Leadership and management in nursing /
Finkelman, Anita Ward.
Leadership and management in nursing / Anita W. Finkelman. - Upper Saddle River, N.J. : Pearson Prentice Hall, c2006. - xvii, 556 p. : ill. ; 28 cm.
Includes bibliographical references and index.
Contents
Section I. Leadership and planning
Overview of the domain
Chapter 1
Conceptual base for leadership and management
CHAPTER OUTLINE
WHAT?S AHEAD
OBJECTIVES
GEARING UP
CHANGE IN THE HEALTH CARE DELIVERY SYSTEM: IMPLICATIONS FOR NURSE LEADERSHIP
ACTIVE CONCEPT CHECK
LEADERSHIP AND MANAGEMENT THEORIES AND STYLES
An historical perspective of leadership theories
Modern or current leadership theories and styles
Deming?s theory
Drucker?s theory
Contingency theory
Management grid
Connective leadership
Emotional intelligence
Chaos and quantum theory
Knowledge management
Clear leadership
Transformational leadership
A conclusion: Effective leadership
ACTIVE CONCEPT CHECK
LEADERS AND MANAGERS: A COMPARISON
Who is a nurse leader?
Preparation and development of nurse managers
The nurse manager role
The Peter Principle
Nurse management development
Nurse manager competencies
Caring and trust
Leadership in community health
The image of nursing
Making a difference: Increasing nurse leaders
ACTIVE CONCEPT CHECK
CHAPTER WRAP-UP
END-OF-CHAPTER RESOURCES
REFERENCES
ADDITIONAL READINGS
Chapter 2
Change and decision-making
CHAPTER OUTLINE
WHAT?S AHEAD
OBJECTIVES
GEARING UP
THE FIVE Rs: CHANGE AND DECISION-MAKING IN ACTION
Reengineering the health care organization
Redesigning the workforce
Reregulating professional practice
Rightsizing the workforce
Restructuring nursing education
ACTIVE CONCEPT CHECK
THE CONCEPT OF CHANGE
Examples of change theories
Lewin?s force field model of change
Quinn?s theory of change
The process of change
Readiness for change
Resistance to change
Acceptance of change
Where to begin when confronted with change
The change agent
ACTIVE CONCEPT CHECK
A DECISION: A RESPONSE TO CHANGE
Decision styles
Types of decisions
The decision-making process
Nursing and critical thinking
Identify the need for a decision: What is the problem?
Decision-making conditions
Barriers to decision-making
Data collection
Selecting alternatives
Implementing and selling the decision
Evaluating results
Planning
ACTIVE CONCEPT CHECK
CHAPTER WRAP-UP
END-OF-CHAPTER RESOURCES
REFERENCES
ADDITIONAL READINGS
Chapter 3
Keys to working with others: Collaboration, coordination, and conflict resolution
CHAPTER OUTLINE
WHAT?S AHEAD
OBJECTIVES
GEARING UP
COLLABORATION
Definitions
Barriers to effective collaboration
Nurse-physician relationships
Skills to achieve effective collaboration
Application of collaboration
ACTIVE CONCEPT CHECK
COORDINATION
Definitions
Barriers to effective coordination
Skills to achieve coordination
Application of coordination
ACTIVE CONCEPT CHECK
NEGOTIATION AND CONFLICT RESOLUTION
Definitions
Causes of conflict
Stages of conflict
Prevention of conflict
Conflict management: Issues and strategies
Powerlessness and empowerment
Aggressiveness and passive-aggressiveness
How do individual staff members cope with conflict?
Gender issues
Nurse-physician relationships
Application of negotiation to conflict resolution
Mediation
ACTIVE CONCEPT CHECK
CHAPTER WRAP-UP
END-OF-CHAPTER RESOURCES
REFERENCES
ADDITIONAL READINGS
Chapter 4
Effective staff communication and working relationships
CHAPTER OUTLINE
WHAT?S AHEAD
OBJECTIVES
GEARING UP
COMMUNICATION: WHAT IS IT?
Communication systems and lines of communication
Downward communication
Upward communication
Lateral communication
Diagonal communication
Four basic principles of communication
The communication process
Communication component systems: verbal, nonverbal, and metacommunication
Verbal communication
Nonverbal communication
Metacommunication
Assessment of communication effectiveness
Barriers to communication
Examples of critical barriers
Information overload
Importance of feedback: giving and receiving feedback
Grapevine: Is it good or bad?
ACTIVE CONCEPT CHECK
COMMUNICATION METHODS
Written communication
Face-to-face communication
Storytelling
Information Technology and communication
Telephone
E-mail
Videoconferencing
Web pages
Resolving communication problems and improving communication
Communication styles
ACTIVE CONCEPT CHECK
CHAPTER WRAP-UP
END-OF-CHAPTER RESOURCES
REFERENCES
ADDITIONAL READINGS
Section II. Delivery systems/nursing models
Overview of the domain
Chapter 5
Organizational structure for effective care delivery
CHAPTER OUTLINE
WHAT?S AHEAD
OBJECTIVES
GEARING UP
ORGANIZATIONAL THEORIES: EMPHASIS ON STRUCTURE AND PROCESS
Organizational theories
Classical theory
Bureaucratic organizations
Systems theory
Contingency design theory
Integrated delivery system
Service integration
Structure and process: Parts of organizational theory
Structure
Process
ACTIVE CONCEPT CHECK
HEALTH CARE ORGANIZATIONS
For profit and not-for-profit health care organizations
Marketing
The four P?s of marking
The marking plan
Health care providers
Professional nursing practice within nursing care models
Total patient care/case method
Functional nursing
Team nursing
Primary nursing
Care and service team models
Care management model
Interdisciplinary and transdisciplinary practice model
Shared governance
Organizational analysis
ACTIVE CONCEPT CHECK
CHAPTER WRAP-UP
END-OF-CHAPTER RESOURCES
REFERENCES
ADDITIONAL READINGS
Chapter 6
Acute care organizations: An example of a health care organization
CHAPTER OUTLINE
WHAT?S AHEAD
OBJECTIVES
GEARING UP
DEVELOPMENT OF U.S. HOSPITALS
Acute care organization and governance
Classification of hospitals
Typical departments found in an acute care hospital
Organizations and committees
Description of typical committee
Nursing roles on committees
Differentiated practice: Moving to a professional practice model
ACTIVE CONCEPT CHECK
FRAMEWORK FOR EFFECTIVE CARE
Standards
Types of standards
Policies and procedures
Definitions of policy and procedure
Policy and procedure formats
Policy and procedure committee
Role of nursing administration
Role of committee members
Role of the committee chairperson
The process of policy and procedure development
ACTIVE CONCEPT CHECK
CHANGES THAT AFFECT ACUTE HEALTH CARE DELIVERY
Emergency services
Patient access to services
Patient education
Expansion into new areas and approaches
Use of hospitalists/intensivists
Advanced practice nurses, clinical nurse specialists, and nurse midwives
Alternative/complementary therapies
Financial issues and managed care: Impact on acute care
Continuum of care and acute care
Primary care providers
Nurses and acute care hospital changes
Staffing issues
ACTIVE CONCEPT CHECK
MAGNET NURSING SERVICES RECOGNITION PROGRAM
Research: The pathway to the Magnet nursing services recognition services program
Magnet hospital framework
Building magnetism
The Magnet recognition process
Benefits
ACTIVE CONCEPT CHECK
CHAPTER WRAP-UP
END-OF-CHAPTER RESOURCES
REFERENCES
ADDITIONAL READINGS
Chapter 7
Teamwork and motivation
CHAPTER OUTLINE
WHAT?S AHEAD
OBJECTIVES
GEARING UP
TEAMS IN TODAY?S HEALTH CARE ENVIRONMENT
Teams and teamwork
Types of teams
Team-based organizations
The team leader
Team leader characteristics
Tasks and responsibilities
Gender issues and team leadership
Followership: A critical concept
Team building: Development of effective teams
Team norms, roles, and communication
Team tasks and functions
Team size and composition
Examples: The nursing team and the interdisciplinary team
ACTIVE CONCEPT CHECK
EFFECTIVE TEAMS
Stages of team development
Motivation
Definition and motivation theories
Assessment of the motivational climate
Strategies to improve motivation
Building group power and spirit
Barriers to team success
Getting the job done
The charge nurse and the team
ACTIVE CONCEPT CHECK
CHAPTER WRAP-UP
END-OF-CHAPTER RESOURCES
REFERENCES
ADDITIONAL READINGS
Chapter 8
Delegation for the staff nurse
CHAPTER OUTLINE
WHAT?S AHEAD
OBJECTIVES
GEARING UP
DELEGATION: WHAT IS IT?
Benefits of delegation
Legal issues related to delegation
Critical delegation issues: Authority, responsibility, and accountability
Delegation and unlicensed assistive personnel
The delegation process and the NCSBN guidelines
ACTIVE CONCEPT CHECK
EFFECTIVE DELEGATION
Characteristics of effective delegation
Assessment of the delegation process
Barriers to effective delegation
Supervision and assignments
ACTIVE CONCEPT CHECK
CHAPTER WRAP-UP
END-OF-CHAPTER RESOURCES
REFERENCES
ADDITIONAL READINGS
Chapter 9
Tools to manage and evaluate care
CHAPTER OUTLINE
WHAT?S AHEAD
OBJECTIVES
CLINICAL PATHWAYS
Definition of clinical pathway
Evolution of pathways
Purpose of pathways
Pathway development and implementation
Development team
Development of pathway format
Identification of target population
Development of content
Initiation of the pilot testing
Collaboration with managed care organizations
Liability and ethical issues
Pathway implementation
Pathway evaluation
ACTIVE CONCEPT CHECK
OTHER TOOLS USED TO MANAGE CARE
Practice guidelines
Definition and purpose
Managed care interest in practice guidelines
Development of practice guidelines
Disease management
Definition and purpose
Managed care interest in disease management
Development of disease management programs
Provider response to disease management programs
Demand management
Standards of care
Utilization review/management
Benchmarking
Evidence-based practice
Health promotion and disease and illness prevention
ACTIVE CONCEPT CHECK
CHAPTER WRAP-UP
END-OF-CHAPTER RESOURCES
REFERENCES
ADDITIONAL READINGS
Section III. Legislation/regulation/policy
Overview of the domain
Chapter 10
Health care policy, legal issues, and ethics in health care delivery
CHAPTER OUTLINE
WHAT?S AHEAD
OBJECTIVES
GEARING UP
HEALTH CARE POLICY
Key health care policy issues
Increasing cost of health care
Disparity in health care delivery
Commercialization of health care
Consumers
Health care policy effects on the community
The policy making process
The political process
Health care policy and nursing
Nurse participation in health care policy development
Importance of collaboration in health care policy
Legislation: Impact on health care delivery and policy
Federal level
State level
ACTIVE CONCEPT CHECK
LEGAL ISSUES AND NURSING
Basic legal terminology
Patient privacy: The law expands
ACTIVE CONCEPT CHECK
ETHICS: IMPACT ON DECISION-MAKING, PLANNING, AND PRACTICE
Ethical decision-making
Professional ethics
Ethical decision making
Making complaints to the board of nursing
Managed care organization and ethics
Health care rationing
Health care fraud and abuse
Whistleblowing
Corporate health care fraud
Example: Health care fraud and abuse in psychiatric hospitals
Example: Operation Restore Trust
Organizational ethics
Nurses coping with ethical dilemmas
Application of Code for Nurses
ACTIVE CONCEPT CHECK
CHAPTER WRAP UP
REFERENCES
ADDITIONAL READINGS
Chapter 11
Consumers and Nurses
CHAPTER OUTLINE
WHAT?S AHEAD
GEARING UP
THE CONSUMER AND HEALTH CARE
Who Is the Consumer?
History of health care consumerism
Consumerism and its issues
Impact of managed care on consumerism
Public policy and the health care consumer
Consumer rights
Special reports: Do they have implications for the consumer?
Examples of consumer issues
Health care information and consumers
Patient satisfaction and quality
The nurse as a patient advocate
ACTIVE CONCEPT CHECK
CHAPTER WRAP-UP
REFERENCES
ADDITIONAL READINGS
Section IV. Recruitment/retention
Overview of the domain
Chapter 12
Recruitment and retention: Meeting staffing requirements
CHAPTER OUTLINE
WHAT?S AHEAD
OBJECTIVES
GEARING UP
RECRUITMENT
Human resources
Functions and activities
Human resources policies and procedures
Legal issues
What is recruitment?
Job analysis and position descriptions
The employment process
Screening
The interview
Interviewer: Planning for the interview
Interviewing guidelines
An effective job interview: Hiring staff and getting the job
The job candidate and the interview
Post-interview and selection
When is the job the right job?
ACTIVE CONCEPT CHECK
RETENTION: WHY IS IT IMPORTANT?
Turnover: costs, reasons, prevention
Staff role
Orientation: Its role in retention and prevention of reality shock
Losing staff
Termination
Resignation
Exit interview
ACTIVE CONCEPT CHECK
PERFORMANCE APPRAISAL
Performance standards and position descriptions
Competency based performance appraisal
Legal and regulatory issues
Performance appraisal/evaluation process
Appraiser?s role
The appraisal interview
Employee?s role
Problems with employees
During performance appraisal process
Stress on the job
Coping with passive-aggressive behavior
ACTIVE CONCEPT CHECK
STAFFING: THE CRITICAL ISSUE TODAY
Staffing basics
The nursing shortage
Strategies to resolve the problems: Some successful and some are not
ACTIVE CONCEPT CHECK
CHAPTER WRAP-UP
END-OF-CHAPTER RESOURCES
REFERENCES
ADDITIONAL READINGS
Section V. Professional/nursing culture
Overview of the domain
Chapter 13
Keys to professional success
CHAPTER OUTLINE
WHAT?S AHEAD
OBJECTIVES
GEARING UP
CAREER DEVELOPMENT
First job: Early issues
Career plan: A professional growth action plan
Getting guidance
Networking
Precepting
Coaching
Comparison of mentors, preceptors, and coaches
Licensure
Certification
Professional organizations: Developing a nursing career
Seeking promotion
Entrepreneur/intrapreneur
Lifelong learning: Nursing professional development
Competency based learning
Pursuit of educational activities
Documentation of professional development activities
Returning to school: What needs to be done?
Continuing competency: Where is the profession going?
ACTIVE CONCEPT CHECK
TIME MANAGEMENT
Making the most of your time
Time analysis
Goal and priority setting
Daily planning and scheduling
Techniques to better manage time
Making rounds
Time management implementation and barriers
Information overload
Interruptions
Respecting time
Wasting time and procrastination, perfectionism, and prioritization
Working in blocks of time
Work expansion
Using delegation effectively
Meetings
Preparing for a meeting
Attending a meeting
Chairing a meeting
ACTIVE CONCEPT CHECK
CHAPTER WRAP-UP
END-OF-CHAPTER RESOURCES
REFERENCES
ADDITIONAL READINGS
Section VI. Economic Value
Overview of the domain
Chapter 14
Health care financial issues
CHAPTER OUTLINE
WHAT?S AHEAD
OBJECTIVES
GEARING UP
HEALTH CARE FINANCIAL ISSUES: THE MACROLEVEL
National health care expenditures
Reimbursement for health care services
Key players in the reimbursement process
What is health insurance?
Prospective versus retrospective payment
Compensation for health services
Covered services/benefits
Government health benefit programs
Medicare
Medicaid
Federal employees health benefit program
Military health care
Veteran?s administration
State insurance programs
Managed care
The development of managed care
Managed care models
The changing view of managed care
Managed care strategies to control cost and quality
Reimbursement issues: Impact on nurses and nursing care
ACTIVE CONCEPT CHECK
FINANCIAL ISSUES: MICROLEVEL
Financial component of hospitals and other types of health care organizations
Key financial management terminology
The budgetary process: An overview
Productivity
Cost containment
ACTIVE CONCEPT CHECK
CHAPTER WRAP-UP
END-OF-CHAPTER RESOURCES
REFERENCES
ADDITIONAL READINGS
Section VII. Work environment
Overview of the domain
Chapter 15
Technology and health care
CHAPTER OUTLINE
WHAT?S AHEAD
OBJECTIVES
GEARING UP
IMPORTANCE OF INFORMATION AND CLINICAL TECHNOLOGY
Critical factors
Technical skills
Information technology and critical issues
Privacy and confidentiality
Clinical information system
ACTIVE CONCEPT CHECK
TECHNOLOGY: IMPACT ON HEALTH CARE DELIVERY
Telehealth
Implications for clinical practice
Implications for nursing education
Implications for nursing administration
Implications for nursing research
Implications for patient education
Technology and managed care
ACTIVE CONCEPT CHECK
CHAPTER WRAP-UP
END-OF-CHAPTER RESOURCES
REFERENCES
ADDITIONAL READINGS
Chapter 16
Health care quality improvement and safety
CHAPTER OUTLINE
WHAT?S AHEAD
OBJECTIVES
GEARING UP
THE CHANGING VIEW OF QUALITY
Increased interest in quality care
To Err Is Human. Building a Safer Health System
Crossing the Quality Chasm
Envisioning the National Health Care Quality Report
Leadership by Example
Who will keep the Public Healthy?
Health Professions Education
Priority Areas for National Action: Transforming Health Care Quality
Keeping Patients Safe: Transforming the Work Environment of Nurses
Patient Safety: Achieving a New Standard of Care
Definition of quality
Critical elements
Critical health care safety issues
ACTIVE CONCEPT CHECK
QUALITY, SAFE CARE: MEASUREMENT AND IMPROVEMENT
The accreditation process
What is accreditation?
Outcomes
Joint Commission on Accreditation of Healthcare Organizations
Nurses and JCAHO
Methods to measure and ensure quality, safe care
Standards of care
Credentialing and licensure
Utilization review/management
Clinical guidelines
Clinical pathways
Benchmarking
Evidence-based practice
Assessment of access to health care
Risk management
Quality report cards
Nursing and quality care cards
An example of professional perspectives on the quality of care
The future direction: Nursing quality issues
ACTIVE CONCEPT CHECK
CHAPTER WRAP-UP
END-OF-CHAPTER RESOURCES
REFERENCES
ADDITIONAL READINGS
Section VIII. Diversity
Overview of the domain
Chapter 17
Pulling it all together: The culture of the organization
CHAPTER OUTLINE
WHAT?S AHEAD
OBJECTIVES
GEARING UP
CULTURE AND CLIMATE: BUILDING CULTURAL COMPETENCY
Definition of organizational culture and climate
Consonant and dissonant cultures
An effective, creative, and productive workplace
Legal issues
The staff and their culture
A culturally diverse staff
Generational issues and their effects on organizational culture
ACTIVE CONCEPT CHECK
CULTURAL PERCEPTIONS OF HEALTH AND ILLNESS: NEED FOR A CARING, HEALING
ENVIRONMENT
What is the healing environment?
The physical environment as part of a healing environment
A diverse patient population
Safety: A component of organizational culture
Facilitating diversity and cultural diversity within health care organizations
ACTIVE CONCEPT CHECK
CHAPTER WRAP-UP
END-OF-CHAPTER RESOURCES
REFERENCES
0131138693 (pbk.) 9780131138698
2005007483
Nursing services--Administration.
Leadership.
Leadership.
Nurse Administrators.
Nursing, Supervisory.
WY 105 F499l 2006
Leadership and management in nursing / Anita W. Finkelman. - Upper Saddle River, N.J. : Pearson Prentice Hall, c2006. - xvii, 556 p. : ill. ; 28 cm.
Includes bibliographical references and index.
Contents
Section I. Leadership and planning
Overview of the domain
Chapter 1
Conceptual base for leadership and management
CHAPTER OUTLINE
WHAT?S AHEAD
OBJECTIVES
GEARING UP
CHANGE IN THE HEALTH CARE DELIVERY SYSTEM: IMPLICATIONS FOR NURSE LEADERSHIP
ACTIVE CONCEPT CHECK
LEADERSHIP AND MANAGEMENT THEORIES AND STYLES
An historical perspective of leadership theories
Modern or current leadership theories and styles
Deming?s theory
Drucker?s theory
Contingency theory
Management grid
Connective leadership
Emotional intelligence
Chaos and quantum theory
Knowledge management
Clear leadership
Transformational leadership
A conclusion: Effective leadership
ACTIVE CONCEPT CHECK
LEADERS AND MANAGERS: A COMPARISON
Who is a nurse leader?
Preparation and development of nurse managers
The nurse manager role
The Peter Principle
Nurse management development
Nurse manager competencies
Caring and trust
Leadership in community health
The image of nursing
Making a difference: Increasing nurse leaders
ACTIVE CONCEPT CHECK
CHAPTER WRAP-UP
END-OF-CHAPTER RESOURCES
REFERENCES
ADDITIONAL READINGS
Chapter 2
Change and decision-making
CHAPTER OUTLINE
WHAT?S AHEAD
OBJECTIVES
GEARING UP
THE FIVE Rs: CHANGE AND DECISION-MAKING IN ACTION
Reengineering the health care organization
Redesigning the workforce
Reregulating professional practice
Rightsizing the workforce
Restructuring nursing education
ACTIVE CONCEPT CHECK
THE CONCEPT OF CHANGE
Examples of change theories
Lewin?s force field model of change
Quinn?s theory of change
The process of change
Readiness for change
Resistance to change
Acceptance of change
Where to begin when confronted with change
The change agent
ACTIVE CONCEPT CHECK
A DECISION: A RESPONSE TO CHANGE
Decision styles
Types of decisions
The decision-making process
Nursing and critical thinking
Identify the need for a decision: What is the problem?
Decision-making conditions
Barriers to decision-making
Data collection
Selecting alternatives
Implementing and selling the decision
Evaluating results
Planning
ACTIVE CONCEPT CHECK
CHAPTER WRAP-UP
END-OF-CHAPTER RESOURCES
REFERENCES
ADDITIONAL READINGS
Chapter 3
Keys to working with others: Collaboration, coordination, and conflict resolution
CHAPTER OUTLINE
WHAT?S AHEAD
OBJECTIVES
GEARING UP
COLLABORATION
Definitions
Barriers to effective collaboration
Nurse-physician relationships
Skills to achieve effective collaboration
Application of collaboration
ACTIVE CONCEPT CHECK
COORDINATION
Definitions
Barriers to effective coordination
Skills to achieve coordination
Application of coordination
ACTIVE CONCEPT CHECK
NEGOTIATION AND CONFLICT RESOLUTION
Definitions
Causes of conflict
Stages of conflict
Prevention of conflict
Conflict management: Issues and strategies
Powerlessness and empowerment
Aggressiveness and passive-aggressiveness
How do individual staff members cope with conflict?
Gender issues
Nurse-physician relationships
Application of negotiation to conflict resolution
Mediation
ACTIVE CONCEPT CHECK
CHAPTER WRAP-UP
END-OF-CHAPTER RESOURCES
REFERENCES
ADDITIONAL READINGS
Chapter 4
Effective staff communication and working relationships
CHAPTER OUTLINE
WHAT?S AHEAD
OBJECTIVES
GEARING UP
COMMUNICATION: WHAT IS IT?
Communication systems and lines of communication
Downward communication
Upward communication
Lateral communication
Diagonal communication
Four basic principles of communication
The communication process
Communication component systems: verbal, nonverbal, and metacommunication
Verbal communication
Nonverbal communication
Metacommunication
Assessment of communication effectiveness
Barriers to communication
Examples of critical barriers
Information overload
Importance of feedback: giving and receiving feedback
Grapevine: Is it good or bad?
ACTIVE CONCEPT CHECK
COMMUNICATION METHODS
Written communication
Face-to-face communication
Storytelling
Information Technology and communication
Telephone
Videoconferencing
Web pages
Resolving communication problems and improving communication
Communication styles
ACTIVE CONCEPT CHECK
CHAPTER WRAP-UP
END-OF-CHAPTER RESOURCES
REFERENCES
ADDITIONAL READINGS
Section II. Delivery systems/nursing models
Overview of the domain
Chapter 5
Organizational structure for effective care delivery
CHAPTER OUTLINE
WHAT?S AHEAD
OBJECTIVES
GEARING UP
ORGANIZATIONAL THEORIES: EMPHASIS ON STRUCTURE AND PROCESS
Organizational theories
Classical theory
Bureaucratic organizations
Systems theory
Contingency design theory
Integrated delivery system
Service integration
Structure and process: Parts of organizational theory
Structure
Process
ACTIVE CONCEPT CHECK
HEALTH CARE ORGANIZATIONS
For profit and not-for-profit health care organizations
Marketing
The four P?s of marking
The marking plan
Health care providers
Professional nursing practice within nursing care models
Total patient care/case method
Functional nursing
Team nursing
Primary nursing
Care and service team models
Care management model
Interdisciplinary and transdisciplinary practice model
Shared governance
Organizational analysis
ACTIVE CONCEPT CHECK
CHAPTER WRAP-UP
END-OF-CHAPTER RESOURCES
REFERENCES
ADDITIONAL READINGS
Chapter 6
Acute care organizations: An example of a health care organization
CHAPTER OUTLINE
WHAT?S AHEAD
OBJECTIVES
GEARING UP
DEVELOPMENT OF U.S. HOSPITALS
Acute care organization and governance
Classification of hospitals
Typical departments found in an acute care hospital
Organizations and committees
Description of typical committee
Nursing roles on committees
Differentiated practice: Moving to a professional practice model
ACTIVE CONCEPT CHECK
FRAMEWORK FOR EFFECTIVE CARE
Standards
Types of standards
Policies and procedures
Definitions of policy and procedure
Policy and procedure formats
Policy and procedure committee
Role of nursing administration
Role of committee members
Role of the committee chairperson
The process of policy and procedure development
ACTIVE CONCEPT CHECK
CHANGES THAT AFFECT ACUTE HEALTH CARE DELIVERY
Emergency services
Patient access to services
Patient education
Expansion into new areas and approaches
Use of hospitalists/intensivists
Advanced practice nurses, clinical nurse specialists, and nurse midwives
Alternative/complementary therapies
Financial issues and managed care: Impact on acute care
Continuum of care and acute care
Primary care providers
Nurses and acute care hospital changes
Staffing issues
ACTIVE CONCEPT CHECK
MAGNET NURSING SERVICES RECOGNITION PROGRAM
Research: The pathway to the Magnet nursing services recognition services program
Magnet hospital framework
Building magnetism
The Magnet recognition process
Benefits
ACTIVE CONCEPT CHECK
CHAPTER WRAP-UP
END-OF-CHAPTER RESOURCES
REFERENCES
ADDITIONAL READINGS
Chapter 7
Teamwork and motivation
CHAPTER OUTLINE
WHAT?S AHEAD
OBJECTIVES
GEARING UP
TEAMS IN TODAY?S HEALTH CARE ENVIRONMENT
Teams and teamwork
Types of teams
Team-based organizations
The team leader
Team leader characteristics
Tasks and responsibilities
Gender issues and team leadership
Followership: A critical concept
Team building: Development of effective teams
Team norms, roles, and communication
Team tasks and functions
Team size and composition
Examples: The nursing team and the interdisciplinary team
ACTIVE CONCEPT CHECK
EFFECTIVE TEAMS
Stages of team development
Motivation
Definition and motivation theories
Assessment of the motivational climate
Strategies to improve motivation
Building group power and spirit
Barriers to team success
Getting the job done
The charge nurse and the team
ACTIVE CONCEPT CHECK
CHAPTER WRAP-UP
END-OF-CHAPTER RESOURCES
REFERENCES
ADDITIONAL READINGS
Chapter 8
Delegation for the staff nurse
CHAPTER OUTLINE
WHAT?S AHEAD
OBJECTIVES
GEARING UP
DELEGATION: WHAT IS IT?
Benefits of delegation
Legal issues related to delegation
Critical delegation issues: Authority, responsibility, and accountability
Delegation and unlicensed assistive personnel
The delegation process and the NCSBN guidelines
ACTIVE CONCEPT CHECK
EFFECTIVE DELEGATION
Characteristics of effective delegation
Assessment of the delegation process
Barriers to effective delegation
Supervision and assignments
ACTIVE CONCEPT CHECK
CHAPTER WRAP-UP
END-OF-CHAPTER RESOURCES
REFERENCES
ADDITIONAL READINGS
Chapter 9
Tools to manage and evaluate care
CHAPTER OUTLINE
WHAT?S AHEAD
OBJECTIVES
CLINICAL PATHWAYS
Definition of clinical pathway
Evolution of pathways
Purpose of pathways
Pathway development and implementation
Development team
Development of pathway format
Identification of target population
Development of content
Initiation of the pilot testing
Collaboration with managed care organizations
Liability and ethical issues
Pathway implementation
Pathway evaluation
ACTIVE CONCEPT CHECK
OTHER TOOLS USED TO MANAGE CARE
Practice guidelines
Definition and purpose
Managed care interest in practice guidelines
Development of practice guidelines
Disease management
Definition and purpose
Managed care interest in disease management
Development of disease management programs
Provider response to disease management programs
Demand management
Standards of care
Utilization review/management
Benchmarking
Evidence-based practice
Health promotion and disease and illness prevention
ACTIVE CONCEPT CHECK
CHAPTER WRAP-UP
END-OF-CHAPTER RESOURCES
REFERENCES
ADDITIONAL READINGS
Section III. Legislation/regulation/policy
Overview of the domain
Chapter 10
Health care policy, legal issues, and ethics in health care delivery
CHAPTER OUTLINE
WHAT?S AHEAD
OBJECTIVES
GEARING UP
HEALTH CARE POLICY
Key health care policy issues
Increasing cost of health care
Disparity in health care delivery
Commercialization of health care
Consumers
Health care policy effects on the community
The policy making process
The political process
Health care policy and nursing
Nurse participation in health care policy development
Importance of collaboration in health care policy
Legislation: Impact on health care delivery and policy
Federal level
State level
ACTIVE CONCEPT CHECK
LEGAL ISSUES AND NURSING
Basic legal terminology
Patient privacy: The law expands
ACTIVE CONCEPT CHECK
ETHICS: IMPACT ON DECISION-MAKING, PLANNING, AND PRACTICE
Ethical decision-making
Professional ethics
Ethical decision making
Making complaints to the board of nursing
Managed care organization and ethics
Health care rationing
Health care fraud and abuse
Whistleblowing
Corporate health care fraud
Example: Health care fraud and abuse in psychiatric hospitals
Example: Operation Restore Trust
Organizational ethics
Nurses coping with ethical dilemmas
Application of Code for Nurses
ACTIVE CONCEPT CHECK
CHAPTER WRAP UP
REFERENCES
ADDITIONAL READINGS
Chapter 11
Consumers and Nurses
CHAPTER OUTLINE
WHAT?S AHEAD
GEARING UP
THE CONSUMER AND HEALTH CARE
Who Is the Consumer?
History of health care consumerism
Consumerism and its issues
Impact of managed care on consumerism
Public policy and the health care consumer
Consumer rights
Special reports: Do they have implications for the consumer?
Examples of consumer issues
Health care information and consumers
Patient satisfaction and quality
The nurse as a patient advocate
ACTIVE CONCEPT CHECK
CHAPTER WRAP-UP
REFERENCES
ADDITIONAL READINGS
Section IV. Recruitment/retention
Overview of the domain
Chapter 12
Recruitment and retention: Meeting staffing requirements
CHAPTER OUTLINE
WHAT?S AHEAD
OBJECTIVES
GEARING UP
RECRUITMENT
Human resources
Functions and activities
Human resources policies and procedures
Legal issues
What is recruitment?
Job analysis and position descriptions
The employment process
Screening
The interview
Interviewer: Planning for the interview
Interviewing guidelines
An effective job interview: Hiring staff and getting the job
The job candidate and the interview
Post-interview and selection
When is the job the right job?
ACTIVE CONCEPT CHECK
RETENTION: WHY IS IT IMPORTANT?
Turnover: costs, reasons, prevention
Staff role
Orientation: Its role in retention and prevention of reality shock
Losing staff
Termination
Resignation
Exit interview
ACTIVE CONCEPT CHECK
PERFORMANCE APPRAISAL
Performance standards and position descriptions
Competency based performance appraisal
Legal and regulatory issues
Performance appraisal/evaluation process
Appraiser?s role
The appraisal interview
Employee?s role
Problems with employees
During performance appraisal process
Stress on the job
Coping with passive-aggressive behavior
ACTIVE CONCEPT CHECK
STAFFING: THE CRITICAL ISSUE TODAY
Staffing basics
The nursing shortage
Strategies to resolve the problems: Some successful and some are not
ACTIVE CONCEPT CHECK
CHAPTER WRAP-UP
END-OF-CHAPTER RESOURCES
REFERENCES
ADDITIONAL READINGS
Section V. Professional/nursing culture
Overview of the domain
Chapter 13
Keys to professional success
CHAPTER OUTLINE
WHAT?S AHEAD
OBJECTIVES
GEARING UP
CAREER DEVELOPMENT
First job: Early issues
Career plan: A professional growth action plan
Getting guidance
Networking
Precepting
Coaching
Comparison of mentors, preceptors, and coaches
Licensure
Certification
Professional organizations: Developing a nursing career
Seeking promotion
Entrepreneur/intrapreneur
Lifelong learning: Nursing professional development
Competency based learning
Pursuit of educational activities
Documentation of professional development activities
Returning to school: What needs to be done?
Continuing competency: Where is the profession going?
ACTIVE CONCEPT CHECK
TIME MANAGEMENT
Making the most of your time
Time analysis
Goal and priority setting
Daily planning and scheduling
Techniques to better manage time
Making rounds
Time management implementation and barriers
Information overload
Interruptions
Respecting time
Wasting time and procrastination, perfectionism, and prioritization
Working in blocks of time
Work expansion
Using delegation effectively
Meetings
Preparing for a meeting
Attending a meeting
Chairing a meeting
ACTIVE CONCEPT CHECK
CHAPTER WRAP-UP
END-OF-CHAPTER RESOURCES
REFERENCES
ADDITIONAL READINGS
Section VI. Economic Value
Overview of the domain
Chapter 14
Health care financial issues
CHAPTER OUTLINE
WHAT?S AHEAD
OBJECTIVES
GEARING UP
HEALTH CARE FINANCIAL ISSUES: THE MACROLEVEL
National health care expenditures
Reimbursement for health care services
Key players in the reimbursement process
What is health insurance?
Prospective versus retrospective payment
Compensation for health services
Covered services/benefits
Government health benefit programs
Medicare
Medicaid
Federal employees health benefit program
Military health care
Veteran?s administration
State insurance programs
Managed care
The development of managed care
Managed care models
The changing view of managed care
Managed care strategies to control cost and quality
Reimbursement issues: Impact on nurses and nursing care
ACTIVE CONCEPT CHECK
FINANCIAL ISSUES: MICROLEVEL
Financial component of hospitals and other types of health care organizations
Key financial management terminology
The budgetary process: An overview
Productivity
Cost containment
ACTIVE CONCEPT CHECK
CHAPTER WRAP-UP
END-OF-CHAPTER RESOURCES
REFERENCES
ADDITIONAL READINGS
Section VII. Work environment
Overview of the domain
Chapter 15
Technology and health care
CHAPTER OUTLINE
WHAT?S AHEAD
OBJECTIVES
GEARING UP
IMPORTANCE OF INFORMATION AND CLINICAL TECHNOLOGY
Critical factors
Technical skills
Information technology and critical issues
Privacy and confidentiality
Clinical information system
ACTIVE CONCEPT CHECK
TECHNOLOGY: IMPACT ON HEALTH CARE DELIVERY
Telehealth
Implications for clinical practice
Implications for nursing education
Implications for nursing administration
Implications for nursing research
Implications for patient education
Technology and managed care
ACTIVE CONCEPT CHECK
CHAPTER WRAP-UP
END-OF-CHAPTER RESOURCES
REFERENCES
ADDITIONAL READINGS
Chapter 16
Health care quality improvement and safety
CHAPTER OUTLINE
WHAT?S AHEAD
OBJECTIVES
GEARING UP
THE CHANGING VIEW OF QUALITY
Increased interest in quality care
To Err Is Human. Building a Safer Health System
Crossing the Quality Chasm
Envisioning the National Health Care Quality Report
Leadership by Example
Who will keep the Public Healthy?
Health Professions Education
Priority Areas for National Action: Transforming Health Care Quality
Keeping Patients Safe: Transforming the Work Environment of Nurses
Patient Safety: Achieving a New Standard of Care
Definition of quality
Critical elements
Critical health care safety issues
ACTIVE CONCEPT CHECK
QUALITY, SAFE CARE: MEASUREMENT AND IMPROVEMENT
The accreditation process
What is accreditation?
Outcomes
Joint Commission on Accreditation of Healthcare Organizations
Nurses and JCAHO
Methods to measure and ensure quality, safe care
Standards of care
Credentialing and licensure
Utilization review/management
Clinical guidelines
Clinical pathways
Benchmarking
Evidence-based practice
Assessment of access to health care
Risk management
Quality report cards
Nursing and quality care cards
An example of professional perspectives on the quality of care
The future direction: Nursing quality issues
ACTIVE CONCEPT CHECK
CHAPTER WRAP-UP
END-OF-CHAPTER RESOURCES
REFERENCES
ADDITIONAL READINGS
Section VIII. Diversity
Overview of the domain
Chapter 17
Pulling it all together: The culture of the organization
CHAPTER OUTLINE
WHAT?S AHEAD
OBJECTIVES
GEARING UP
CULTURE AND CLIMATE: BUILDING CULTURAL COMPETENCY
Definition of organizational culture and climate
Consonant and dissonant cultures
An effective, creative, and productive workplace
Legal issues
The staff and their culture
A culturally diverse staff
Generational issues and their effects on organizational culture
ACTIVE CONCEPT CHECK
CULTURAL PERCEPTIONS OF HEALTH AND ILLNESS: NEED FOR A CARING, HEALING
ENVIRONMENT
What is the healing environment?
The physical environment as part of a healing environment
A diverse patient population
Safety: A component of organizational culture
Facilitating diversity and cultural diversity within health care organizations
ACTIVE CONCEPT CHECK
CHAPTER WRAP-UP
END-OF-CHAPTER RESOURCES
REFERENCES
0131138693 (pbk.) 9780131138698
2005007483
Nursing services--Administration.
Leadership.
Leadership.
Nurse Administrators.
Nursing, Supervisory.
WY 105 F499l 2006