ati leadership
"Georgia Hospital will provide care that is a national example of consumer service" is a: A. Vision statement. B. Statement of philosophy. C. Mission statement. D. Rationale for care.
Vision statement.
satisficing
-the decision maker selects an acceptable solution, one that may minimally meet the objective or standard for a decision. -allows for quick decisions -may be the most appropriate when lack of time is an issue. -minimum acceptable standard needing to meet for making decision
gardeners tasks of leading and managing (10)
1-Envisioning goals 2-Affirming values 3-Motivating 4-Managing 5-Achieving workable unity 6-Developing trust 7-Explaining 8-Serving as a symbol 9-Representing the group 10-Renewing
Strategies to minimize the problems encountered with group decision making and problem solving include techniques such as
brainstorming, nominal group techniques, focus groups, and the Delphi technique.
negligence
carelessness, deviation from the standard of care that a reasonable person in the same position would deliver.
Organizations are
collections of individuals brought together in a defined environment to achieve a set of predetermined objectives.
clinical judgment requires
critical or reflective thinking.
health literacy
degree to which individuals have the capacity to obtain, process, and understand basic health information, including services needed to make appropriate health decisions. interpreters essential for patients who cannot be communicated with.
most important thing of nurse manager
developing relationship w the staff so they trust you as a manager because they need to make sure they buy into change
followers need 3 things from leader
direction trust hope
elements of malpractice
dont need to know these terms for exam Duty owed the patient Breach of Duty owed Forseeability Causation Harm or injury-not lawsuit if no injury Damages
nurse manager should
ensures nurses or LPNs are properly licensed and practicing within their scope
primary care
entry point into healthcare. first access to care. before anyone is really sick
fidelity
keeping one's promises or commitments
nurse managers have to learn to
lead and manage change. have to make sure staff buys in
Nurse practice acts define three categories of nurses
licensed practical or vocational nurses (LPNs and LVNs, respectively), licensed registered nurses (RNs), and advanced practice registered nurses
trait leadership
looking at peoples individuals traits that produce better outcomes for organizations
problems often fall under certain categories that have been described as the four M's
manpower, methods, machines, and materials.
A mentor is someone who
models behavior, offers advice and criticism, and coaches the novice to develop a personal leadership style. A mentor is a confidante and coach, as well as a cheerleader and teacher. In other words, a mentor is knowledgeable and skilled.
Managers address complex issues at the front line by
organizing, planning, budgeting, and setting target goals. They meet their goals by planning, organizing, staffing, controlling, following up, and problem solving.
leader refers to
performance, not a formal position
informed consent
process where patient understands risk/benefits of surgery or risks/benefits of not having procedure. not the actual document. but that document does need to be signed. typically a witness (us as nurses usually). should never sign it if patient is asking questions about surgery because they do not understand risks/benefits. getting the informed consent is the process. whoever has the discussion with the pt needs to be documented in the MAR (surgeon, etc) that pt does understand risks/benefits of surgery
purpose of nurse practice act is to
protect the public's welfare and safety
Decision making is a
purposeful and goal-directed effort that uses a systematic process to choose among options. Some decisions are not prompted by a problem. The hallmark of any type of decision making is the identification and selection of options or alternatives.
Bureaucracy
referred to the centralization of authority in administrative bureaus or government departments. -the need to "control workers" and were centered on the division of processes into tasks
tertiary care
rehab care, long term care
how are leaders developed
requires mentoring.
centralized and formal command structure example
rules, standards, protocols top to bottom. truly 100% centralized
Nonmaleficence
states that one should do no harm
Root Cause Analysis/cause and effect diagram
step by step way of looking at everything going on prior to problem. can be prior to problem to prevent it
what to do if make an error in health records
take care of patient, fill out incident report, be very objective documenting in the MAR and on the report. never state "filled out an incident report" because that is red flag for attorneys to find them. document exactly what happened. dont say the word mistake. show what mistake was. show what you did to make sure pt was taken care of, and if you got follow up orders from the dr. just bc error was made doesnt mean lawsuit can be filed against you. pt has to be injured
Management can be
taught and learned using traditional teaching techniques.
benefiance
the actions one takes should promote good; beneficence is the basic obligation to assist others.
justice
the principle of treating all persons equally and fairly
Key traits that leaders possess include (5)
(1) articulating a vision for the desired future state; (2) seeing possibilities in the midst of challenging, complex, uncharted, or even dire circumstances; (3) communicating effectively, sometimes powerfully, with others; (4) adapting to new situations and environments; and (5) using experience and knowledge to judge reasonable risks.
Systems may be
-Closed systems that are self-contained -Open systems, interacting with internal and external forces
Leadership Development Tasks (6)
1. Select a mentor. 2. Lead by example. 3. Accept responsibility. 4. Share the rewards. 5. Have a clear vision. 6. Be willing to grow.
acute care hospital average length of stay
<30 days. expensive and providing higher level of service, so if patients need long term care we need to transfer them to long term facility
brainstorming
Brainstorming can be an effective method for generating a large volume of creative options. Often, the premature critiquing of ideas stifles creativity, idea generation, and innovation. no critiquing
While explaining the importance of developing leadership skills among nurses to a group of first-year nursing students, Natalie, a nursing unit manager, emphasizes that: A. Most nurses are not expected to assume leadership roles. B. The role of nurse leadership is only at the bedside, ensuring that patient care is performed according to established standards. C. Only individuals in formal leadership roles are expected to be leaders. D. The public depends on nurses to assume leadership in moving consumer advocacy concerns forward.
D. The public depends on nurses to assume leadership in moving consumer advocacy concerns forward.
centralized organizations
Decisions are made at the top of a centralized organization... ex CEO
external
External factors include environmental conditions, time, and resources. things out of our control
barriers to leadership
False Assumptions that manager makes them a leader time constraints
HIPPA
Health Insurance Portability and Accountability Act. protecting info of the patients. using social media is big challenge for hospitals
leaders are developed over
time and experience
Delphi technique
It involves systematically collecting and summarizing opinions and judgments on a particular issue from respondents, such as members of expert panels, through interviews, surveys, or questionnaires. form of obtaining info but more formal. more expensive because have to gather questions, send it out and hope people respond.
Nurse Licensure Compact (NLC)
Multistate licensure permits an RN or LPN/LVN to be licensed in one state and to practice legally in states belonging to the NLC without obtaining additional state licenses. For the purposes of the law, the state nurse practice act that regulates the practice of the RN is the state in which the PATIENT********* or client resides, not the state in which the nurse holds his or her license.
what happens when we make an error, give the pt the wrong med? how is that defined
Negligence and malpractice
The main principles for diagnosing a problem are
(1) know the facts, (2) separate the facts from interpretation, (3) be objective and descriptive, and (4) determine the scope of the problem.
decision making tool- SWAT analysis
Nurse leaders and managers can use a variety of decision-making tools such as decision grids and Strength, Weakness, Opportunity, Threat (SWOT) analyses in the decision-making process.
traits that make a good leader
Nurse managers must possess qualities of a good leader: knowledge, integrity, ambition, good judgment, courage, stamina, enthusiasm, communication skills, planning skills, and administrative abilities. Similarities exist between managers and leaders, and these same skills, applied differently, are equally important for followers.
ownership
Ownership establishes the organization's legal, business, and mission-related imperative public, private nonprofit, and for-profit
nurse practice act (6)
-defines categories of nurses -educational and examination requirements -licensing -scope of practice -disciplinary actions -establish state board of nursing
democratic leadership
-includes the group when decisions are made. -motivates by supporting staff achievements -communication occurs up and down the chain of command -work output by staff is usually of good quality-good when cooperation and collaboration necessary
normative
-routine decision making -situation based -decision maker identify best decision to make and use tools, procedures, policies to make best decisions
Problem solving
-which includes a decision-making step, is focused on trying to resolve an issue that can be viewed as the gap between "what currently is" and "the best available option." -Often "what currently is" can be seen as a problem.
Covey's Eight Characteristics of Effective Leaders
1. Engage in lifelong learning 2. Are service-oriented 3. Are concerned with the common good 4. Radiate positive energy 5. Believe in other people 6. Lead balanced lives and see life as an adventure 7. Are synergistic; that is, they see things as greater than the sum of the parts 8. Engage themselves in self-renewal
systems theory
A common framework in health care for analysis and application of organizational theory.
In reviewing the current delivery model, the nurse manager is aware that a demographic change that will have a significant effect on the healthcare delivery systems of the future is: A. Changes in staffing patterns. B. Increasing reports of violence in the workplace. C. The increasing percentage of the population that will be over age 65. D. Escalations in the cost of health care.
C
manager does not mean
a great leader
paternalism
allows one person to make partial decisions for another and is most frequently deemed to be a negative or undesirable principle
2 types of organizations
illness care (restorative) and wellness care (preventative)
complexity theory
looks at how systems adapt and function
civil rights act of 1964
outlawed discrimination based on race, color, religion, sex, or national origin. makes it illegal to hire/fire based on Protected against discrimination based on race, color, creed, national origin,
secondary care
prevention of disease complications. disease restorative care. patient has illness and we are getting them back to stable situation
nurses must appreciate
the law
risk manager
their role is supposed to be proactive. searching out opportunities to improve patient care to help prevent injuries to patients
Transactional Leadership
think "transaction" as in check it off the list and get it done. superior makes decisions with no input. reward and punish mentality
following
working together in a group, serving on a committee
critical thinking
-being self aware and improving reasoning abilities by asking the why, the what, and the how -which is a high-level cognitive process, and both can be improved with practice. -combination of decision making and problem solving -will improve with experience
matrix organizational structure
-complex and designed to reflect both function and service in an integrated organizational structure -For example, a director of pediatric nursing could report to both a vice president for pediatric services (the service-line manager) and a vice president of nursing (the functional manager) -both service and function -some bureaucracy and some flat structure. a hybrid -more common in hospitals now. even tho beurocratic structure isn't ideal, you do need some decision making from the top down. the leaders at the top have strong sense of business and finance but not the clinical piece-thats where staff nursing comes in
internal factors
-different experiences and different makeups and different histories in our lives -things we cant change but have to be aware of -Internal factors include variables such as the decision maker's physical and emotional state, personal philosophy, biases, values, interests, experience, knowledge, attitudes, and risk-seeking or risk-avoiding behaviors
nurse practice act
-every state has their own -a document that defines the scope of nursing practice, those actions and duties that are allowable by the profession, is defined and guided by each state. -most important piece of legislation for nursing -The various state nurse practice acts set educational and examination requirements, provide for licensing of individuals who have met these requirements, and define the functions of each category of nurse. -defines license requirements and disciplinary actions for nurses that practice out of the nurse practice act
initial licensure
-exam -endorsement (board of nursing in one state accepts from other state but doesnt need to take NCLEX again) included in nurse practice act
Flat Structures
-hierarchy removed -decentralized -less formal -delegation of decision making to the professionals doing the work. -removal of hierarchical layers, thereby granting authority to act and placing authority at the action level -less layers
characteristics of leaders
-initiative -inspiration -energy -positive attitude -communication -respect -problem solving and critical thinking skills
authoritative leadership
-makes decisions for the group -motivates by coercion -communication occurs down the chain of command -work output by staff is usually high-good for crisis situations and bureaucratic settings -effective for employees with little or no formal education
laissez-faire
-makes very few decisions, does little planning -motivation is largely responsibility of individual staff members -communication occurs up and down of the chain of command and between group members -effective with professional employees -work output is low unless an informal leader evolves from the group
paternalistic decision making style - also called autocratic
-managers decide what is best for their team -unilateral manner -decide whats best for staff with no input from staff -results in more rapid decision making -appropriate in crisis situations -little to no input from employees
national counsel of state boards of nursing
-publishes the NCLEX -non-profit organization -made up of the board of nursing from each state
maintaining licensure
-renewal -continuing education included in nurse practice act
content of nurse practice acts varies by state, but each one includes
-scope of practice -requirements for licensure -disciplinary actions
descriptive
-situational based -arent tools necessarily available -decision maker has to go out and collect additional info -more personal perspectives involved
optimizing
-the decision maker selects the option that is best, based on an analysis of the pros and cons associated with each option. -A better decision is more likely using this approach, although it takes longer to arrive at a decision. -spent time going thru pros and cons
decision making phases (7)
1- defining objectives 2- generating options 3- identifying advantages and disadvantages of each option 4- ranking the options 5- selecting the option most likely to achieve the predefined objectives 6- implementing the option 7- evaluating the result.
managers need to do 4 things
1-be aware that employees will self-manage 2-be skillful in providing context. 3-adapt to the changing environment and use influence 4-address sources of tension and contradiction
A charge nurse on a busy 40-bed medical/surgical unit is approached by a family member who begins to complain loudly about the quality of care his mother is receiving. His behavior is so disruptive that it is overheard by staff, physicians, and other visitors. The family member rejects any attempt to intervene therapeutically to resolve the issue. He leaves the unit abruptly, and the nurse is left feeling frustrated. Which behavior by the charge nurse best illustrates refined leadership skills in an emotionally intelligent practitioner? A. Reflect to gain insight into how the situation could be handled differently in the future. B. Try to catch up with the angry family member to resolve the concern. C. Discuss the concern with the patient after the family member has left. D. Notify nursing administration of the situation.
A
Systems Theory Definition
A system comprises four elements forming a unified whole: Structure Technology People Environment
HMO plans
An HMO plan aims to coordinate all patient care services through an approved primary care provider, who belongs to a provider network. Patients are most often required to obtain referrals from the primary care provider to see a specialist, such as a surgeon. If patients opt to see an out-of-network provider, the HMO will not provide the same level of coverage offered by in-network providers, and in some cases the patient may be responsible to pay 100% of the costs. Although an HMO may limit a patient's choice of providers, patients are usually not required to file individual claims to cover services provided in network. benefits: to try to keep cost down.
In a telehealth organization, a nurse who is licensed in New York and Pennsylvania provides teaching to a patient who resides in Pennsylvania. The patient charges that the teaching failed to provide significant information about a potential side effect, which led to delay in seeking treatment and untoward harm. Under which state nurse practice act and standards would this situation be considered? A. New York B. Pennsylvania C. Neither New York nor Pennsylvania D. Both New York and Pennsylvania
B
The nurse manager in the Emergency Department needs to implement new staffing patterns. As a transformational leader, the nurse manager should: A. Explain in detail how well the new idea will work. B. Reinforce how this change will respond to the ideas and solutions generated by staff members. C. Reason with staff members that the new idea will save money and allow more free time. D. Imply that raises will be smaller than anticipated if the new idea is not accepted
B. Reinforce how this change will respond to the ideas and solutions generated by staff members.
On your nursing unit, you employ LPNs, RNs, and advanced practice nurses. You will need to be familiar with at least: A. Two nursing practice acts. B. Two nursing practice acts in most states. C. At least one nursing practice act. D. One nursing practice act and a medical act.
C
Which of the following is an example of an HMO? A. Nurse practitioners are paid promptly at discounted fees for each service rendered at a women's health clinic. B. Physicians in a large urban center are reimbursed for visits made to their clients. C. Physicians are paid for each service delivered to enrolled patients through a prepaid plan. D. Patients pay fixed annual fees for ambulatory care services, regardless of actual utilization of health services.
D
At Orangetown Hospital, the nursing department is developing a mission statement for nursing. Which would be a suitable mission statement? A. "Nursing provides services for patients admitted to Orangetown Hospital." B. "To participate fully in the professional services offered by Orangetown Hospital." C. "To lead by the lamp; services for seniors." D. "At Orangetown, the nursing department provides caring services that recognize the diversity of clients and promote optimal health with clients through partnership, education, and interprofessional collaboration."
D. "At Orangetown, the nursing department provides caring services that recognize the diversity of clients and promote optimal health with clients through partnership, education, and interprofessional collaboration."
group decision making 2 criteria
First, the decision must be of a high quality; that is, it achieves the predefined goals, objectives, and outcomes. Second, those who are responsible for its implementation must accept the decision. if you dont have buy in for people implementing you won't have strong implementation.
Bureaucracy is Characterized by
Formality Low autonomy Hierarchy of authority Rule dominated environment Division of labor Specialization Centralized decision making High control
Quadruple aim created by the institute for healthcare improvement
Goals · improve care · Want more satisfied patients · Decrease total medical cost · Want more satisfied providers
respect for others
Many consider the principle of respect for others as the highest principle. Respect for others acknowledges the right of individuals to make decisions and to live by these decisions. Respect for others also transcends cultural differences, gender issues, and racial concerns
In a rural hospital, the unit for which you are charge nurse has a particularly busy morning. A 52-year-old patient is complaining of left-sided chest pain and a multiparous patient is about to deliver. A child with asthma is experiencing early signs of an attack. The other RN on the unit is a recent graduate who has not yet been orientated to the labor room and has limited cardiac nursing experience. An unregulated assistant is also available. You must decide which patient situation you will take and where the RN's skills can best be used. Given the limitations in skills and experience, number of staff available, and time constraints, you must make a decision that involves: A. A higher-order thinking process. B. Selecting the best option for reaching a predefined goal. C. Optimizing. D. Satisficing.
Optimizing.
americans with disabilities act of 1990
The purpose of the ADA is to provide a clear and comprehensive national mandate for the elimination of discrimination against individuals with disabilities and to provide clear, strong, consistent, enforceable standards addressing discrimination in the workplace. need to accommodate disabled individuals
A good nursing decision maker is one who: A. Uses various models to guide the process based on the circumstances of the situation. B. Adopts one model and uses it to guide all decision making. C. Decides not to use any models because they are all useless. D. Develops a new model each time a decision has to be made.
Uses various models to guide the process based on the circumstances of the situation.
questions of new manager
What do I have to do to prepare and educate myself and synthesize this information as I face new challenges ahead? Is it enough to be a clinical expert nurse on my unit as a prerequisite for becoming a nurse manager? What formal and informal educational preparation and experience do I need to prepare myself for this new role? What current and future career goals do I need to identify and map out for my career path to achieve them? What specific knowledge, skills, and personal qualities do I need to have and develop to be most effective in practice?
You overhear a newly graduated RN telling one of your colleagues that leadership and management belong to the unit manager and not to her. As a nursing colleague, you respond by demonstrating understanding that the perception of the new graduate: A. Is correct. Leadership is not the role of the staff nurse. B. Would benefit from further understanding of her role as a professional, whose influence may affect the decision making of patients, colleagues, and other professionals. C. Has been influenced by nurse leaders and managers who leave for other positions. D. Is related to the general perception that nurse leaders and managers are not satisfied in their jobs.
Would benefit from further understanding of her role as a professional, whose influence may affect the decision making of patients, colleagues, and other professionals.
nurse manager should be
a change agent (enforces change). transformational leader. how they enforce change is the key. can they get staff to buy into the changes?
Managing is the
ability to plan, direct, control, and evaluate others
computerized adaptive testing
ability to produce the exam results that are more stabile using fewer items by targeting items to the candidates ability. so basically the computer knows where you're weaknesses are. study where you are the most weak!! if you get one wrong they'll ask another on it.
a good decision maker chooses the model
after evaluating the circumstances surrounding this decision
demographics-major influence on organizations comes from
aging population. chronic illness/disease. how long in the hospital for.
The nominal group technique
allows group members the opportunity to provide input into the decision-making process. like silent generation of ideas on how to solve a problem. similar to brainstorming but brainstorming is quick 1-2 sentences to describe creative option and nominal group technique is more lengthy on how to solve a problem. no comments made initially. no discussion -Participants are asked to not talk to each other as they write down their ideas to solve a predefined problem or issue. After a period of silent generation of ideas, generally no more than 10 minutes, each member is asked to share an idea, which is displayed on a flip chart.
teaching institution
applied to academic health centers (those directly affiliated with a school of medicine and at least one other health profession school) and affiliated teaching hospitals (those that provide only the clinical portion of a medical school teaching program) -care is typically more costly because they have the newest technology and researchers. -also receive gov reimbursement to cover extra costs.
When members use inflammatory statements, euphemistically referred to as killer phrases, the usual response is for members to stop contributing. Examples of killer phrases
are "It will never work," "Administration won't go for it," "What a dumb idea," "It's not in the budget," "If it ain't broke, don't fix it," and "We tried that before."
functional structure
arrange departments and services according to specialty ex- nursing departments, professional services like dietary, pharmacy, etc nursing, finance, human resources, and information technology.
Magnet status is an
award given by the American Nurses' Credentialing Center (ANCC), an affiliate of the American Nurses Association, to hospitals that satisfy a set of criteria designed to measure the strength and quality of their nursing
accreditation
awarded to a facility. ex-joint commission. they establish standards (quality standards, patient safety standards) and they ensure care is compliant with it. not recommended but if not accredited they dont have deemed status which means they dont get reimbursed for medicare.
Role expectations are the
behavioral expectations that are shared or related to each person's role
what is emotional intelligence
being characterized by self-awareness self-regulation empathy social skills that help people harmonize to increase their value in the workplace
veracity
concerns telling the truth and demands that the truth be told completely
By contrast, leaders build a
culture of teamwork, setting a broad direction, developing a shared vision, and communicating that direction to staff. much more broad
decentralized organization
decisions made close to the bedside (patient care level) this is better!!!!!!!! we are the ones seeing the pt so we should be able to make decisions!!!!!!!!:) :) :) :)
each practice act
establishes a state board of nursing. The main purpose of state boards of nursing is to ensure enforcement of the act to protect the public. makes sure licensee are paid for, renewed, etc
philosophy
expresses the values and beliefs that members of the organization hold about the nature of their work, about the people to whom they provide service, and about themselves and others providing the services. in spiritual places, the philosophy will express that value very strongly
first step in problem solving is
finding out what the problem is
nurse manager needs to be
flexible
management
focus on work that is getting done. as nurses we have to manage ourselves and manage others.
chain of command
hierarchy and is depicted in vertical dimensions of organizational charts
transactional leader has
hierarchy, rewards, beurocratic
span of control
how wide is their control -number of subordinates a supervisor manages
systems thinking. what is it and characteristics of it?
huge part of adaptive leadership. is a central concept in adaptive leadership because of the broad perspectives needed to understand a situation. principles are: -Thinking of the "Big Picture" -Balancing Short-Term and Long-Term Objectives -Recognizing the Dynamic, Complex, and Interdependent Nature of Systems -Using Measurable versus Nonmeasurable Data Systems
most common cause for failing to resolve a problem is the
improper identification of a problem
leaders should
inspire others to follow
Transformational Leadership
inspires others and changes framework for employees. more emotional engagement, motivate with inspiration. accounts for individuals needs and brings people together. at magnet facilities, more leaders like this
system is an
interacting collection of components or parts that together make up an integrated whole bigger picture of how things come together and work
factors that affect decision making
internal and external factors
for-profit
investor owned. intent is to earn profit and provide care to those that can afford to pay.
transformational
involves staff in decision making, have unit based counsel
social role theory
linkage between social development and personal development. Behaviors include role expectations, the assumption of social roles, and the expected norms of those roles
Peter Drucker established the principle of
management by objectives. Drucker's view of management tasks, responsibilities, and practices fits with contemporary thinking about the role of nurse managers
NCLEX breakdown of the test questions. which has the greatest # of questions?
management of care is #1 with 17-23% of questions. safety and infection control is #2 with 9-15% health promotion and maintenance 6-12%
Leadership effectiveness depends on
mastering the art of persuasion and communication. Success depends on persuading followers to accept a vision by using convincing communication techniques and making it possible for the followers to achieve the shared goals.
decision making models
normative descriptive satisficing optimizing
The informed style
offers the staff the ability to make a decision after information has been shared and without the active involvement of the manager. -example sitting on committee for unit-shared governance where the manager provides criteria for making the decision and as staff members on the unit come up with ways to solve the problem
transformational leadership affects the
organizational commitment of frontline staff. when frontline staff have a voice in decisions they are more bought into the change. transformational leaders have shared governance like a unit counsel
vertical integration
organizations align to provide full array or continuum of services
NCLEX used to be
paper and pencil vs computerized. no partial credit. to assess knowledge, skills and abilities essential to the safe and effective practice of nursing at the entry level. reviewed every 3 years. 75-265 questions. 15 questions pre-test items. they test out different items to see how students do to determine if going to use it in the future. 6 hour limit
autonomy
personal freedom and self-determination, the right to choose what will happen to oneself as well as the accountability for making individual choices
Malpractice
professional misconduct or unreasonable lack of skill." Malpractice concerns professional actions and is the failure of a person with professional education and skills to act in a reasonable and prudent manner. have to be considered a professional in order to state that it is malpractice. if you don't practice within your boundaries it can be malpractice.
mission
reason for the organization's existence, and who are the customers. influences the design of the structure (e.g., to meet the healthcare needs of a designated population, to provide supportive and stabilizing care to an acute care population, or to prepare patients for a peaceful death).
organizational culture
reflection of the norms or traditions of the organization and is exemplified by behaviors that illustrate values and beliefs. organization's mission, vision and culture need to be backed up by actions.
The board enforces the act by
regulating those practitioners who come under its provisions and preventing individuals not addressed within the act from practicing nursing TO PROTECT THE PUBLIC!!!!!!!!!
organizational theory
systematic analysis of how organizations and their component parts act and interact. -creating knowledge to understand the effect of identified factors, such as (1) organizational culture; (2) organizational technology, which is defined as all the work being carried out; and (3) organizational structure or organizational development.
vision
the articulated goal to which the organization aspires. looking towards the future A vision statement conveys an inspirational view of how the organization wishes to be described at some future time. It suggests how far to strive in all endeavors.
Optimizing is a decision style in which
the decision maker selects the option that is best, based on an analysis of the pros and cons associated with each option. A better decision is more likely using this approach, although it takes longer to arrive at a decision.
In a shared decision model
the decisions are made through an interactive, deliberate process where the staff and manager may express and discuss options and preferences. -Followers are generally more satisfied with a shared decision-making approach. -increased work production -enhances employee satisfaction -decreased turnover -managers need to involve working personnel in decisions providing patient care. they are the ones implementing the care. -IDEAL :)
Service-Line Structures
the functions necessary to produce a specific service or product are brought together into an integrated organizational unit under the control of a single manager or executive -ex cardiac is the service. under that there is cath lab, cardiac care unit, chest pain center, etc
organizational chart
the graphic representation of work units and reporting relationships, relates to the division and specialization of labor functions attended by specialists. -every organization has one -illustrates the reporting relationships, what the hierarchy and chain of commands represented
the manager has to be able to focus on
the individual and the larger goals/outcomes of the department and organization. role of unit manager and us as nurses managing patient care
Centralization refers to
the location where a decision is made.
Privacy is
the patient's right to protection against unreasonable and unwarranted interference with his or her solitude
manager is
title and role in healthcare, but doesnt mean theyre a good leader
focus groups
to explore issues and generate information. Focus groups can be used to identify problems or to evaluate the effects of an intervention. The groups meet face-to-face to discuss issues. one of challenges is getting everyone together
acute hospital, long term care facility and rehab facility.....how they get their title is based on
type of institution, type of services provided, length of services offered, ownership structure, teaching status, and accreditation status
public ownership
under local, state, federal government. ex- VA or cook county hospital
nurse practice acts
vary by states -legal scope of practice allowed by state legislation and authority -is a LAW -to protect the public health safety and welfare
private nonprofit
voluntary board of members. mix of insured patients and charity patients. the money made goes right back into institution. does not pay taxes
establishing healthy work environment promotes
workers to think critically. can bounce ideas off each other and think critically. -can improve skills of critical thinking
Opportunities
• Anticipated staff openings in the ICU in the next several months • Critical care course will be offered in 1 month • Advanced cardiac life support (ACLS) course is offered four times each year • A friend who already works in ICU has offered to mentor her
Strengths
• Familiar with the healthcare system • Clinically competent and has received favorable performance appraisals • Good communication skills; well-liked by her peers • Recently completed 12-lead electrocardiogram (ECG) interpretation class
Weaknesses
• Has not attended the critical care class • Has had a prior unresolved conflict with one of the surgeons who frequently admits to the intensive care unit (ICU) • Is uncertain whether she wants to work full-time, 12-hour shifts
New Views of Managers' Roles
• Know yourself. • Engage people actively in the organization and services. • Translate the Vision and Mission into actionable plans. • Create and maintain a healthy, blame-free work environment. • Incorporate family and significant others in the care of patients. • Consider new services needed in the community of care. • Demonstrate and promote interprofessional approaches to care delivery. • Create a succession plan.
Threats
• Possible bed closures in another critical care unit may result in staff transfers, thus eliminating open positions • Another medical-surgical nurse is also interested in transferring
