Essentials of Nursing Leadership & Management

by Kelly, Patricia

• ISBN13: 9781401830175
• ISBN10: 140183017X
• Edition: 1st
• Format: Paperback
• Copyright: 2004-02-03
• Publisher: CENGAGE Delmar Learning

Summary

Essentials of Nursing Leadership & Management offers a concise and unique perspective on critical nursing leadership and management concepts. The text helps readers understand current issues such as time management and priority setting, delegation, performance improvement and much more.

Author Biography

Patricia Kelly-Heidenthal, RN, MSN: Professor Emerita, Purdue University Calumet, Hammond, Indiana

Table of Contents

CONTRIBUTORS	xiv
REVIEWERS	xvi
PREFACE	xvii
ACKNOWLEDGMENTS	xi
ABOUT THE AUTHOR	xx
HOW TO USE THIS BOOK	xxi
UNIT I INTRODUCTION
CHAPTER 1 Essential Concepts of Leadership and Management	1	(24)
Definition of Management	2	(3)
Benner's Model of Novice to Expert	3	(1)
Management Roles	4	(1)
Use of Resources	5	(1)
Organizational Management Theories	5	(1)
Motivation Theories	5	(4)
Definition of Leadership	9	(8)
Leadership Characteristics	12	(1)
Leadership Theories	13	(4)
Future Directions	17	(8)
Chaos, Complexity, and
Self-Organizing Systems	17	(8)
CHAPTER 2 Nursing Today	25	(26)
Nursing Today	26	(6)
Transdisciplinary Nursing	26	(3)
Health Care Variation	29	(1)
Best Practice Guidelines	29	(3)
Health Care Ratings	32	(1)
Baldridge Quality Award	32	(1)
Other Outcome Measurements	32	(1)
Other Health Assessment Tools	32	(1)
Stakeholders in Health Care	33	(2)
Subcultures of Health Care Professionals	33	(2)
Population-Based Health Care	35	(1)
Accreditation	36	(2)
Health Insurance Portability and Accountability Act	38	(13)
CHAPTER 3 Team Building and Organizational Communication	51	(22)
Definition of a Team	52	(1)
Communication Process	53	(1)
Building a Successful Team	54	(3)
Stages of Group Process	54	(2)
Common Member Roles	56	(1)
Myers-Briggs Type Indicator	57	(5)
Great Team Guidelines	58	(3)
Teamwork on a Patient Care Unit	61	(1)
Communicating with Superiors	62	(1)
Communicating with Coworkers	63	(1)
Communicating with Other Practitioners and Physicians	63	(1)
Communicating with Patients and Family	64	(9)
Organizational Communication	65	(2)
Overcoming Communication
Barriers	67	(6)
UNIT II MANAGING NURSING CARE
CHAPTER 4 Planning Care in Organizations	73	(18)
Assessment of External and Internal Environment	74	(1)
Development of a Philosophy, Vision, Mission, and Goals	75	(2)
Mission Statement	76	(1)
Vision Statement	77	(1)
Goals and Quality Measures	77	(1)
Organizational Structure	77	(8)
Types of Organizational Structures	81	(4)
Shared Governance	85	(6)
Purpose of the Clinical Practice, Quality, and Education Councils	86	(5)
CHAPTER 5 Delegation	91	(26)
Perspectives on Delegation	92	(1)
Delegation	93	(1)
Direct Patient Care Activities	93	(1)
Indirect Patient Care Activities	93	(1)
Underdelegation	93	(1)
Overdelegation	94	(1)
Authority	94	(1)
The National Council of State Boards of Nursing (NCSBN) Delegation Decision-Making Grid	95	(1)
State Boards of Nursing	95	(1)
The Five Rights of Delegation	95	(1)
Knowledge and Skill of Delegation	96	(1)
Responsibility	96	(1)
Responsibilities of Health Team Members	96	(7)
Nurse Manager Responsibility	101	(1)
New Graduate Registered Nurse Responsibility	101	(1)
Registered Nurse Responsibility	101	(1)
Licensed Practical Vocational Nurses Responsibility	101	(2)
UAP Responsibility	103	(1)
Accountability, Supervision, and Assignment	103	(6)
Nursing Accountability	103	(3)
Supervision	106	(2)
Assignment	108	(1)
Chain of Command	109	(8)
CHAPTER 6 Staffing	117	(26)
Determination of Staffing Needs	118	(1)
FTEs	118	(1)
Nursing Hours per Patient Day	119	(1)
Patient Classification Systems	119	(2)
Utilization of Classification System Data	120	(1)
Considerations in Developing a Staffing Pattern	121	(1)
Regulatory Requirements	121	(1)
Skill Mix	121	(1)
Staff Support	122	(1)
Establishing a Staffing Pattern	122	(2)
Staffing an Inpatient Unit	122	(2)
Scheduling	124	(4)
Experience and Scheduling of Staff	124	(1)
Shift Variations	124	(4)
Self-Scheduling	128	(1)
Nurse Sensitive Patient Outcomes	128	(1)
Nurse Staffing and Nurse Outcomes	128	(1)
Models of Care Delivery	129	(6)
Case Method and Total Patient Care	129	(2)
Functional Nursing Care	131	(1)
Team Nursing	132	(1)
Primary Nursing	133	(1)
Patient-Centered or Patient-Focused
Care	134	(1)
Differentiated Practice	135	(1)
Care Delivery Management Tools	135	(8)
Clinical Pathways	135	(1)
Case Management	136	(2)
Disease Management	138	(5)
CHAPTER 7 Budgeting	143	(22)
Some Perspectives on the Cost of Health Care	145	(1)
Socialized Health Care	145	(1)
The Cost Equation: Money = Mission = Money	146	(3)
Business Profit	146	(2)
Diagnostic, Therapeutic, and Information Technology Cost	148	(1)
Nursing Cost	148	(1)
Types of Budgets	149	(1)
Operational Budget	150	(1)
Capital Budget	150	(1)
Construction Budget	150	(1)
Budget Overview	150	(8)
Budget Preparation and Scope of Service	150	(8)
Budget Approval and Monitoring	158	(1)
The Future	158	(7)
CHAPTER 8 Performance and Quality Improvement	165	(24)
Selected History of Quality	167	(1)
Quality Health Care	167	(1)
Total Quality Management and Quality and Performance Improvement	167	(5)
General Principles of Performance Improvement	169	(1)
Elements of Performance Improvement	170	(2)
Use of an Evidence-Based Practice (EBP) Model in Performance Improvement (PI)	172	(1)
The University of Colorado Hospital Model	172	(1)
Methodologies for Performance Improvement	173	(4)
The Model for Improvement	174	(3)
The FOCUS Methodology	177	(1)
Other Performance Improvement Strategies	177	(2)
Sentinel Event Review	177	(1)
Balanced Scorecard	178	(1)
Storyboard: How to Share Your Story	179	(1)
Using Data	179	(1)
Organizational Structure for PI	180	(9)
UNIT III LEADERSHIP IN NURSING
CHAPTER 9 Power	189	(16)
Definition of Power	190	(5)
Sources of Power	190	(5)
Professionalism	195	(10)
A Plan for Personal Power	196	(9)
CHAPTER 10 Change and Conflict Resolution	205	(16)
Change	206	(4)
Traditional Change Theories	206	(1)
Emerging Change Theories	207	(3)
Conflict	210	(11)
Conflict Resolution	212	(9)
CHAPTER 11 Decision Making and Critical Thinking	221	(22)
Critical Thinking	222	(2)
Reflective Thinking	224	(1)
Problem Solving and Decision Making	224	(2)
Decision Making	224	(2)
Group Decision Making	226	(6)
Groupthink Prevention	230	(2)
Use of Technology in Decision Making	232	(3)
Using the Internet for Decision Making	233	(2)
Evaluation of Information Found on the Internet	235	(8)
CHAPTER 12 Time Management and Setting Priorities	243
Time Management Concepts	244	(3)
Analysis of Nursing Time	245	(2)
Create More Time	247	(1)
Setting Priorities	247	(13)
Decide on Priority Outcomes	249	(5)
Shift Report as a Tool for Making Assignments	254	(3)
Make Patient Care Rounds	257	(3)
Evaluate Outcome Achievement	260	(1)
Find Personal Time for Lifelong Learning	260
UNIT IV PROFESSIONAL ISSUES CHAPTER	13	(316)
CHAPTER 13 Legal Aspects of Patient Care	267	(24)
Sources of Law	268	(12)
Public Law	268	(3)
Civil Law	271	(9)
Protections in Nursing Practice	280	(11)
Good Samaritan Laws	280	(1)
Skillful Communication	280	(1)
Patient Advocacy	280	(3)
Malpractice Professional Liability Insurance	283	(8)
CHAPTER 14 Ethical Dimensions of Patient Care	291	(18)
Values and Virtue	292	(1)
Virtue	292	(1)
Values Clarification	292	(1)
Philosophical Influences on Nursing Practice	293	(1)
Definition of Ethics and Morality	293	(2)
Ethical Theories	293	(2)
Ethical Principles and Rules	295	(2)
A Guide for Ethical Decision Making	295	(2)
An Ethics Test 295
Patient Rights	297	(1)
Ethical Leadership and Management of Health Care Organizations	297	(5)
Organizational Benefits	300	(1)
Creating an Ethical Workplace	300	(2)
Ethical Codes	302	(1)
The Future	302	(7)
CHAPTER 15 Cultural Diversity and Spirituality	309	(20)
Defining Culture, Ethnicity, Ethnocentrism, Values, and Acculturation	310	(2)
U.S. Diversity	312	(1)
Racial and Ethnic Diversity of Health Care Providers	313	(1)
Cultural Theories	313	(3)
Transcultural Nursing	313	(1)
Giger and Davidhizar Model	314	(1)
Cultural Competence	315	(1)
Spector's Model	315	(1)
Managing a Culturally Diverse Team	316	(6)
Organizational Culture	322	(1)
Spirituality	322	(7)
Defining Spirituality and Religion	322	(1)
Spiritual Distress	322	(1)
Spiritual Assessment	322	(2)
Religious Beliefs Related to Health Care	324	(5)
UNIT V PREPARATION FOR PROFESSIONAL NURSING PRACTICE
CHAPTER 16 NCLEX Preparation and Your First Job	329	(28)
Perspectives	330	(1)
Preparation for NCLEX-RN	330	(4)
NCLEX Questions	331	(1)
Factors Affecting NCLEX-RN Performance	331	(1)
Review Books and Courses	331	(1)
Nursing Exit Exams	332	(2)
Tips for NCLEX	334	(1)
Beginning a Job Search	334	(3)
Magnet Hospitals	334	(2)
Nursing Residency Programs	336	(1)
Multistate Licensure Compact	336	(1)
Where to Look	336	(1)
Developing a Resume	337	(1)
Writing a Cover Letter	338	(1)
Developing an Electronic Resume	338	(1)
A Successful Interview	338	(2)
Questions to Ask During an Interview	340	(1)
Writing a Thank-You Letter	340	(1)
Orientation to Your New Job	340	(5)
Preceptors	343	(1)
Reality Shock	343	(1)
Mentors	343	(2)
Performance Feedback	345	(12)
360-Degree Feedback	345	(1)
Corrective Action Programs	346	(11)
CHAPTER 17 Career Planning and Achieving Balance	357	(24)
Strategies for Professional Growth	358	(1)
Certification	358	(1)
Clinical Ladder	358	(1)
Nontraditional and Advance Practice Nursing Roles	359	(1)
Healthy Living-Achieving Balance	359	(3)
Definition of Health	359	(3)
Areas of Health	362	(19)
Physical Health	362	(3)
Intellectual Health	365	(5)
Emotional Health	370	(1)
Professional Health	371	(2)
Social Health	373	(2)
Spiritual Health	375	(6)
GLOSSARY	381	(12)
INDEX	393