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