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MS3 Exam 3 > Leadership and Management > Flashcards

Flashcards in Leadership and Management Deck (34)
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What is Leadership

-influences beliefs, opinions, or behaviors of person/group

-guides people towards a common goal

-combination of intrinsic, personality traits, learned skills and situation

-creates and cultivates a team

-motivates and inspires

-a change agent

-can be formal or informal

-looks a mission/values and strategic plan


Trait Theory

-leaders are born with certain leadership characteristics

-intelligence, energy, decisiveness, self-confidence, and cooperative


Interactional Theory

-includes situational and behavioral theories that stress that leadership success comes from the interactions between the leader and their followers


Moral Leadership Theory

-remaining honest fair and socially responsible under any circumstances


Emotional Intelligence Theory

addresses the effect of people's feelings on the team's emotional reality


Transformational Leadership

-teach, coach, and inspire

-seek input from followers

-continually striving to improve the workplace environment


Transactional Leadership

-focused on daily activities

-negotiates work tasks and rewards

-monitors work performance and corrects when needed



-role held by individuals in an organization

-team or group

-capacity or willingness to follow a leader

-the reciprocal social process of leadership

-believe in the vision

-an ACTIVE participant


What is Management?

-coordinates resources (people, time, and supplies to achieve desired outcomes

-plans and organizes what is to be done, how it is to be done, and who is to do it

-supervises staff

-controls day to day operations

-directs activities


-achieves organizational goals


Management Theory

3 prevalent management styles:

1. authoritarian-autocratic

2. democratic-participative

3. laissez-faire


Management Functions

1. planning
2. organizing
3. staffing
4. directing
5. controlling

-various phases occur simultaneously
-processes should be circular
-manager always working towards improving quality, patient safety, staff and customer satisfaction


Management Skills

-stays current with own skills
-organized and thinks ahead proactive
-knows policies and procedures
-treats everyone fairly
-role model
-communicates realities of complex situations
-knowledgeable of administration theory


Registered Nurse

-patient team management
-working with different customers: patient, nurses, doctors, support staff, families
-ensure that doctors orders are carried out in a timely manner
-the patient receives ordered care and services in a timely manner
-patient meets the goals of hospitalization
-contributes to departmental goals


Team Leader

-Charge Nurse
-organizes and plans care for the entire unit
-problem solves
-a resource for staff
-evaluates immediate care provided
-involvement on committees


Clinical Coordinator

-staffing schedules
-audits on care provided
-coordinate nursing schools
-patient advocate


Nurse Manager

-unit budgets
-performance evaluations
-ensure adherence to policy/procedures and accrediation requirements
-enhances the quality of care


Being a change agent

-change should be for good reason, planned and implemented gradually, never be unexpected or abrupt, participative
-reasons for change?
-stages: unfreezing, moving, refreezing
-leaders: imperative to be change agent
-willing to confront the demand for change
-recognizes resistance is natural response
-be an example
-implement effective strategies
-be inclusive



Hospital Consumer Assessment of Healthcare Providers and Systems

-national, standardized, publicly reported

-ALWAYS answers (9&10s)

-10 Domains


Create "The Environment"

-caring and respectful for All-How

-reward & recognize- thank you

-rounding on staff and spending time

meet staff's personal needs- scheduling

-guidance and support

-positive work environment

-address and prevent bullying


Increasing transformational leadership in order to increase patient safety by:

-maximizing work force capability
-ensuring efficiency and productivity
-increasing implementation of EVP at the bedside
-creating a culture of professionalism
-redesigning patient flow through facilities
-understanding healthcare politics



-details how financial resources will be allocated to achieve strategic goals

-dynamic plan


Budgeting functions

-coordinating and communicating
-monitoring progress
-evaluating performance


Operations control: budget

-first step: look at needs of unit

-get input from staff

-develop draft of budget

-review draft with nursing admin

-revise and submit to office of finance

-revise and submit to CFO and CEO

-organizational budget submitted to institutional board



Winning Others Over

-relationship-based persusion

-"helping people see things differently-engaging their minds and imaginations, then getting them to take action on the idea you recommend"

-use influence and persuasion rather than coercion and force


Evaluating Staff

-occur at first 90 day period, then at one year mark, then annually
-coaching and feedback should occur in both informal and formal ways
-documentation of interactions should be kept
-assist employee to develop goals
-must include a timeframe for action and re-eval



-ensuring adequate number and mix of healthcare team members to meet the needs of the patient

-must ensure patient safety and quality of care

-research validating value of RNs to improve patient outcomes, reducing complications, LOS, and preventing premature mortality


Primary considerations for staffing a nursing unit

-number of patients
-intensity, complexity of care required (acquity)

-staff experience, competency, and preparation

-availability of staff


Classic Nursing Care: Delivery Models

-total patient care
-functional nursing
-team nursing
-primary nursing


Total Patient Care

-nurse is responsible for planning, organizing, and performing all patient care during the assigned shift


Advantages of Total Patient Care

-RN maintains a high degree of practice autonomy

-Lines of responsibility and accountability are clear

-Patient receives hollistic un-fragmented care

-communication at shift change is simple and direct