Term
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Definition
| A process of coordinating actions and allocating resources to achieve organizational goals |
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Term
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Definition
Influences or inspires actions and goals of others
Leaders do not have to have position of authority
Leaders are people who do the right thing |
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Definition
Information-processing role: used to manage information people need
Interpersonal role: figurehead, leader, liaison
Decision-making role: entrepreneur, disturbance handler, allocator of resources |
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Definition
Focus is on goals and productivity
Organization viewed as machine to run efficiently to increase production
Workers must have proper tools and equipment
Time and motion studies |
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Definition
Focus on superior–subordinate communication
Top down approach
Uses explicit rules and regulations for governing activities
Uses merit and skill as basis for promotion/reward
Concern for economic efficiency |
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Term
| Human relation management |
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Definition
| Focuses on individual worker as source of control, motivation, and productivity in organizations |
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Term
| Administrative Management |
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Definition
Focus is on science of management
Commonly referred to as the management process
Identifies need for Planning, Organizing, Supervising, Directing, Controlling, Reviewing, and Budget =
POSDCORB |
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Term
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Definition
| Identifies need for Planning, Organizing, Supervising, Directing, Controlling, Reviewing, and Budget = |
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Term
| First Level Manager Roles |
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Definition
Nurse at bedside
plans of care |
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Term
| Middle level Nurse Manager |
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Definition
Unit manager or director
Coordinates and planning |
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Term
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Definition
| Expanded role, chief nurse executive, VP |
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Term
| Administrative Principles |
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Definition
General principles of management relevant to any organization
Unity of command and direction
Worker gets orders from only one supervisor
Acceptance theory of authority
People have free will and choose to comply with the orders they are given
Organizations have naturally forming social groups that can become strong and powerful |
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Term
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Definition
Motivation occurs when needs are not met
Must satisfy one need to move on to next |
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Term
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Definition
Job dissatisfaction occurs when adequate salary, safe working conditions and relationships are not met
Motivation occurs with meaningful work and advancement opportunities |
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Definition
Leaders must direct and control
Employees prefer security, direction, and minimal responsibility to get the job done |
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Definition
Leaders remove obstacles as workers have self-control and self-discipline
The worker’s reward is their involvement in their work |
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Definition
Collaborative decision making
Long-term employment
Mentoring
Holistic concern |
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Term
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Definition
| Person in authority has sanctioned role in organization |
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Term
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Definition
An individual who has emerged as a leader outside the scope of a formal leadership role
Perceived to have influence |
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Term
| Leadership Characteristics |
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Definition
Guiding Vision
Passion
Integrity |
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Term
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Definition
Intelligence
Self-confidence
Determination
Integrity
Sociability
Visionary
Enthusiastic
Have high standards
Value education
Value professional development
Demostrate power in the organization
Active in a professional organization |
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Term
| Differences in Leaders Vs. Non-Leaders |
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Definition
Drive
Desire to Lead
HInesty and integrity
Self Confidence
Cognitive ability
Knowledge of the business |
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Definition
Centralized making decision
has power
Ex. Chavez, Fidel Castro |
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Definition
Participatory leader
Delegates authority to others
Expert power |
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Definition
Passive and Permissive
Defers decision making |
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Term
| Fielder's Contingency Theory |
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Definition
| Belief that a leader’s behavior is dependent upon the interaction of the personality of the leader and the needs of the situation |
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Term
| Good Leader-Member Relations |
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Definition
| Followers respect, trust and have confidence in the leader |
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Term
| Poor Leader Member relations |
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Definition
reflect distruct
Reflect a lack of confidence and respect
Dissatisfaction with the leader by the followers |
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Term
| Hersey and Blanchards Situational Theory |
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Definition
| addresses followers characteristics in relation to effective leader beliefs |
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Term
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Definition
| Leader works to motivate followers and influece goal accomplishment |
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Term
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Definition
| Charismatic leaders have self-confidence and strength in their convictions and communicate high expectations and confidence in others |
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Term
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Definition
| Seeks to empower othes to engage in persuing a collective purpose by working togethers |
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Term
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Definition
Transactional
Concerned with day-day operations
Transformational
Committed to a vision that empowers others
Change agents |
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Term
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Definition
| a system that orders principles into a grouping or classification |
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Term
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Definition
| is whatever influences our choices and creates direction, intensity, and persistence in our behavior. Process that occurs internally to influence and direct our behavior. |
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Term
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Definition
| manager concerned day-to-day operations |
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Term
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Definition
| Leader who is commited to a vision that empowers others |
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Term
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Definition
| They lead nursing practice, lead other nurses, lead the patients and communities toward improved health |
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Term
| Blake and Moutons leadership model |
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Definition
| has five styles to address hihg or low people concerns and low people concerns and high or low production concerns |
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Term
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Definition
The transfer to a competent individual of the authority to perform a selected nursing task in a selected situation
The nurse retains accountability for the delegation |
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Term
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Definition
| Being responsible and answerable for actions and inactions of self or others in the context of delegation. Compliance with legal requirements, and preparedness and obligation to explain or justify to relevant others |
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Term
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Definition
| Involves reliability, responsibility, obligation. Each person performing in an acceptable level using their education |
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Term
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Definition
Occurs when a person has been given the right to delegate as defined by the state Nurse Practice Act. Occurs when the nurse has the official power from an agency to delegate.
The right to delegate duties and give directions to unlicensed assistive personnel places the RN in a position of authority
Authority given by an agency legitimizes the right of the nurse to give direction to others |
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Term
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Definition
| a verb, describes the process of working through others |
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Term
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Definition
| a noun, describes what a person is directed to do |
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Definition
The ability of the nurse to act and integrate the knowledge, skills, values, attitudes, abilities, and professional judgment that underpin effective and quality nursing
Required to practice safely and ethically in a designated role and setting |
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Term
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Definition
| The presence of a licensed nurse working with other nurses and/or UAP to observe and direct |
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Term
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Definition
| Licensed nurse is not present |
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Term
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Definition
| The presence of a licensed nurse working with other nurses and/or UAP to observe and direct |
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Term
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Definition
| Licensed nurse is not present |
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Term
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Definition
Unsupervised
Initial direction and periodic inspection
Continuous supervision |
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Term
| Considerations for Delegation |
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Definition
Potential for harm
Complexity of the task
Amount of problem solving and innovation required
Unpredictability of outcomes
Level of patient interaction |
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Term
| Considerations for Delegation |
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Definition
Potential for harm
Complexity of the task
Amount of problem solving and innovation required
Unpredictability of outcomes
Level of patient interaction |
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Term
| Responsabilities of the RN |
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Definition
New graduates should focus on duties for which they are directly responsible
Responsible and accountable for the provision of nursing care
Always responsible for patient assessment, diagnosis, care planning, and evaluation |
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Term
| Responsabilities of the LVN/LPN |
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Definition
New graduates should focus on duties for which they are directly responsible
Responsible and accountable for the provision of nursing care
Always responsible for patient assessment, diagnosis, care planning, and evaluation |
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Term
| Responsabilities of the UAP |
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Definition
Skills gained through training program
Cannot complete assessments or patient potential responses to treatment |
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Term
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Definition
Right task
Right circumstance
Right person
Right direction/communication
Right supervision |
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Term
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Definition
Activities that include assisting the patient
Involves reporting and documenting |
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Term
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Definition
Activities necessary to support the patient and their environment
Assists in providing clean, efficient, and safe patient care milieu |
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Term
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Definition
Leads to delegating duties to personnel who are not educated for the tasks
Can overwork some personnel and underwork others
Can place the patient at risk
Personnel may feel uncomfortable performing duties that are unfamiliar to them, so they depend too much on others |
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Term
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Definition
Personnel in new job roles tend to underdelegate
May occur due to personnel avoidance
New nurses may be reluctant to delegate because they do not know or trust individuals or the team or are not clear on their scope of duties |
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Term
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Definition
Fear of being disliked
Inability to give up control of the situation
Inability to determine what to delegate and to whom
Past experience with delegation that did not turn out well
Lack of confidence to move beyond being a novice nurse
Tendency to isolate one’s self and choosing to complete all tasks alone |
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Term
| Organizational Responsibility for Delegation |
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Definition
Follow professional standards for education, licensure, and competency in all hiring decisions
Have clear job descriptions
Facilitate clinical and educational specialty certification
Provide standards for ongoing evaluation
Provide access to professional health care standards and policies |
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Term
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Definition
| The process of having personnel perform duties with the diversities of culture taken into consideration |
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Term
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Definition
Set of related commonsense skills that help people use time in the most effective and productive way possible
Allows people to achieve more with available time |
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Term
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Definition
Time management requires shift from wasting time on process of being busy to organizing time to achieve desired outcomes
States that 20 percent of focused effort results in 80 percent of outcome results |
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Term
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Definition
Time analysis
Use of time
Prioritizing Use of time
Aplication of time management strategies |
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Term
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Definition
| Self reporting of time and memory unreliable methods |
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Term
| Estimated time that nurses spend giving direct care |
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Definition
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Term
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Definition
no nurse works in isolation
Assess ABCs
Locate supplies nearest patient rooms
Nurses cannot work alone
they must transmit information
Plans of care must be flexibles
Reexamine shift action plan
Identify time wasters |
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Term
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Definition
Doing whatever hits first
Taking path of least resistance
Responding to squeaky wheel
Completing tasks by default
Relying on misguided inspiration |
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Term
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Definition
| A formal expression of the purpose or reason for existence of the organization |
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Term
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Definition
| A value statement of the principles and beliefs that direct the organization's behavior |
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Term
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Definition
| May be formally stated and explicit or may be implicit and part of the organizational culture |
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Term
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Definition
the sum total or outcome of the processes by which an organization engages in environmental analysis, goal formulation, and strategy development with the purpose of organizational growth and renewal
Provides unified vision and goals for the organization
Helps ensure that the needed resources are available to carry out initiatives |
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Term
| Steps in Strategic Planning Process |
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Definition
Perform environmental assessment
Conduct stakeholder analysis
Review literature for evidence-based best practices
Determine congruence with organizational mission
Identify planning goals and objectives
Estimate resources required for the plan
Prioritize according to available resources
Identify timelines and responsibilities
Develop marketing plan
Write and communicate business plan/strategic plan
Evaluation |
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Term
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Definition
| A situational assessment requiring a broad view of the organization’s current environment |
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Term
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Definition
| Is broadly based and attempts to view trends and future issues and needs that could impact the organization |
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Term
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Definition
| Seeks to inventory the organization’s assets and liabilities |
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Term
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Definition
Tool for conducting environmental assessments
Identifies both strengths and weaknesses in the internal environment and opportunities and threats in the exTool for conducting environmental assessments
Identifies both strengths and weaknesses in the internal environment and opportunities and threats in the external environment
ternal environment |
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Term
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Definition
S –Strengths
W –Weaknesses
O – Opportunities
T – Threats |
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Term
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Definition
| A stakeholder is any person, group, or organization that has a vested interest in the program or project under review |
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Term
| Other Methods of Assessments |
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Definition
Surveys/questionnaries
Focus groups/Interviews
Advisory Board
B
Review of literature on similar programs
Best practices
Planning goals and obejectives
Develop a marketing plan |
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Term
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Definition
Organizations are structured or organized to facilitate the execution of their mission, strategic plans, reporting lines, and communication within the organization
Functions on a continuum with levels of authority |
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Term
| Types Of Organizational Structures |
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Definition
Communicated by the use of an organizational chart
Types
Matrix
Flat versus tall
Decentralized versus centralized |
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Term
| Factor Influencing Organizational Structures |
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Definition
Environmental changes
New programs, services, or product lines
Change in leadership
Technology
Socio-cultural environment
Size
The larger an organization, the more complex the structures needed
Repetitiveness of tasks
Trends in organizations |
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Term
| a mission statement has three elements |
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Definition
Reflects what the unit seeks to do and become
A view of what the unit is trying to accomplish
Indicates what is unique about the care that is provided |
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Term
| a vision statement includes: |
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Definition
A vision statement is written down
It is written in present tense, using action words, as if it were already accomplished
It covers a variety of activities and spans broad time frames
It addresses the needs of providers, patients, and environment in a balanced manner that anchors it to reality |
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Term
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Definition
An organizational framework based on the idea of decentralized leadership that fosters autonomous decision making and professional nursing practice
It implies the allocation of control, power, or authority (governance) among mutually (shared) interested vested parties |
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Term
| Clinical Practice Council |
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Definition
The purpose is to establish the practice standards for the work group
A unit level committee that works in conjunction with the organizational committee accountable for determining policy and procedures related to clinical practice
Develops evidence-based practice standards |
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Term
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Definition
Has two purposes:
The credentialing of staff
Oversee the unit quality management initiatives |
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Term
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Definition
Purpose is to assess the learning needs of the unit staff
Develop and implement programs to meet learning needs
Learning organizations |
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Term
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Definition
| Advances evidence-based practice with the intent of staff incorporating research-based findings into the clinical standards of unit practice |
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Term
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Definition
Ensures that the standards of practice and governance agreed upon by unit staff are upheld
Ensures that there are adequate resources to deliver patient care |
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Term
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Definition
Facilitates and integrates the activities of the other councils
Composed of first-line patient care managers and chairpersons of other councils
Facilitates the annual review of the unit mission and vision
Develops the annual operational plan |
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Term
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Definition
A possession of the required skill, knowledge, qualification, or capacity
Competency of professional staff can be ensured through credentialing processes |
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Term
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Definition
| Acknowledges that staff have varying skill sets based on education and experience |
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Term
| Benner's Novice to Expert Model |
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Definition
| Facilitates professional staff development by building on the skill sets and experience of each practitioner |
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Term
| Benner's Novice to Expert Model |
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Definition
Novice (task-oriented and focused)
Advanced beginner (demonstrates marginally acceptable independent performance)
Competent (has been in the same role for one to three years; demonstrates conscious, deliberative planning)
Proficient (perceives the whole situation rather than a series of tasks)
Expert (intuitively knows what is going on with patients) |
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Term
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Definition
Maintains that there is no one best leadership style
Effective leadership lies in matching the appropriate leadership style to the individual’s or group’s level of task-relevant readiness |
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Term
| Situational Leadership accomplished through four styles of leadership |
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Definition
Directing
Coaching
Supporting
Delegating |
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Term
| Elements of Accountability-Based Care Delivery |
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Definition
Accountability is about outcomes, not processes
Accountability is individually defined
Accountability is inherent in the role, not delegated
Accountability is the foundation for evaluation |
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