Leadership Ch 18,19,20

energizing

stimulating bringing the staff to life

Unified Commitment

the group has a sense of identity and level of team spirit that has been intentionally facilitated and developed

Lateral Violence

workplace bullying, occurs when nurses talk about one another in passive-aggressive ways, exclude other nurses from a group, falsely blame others, or do not support one another on issues

Tasks That May Not Be Delegated to Unlicensed Assistive Personnel

• Assessment • Interpretation of data • Gastrostomy feedings in established systems • Care of invasive lines • Updating nursing care plans • Insertion of nasogastric tubes

Tasks That May Be Delegated to Unlicensed Assistive Personnel

Weighing • Bathing • Feeding • Taking of vital signs • Client transfers and ambulation • Attending to safety • Postmortem care

Five Rights of Delegation

a) Right Task b) Right Circumstance c) Right Person d) Right Direction/Communication e) Right Supervision

Oppressed group

behavior is exhibited when a group feels powerless compared with another group and develops aversion toward others in that group. Major reasons why nurses find it easy to label people instead of understanding their motivations

Coaching

communicating with someone for the direct purpose of improving the person's on-the-job performance or behavior

Collaborative Climate

-Ability to work together -Comfortable nonthreatening environment -Decisions made as a group

External Support and Recognition

-Administrative support for the team -Team is recognized for excellence and relied upon

Belief in Superiority of Decisions

-All decisions made at the top are considered to be superior to those made by subordinates -This thinking places patients in danger

Competent Team Members

-Knowledge of teams and willing to participate with team: also known as being a "team player" -Expert in a set of skills needed to meet team goals

Three Basic Rules of Delegation

1. Assess the person or situation to determine whether the task can be delegated to another person or whether you should do it yourself. 2. After you have made your assessment, you need to determine whether the person to whom you are delegating has the skills to do the task properly. 3. Do not do all of the work yourself; be sure to delegate.

Nine Characteristics of a High-Performance Team

1. Clear and elevating goal 2. Results-driven structure 3. Competent team members 4. Unified commitment 5. Collaborative climate 6. Standards of excellence 7. External support and recognition 8. Principled leadership 9. Trust

Which statement best describes lateral violence?

1. It is a symptom of oppressed group behavior.

The LPN has been assigned as the chair for a new committee. Which best describes her role as the new chair?

1. Support all committee members

When identifying what motivates individuals, the nurse manager should consider both intrinsic and extrinsic factors.

1. True

Working in teams is widely accepted in health care as a way to achieve positive outcomes and provide quality care

1. True

The nurse manager has a unit team that is demonstrating dysfunctional behaviors. Which statement describes how best to handle the situation?

2. Provide time and support until the team works out their issues.

Which statement best reflects oppressed group behavior? Select all that applies.

2. The nurses do not support each other. 3. I wish I didn't have to work with the new hire. 4. We never have enough supplies but somehow we make it work.

The nurse manager believes that her employees are self-motivated, creative, and willing to take responsibility for their jobs. This belief represents?

3. McGregor's theory Y.

Which statement most accurately explains why a nurse would want to accept constructive criticism?

A nurse who is able to accept criticism is more likely to progress and grow professionally.

The nursing team consists of two RNs, one LPN, and two UAPs. Which of the following pts should the nurse on the medical surgical unit assign to the LPN?

A pt with dysphasia who needs tube feeding

Standards of excellence

An organization's highest expectations of behavior for all employees, including required and prohibited behaviors.

The nurse is receiving a bedside report from another nurse. The nurse giving the report begins to talk about another pt who is not assigned to the reporting nurse. Which action by the nurse receiving the report is best in this situation?

Ask the nurse to report only on the assigned pts.

Which best describes the characteristics of a team performing at a high level? Select all that apply.

Clear goal 2. Competent team members 4. Members trust each other 5. Includes a good leader

McGregor's theory X states that people

Dislike work Need control and force to make them work Like to be directed Lack ambition

A staff nurse has continued to show up late for her shift, despite the multiple verbal warnings she has received. What action by the nurse manager is best in this situation?

Follows the facility established disciplinary process

Which statement best reflects intrinsic motivation?

I like my job because I enjoy taking care of older adults

The nurse manager has made it a point to get to know her employees and use any differences in their personalities and behaviors to benefit pt care. Which term best describes this?

Inclusion

Codependency

It is one person's need for the continuous presence and support of another person to accomplish the objectives of the job at hand an unhealthy behavior that takes away the individual's strength and motivation

Herzberg's Motivating Factors

Job Hygiene Factors: 1. Insurance 2. Holiday and vacation time 3. Job security 4. Job status 5. Good working conditions 6. Interpersonal relationship with coworkers 7. Appropriate salary 8. Effective administration

Herzberg's Motivating Factors

Job motivation factors: 1. Professional autonomy 2. Growth and advancement in the work setting 3. Satisfying work 4. Recognition for a job well done 5. Feelings of achievement

Principled Leadership

Leadership that provides a consistent message, has a perspective for unleashing talent, practices ego suppression, and creates leaders

McGregor's theory Y The theory Y manager believes that people:

Like to work Can be self-disciplined to meet goals to which they are committed Accept responsibility

The LPN arrives at work at at ltc facility and is told that two UAPs are assigned to work with the nursing staff during the upcoming shift. In preparing to delegate assignments to the two UAPs, which action should the nurse preform first?

Match pt care tasks and assignments with the abilities of each qualified UAP.

informal

having a relaxed, friendly, or unofficial style, manner, or nature

Herzberg's Two-Factor Theory:

is based on the assumption that people who are properly motivated in their work have the potential to be efficient and human claims that job satisfaction and dissatisfaction are not opposite ends of the same continuum, but instead they are two entirely different continua The dissatisfied employee files grievances, calls in sick, and quits the job two factors as job hygiene factors and job motivation factors both factors are essential for the employee to be satisfied

Intrinsic (or internal)

motivation comes from within a person to do something because it is rewarding to him or her.

Extrinsic

motivation is driven by external rewards such as money or praise.

As LPN delegating tasks to a UAP you know you must follow the Five Rights of Delegation to make sure you are delegating properly. Select all that apply

Right task Right circumstance

Being SMART When Writing Goals

S = Specific: The goal is clear and not general. M = Measurable: You have established strict criteria for measuring progress toward each goal. A = Attainable: The goals are important to you and not extreme. R = Realistic: The goals matter and are relevant to the experience. T = Time-bound: A commitment to a time frame increases the chances for success and establishes a sense of urgency.

The newly formed wound care team is disagreeing on their goals for the team. This team is in what stage of development?

Storming

trust

Teams that do not have trust among the members are less productive and do not collaborate well together.