Leadership And Management in Nursing

by Finkelman, Anita

• ISBN13: 9780131138698
• ISBN10: 0131138693
• Edition: 1st
• Format: Paperback
• Copyright: 2006-01-01
• Publisher: Prentice Hall

Summary

This is a comprehensive resource on leadership and management specific to nursing professionals.Topics include details of the leadership and management skills need to perform professionally in today's nursing profession. Included are modules of "content chunks" to assist in streamlining the material. Activities interwoven within the chapters and on the corresponding website encourage further research and critical thinking. Also found on the website are: video and audio examples and exercises, log on (internet-based exercises with student searching a particular topic); working together- team-based exercises, case applications and in the news - thinking about the future activities. Nursing Professionals and Nursing Students.

Table of Contents

SECTION I Leadership and Planning	1	(124)
Desired Future Statement (Vision)	1	(1)
Objectives to Support the Primary Strategy	1	(1)
Conceptual Base for Leadership and Management	2	(30)
Chapter Outline	2	(1)
What's Ahead	2	(1)
Objectives	3	(1)
Test Your Understanding	3	(1)
Your Opinion Counts	4	(1)
Change in the Health Care Delivery System: Implications for Nurse Leadership	4	(1)
Think Critically	5	(1)
Leadership and Management Theories and Styles	5	(9)
A historical perspective of leadership theories	5	(1)
Modern or current leadership theories and styles	5	(9)
Current Issues	14	(2)
Think Critically	16	(1)
A conclusion: Effective leadership	16	(1)
Benchmarks	16	(1)
Leaders and Managers: A Comparison	17	(2)
Think Critically	19	(7)
Who is a nurse leader?	19	(1)
Preparation and development of nurse managers	20	(2)
Nurse manager competencies	22	(2)
Leadership in community health	24	(1)
The image of nursing	25	(1)
Making a difference: Increasing nurse leaders	25	(1)
Current Issues	26	(1)
Benchmarks	27	(1)
Chapter Wrap-Up	27	(1)
Summary and Applications	27	(5)
Change and Decision Making	32	(38)
Chapter Outline	32	(1)
What's Ahead	32	(1)
Objectives	33	(1)
Test Your Understanding	33	(1)
The Five ``Rs'': Change and Decision Making in Action	33	(3)
Reengineering the health care organization	34	(1)
Redesigning the workforce	35	(1)
Re-regulating professional practice	36	(1)
Think Critically	36	(2)
Rightsizing the workforce	37	(1)
Current Issues	38	(1)
Restructuring nursing education	38	(1)
Current Issues	39	(1)
Benchmarks	40	(1)
The Concept of Change	40	(1)
Think Critically	41	(7)
Examples of change theory	42	(1)
The process of change	43	(5)
Your Opinion Counts	48	(4)
Think Critically	52	(1)
Benchmarks	52	(1)
A Decision: A Response to Change	52	(5)
Decision styles	53	(2)
Types of decisions	55	(1)
The decision-making process	55	(2)
Current Issues	57	(9)
Planning	66	(1)
Current Issues	66	(1)
Current Issues	66	(1)
Benchmarks	67	(1)
Chapter Wrap-Up	67	(1)
Summary and Applications	67	(3)
Keys to Working with Others: Collaboration, Coordination, and Conflict Resolution	70	(28)
Chapter Outline	70	(1)
What's Ahead	70	(1)
Objectives	71	(1)
Test Your Understanding	71	(1)
Collaboration	71	(3)
Definitions	71	(1)
Barriers to effective collaboration	72	(1)
Nurse-physician relationships	73	(1)
Think Critically	74	(2)
Skills to achieve effective collaboration	74	(2)
Current Issues	76	(1)
Application of collaboration	76	(1)
Current Issues	76	(1)
Your Opinion Counts	77	(1)
Benchmarks	78	(1)
Coordination	78	(1)
Definitions	78	(1)
Barriers to effective coordination	78	(1)
Think Critically	78	(1)
Skills to achieve effective coordination	78	(1)
Application of coordination	79	(1)
Benchmarks	79	(1)
Negotiation and Conflict Resolution	80	(1)
Your Opinion Counts	80	(3)
Definitions	80	(1)
Causes of conflict	81	(1)
Stages of conflict	82	(1)
Think Critically	83	(9)
Prevention of conflict	83	(1)
Conflict management: Issues and strategies	84	(8)
Current Issues	92	(2)
Application of negotiation to conflict resolution	92	(2)
Benchmarks	94	(1)
Chapter Wrap-Up	94	(1)
Summary and Applications	95	(3)
Effective Staff Communication and Working Relationships	98	(27)
Chapter Outline	98	(1)
What's Ahead	98	(1)
Objectives	99	(1)
Test Your Understanding	99	(1)
Communication: What Is It?	99	(8)
Communication systems and lines of communication	100	(3)
The communication process	103	(2)
Communication component systems: Verbal, nonverbal, and metacommunication	105	(1)
Assessment of communication effectiveness	106	(1)
Think Critically	107	(1)
Your Opinion Counts	108	(5)
Think Critically	113	(1)
Benchmarks	113	(1)
Communication Methods	114	(7)
Written communication	115	(1)
Face-to-face communication	115	(1)
Storytelling	116	(1)
Information technology and communication	117	(2)
Resolving communication problems and improving communication	119	(2)
Current Issues	121	(1)
Current Issues	121	(1)
Think Critically	122	(1)
Benchmarks	122	(1)
Chapter Wrap-Up	122	(1)
Summary and Applications	122	(3)
SECTION II Delivery Systems/Nursing Models	125	(150)
Desired Future Statement (Vision)	125	(1)
Objectives to Support Primary Strategy	125	(1)
Organizational Structure for Effective Care Delivery	126	(31)
Chapter Outline	126	(1)
What's Ahead	126	(1)
Objectives	127	(1)
Test Your Understanding	127	(1)
Organizational Theories: Emphasis on Structure and Process	127	(7)
Organizational theories	127	(5)
Structure and process: Parts of organizational theory	132	(2)
Think Critically	134	(2)
Think Critically	136	(1)
Benchmarks	136	(1)
Health Care Organizations	136	(2)
For-profit and not-for-profit delivery systems	138	(1)
Your Opinion Counts	138	(9)
Marketing	138	(3)
Health care providers	141	(2)
Professional nursing practice within nursing care models	143	(1)
Total patient care/case method	144	(3)
Your Opinion Counts	147	(1)
Think Critically	148	(1)
Current Issues	148	(3)
Shared governance	148	(3)
Current Issues	151	(1)
Benchmarks	151	(2)
Organizational analysis	151	(2)
Chapter Wrap-Up	153	(1)
Summary and Applications	153	(4)
Acute Care Organizations: An Example of a Health Care Organization	157	(43)
Chapter Outline	157	(1)
What's Ahead	158	(1)
Objectives	158	(1)
Test Your Understanding	158	(1)
Development of U.S. Hospitals	158	(4)
Acute care organization and governance	160	(1)
Classification of hospitals	161	(1)
Current Issues	162	(1)
Think Critically	163	(3)
Typical departments found in an acute care hospital	164	(2)
Think Critically	166	(1)
Organizations and committees	166	(1)
Think Critically	167	(3)
Your Opinion Counts	170	(1)
Benchmarks	170	(1)
Framework for Effective Care	170	(9)
Standards	170	(1)
Policies and procedures	170	(9)
Think Critically	179	(1)
Benchmarks	180	(1)
Changes That Affect Health Care Delivery	180	(8)
Emergency services	181	(2)
Patient access to services	183	(1)
Patient education	184	(1)
Expansion into new areas and approaches	184	(1)
Use of hospitalists/intensivists	185	(1)
Advanced practice nurses, clinical nurse specialists, and nurse midwives	186	(1)
Alternative/complementary therapies	186	(1)
Financial issues and managed care: Impact on acute care	186	(1)
Continuum of care and acute care	187	(1)
Primary care providers	187	(1)
Nurses and acute care hospital changes	187	(1)
Staffing issues	188	(1)
Benchmarks	188	(1)
Magnet Nursing Services Recognition Program	188	(2)
Research: The pathway to the Magnet Nursing Services Recognition Program	189	(1)
Your Opinion Counts	190	(5)
Magnet hospital framework	190	(1)
Building magnetism	191	(2)
The Magnet Recognition Process	193	(2)
Benefits of the program	195	(1)
Current Issues	195	(1)
Benchmarks	195	(1)
Chapter Wrap-Up	195	(1)
Summary and Applications	195	(5)
Teamwork and Motivation	200	(24)
Chapter Outline	200	(1)
What's Ahead	200	(1)
Objectives	201	(1)
Test Your Understanding	201	(1)
Teams in Today's Health Care Environment	201	(1)
Your Opinion Counts	201	(3)
Teams and teamwork	202	(1)
Types of teams	202	(2)
Think Critically	204	(3)
Team-based organizations	204	(1)
The team leader	205	(2)
Your Opinion Counts	207	(3)
Team building: Development of effective teams	208	(2)
Current Issues	210	(1)
Current Issues	211	(1)
Benchmarks	211	(1)
Effective Teams	212	(8)
Stages of team development	212	(1)
Motivation	213	(4)
Building team power and spirit	217	(1)
Barriers to team success	218	(2)
Think Critically	220	(1)
Getting the job done	220	(1)
The charge nurse and the team	221	(1)
Benchmarks	221	(1)
Chapter Wrap-Up	221	(1)
Summary and Applications	221	(3)
Delegation for the Staff Nurse	224	(17)
Chapter Outline	224	(1)
What's Ahead	224	(1)
Objectives	225	(1)
Test Your Understanding	225	(1)
Delegation: What Is It?	225	(1)
Your Opinion Counts	226	(1)
Benefits of delegation	226	(1)
Legal issues related to delegation	226	(1)
Think Critically	227	(2)
Critical delegation issues: Authority, responsibility, and accountability	228	(1)
Think Critically	229	(1)
Delegation and unlicensed assistive personnel	229	(1)
Think Critically	230	(3)
The delegation process and the NCSBN guidelines	230	(3)
Think Critically	233	(1)
Benchmarks	233	(1)
Effective Delegation	233	(3)
Assessment of the delegation process	233	(1)
Characteristics of effective delegation	233	(1)
Barriers to effective delegation	233	(3)
Think Critically	236	(1)
Supervision and assignment	236	(1)
Current Issues	237	(1)
Current Issues	238	(1)
Benchmarks	238	(1)
Chapter Wrap-Up	238	(1)
Summary and Applications	238	(3)
Tools to Manage and Evaluate Care	241	(34)
Chapter Outline	241	(1)
What's Ahead	241	(1)
Objectives	242	(1)
Test Your Understanding	242	(1)
Clinical Pathways	242	(1)
Your Opinion Counts	243	(12)
Definition of clinical pathway	243	(1)
Evolution of pathways	243	(1)
Purpose of pathways	244	(2)
Pathway development and implementation process	246	(9)
Think Critically	255	(1)
Benchmarks	255	(1)
Other Tools Used to Manage Care	256	(11)
Practice guidelines	256	(3)
Disease management	259	(3)
Demand management	262	(1)
Standards of care	263	(1)
Utilization review/management	263	(1)
Benchmarking	263	(1)
Evidence-based practice	264	(3)
Current Issues	267	(3)
Health promotion and disease and illness prevention	268	(2)
Current Issues	270	(1)
Benchmarks	270	(1)
Chapter Wrap-Up	270	(1)
Summary and Applications	270	(5)
SECTION III Legislation/Regulation/Policy	275	(60)
Desired Future Statement (Vision)	275	(1)
Objectives to Support Primary Strategy	275	(1)
Health Care Policy, Legal Issues, and Ethics in Health Care Delivery	276	(38)
Chapter Outline	276	(1)
What's Ahead	276	(1)
Objectives	277	(1)
Test Your Understanding	277	(1)
Health Care Policy	277	(3)
Key health care policy issues	278	(2)
Current Issues	280	(9)
The policy-making process	282	(3)
The political process	285	(2)
Health care policy and nursing	287	(2)
Current Issues	289	(1)
Think Critically	290	(1)
Legislation: Impact on health care delivery and policy	290	(1)
Current Issues	291	(1)
Think Critically	292	(1)
Think Critically	292	(1)
Benchmarks	293	(1)
Legal Issues and Nursing	293	(3)
Basic legal terminology	293	(3)
Your Opinion Counts	296	(1)
Patient privacy: The law expands	297	(1)
Benchmarks	297	(1)
Ethics: Impact on Decision Making, Planning, and Practice	297	(6)
Ethical decision making	297	(4)
Professional ethics	301	(1)
Making complaints to the board of nursing	302	(1)
Managed care organizations and ethics	302	(1)
Your Opinion Counts	303	(5)
Health care rationing	303	(1)
Health care fraud and abuse	304	(3)
Organizational ethics	307	(1)
Nurses coping with ethical dilemmas	308	(1)
Current Issues	308	(1)
Benchmarks	309	(1)
Chapter Wrap-Up	309	(1)
Summary and Applications	310	(4)
Consumers and Nurses	314	(21)
Chapter Outline	314	(1)
What's Ahead	314	(1)
Objectives	315	(1)
Test Your Understanding	315	(1)
The Consumer and Health Care	315	(1)
Who is the consumer?	315	(1)
Your Opinion Counts	316	(1)
History of health care consumerism	316	(1)
Public policy and the health care consumer	317	(1)
Your Opinion Counts	317	(1)
Think Critically	318	(2)
Current Issues	320	(9)
Examples of current consumer issues	322	(4)
Patient satisfaction and quality	326	(3)
The nurse as patient advocate	329	(1)
Current Issues	329	(1)
Think Critically	330	(1)
Think Critically	330	(1)
Benchmarks	330	(1)
Chapter Wrap-Up	330	(1)
Summary and Applications	331	(4)
SECTION IV Recruitment/Retention	335	(46)
Desired Future Statement (Vision)	335	(1)
Objectives to Support Primary Strategy	335	(1)
Recruitment and Retention: Meeting Staffing Requirements	336	(45)
Chapter Outline	336	(1)
What's Ahead	336	(1)
Objectives	337	(1)
Test Your Understanding	337	(1)
Recruitment	338	(9)
Human resources	338	(4)
What is recruitment?	342	(2)
The employment process	344	(3)
Think Critically	347	(2)
Think Critically	349	(3)
Benchmarks	352	(1)
Retention: Why Is It Important?	352	(1)
Turnover: Costs, reasons, prevention	353	(1)
Current Issues	353	(2)
Staff role	354	(1)
Orientation: Its role in retention and prevention of reality shock	355	(1)
Think Critically	355	(2)
Losing staff	356	(1)
Benchmarks	357	(1)
Performance Appraisal	357	(1)
Your Opinion Counts	357	(7)
Performance standards and position descriptions	358	(1)
Competency-based performance appraisal	359	(2)
Legal and regulatory issues	361	(1)
Performance appraisal/evaluation process	361	(2)
Problems with employees	363	(1)
Think Critically	364	(2)
Benchmarks	366	(1)
Staffing: The Critical Issue Today	366	(1)
Your Opinion Counts	366	(1)
Current Issues	367	(8)
Staffing basics	367	(1)
The nursing shortage	368	(3)
Strategies to resolve the problems: Some are successful and some are not	371	(4)
Current Issues	375	(2)
Benchmarks	377	(1)
Chapter Wrap-Up	377	(1)
Summary and Applications	377	(4)
SECTION V Nursing/Professional Culture	381	(42)
Desired Future Statement (Vision)	381	(1)
Objectives to Support Primary Strategy	381	(1)
Keys to Professional Success	382	(41)
Chapter Outline	382	(1)
What's Ahead	382	(1)
Objectives	383	(1)
Test Your Understanding	383	(1)
Career Development	383	(1)
First job: Early issues	383	(1)
Career Plan: A Professional Growth Action Plan	384	(5)
Think Critically	389	(3)
Getting guidance	389	(3)
Think Critically	392	(1)
Licensure	392	(1)
Think Critically	393	(1)
Certification	393	(1)
Think Critically	393	(4)
Professional organizations: Developing a nursing career	394	(1)
Seeking promotion	394	(1)
Entrepreneur/intrapreneur	395	(1)
Lifelong learning: Nursing professional development	396	(1)
Your Opinion Counts	397	(7)
Current Issues	404	(1)
Professional issues	404	(1)
Benchmarks	405	(1)
Time Management to Get the Work Done	405	(7)
Making the most of your time	405	(7)
Think Critically	412	(7)
Time management implementation and barriers	412	(3)
Meetings	415	(4)
Benchmarks	419	(1)
Chapter Wrap-Up	419	(1)
Summary and Applications	419	(4)
SECTION VI Economic Value	423	(40)
Desired Future Statement (Vision)	423	(1)
Objectives to Support Primary Strategy	423	(1)
Health Care Financial Issues	424	(39)
Chapter Outline	424	(1)
What's Ahead	424	(1)
Objectives	425	(1)
Test Your Understanding	425	(1)
Your Opinion Counts	425	(1)
Health Care Financial Issues: The Macrolevel	425	(16)
National health care expenditures	426	(3)
Reimbursement for health care delivery services	429	(11)
Government health benefit programs	440	(1)
Think Critically	441	(3)
Managed care	443	(1)
Think Critically	444	(7)
Reimbursement issues: Impact on nurses and nursing care	450	(1)
Benchmarks	451	(1)
Financial Issues: Microlevel	451	(1)
Current Issues	452	(6)
Financial component of hospitals and other types of health care organizations	452	(1)
Key financial management terminology	453	(2)
The budgeting process: An overview	455	(3)
Think Critically	458	(2)
Productivity	459	(1)
Cost containment	459	(1)
Benchmarks	460	(1)
Chapter Wrap-Up	460	(1)
Summary and Applications	460	(3)
SECTION VII Work Environment	463	(60)
Desired Future Statement (Vision)	463	(1)
Objectives to Support Primary Strategy	463	(1)
Technology and Health Care	464	(18)
Chapter Outline	464	(1)
What's Ahead	464	(1)
Objectives	465	(1)
Test Your Understanding	465	(1)
Importance of Information and Clinical Technology	465	(1)
Critical factors	465	(1)
Current Issues	466	(2)
Technical skills	466	(1)
Information technology: Critical issues	467	(1)
Benchmarks	468	(1)
Technology: Implications on Health Care Delivery	468	(2)
Telehealth	468	(2)
Your Opinion Counts	470	(3)
Implications for clinical practice	470	(3)
Think Critically	473	(3)
Implications for nursing education	473	(1)
Implications for nursing administration	474	(1)
Implications for patient education	475	(1)
Think Critically	476	(1)
Implications for nursing research	476	(1)
Technology and managed care	477	(1)
Current Issues	477	(1)
Benchmarks	478	(1)
Chapter Wrap-Up	478	(1)
Summary and Applications	479	(3)
Health Care Quality Improvement and Safety	482	(41)
Chapter Outline	482	(1)
What's Ahead	482	(1)
Objectives	483	(1)
Test Your Understanding	483	(1)
Your Opinion Counts	483	(1)
The Changing View of Quality	483	(13)
Increased interest in quality care	483	(13)
Think Critically	496	(4)
Definition of quality	496	(1)
Critical quality elements	497	(1)
Critical health care safety issues	498	(2)
Current Issues	500	(1)
Benchmarks	500	(1)
Quality, Safe Care: Measurement and Improvement	500	(4)
The accreditation process	500	(4)
Think Critically	504	(7)
Methods used in establishing quality, safe care	504	(5)
Evidence-based practice	509	(2)
Think Critically	511	(1)
Quality report cards	511	(1)
Current Issues	512	(6)
An example of professional perspectives on the quality of care	515	(1)
The future direction: Nursing quality issues	516	(2)
Benchmarks	518	(1)
Chapter Wrap-Up	518	(1)
Summary and Applications	518	(5)
SECTION VIII Diversity	523	(24)
Desired Future Statement (Vision)	523	(1)
Objectives to Support Primary Strategy	523	(1)
Pulling It All Together: The Culture of the Organization	524	(23)
Chapter Outline	524	(1)
What's Ahead	524	(1)
Objectives	525	(1)
Test Your Understanding	525	(1)
Your Opinion Counts	525	(1)
Culture and Climate: Building Cultural Competency	525	(2)
Definition of organizational culture and climate	525	(1)
Consonant and dissonant cultures	526	(1)
Think Critically	527	(2)
An effective, creative, and productive workplace	527	(2)
Think Critically	529	(4)
Legal issues	529	(2)
The staff and their culture	531	(2)
Your Opinion Counts	533	(2)
Benchmarks	535	(1)
Cultural Perceptions of Health and Illness: Need for a Caring, Healing Environment	535	(3)
A diverse patient population	535	(1)
What is a healing environment?	536	(2)
Current Issues	538	(3)
Safety: A component of organizational culture	538	(2)
The physical environment as part of a healing environment	540	(1)
Facilitating diversity and cultural diversity within health care organizations	540	(1)
Current Issues	541	(1)
Benchmarks	542	(1)
Chapter Wrap-Up	542	(1)
Summary and Applications	543	(4)
Index	547