Shared Flashcard Set

Details

Leadership & Management Exam 1
Management & Leadership, Power & Conflict, Communication, Magnet, Critical thinking, Time management
194
Nursing
Undergraduate 4
02/25/2013

Additional Nursing Flashcards

 


 

Cards

Term
Leader
Definition
Anyone who uses interpersonal skills to influence others to accomplish a specific goal
Term
Manager
Definition
An employee who is responsible and accountable for efficiently accomplishing the goals of the organization
Term
Formal Leadership
Definition
Practiced by a nurse with legitimate authority described in a JOB DESCRIPTION
Term
Informal Leadership
Definition
Exercised by a staff member who does not have a specified management role
Term
Autocratic Leadership
Definition
Makes decisions for the group.
■■ Motivates by coercion.
■■ Communication occurs down the chain of command.
■■ Work output by staff is usually high – good for crisis situations and bureaucratic
settings.
Term
Leader
Definition
Anyone who uses interpersonal skills to influence others to accomplish a specific goal
Term
Manager
Definition
An employee who is responsible and accountable for efficiently accomplishing the goals of the organization
Term
Formal Leadership
Definition
Practiced by a nurse with legitimate authority described in a JOB DESCRIPTION
Term
Informal Leadership
Definition
Exercised by a staff member who does not have a specified management role
Term
Autocratic Leadership
Definition
my way or else
Term
Laissez-faire
Definition
Give very little direction
Term
Bureaucratic
Definition
Put people through alot of steps and hurdles
Term
Autocratic leaders tend to have ___ followers
Definition
Passive
Term
Authentic leaders
Definition
Connect to pressures of front-line staff
Are passionate about creating quality work environment
Generate energy to do the impossible
Term
Emotional leaders
Definition
Have emotional intelligence and social competence
Maintain a positive environment
Emphasize the importance of emotions and relationships in success
Term
Management is
Definition
Getting work done through others
Term
Getting work done through others
Definition
Management
Term
Leadership is
Definition
The ability of an individual to influence behavior of others
Term
The ability of an individual to influence behavior of others
Definition
Leadership
Term
Contemporary leadership theory
Definition
leaders can develop necessary skills
Term
PICO approach
Definition
Patient or Problem, Intervention, Comparison, Outcomes
Term
Shared governance
Definition
A structural format for nursing to implement a more horizontal locus of control and practice power enablers that are essential to professional self-governance. This framework provides support of the professions, their interaction, and their collective obligation to advance the interest of health care.
Term
Policies and procedures are _____. Evidence-based practice is ____ based
Definition
fixed approaches to standards and practices

mobility
Term
serves as a foundation for the exercise of nursing practice
Definition
Nursing code of ethics
Term
Shared governance
Definition
A structure for the professional organization of decision-making based on the expectation that all staff members will be engaged and participate in decisions that affect the profession and its work.
Term
90% of all decisions in shared governance must be made
Definition
as close to the point of service as possible.
Term
Are identified as one for professionals
Definition
Profession and identity
Term
with autocratic managers, work out put by staff is usually
Definition
high
Term
Autocratic leadership is good for
Definition
Crisis situations and bureaucratic settings
Term
Democratic leadership
Definition
■■ Includes the group when decisions are made.
■■ Motivates by supporting staff achievements.
■■ Communication occurs up and down the chain of command.
■■ Work output by staff is usually of good quality – good when cooperation and
collaboration is necessary.
Term
With democratic leadership, work output by staff is usually
Definition
of good quality
Term
Democractic leadership is good when
Definition
cooperation and collaboration is necessary
Term
Laissez-faire leadership
Definition
Makes very few decisions and does little planning.
■■ Motivation is largely the responsibility of individual staff members.
■■ Communication occurs up and down the chain of command and between group
members.
■■ Work output is low unless an informal leader evolves from the group.
Term
With laissez-faire leadership, work output is
Definition
Low unless an informal leaders evolves from the group
Term
Five major management functions
Definition
Planning, organizing, staffing, directing, and controlling
Term
Critical thinking
Definition
The mental process of analyzing or evaluating information
Term
Decision making
Definition
The process by which a course of action is determined. The course
of action may be in response to a problem or an issue.
Term
Critical thinking reflects upon
Definition
the meaning of statements, examines available data, and
uses reason to make informed decisions.
Term
Critical thinking is necessary to
Definition
reflect and evaluate from a broader scope of view
Term
Process of decision making
Definition
◯◯ Objectives are defined.
◯◯ Data are gathered.
◯◯ Alternatives are determined.
◯◯ Alternatives are evaluated in a logical and objective manner.
◯◯ A decision is made and the choice is acted upon.
Term
Problem solving begins with
Definition
a potential or actual threat or situation that needs or
could benefit from an intervention.
Term
may provide a framework for
solving client-related problems
Definition
The problem-solving model or the nursing process
Term
Problem solving model steps
Definition
■■ The problem or issue is identified and defined.
■■ Data are collected and analyzed in regard to the problem identified.
■■ All possible solutions are identified and evaluated.
■■ A solution is selected and implemented.
■■ The results of the solution are evaluated.
Term
Prioritize ___ before ____
Definition
Systemic before local (life before limb)
Acute before chronic (less opportunity for physical adaptation)
Actual problems before potential future problems
Term
Recognize and respond to ___ versus _____
Definition
Trends versus transient findings
Signs of medical emergencies and complications versus "expected client findings"
Term
lack of conflict can create
Definition
organizational stasis
Term
Competitive conflict
Definition
A victory for one side and a loss for another
Term
Disruptive conflict
Definition
Does not follow any mutually acceptable set of rules and does not emphasize winning
Term
Antecedent conflict conditions is based on
Definition
Incompatible goals
Term
Role conflicts defined as
Definition
Other people's expectations regarding behavior and attitudes
Term
Structural conflict
Definition
Structural relationships (superior to subordinate, peer to peer) provoke conflict because of poor communication

Competition for resources, opposing interests, or lack of shared perceptions or attitudes
Term
Structural relationships (superior to subordinate, peer to peer) provoke conflict because of
Definition
Poor communication
Term
Values and beliefs result from
Definition
An individual's socialization experience
Term
Distancing mechanisms or diffrentiation serve to
Definition
divide a group’s members into small, distinct groups, thus increasing the chance for conflict
Term
Unifying mechanisms occur when
Definition
Greater intimacy develops
Term
Perceived and felt conflict
Definition
Parties involved view situations or issues from differing perspectives
Term
Perceived conflict
Definition
Each party’s perception of the other’s position
Term
Felt conflict
Definition
Negative feelings between two or more parties
Term
Conflict behaviors result from
Definition
The parties' perceived or felt conflict

May take the form of aggression, competition, debate, or problem solving

May include covert behavior
Term
Covert behavior
Definition
Indirect tactics, such as scapegoating, avoidance, and apathy
Term
Resolution vs. Supression
Definition
Resolution is a mutually agreed upon solution that both parties commit themselves to
Supression is when one person or group defeats the other
Term
Filley's strategies
Definition
Win-Lose: one party exerts dominance, the other party submits and loses

Lose-Lose: neither side wins

Win-Win: focuses on goals and meeting the needs of both parties. Consensus involves attention to facts and the position of the other parties
Term
Integrative decision making focuses on
Definition
The MEANS of solving a problem rather than the ends
Term
Integrative decision making is most useful when
Definition
The needs of the parties are polarized
Term
Considered the most effective means for solving conflicts
Definition
Confrontation
Term
Confrontation's goal is
Confrontation is delivereed
Definition
To achieve win-win status
In private asap
Term
confrontation is a ____ technique
Definition
Problem-oriented
Term
Negotiation seeks to achieve
Definition
Agreement even though consensus will never be reached
Term
Negotiation can be guided by
Definition
Levenstein’s ten commandments for negotiators
Term
Collaboration
Definition
Mutual attention to the problem, in which the talents of all parties are used
Term
Compromise
Definition
Used to divide the rewards between both parties.
Neither gets what he or she wants
Term
Competing
Definition
An all-out effort to win, regardless of the cost
Term
Negotiation
Definition
Involves give-and-take on various issues among the parties
Term
Accomodating
Definition
An unassertive, cooperative tactic used when individuals neglect their own concerns in favor of others’ concerns
Term
An unassertive, cooperative tactic used when individuals neglect their own concerns in favor of others’ concerns
Definition
Accomodating
Term
Accomodating is a ____, ____ tactic
Definition
Unassertive, cooperative
Term
Suppression is used when
Definition
Conflict is discouraged
Term
Suppression could include
Definition
elimination of one of the conflicting parties through transfer or termination
Term
Avoiding
Definition
Participants never acknowledge that a conflict exists
Term
Withdraw
Definition
Simply removes one party
Term
Smoothing
Definition
Complimenting opponent, downplaying differences, focusing on areas of agreement
Term
Forcing
Definition
Method that yields an immediate end to the conflict but leaves the cause of the conflict unresolved
Term
Method that yields an immediate end to the conflict but leaves the cause of the conflict unresolved
Definition
Forcing
Term
Resistance can be
Definition
Positive or negative
Term
Conflict management begins with
Definition
A decision regarding if and when to intervene
Term
Why is it sometimes best to postpone intervention
Definition
Increased intensity can motivate participants to seek resolution
Term
bullying involves
Definition
Abuse of power
Term
Before a solution is evaluated,
Definition
The solution should be given adequate time to become
established as a new routine
Term
Smoothing is usually a ____ situation
Definition
Lose-lose
Term
The problem with smoothing
Definition
The focus may be on what is agreed upon, leaving conflict largely
unresolved.
Term
a communication style that acknowledges and deals with conflict, recognizes others as
equals, and provides a direct statement of feelings.
Definition
Assertive communication
Term
Principle-centered power is based on
Definition
Honor, respect, loyalty, and commitment

Invited
Term
Principle-centered power is defined by
Definition
The capacity to act and to make choices and decisions
Term
Leadership power
Definition
Capacity to create order from conflict, contradictions, and chaos
Ability to sustain positive influence
Term
Reward power
Definition
Based on inducements the manager can offer in exchange for cooperation
Used in relation to a manager’s formal job responsibilities
Term
Punishment power
Definition
Based on the penalties a manager might impose on an individual or a group
Motivation to comply is based on fear of punishment or withholding of rewards
Term
Reward power is used in relation to
Definition
a managers' formal job responsibilites
Term
Legitimate power
Definition
Bc of the authority associated with job or rank
Term
Expert power
Definition
Based on possession of certain skills, knowledge, and competence
Term
Referent power
Definition
Based on admiration and respect for an individual
Relates to the manager’s likeability and success
Term
Referent power relates to
Definition
The manager's likeability and success
Term
Based on admiration and respect for an individual
Definition
Referent power
Term
Information power:
Based on
Depends on
Definition
Based on access to valued data
Depends on the manager’s organizational position, connections, and communication skills
Term
Connection power:
Based on
Relates to
Definition
Based on an individual’s formal and informal links to influential persons
Relates to the status and visibility of the individual
Term
Appropriate power uses
Definition
The least amount of power
Term
Power plays
Definition
Attempts by others to diminish or demolish their opponents
Term
Images emerge from
Definition
Interactions and communications with others
Term
Positive interactions create
Definition
A strong, favorable image for the individual and profession
Term
The decisions that govern action
Definition
Policy
Term
Determine an organization’s relationships, activities, and goals
Definition
Policy
Term
Policy results from
Definition
Political action
Term
Art of influencing others to achieve a goal
Definition
Politics
Term
Can be used to influence policy
Definition
Politics
Term
Stakeholders
Definition
People or groups who have a direct interest in the work of an organization
Term
Is vital for nurses to achieve goals
Definition
Political skill
Term
Political skill is built on
Definition
relationships with others
Term
Baby boomers
Definition
very committed to their company
Term
Gen x
Definition
not committed to just one work place, move around a lot
Term
Gen Y
Definition
good work/family life balance. I don’t live to work, I work to live.
Term
Metacommunications
Definition
Oral messages accompanied by nonverbal messages
Behaviors that include head or facial agreement or disagreement
Term
Intrasender conflict
Definition
Nonverbal communication can distort the meaning of the spoken words
When a verbal message is incongruent with the nonverbal message
Term
INTERsender conflict
Definition
Person gets conflicting messages from different sources
Term
Recommended to address Generational and Cultural Differences in Communication
Definition
Personal and professional cultural enrichment training
Term
Organizational culture
Definition
Customs, norms, and expectations within an organization shape behavior
Term
Conflict or confrontation is best handeled
Definition
in person
Term
Determines best mode of communication to use
Definition
Purpose of the message - The more important or delicate the issue, the more intimate the mode should be
Term
Levels of intimacy in descending order
Definition
1. In person
2. Phone
3. Voicemail
4. Email, texting, etc.
5. Memos, faxes, written mail
Term
Managing upward is successful when
Definition
power and influence move in both directions
Term
Peers should interact on a
Definition
Professional level
Term
role models and leaders for establishing nurse-physician relationships on their units
Definition
Nurse managers
Term
MEdical staff have considerable power because
Definition
of their ability to attract patients to the organization
Term
Physicians primary concern
Definition
Patient care
Term
Consider yourself and your staff _____ with physicians in health care
Definition
Equal partners
Term
Actively listen and respond to physician complaints as
Definition
Customer complaints
Term
Principal customers of an organization
Definition
Patient (and their family)
Term
Lawsuits can be avoided if
Definition
the patient or family feels that someone has taken the time to listen to their complaints
Term
For dealing with difficult interactions with pts and families, identify a
Definition
Neutral location
Term
How to generate power through body language and posture
Definition
Sit next to antagonist; turn 30 degrees to address that person

Expand your personal space
Use gestures
Maintain eye contact, but do not stare
Term
Critical thinking is used to
Definition
Find creative solutions to problems
Term
Critical thinking model includes
Definition
Problem solving, creativity, and decision making
Term
Creativity must be
Definition
Encouraged and made a priority in critical thinking
Term
Four stages of creativity
Definition
Preparation, Incubation, Insight, Verification
Term
Incubation stage of creativity
Definition
Allow as much time as possible to elapse before deciding on solutions
Term
Difference between decision making and problem solving
Definition
Decision making: may or may not involve a problem, always involves making a CHOICE
Problem solving: involves diagnosing a problem and solving it, may or may not require making a decision
Term
Objective probability
Definition
The likelihood that an event will or will not occur based on facts and reliable information
Term
Subjective probability
Definition
The likelihood that an event will or will not occur based on manager’s personal judgment and beliefs
Term
Rational decision making model - take the action that
Definition
yields the highest probability of achieving the most desirable outcome
Term
Descriptive rationality model emphasizes
Definition
Limitations of decision maker and the situation
Term
Emphasizes limitations of decision maker and the situation
Definition
Descriptive rationality model
Term
Three ways decision makers depart from the decision-making model:
Definition
Limits of time, energy, or money
Lack of adequate information and control of conditions
Individuals often use satisficing strategies
Term
Satisficing
Definition
The individual chooses an alternative that is not ideal but either is good enough or is the first acceptable alternative
Term
Political decision-making model
Definition
Power is the ability to influence or control how problems and objectives are defined, what alternative solutions are considered and selected, what information flows, and what decisions are made
Term
Steps in decision making
Definition
Identify the purpose
Set the criteria
Weight the criteria
Seek alternatives
Test alternatives
Troubleshoot
Evaluate the action
Term
Steps in problem solving
Definition
Define the problem
Gather information
Analyze the information
Develop solutions
Make a decision
Implement the decision
Evaluate the solution
Term
Professionals function best in organizations with
Definition
Shared governance
Term
Benefit of group-decision making
Definition
Provide more input
Often produce better decisions
Generate more commitment
Term
Nominal group technique
Definition
Structured and precise method of eliciting WRITTEN questions, ideas, and reactions from group members
-Ideas generated in writing
-Ideas presented on flip chart by group members
-Discussion of recorded data for clarification and evaluation
-Voting on priority ideas
Term
Delphi technique
Definition
Judgments on topic from participants who do not meet face to face
-Can rely on the input of experts widely dispersed geographically
-Useful when expert opinions are needed
-Minimizes the chances of more vocal members dominating discussion and allows independent evaluation of ideas

Ideas are collected through a carefully designed sequence of questionnaires interspersed with summaries of information and opinions derived from previous questionnaires
Term
Delphi technique is useful when
Definition
Expert opinions are needed
Term
Delphi technique minimizes
Definition
the chances of more vocal members dominating discussion and allows independent evaluation of ideas
Term
Minimizes the chances of more vocal members dominating discussion and allows independent evaluation of ideas
Definition
Delphi technique
Term
Useful when expert opinions are needed
Definition
Delphi technique
Term
Statistical aggregation
Definition
-Individuals polled regarding problem
-Responses tallied
-Disadvantage: No opportunity for group members to strengthen interpersonal ties or for the generative effect of group interaction
Term
Disadvantage of statistical aggregation
Definition
No opportunity for group members to strengthen interpersonal ties or for the generative effect of group interaction
Term
Brainstorming
Definition
-Group members meet and generate many diverse ideas about the nature, cause, definition, or solution to a problem
-Premium placed on generating lots of ideas as quickly as possible
-Evaluation takes place after all the ideas have been generated

-Disadvantages: High cost factor, the time consumed, and the superficiality of many solutions
Term
Disadvantage to br
Definition
Term
Evaluation of brainstorming takes place
Definition
After all the ideas have been generated
Term
Premium of brainstorming
Definition
Generating lots of ideas as quickly as possible
Term
Trial-and-error
Definition
Applying one solution after another until the problem is solved or appears to be improving
Term
Experimentation
Definition
-Involves testing a theory or hunch
-A project or study is carried out in either a controlled or an uncontrolled setting
-Data are collected and analyzed and results interpreted to determine whether the solution tried has been effective
Term
Past experience and intuition
Definition
Individual’s experience can determine how much risk he or she will take in present circumstances
Intuition relies heavily on past experience and trial and error
Term
Intuition relies heavily on
Definition
Past experience and trial and error
Term
Self-solving problems
Definition
If permitted to run a natural course, problems are solved by those personally involved
Term
If problem permitted to run a natural course,
Definition
Problems are solved by those personally involved
Term
Advantages to group problem solving
Definition
Groups are more likely than individuals to try several approaches
Groups may generate more complete, accurate, and less biased information than individuals
When groups solve problems the likelihood of cooperation in implementation increases
Term
Groups are more likely than individuals to
Definition
Try several approaches
Term
Groups may generate more ____ than individuals
Definition
complete, accurate, and less biased information
Term
Use group decision making when
Definition
-Time and deadlines allow for a group decision
-The problem is complex or unstructured
-The group’s members share the organization’s goals
-The group needs to accept the decision for proper implementation
-The process will not lead to unacceptable conflict
Term
Groupthink
Definition
a negative phenomenon occurring in highly cohesive, isolated groups in which group members come to think alike, which interferes with critical thinking
Term
Dialectical inquiry
Definition
a technique used to minimize groupthink through the use of a formal debate format
Term
Risky shift
Definition
A phenomenon seen in groups in which riskier, more controversial decisions are made
Term
In making a decision about what to do, what should the nurse consider first
Definition
Why a decision is needed
Who makes the decision
When it needs to be made
Term
Schmielding - reflective inquiry
Definition
Past experiences and knowledge are used to evaluate the situation.

Objective data are tested against one's thoughts and feelings.

Ideas about the problem are validated or refuted based on empirical evidence through a serial rather than a linear process.
Term
Umiker describes four ways to generate power:
Definition
Use words, through delivery, by listening, and through body language.
Term
Manifest behavior
Definition
Feelings or perceptions about the situation initiate behavior
Term
Suppression technique
Definition
The stage of conflict in which one of the conflicting parties is eliminated through transfer or termination
Term
Conflict process
Definition
Antecedent conditions -> perceived conflict/felt conflict -> conflict behavior (manifest behavior) -> conflict resolution or suppression -> resolution/outcomes
Term
Ideas are collected through a carefully designed sequence of questionnaires interspersed with summaries of information and opinions derived from previous questionnaires
Definition
Delphi
Term
Proactive management
Definition
attempts to resolve problems over which you have control
Term
Reactive management
Definition
wastes time on problems over which you have no control
Term
wastes time on problems over which you have no control
Definition
REactive management
Term
two main sources of power important in political action
Definition
Connection and information
Term
Politics involve
Definition
interpersonal endeavors, collective activities, analysis and planning, and image
Term
By using ____ and ____, nurses increase their professional influence
Definition
Power and politics
Supporting users have an ad free experience!