoring, and performing challenging and meaningful work
behavior of the managment position
inspire staff to achieve the mission of the organization
gardner's task of leadership: motivating
inspring the staff to achieve the organization's goals
team nursing model
involves different personnel such as RN and LPN assigned to a signel client and responsible for different tasks
transformational leadership
involves inspiring a vision that will change the framework of the organization
stetler's model: comparative evaluation (decision-making phase)
involves making a decision about the applicability of the study by synthesizing cumulative findings
stetler's model: translation or application
involves practical aspects of implementing the plan for translating the research into practice at the individual, group, department, or oganizational level
stetlers model: prepartory phase
involves seraching, sorting, and selecting sources of evidence
the Great Man theory AKA trait theory
leadership traits (set of physical and emotional characteristics) are innate and cannot be learned
major issues contributing to increased union activity
low wages, mandatory overtime requirement, absence of reporting unsafe work envirnoments, lack of professional autonomy, inadequate staffing
conflict
may result in poor performance, can be detrimental/destructive and should be prevented, cacn be prevented by having open communication
functional nursing model
method of providing client care by which each licensed and unlicensed staff member performs certain tasks for a large group of clients
actions mentor should take to develop effective leadership qualities in the aspiring leader
model professional and desired behavior, give timely feedback, provide appropriate advice
autocractic decision making
more appropriate when conflict is likely to occur or when the problem is unstructured
managment
nurse's ability to plan, direct, control, and evaluate the nurse staff in various situations
case method nursing model
nurses do not provid continous care to the client and diferent nurses are assigned to a single client
should always start with "to" followed by an action verb
objective
innovation adoptors: early majority
observed in people who will not bring forth an innovation but will readily adopt it when it is brough forth by others
innovation adoptors: early adopters
opinion leaders who learn about an innovation and apply it to their practice and they are effective in communicating the value of the innovation
chaos theory
organizations must be self-organizing and adapt readily to change in order to survive
nurse manager
orientation of the employee, employee selection, and financial accountability
reward power
perceived as being able to provide rewards or favors
maslow's hierarchy of needs
physiological, safety, social, esteem, self-actualization
expectancy theory
posits that motivational behavior is increased by rewarding good nad innovatice performance
quality improvement
precess mainly focuses on preventing errors rather than correcting them
cultural competence
process in which the HCP continously strives to achieve the ability to effectively work within the cultural context of a client, individual, family, or community
formalization
refers to the degree to which organization has rules, in terms of policies that define a member's function
centralization of organizational structures
refers to the location where a decision is made
georgraphic dispersion
refers to the phyiscal location of the units
transactional leadership
relies on the power of organization position and formal authority to reward and punish performance - offering external rewards to motivate the self-interest of employees
gardner's task of 'serving as a symbol'
representing the nursing profession, values and beliefs of the organization to the clients and their families and other community groups
autocratic decision making
results in rapid decision making and is more appropriate in a crisis situation
innovation adopters: laggards
secure in holding to the past and comfortable only when an idea cannot fail
key attribute of a change agent to self-support through challenges
sense of humor
complexity theory
states that leaders should expand and respond to engaging dynamic change and focus on relationships rather than on prescribing and approaching change as a lock-step, pre-prescribed method
when a nurse participates as a leader in any leadership opportunites (i.e., human resource comittees), it indicates that he/she is....
staying clear on group outcomes
coercive power
stems from a real or perceived fear of another person
informed consent (provided by the surgeon)
surgery procedures, name of surgeon, description of risks
organizational theory
systematic analysis of how organizations and their component parts act and interact
gardner's task of explaining
teaching and interpreting information to ensure clients' functioning and well-being
management
the process of guiding, planning, and controlling others in a situation where communication is shared to improve clinical processes and outcomes
leading inspires clients/families to achieve ....
their vision
chaos theory
theoretical construct defining the seemingly random yet deterministic characteristics of complex organizations
external factors that affect the decision-making process of a leader
time and resources
internal factors that affect the decision-making process of a leader
values, interest, knowledge
gardner's task of leadership: envisioning
visualizing client outcomes and creating a vision to support client care objectives
nurse leader competencies
work in interdisciplinary teams, utilize informatics, provide client centered care, and emply EBP