Download - Nursing Trends and Issues
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Nursing Trends and Issues
NPN 215
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WHAT LIES BEHIND US AND
WHAT LIES BEFORE US ARE TINY
MATTERS COMPARED TO WHAT
LIES WITHIN US.
Oliver Wendell Holmes
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Leadership
Defined : process of influence
Any person in an organization can be a leader.
Characteristics contained in most persons who areleaders
passionate
curious
intelligent
flexible
self confident
have ability to support others
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Leadership
True leadership is not based on the
traditional views of having authority,
command, and power
Success of a leader depends on
Positive interactions between leaders
and followers
The leaders and the followers must havea reciprocal relationship
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Types of Leadership
Formal
A person in a position of influence or
authority, or who has a sanctioned role
within the organization
Informal
A person who demonstrates leadership
and has influence even though he or sheis not in the leadership role
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Leadership Styles
Autocratic
Laissez-faire
DemocraticEmployee centered
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Management
Define a process of coordinating actions,directing actions, and assigning resources
Purpose perform these tasks in order to
achieve the goals of the organizationManagement focuses on issues such ascosts, productivity, staffing, andeffectiveness
Management doses not equal leadership,but leadership may play a role inmanagement
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Management
Functions
Planning
Staffing
Organizing
Directing
Controlling
Decision making
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Leadership versus Management
Concepts are not interchangeable
Leaders do the right thing and managers do things right
Leaders get other people to do something and managers getother people to do what they do not want to do
Management works within the system, and leaders work on
the systemYou manage things and lead peopleThe 2 do not need to work against each other, as thisdescribes, but leaders can be managers and managers canbe leaders
Leadership is the preferred way, in todays world, to get
things done in health care
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Characteristics of a Nurse Leader
Experts in a particular field of nursing
Generalists
Self-reliant
Connectivity
FlexibilityCan disseminate information rapidly
Develops and maintains strong trust andinterpersonal connections with staff, peers,patients, and other professionals
Builds up and supports team members skills andstrengths
Thrives on uncertainty and chaos
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Direct Patient Care Nursing
Charge nurse or clinicalsupervisor
Expanded staff nurse role
May be permanent ortemporary
Functions as a liaison tomanagement
Tasks : shift coordination,quality care, problemssolver, help withprioritizing and making
decisionsMore limited authority andscope of responsibilitythan the manager
Staff nurse
No formal management orleadership rank
Works to manage patientcare
Uses skills ofmanagement andleadership when workingwith other staff nurses andassistive personnel
Supervise to ensure
quality patient careDelegates tasks to othersappropriately
Motivates staff
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LPN as Managers
You must always direct, handle, and organize careto the patients you are assigned to care for
You have the skills to function as 1st line managersBasic nursing skills and the nursing process
Time managementUse of resources and how to learn new information
Communication skills
Ethical and legal aspects of patient care
Stress management
How to participate in a clinical evaluation
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Power vs Authority
Power means being able to make change,
or to prevent change from happening.
Nurses have the power to take resources
and use them to benefit patient care.Power is linked with expertise in nursing
Authority is the right to act or to command
the actions of others. It comes with the job
of nursing because we cannot functionwithout it, and the amount is based on the
Nurse Practice Act
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Delegation and Assignment
Delegation is the transfer ofresponsibility for the performance ofan activity from one individual to
another while retaining accountabilityfor the outcome.
Assignment is the downward or lateraltransfer of both the responsibility andaccountability of an activity from oneindividual to another
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Accountability and Responsibility
Accountability is being responsible
and answerable for actions and
inactions of self or others in the
context of delegation
Responsibility is the obligation
involved when one accepts an
assignment
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Organizational Chart
State licensing board
Board of directors
CEO
Ethics committeeNurse manager
Charge nurse
Staff RN
LPN
Nursing assistant
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Communication
Communication is an essential skill forleaders
Giving information is not communication
Communication involves the sender, themessage, the receiver and feedback fromthe receiver
Use simple exact language
Use direct communicationMake sure the communication channelsare open
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Communication, cont.
Types of communication
Written
Non-verbal
Negative or hostileTherapeutic
Aggressive
PassivePassive-aggressive
Assertive
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Assertiveness
Are we handmaidens to the physicians
Traditionally LPNs are not assertive
Assertive communication is the ability to
express yourself and protect your rightswithout violating the rights of another
person
Nurse managers who are assertive aremore effective than those who are not
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10 Basic Rights of Women in the
Health Field (Melodie Chenevert)
You have the right to betreated with respect
You have the right to areasonable work load
You have the right to an
equitable wageYou have the right todetermine your ownpriorities
You have the right to ask
for what you want
You have the right torefuse without makingexcuses or feeling guilty
You have the right to makemistakes and to be
responsible for themYou have the right to giveand receive information asa professional
You have the right to act inthe best interest of thepatient
You have the right to behuman