Define leadership:
ability to influence people to work toward the meeting of stated goals
Define management:
act of planning, organizing,
... [Show More] staffing, directing, and controlling to achieve organizational goals
Define total patient care:
model of care in which RN assumes full accountability for care of a group of patients
Define case management:
model of care in which RN integrates delivery of clinical services in combination with financial services
Define primary nursing:
model of care in which one RN assumes accountability for care delivered by another personnel in 24hr period
Define team nursing:
model of care in which a group of staff members led by a nurse provides care
Define functional nursing:
model of care in which nursing work is allocated according to specific tasks/skills
What traits do leaders need?
future oriented, visionary, focus on purposes, empower others to set/achieve organized goals
What are the characteristics of management?
1)produces a degree of predictability/order
2)produce short term results, administers
What are the characteristics of leadership?
1)produces change, often to a dramatic degree
2)potential to produce extreme useful change
3)has long range perspective, innovator
What is transactional leadership?
1)an exchange between leader and the employee
2)needs of employee are identified & the leader provides rewards exchange for performance
3)takes place in HIERARCHAL ORGANIZATION
What is hierarchal organization?
is one where decision making occurs at the top of the structure and is communicated to the employees
What is transformational leadership?
1)consultative & collaborative
2)contains 5 basic practices
3)shared governance
What are the 5 basic practices in transformational leadership?
1)challenging the process, questioning the ways that things have always been done, and creatively thinking in new ways of doing things
2)motivating & inspiring shared vision or bringing everyone together
3)empowering others to act
4)modeling change
5)praising the employee for the work done
What does a flat organizational structure signify?
the removal of hierarchy layers, demonstrating that the authority for action occurs at the point of service
Employees of functional structures:
1)report to manager or VP
2)professional expertise
What are product line structures?
functions necessary to produce a specific service--under the control of single manager
What are the benefits of product line structure?
coordination of al services within the speciality & a similarity of focus
What are matrix structures?
1)they combine both function and service line in an integrated service structure
2)need collaboration between both
What factors are used to deciding on the type of organizational model?
financial, staffing, capabilities, patient population, organizational mission, philosophy
What are the fundamental elements of any patient care delivery system?
clinical decision making, work allocation, communication, management, coordination, accountability
What is total patient care?
1)oldest model of providing care
2)1 RN assumes accountability for the complete care of the group ("primary nursing")
3)care responsibility doesn't extend past shift
3)seen in private duty nursing/ICUs
What are the advantages of total patient care?
1)quality of care
2)continuity of care for a given shift
3)high pt satisfaction
4)decrease hand off time
5)reduces need for supervision
6)allow 1 person to do more than 1 task
What are the key steps in decision making?
id the problem, evaluate the potential solutions to problem, seek alternative solutions, select the best solution for everyone
What are the three levels of management?
1)nurse manager-higer/fire, complaints, watch 1 unit
2)director-looks over multi units
3)chief nurse officer-advocate for others,establish RN goals, set up budgeting
What are the disadvantages of total patient care?
1)may not be cost effective
2)RNs dislike doing "CNA" tasks
What is functional nursing?
1)work is allocated according to specific tasks/tech skills
2)Charge id task/work assigned
3)efficient during RN shortage
What are the advantages of functional nursing?
1)large # of tasks completed in a shift
2)efficient financially
3)staff trained to master one task (i.e iv therapy)
What are the disadvantages of functional nursing?
1)decreased pt/RN satisfaction
2)fragmented communication/accountability
3)unit coordination = charge responsibility
What is team nursing?
a delivery approach that uses a group of staff members led by a RN--supports group work & productivity
What are the advantages of team nursing?
1)supervision of new RN
2)increase quality of care
3)1 person coordinates care
What are the disadvantages of team nursing?
1)need increase time to communicate
2)more staff = more expenses
3)increased time needed to supervise, coordinate, delegate [Show Less]