Leadership Roles and Management Functions in Nursing : Theory and Application

by Marquis, Bessie L.; Huston, Carol J.

• ISBN13: 9780781719230
• ISBN10: 0781719232
• Edition: 3rd
• Format: Paperback
• Copyright: 1999-10-01
• Publisher: Lippincott Williams & Wilkins

Summary

Now in its Fifth Edition, this foremost leadership and management text incorporates application with theory and emphasizes critical thinking, problem solving, and decision making. More than 225 case studies and learning exercises promote critical thinking and interactive discussion. This edition includes 46 new case studies in settings such as acute care, ambulatory care, long-term care, and community health. The book addresses timely nursing leadership and management issues, such as leadership development, staffing, delegation, ethics and law, organizational, political, and personal power, management and technology, and more. Web links and learning exercises appear in each chapter. An Instructor's CD-ROM includes a testbank and PowerPoint slides.

Table of Contents

UNIT I A New Approach to Leadership and Management	1	(46)
Integrating Leadership Roles and Management Function	3	(21)
Differences in Leadership and Management	4	(1)
Historical Development of Management Theory	5	(5)
Historical Development of Leadership Theory	10	(1)
The Evolution of Leadership Theory	11	(3)
Contemporary Theories of Leadership	14	(4)
Leadership and Management for Nursing's Future	18	(1)
Integrating Leadership and Management Skills	19	(5)
Tools for Leadership and Management Problem Solving	24	(23)
Decision Making, Problem Solving and Critical Thinking	24	(1)
Theoretical Approaches to Problem Solving and Decision Making	25	(4)
Critical Elements in Problem Solving and Decision Making	29	(2)
Individual Variations in Decision Making	31	(2)
Overcoming Individual Vulnerability in Decision Making	33	(1)
Management Decision Making	34	(2)
Management Decision-Making Technology	36	(6)
Integrating Leadership Roles and Management Functions in Decision Making	42	(5)
UNIT II Roles and Functions in Planning	47	(90)
The Planning Hierarchy and Strategic Planning	49	(22)
The Planning Hierarchy	49	(1)
The Purpose or Mission Statement	50	(1)
The Organization's Philosophy Statement	51	(3)
Societal Philosophies and Values	54	(1)
Individual Philosophies and Values	55	(2)
Goals and Objectives	57	(2)
Policies and Procedures	59	(2)
Rules	61	(1)
Overcoming Barriers to Planning	61	(1)
Strategic Planning in the Organization	62	(3)
Integrating Leadership Roles and Management Functions in Planning	65	(6)
Planned Change	71	(17)
The Development of Change Theory	73	(2)
Driving and Restraining Forces	75	(2)
Change Strategies	77	(1)
Resistance: The Expected Response to Change	78	(2)
Planned Change as a Collaborative Process	80	(1)
The Leader/Manager as a Role Model During Planned Change	81	(1)
Organizational Aging: Change as a Means of Renewal	81	(1)
Integrating Leadership Roles and Management Functions in Planned Change	82	(6)
Time Management	88	(22)
Three Basic Steps in Time Management	88	(4)
Managing Time at Work	92	(10)
Integrating Leadership Role and Management Functions in Time Management	102	(8)
Fiscal Planning	110	(27)
Basics of Budgets	111	(2)
Steps in the Budgetary Process	113	(4)
Types of Budgets	117	(4)
Cost Effectiveness as a Unit Manager's Goal	121	(1)
Budgeting Methods	121	(2)
Critical Pathways	123	(1)
Healthcare Reimbursement	123	(1)
The Prospective Payment System	123	(1)
The Managed Care Movement	124	(2)
Driving and Restraining Forces for the Managed Care Movement	126	(2)
The Future of Managed Care	128	(1)
Integrating Leadership Roles and Management Functions in Fiscal Planning	128	(9)
UNIT III Roles and Functions in Organizing	137	(68)
Organizational Structure	139	(27)
Organizational Theory	140	(1)
Components of Organizational Structure	141	(5)
Decision Making Within the Organizational Hierarchy	146	(1)
Limitations of Organization Charts	147	(1)
Organizational Culture	148	(2)
Types of Organization Structures	150	(6)
Shared Governance: The Organizational Design of the 21st Century?	156	(1)
Committee Structure in an Organization	157	(1)
Responsibilities and Opportunities of Committee Work	158	(1)
Organizational Effectiveness	159	(1)
Integrating Leadership Roles and Management Functions Associated With Organizational Structure	160	(6)
Authority and Power in Organizations	166	(22)
Understanding Power	166	(2)
Types of Power	168	(1)
The Authority-Power Gap	169	(1)
Bridging the Authority-Power Gap	170	(2)
Empowering Subordinates	172	(2)
Building a Personal Power Base	174	(2)
The Politics of Power	176	(5)
Integrating Leadership Roles and Management Functions When Using Authority and Power in Organizations	181	(7)
Organizing Patient Care	188	(17)
Modes of Organizing Patient Care	188	(10)
Selecting the Optimum Mode of Organizing Patient Care	198	(1)
Organizing Other Unit Activities	199	(1)
Change in Workplace and Work Group Design	200	(1)
Integrating Leadership Roles and Management Functions in the Delivery of Patient Care	201	(4)
UNIT IV Roles and Functions in Staffing	205	(74)
Preliminary Staffing Functions: From Recruitment Through Orientation	207	(29)
Planning for Staffing	208	(1)
Recruitment	209	(2)
Interviewing	211	(10)
Selection	221	(3)
Placement	224	(1)
Indoctrination	225	(5)
Integrating Leadership Roles and Management Functions in Preliminary Staffing Responsibilities	230	(6)
Meeting Staff Socialization and Educational Needs for Team Building	236	(26)
Socialization	237	(1)
Clarifying Role Expectations in Resocialization Through Role Models, Preceptors and Mentors	238	(1)
Assistance in Meeting Role Demands in Resocialization	239	(2)
Overcoming Motivational Deficiencies in Resocialization	241	(1)
Employees With Special Socialization Needs	242	(4)
Staff Development	246	(10)
Integrating Leadership Roles and Management Functions in Socialization	256	(6)
Staffing Needs and Scheduling Policies	262	(17)
Unit Managers' Responsibilities in Meeting Staffing Needs	262	(6)
The Impact of Standards of Productivity on Staffing	268	(4)
The Relationship Between Staff Mix, Assignment Methods, and Staffing	272	(1)
Fiscal and Ethical Accountability for Staffing	272	(1)
Integrating Leadership Roles and Management Functions in Staffing	273	(6)
UNIT V Roles and Functions in Directing	279	(112)
Creating a Motivating Climate	281	(21)
Intrinsic Versus Extrinsic Motivation	282	(2)
Motivational Theory	284	(5)
Creating a Motivating Climate	289	(4)
Professional Support Systems for the Manager	293	(2)
Integrating Leadership Roles and Management Functions in Motivating	295	(7)
Organizational, Interpersonal, and Group Communication	302	(28)
The Communication Process	304	(1)
Variables Affecting Organizational Communication	305	(1)
Organizational Communication Strategies	306	(1)
Channels of Communication	307	(1)
Communication Modes	308	(1)
Written Communication Within the Organization	309	(5)
Interpersonal Communication	314	(3)
Group Communication	317	(4)
Listening Skills	321	(1)
The Impact of Technology on Organizational Communication	321	(1)
Confidentiality	322	(2)
Integrating Leadership Roles and Management Functions in Organizational and Interpersonal Communication	324	(6)
Delegation	330	(18)
Common Delegation Errors	330	(4)
Delegation as a Function of Professional Nursing	334	(6)
Integrating Leadership Roles and Management Functions in Delegation	340	(8)
Managing Conflict	348	(22)
The History of Conflict Management	348	(2)
Categories of Conflict	350	(1)
The Conflict Process	351	(1)
Conflict Management	351	(5)
Managing Unit Conflict	356	(1)
Negotiation	357	(6)
Seeking Consensus	363	(1)
Integrating Leadership Skills and Management Functions in Managing Conflict	363	(7)
Potential Constraints Affecting Directing: Unions and Employment Laws	370	(21)
Unions and Collective Bargaining	370	(1)
Historical Perspective of Unionization in America	371	(3)
American Nurses Association and Collective Bargaining	374	(1)
Motivation to Join or Reject Unions	374	(2)
Managers' Role During Union Organizing	376	(2)
Effective Labor-Management Relations	378	(1)
Employment Legislation	379	(7)
The Occupational Health and Safety Act	386	(1)
State Health Facilities Licensing Boards	386	(1)
Integrating Leadership Skills and Management Functions in Working With Unions and Employment Laws	387	(4)
UNIT VI Roles and Functions in Controlling	391	(86)
Quality Control	393	(21)
Quality Control as a Process	394	(3)
The Development of Standards	397	(1)
Audits as a Quality Control Tool	398	(4)
Total Quality Management/Continuous Quality Improvement	402	(2)
Who Should Be Involved in Quality Control?	404	(1)
External Impacts on Quality Control	405	(2)
Integrating Leadership Roles and Management Functions in Quality Control	407	(7)
Performance Appraisal	414	(22)
Using the Performance Appraisal to Motivate Employees	414	(3)
Strategies to Ensure Accuracy and Fairness in the Performance Appraisal	417	(1)
Performance Appraisal Tools	418	(9)
Planning the Appraisal Interview	427	(1)
Overcoming Appraisal Interview Difficulties	428	(2)
Coaching: A Mechanism for Informal Performance Appraisal	430	(1)
Integrating Leadership Roles and Management Functions in Conducting Performance Appraisals	431	(5)
Creating a Growth-Producing Work Environment Through Discipline	436	(23)
Constructive Versus Destructive Discipline	436	(2)
Self-Discipline and Group Norms	438	(1)
Fair and Effective Rules	439	(2)
Problem Employees	441	(1)
Discipline as a Progressive Process	442	(4)
Disciplinary Strategies For the Nurse-Manager	446	(4)
``Grieving'' Disciplinary Action	450	(2)
Disciplining the Unionized Employee	452	(1)
Integrating Leadership Roles and Management Functions to Create a Growth-Producing Work Environment Through Discipline	453	(6)
Employees With Special Needs	459	(18)
Chemical Impairment: Scope of the Problem	460	(1)
Recognizing the Chemically Impaired Employee	461	(4)
Confronting the Chemically Impaired Employee	465	(4)
The Marginal Employee	469	(4)
Integrating Leadership Roles and Management Functions in Working With Employees With Special Needs	473	(4)
UNIT VII Professional and Social Issues in Leadership and Management	477	(70)
Ethical Issues	479	(25)
Ethical Dilemmas	480	(2)
Ethical Problem Solving and Decision Making	482	(6)
Ethical Frameworks for Decision Making	488	(1)
Principles of Ethical Reasoning	489	(4)
Ethical Dimensions in Leadership and Management	493	(1)
Advocacy	494	(3)
Separating Ethical and Legal Decision Making	497	(1)
Integrating Leadership Roles and Management Functions in Ethics	498	(6)
Legal and Legislative Issues	504	(23)
Sources of Law	505	(2)
Nursing's Role in Legislation and Lawmaking	507	(1)
Legal Doctrines and the Practice of Nursing	508	(1)
Professional Versus Institutional Licensure	509	(1)
Professional Negligence	510	(3)
Extending the Liability	513	(2)
Incident Reports	515	(1)
Intentional Torts	515	(1)
Other Legal Responsibilities of the Manager	516	(3)
Avoiding Malpractice Claims	519	(1)
Legal Considerations of Managing a Diverse Work Force	520	(1)
Patient Rights	521	(1)
Integrating Leadership Roles and Management Functions in Legal and Legislative Issues	521	(6)
Career Development Issues	527	(20)
Justifications for Career Development	527	(2)
A Career Development Program	529	(2)
Career Planning	531	(2)
Career Management	533	(3)
Long-Term Coaching	536	(3)
Transfers	539	(2)
Promotions	541	(1)
Management Development	542	(1)
Integrating Leadership Roles and Management Functions in Career Development	543	(4)
Index	547