Nursing Management Exam 1

Philosophy statements

"A health care organization philosophy statement should be evident in a nursing department's decision, priorities, and behavior"

Types of followers

- Effective/exemplary - Alienated - "Yes" people - Sheep

sheep follower

-Dependent/passive, uncritical thinking -Lacks initiative - Does not play an active role - Simply complys with any order given

Strategic planning as a management process

1. Clearly define the purpose of the organization. •2. Establish realistic goals and objectives consistent with the mission of the organization. •3. Identify the organization's external constituencies or stakeholders and then determine their assessment of the organization's purposes and operations.

One minute reprimand

Be immediate, specific, and describe the performance Tell them how you feel, candidly Encourage them and remind them how much you still value them This is key - reaffirmation Don't reprimand learners Can reprimand attitude

followers _______ orbit around the leader

DO NOT

Capital budget

ITEMS EXCEEDING $5000 plans for the purchase of buildings or major equipment (usually with a life span of greater than 5-7 years). This is a separate budget process. Capital budget items are equipment that exceeds $5,000 in price

Dealing with interruptions

Lower-level managers experience the most interruptions typically. Most do not have a quiet workspace or clerical help to filter interruptions. First and middle level managers are more involved in daily planning than higher-level managers and directly interact with a greater number of subordinates

Participative management

Managers should have authority with, rather than over, employees

Coercive power

abilit to penalize others.

Reward power

ability to help and get things for others (ie. money, praise)

Rational-empirical

assumes that resistance is due to change comes from a lack of knowledge & that humans are rational beings that will change when given information documenting the need for the change. Used when there is little anticipated resistance to the change. ie restructing to nurses station - leader lets those around know of these changes and the nurses will understand this chaneg

Managed Care

attempts to integrate efficiency, access, and cost of care. Primary careproviders are used as "gatekeepers". They focus on prevention, a decreased emphasis oninpatient hospital care, the use of practice guidelines for providers, and selective contracting

4 Praises from 1 minute manager

1. be immediate with praises and don't save them for later 2. describe what they did right and why it helps 3. share your feelings 4. encourage them to do more of the same work

Praises from 1 minute manager

1. go around and find employees doing something right and praise them for it, it'll make them feel good they're doing something right. #1 motivator is positive feedback (people don't want to get things done if they feel unappreciated or like they're not doing a good job)

Do now:

A units day-to-day operational needs. These may include staffing, supplies, interviews, etc.

One minute goal setting

Agree on goals Decide what good behavior looks like Write goals in 250 words or less Write in clear behavioral terms (metrics) Later, look at performance, see how it matches the goal and give feedback

Steps in time

Allow - time for planning and establishing priorities Complete - highest priority task whenever possible and finish one task before beginning next one Reprioritize - based on remaining tasking and on new info that may have been received

When should a manager plan each day?

Always remember that time management should be proactive, not crisis driven. Allowing time at the BEGINNING of the day to plan will help reduce the need for crisis management.

One minute praises

Catch them doing something right Be immediate - don't save it for later Describe what they did right & why it helps Share your feelings Encourage them to do more of the same Don't wait to praise perfection, praise progress

Change process Lewin's model

Change should only be implemented for good reason Change should always be gradual All change should be planned, and not sporadic or sudden All individuals who may be affected by the change should be involved in planning for the change

Sources of power

Legitimate Coercive Reward Expert Referent

What is the first step and last step of management processes?

PLANNING organizing staffing directing CONTROLLING

What is the time waster that managers have least control over?

Paperwork overload

Don't do:

Problems that can take care of themselves or be taken care of by someone else

Do later:

Problems that don't have an immediate deadline. This does not mean to put off needlessly (procrastination). You will need to plan for when and how they will be completed on time.

SWOT

Strength Weaknesses Opportunities Threats

Traits of followership pg 88

Tests new ideas Challenges decisions PRN knows when to accept responsibility uses freedom responsibly risk following trustworthy and respectful loyal to the leader know themselvs follows when appropriate

Emotional literacy

The goal of EI is being self-aware about one's emotions and recognizing how they influence subsequent action

What is the typical focus of a manager?

Uses the legitimate power of their assigned position to direct, control, and make decisions to obtain results. Carry out specific functions, such as formulate the budget to achieve goals. Delegating responsibilities to staff members as necessary

Accountable Care Organization (ACO)

a case manager working in an ACO would mostlikely be coordinating care for Medicare clients across care settings

Transactional leadership

day-day operations does not identify shared values directive and results oriented examines causes uses trade-offs to meet goals contingency reward

Referent power

followers respect for and their desire to be liked and admired by their leader

Level 5 leaders

highly capable individual contributing individal competent manager effective leader humility + will required for true greatness

effective followers openly express their own ______________________________, and effective leaders pay attention

ideas concerns perspectives conflicting views

Followership

involves assuming the role of leader when necessary

Greatest factor leading to resistance of change

lack of trust between employee and the manager or the employee and the organization.

Contingency leadership

no one leadership style is ideal for every situation

Principal agent theory suggests that

not all followers (agents) may be motivated to act in the best interest of the principal (leader or employer)

Expert power

one's own knowledge or competence

Legitimate power

one's title or position / role in family or culture

Principles must identify & provide agents with incentives to act in the

organizations best interest

Cost effective

producing good results for the amount of money spent.

Followers and leaders orbit around the

purpose

Emotional intelligence (EI)

refers to the ability to use emotions effectively and is required by leader/managers in order to enhance their success.

characteristics of effective / exemplary follower pg 89

strength and independence critical thinking ability and willingness to think for self ability to give honest feedback and constrctive criticms, particularly in timely fashion willingness to be own person innovativeness and creativity active engagement in everything cooperativeness and collab being a self starter going above and beyond the call of duty willingness to assume ownership taking initiative positive sense of self-worth can do aura attentiveness to what is happening around us holding up our end of the bargain being energized by our work an organizations

Human capital theory

that organizations will invest in education & professional development if they believe that the investment will pay off in the future.

Refreezing

the change agent assists in stabilizing the system and supports others so that the change continues. integrate the change into the status quo. The change agent must remain involved until the refreezing stage is complete. If refreezing is incomplete, the change will be ineffective and pre-change behaviors will be resumed.

Movement

the change agent develops a plan

Unfreezing

the change agent gathers data, accurately diagnose the problem, decides to change, and makes others aware of the need for change.

Personell budget

the largest of the budget expenditures is the personnel budget because healthcare is labor intensive.

The unit manager's responsibility in fiscal planning is to monitor and evaluate all aspects of

the unit's budget control

Chaos theory

•finding the underlying order in apparently random data. Chaos theory also suggests that even small changes in conditions can drastically alter a system's long-term behavior, commonly known as the butterfly effect