Leadership and management in nursing / Anita W. Finkelman.

By:

Finkelman, Anita Ward

Publication details: Upper Saddle River, N.J. : Pearson Prentice Hall, c2006.Description: xvii, 556 p. : ill. ; 28 cmISBN:

0131138693 (pbk.)
9780131138698

Subject(s):

NLM classification:

WY 105 F499l 2006

Online resources:

Table of contents

Contents:

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

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Holdings
Item type	Current library	Call number	Copy number	Status	Date due	Barcode
Book Open Access	Health Sciences Library	WY 105 F499l 2006 (Browse shelf(Opens below))	1	Available		MBAL22060417

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

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Busitema Library Catalog

Leadership and management in nursing / Anita W. Finkelman.