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Effective Management in NursingLeading and Managing in Nursing 4th Ed.

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What is role theory?
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A collection of concepts and a variety of hypothetical formulations that predict how actors will perform their given role, or under what circumstances certain types of behaviors can be expected.
What are the 5 basic functions of a manager?
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1. Establishing objectives and goals for each area and communicating them to the people responsible for attaining them. 2. Organizing and analyzing activities, decisions, and relations needed and divide them into reasonable tasks. 3. Motivating and communicating with people responsible for various jobs through teamwork. 4. Analyzing, appraising, and interpreting performance and communicating the meanings of measurement tools and their results to staff and superiors. 5. Developin
Managers develop efforts that focus on __________.
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The individual. Their aim is to enable the person to develop their abilities and strengths to the fullest to achieve excellence.
How do managers address complex issues?
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By planning, budgeting, and setting target goals. Goals are met by organizing, staffing, controlling and solving problems.
What three factors have been identified as factors that produced joy for nurses while working?
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Work that represented progress, work that provided connections with other people, and work where competence was required.
What internal factors blend with work-related factors to produce joy?
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Self-esteem, beliefs, attitudes, values and competence.
What theory has been identified as possibly the most significant theory to nursing from the 21st century?
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Quantum Theory
________ theory elucidates the complexity and unpredictability of events.
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Quantum
What are the 10 factors that depict the direction that health care is going according to Porter-O’Grady?
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1. Portability of health care leads to shorter recovery periods following less invasive techniques 2. The more fluid medical care models discharge patients quicker, but the education of nurses still adheres to learning practices that require longer patient stays 3. The shift from inpatient to speedy outpatient services is increasing 4. Shorter care stays shift the aftercare from health provider to care-recipient and significant others. 5. Payment models previously never questioned are now s
What are the 5 dimensions of a courageous follower?
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Courage to assume responsibility, courage to serve, courage to challenge, courage to participate in transformation, and the courage to leave by separating from a leader or group.
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How can a manager support a follower in their attainment of courage?
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Demonstrate trust in their individual autonomy, advocate for the service role, pose dilemmas to encourage behavior, design opportunities to develop transformational abilities and risk separation.
What is the nurse manager’s role related to research?
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Serving as a participant in research and that of being an interpreter of research. Incorporate findings into evidence based care and identify areas of potential research.
Why should nurse managers consider mentoring an important role?
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-to train successors -boosts staff self-confidence -helps staff gain professional satisfaction -assists staff in present work and career development
Why is knowledge of the organizational culture of a hospital important?
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Nurses who work in positive organizational environments feel respected
Day to day management challenges for a nurse manager include balancing what three sources of demand?
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Upper management requests, consumer demands and staff needs
Nurses employed in the ______ department of a hospital are considered at high risk for violence.
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Emergency
How can a nurse manager provide 'special attention' to nurses working in areas considered high risk for violence?
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Ensuring they get adequate on the job training, conflict resolution/management training, crisis management and education on how to handle highly agitated/armed people
Why is it important for a nurse manager to ensure nurses working in high-risk environments get adequate training to deal with protective techniques?
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Manages can be at increased risk for non-adherence to state/federal employee selection (negligent hiring)
What are the 5 management practices that have been identified (by the IOM) as effective when instituting change and achieving patient safety in high-risk organizations?
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1. managing the change process actively 2. balancing the tension between efficiency and reliability 3. creating a learning environment 4. creating and sustaining trust 5. involving the workers in the redesign and workflow decision making
What are the two IOM reports a nurse manager should be familiar with?
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Keeping Patients Safe and Crossing the Quality Chasm/A New Health Care System for the 21st Century
  
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