NUR 410 Week 2
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A nurse manager is trying to improve staff retention on their unit. Which action would be most effective in creating a positive work environment that fosters loyalty and reduces turnover?

  • Enforcing strict adherence to hospital policies and procedures to maintain order and consistency.
  • Focusing primarily on individual performance evaluations to identify and address weaknesses in staff performance.
  • Implementing a zero-tolerance policy for errors to ensure patient safety and accountability.
  • Promoting a safe, open, and democratic unit culture where staff feel valued and empowered to participate in decision-making. (correct)

Which of the following best exemplifies a nurse manager demonstrating transformational leadership?

  • Managing the unit budget and ensuring adherence to financial guidelines.
  • Inspiring nurses to embrace a new model of patient-centered care by articulating a clear vision and fostering a sense of shared purpose. (correct)
  • Enforcing disciplinary actions for staff who violate hospital policies.
  • Monitoring daily staffing levels and adjusting assignments to meet patient needs.

A nurse manager aims to improve the quality of care on their unit. Which action aligns best with their responsibilities in promoting high-quality care while respecting patient rights and preferences?

  • Implementing mandatory overtime for nurses to ensure adequate staffing levels.
  • Limiting patient access to information about their treatment plan to avoid confusion.
  • Focusing solely on adherence to standardized care protocols without considering individual patient needs.
  • Actively addressing patient complaints and working to resolve issues related to patient/family rights and preferences. (correct)

A nurse manager notices increased conflict among the nursing staff. Which strategy would be most effective in promoting a more positive and collaborative team environment?

<p>Facilitating team-building activities and open communication sessions to address underlying issues and improve interpersonal relationships. (C)</p> Signup and view all the answers

What is the primary difference between a leadership role and a management role?

<p>Leadership focuses on vision and inspiring others, while management focuses on planning, organizing, and controlling resources. (A)</p> Signup and view all the answers

A nurse manager notices an increase in medication errors on their unit. Which action reflects a leadership approach to addressing this issue, rather than a purely managerial one?

<p>Analyzing the systemic factors contributing to medication errors and engaging the team in developing solutions. (B)</p> Signup and view all the answers

A newly appointed nurse manager is tasked with improving patient satisfaction scores on their unit. Which of the following strategies best reflects the responsibilities expected of them in their role?

<p>Implementing a new patient rounding protocol and delegating responsibility for its execution to the charge nurse. (D)</p> Signup and view all the answers

Which scenario exemplifies the use of referent power in a nursing leadership context?

<p>A charge nurse, admired for their clinical skills and compassion, influences junior nurses to adopt a specific patient care technique. (A)</p> Signup and view all the answers

A nursing team consistently struggles with implementing new electronic health record (EHR) updates. Which of the following strategies focuses on improving structural empowerment to address this challenge?

<p>Establishing super-users on each shift and providing additional training for them and ensure support is available. (B)</p> Signup and view all the answers

A nurse leader is trying to promote psychological empowerment among their team members. Which action would be most effective in fostering self-determination?

<p>Providing opportunities for nurses to participate in decision-making processes related to patient care protocols. (C)</p> Signup and view all the answers

What organizational structure describes an environment where decision making is pushed down to the unit level?

<p>Decentralized (D)</p> Signup and view all the answers

Which of the following best describes a Just Culture in a healthcare setting?

<p>A culture that encourages open reporting of errors and focuses on learning from mistakes, while still holding individuals accountable for reckless behavior. (A)</p> Signup and view all the answers

A nurse manager is implementing a new staffing model. Which action best exemplifies the 'leading' function in this scenario?

<p>Clearly communicating the vision and benefits of the new model to the nursing staff. (C)</p> Signup and view all the answers

A nurse demonstrates leadership by influencing team members' actions. Which statement differentiates leadership from management?

<p>Leadership involves inspiring and motivating others, while management focuses on planning and organizing. (D)</p> Signup and view all the answers

Which of the following best describes the 'controlling' function of a nurse manager?

<p>Evaluating the effectiveness of implemented policies and procedures. (B)</p> Signup and view all the answers

A nurse manager notices a rise in medication errors on their unit. How should the nurse-manager utilize the management function of 'planning' to address the issue?

<p>Analyze the root causes of the errors and develop strategies to prevent future occurrences. (D)</p> Signup and view all the answers

A nursing unit is undergoing significant changes due to a new electronic health record system. How can a nurse leader best promote psychological empowerment among the staff?

<p>By fostering a sense of control, competence, and meaning in their work during the transition. (C)</p> Signup and view all the answers

A hospital implements a shared governance model. What is the primary goal of this model in nursing practice?

<p>To empower nurses to participate in making decisions that affect their practice. (D)</p> Signup and view all the answers

A seasoned nurse is respected for their clinical expertise and ability to guide new nurses. Which type of power does this nurse primarily possess?

<p>Expert power (B)</p> Signup and view all the answers

How does 'structural empowerment' in a healthcare organization directly benefit nurses?

<p>By providing opportunities for professional development and advancement. (D)</p> Signup and view all the answers

A nurse manager needs to implement a mandatory flu vaccination policy. Which type of power is the manager most likely to use when explaining that nurses who don't comply will face disciplinary actions?

<p>Coercive power (D)</p> Signup and view all the answers

How could a point-of-care nurse demonstrate leadership skills when managing their patient assignment for the day?

<p>By advocating for their patients' needs and coordinating care with other healthcare professionals. (D)</p> Signup and view all the answers

What is one of the primary functions of a nurse manager?

<p>Evaluating outcomes and assessing if care is cost-effective and productive (B)</p> Signup and view all the answers

Which of the following is a characteristic of effective management in nursing?

<p>Analyzing and solving problems systematically (C)</p> Signup and view all the answers

Which type of power is based on a person's formal position providing the right to exert influence?

<p>Legitimate power (D)</p> Signup and view all the answers

What is shared governance in nursing?

<p>An organizational structure that allows nurses to be involved in decision-making related to their professional practice (C)</p> Signup and view all the answers

Which type of organizational structure has few layers of management between staff and senior administrators?

<p>Flat organization (C)</p> Signup and view all the answers

Which model of care involves diverse inter/intra-professional teams supporting patients, typically led by a nurse team leader?

<p>Collaborative practice/team-based care model (A)</p> Signup and view all the answers

What is the primary benefit of the primary care model in nursing?

<p>Improved relationship with patients and families (A)</p> Signup and view all the answers

Which of the following describes psychological empowerment?

<p>An individual-level construct related to cognitive, subjective, and motivational processes (B)</p> Signup and view all the answers

What is a characteristic of a quality practice environment in nursing?

<p>Safe and realistic workloads (D)</p> Signup and view all the answers

Which type of power is based on the ability to reward others when they perform well?

<p>Reward power (C)</p> Signup and view all the answers

A good leader is necessarily a good manager. True or false?

<p>False (B)</p> Signup and view all the answers

All organizations have the same culture. True or false?

<p>False (B)</p> Signup and view all the answers

Flashcards

Nurse Executives

Leaders in nursing with advanced roles and responsibilities for administration and management.

Point of Care Leadership

Staff involved in direct patient care coordinating activities and supervising healthcare team members.

Types of Power in Leadership

Different forms of influence leaders can have, including legitimate, expert, and coercive power.

Psychological Empowerment

The process by which individuals perceive their ability to influence their work environment and outcomes.

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Structural Empowerment

Organizational factors that provide power and authority to staff, based on access to resources and information.

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Shared Governance

Collaborative decision-making process in organizations, allowing nurses to participate in professional practice decisions.

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Organizational Culture

The shared values, beliefs, and practices within an organization that influence its environment.

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Transformational Leadership

A leadership style that inspires positive change in followers through vision and motivation.

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Support Clinical Leadership

Encouraging and demonstrating nursing authority at the front line to enhance patient care.

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Open and Democratic Culture

A unit environment that promotes safety, openness, and inclusiveness for all staff.

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Nurse Manager Responsibilities

The duties of a nurse manager include staffing, budgeting, and ensuring quality patient care.

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Performance Appraisal

Annual evaluations of staff work performance that provide feedback for improvement.

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Leadership

The process of influencing others, establishing vision and direction.

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Management

The accomplishment of tasks and goals through directing resources.

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Nurse Manager Functions

Includes planning, organizing, leading, staffing, and controlling.

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Planning in Management

Choosing goals, determining strategies, and needed resources.

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Organizing in Management

Establishing structure, roles, and tasks to achieve goals.

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Leading in Management

Articulating vision and inspiring team through communication.

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Staffing in Management

Recruiting and retaining employees for effective teams.

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Controlling in Management

Evaluating performance and measuring goal achievement.

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Types of Power

Includes different methods leaders use to influence others.

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Characteristics of Effective Management

Effective management in nursing involves analyzing and solving problems systematically to ensure quality care.

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Legitimate Power

This power type derives from a person's formal position that grants them the right to influence others.

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Shared Governance in Nursing

An organizational structure that empowers nurses to participate in decisions regarding their professional practice.

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Flat Organization Structure

A structure with few layers of management between staff and senior administrators, promoting quicker decision-making.

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Collaborative Practice Model

A care model that involves inter/intra-professional teams led by a nurse team leader supporting patients' needs.

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Primary Care Model Benefit

The main advantage of this model is the improved relationship between nurses, patients, and families.

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Quality Practice Environment Characteristic

A quality practice environment in nursing is characterized by safe and realistic workloads for staff.

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Reward Power

This type of power is derived from the ability to reward others for good performance and outcomes.

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Study Notes

Week 2 Learning Objectives

  • Compare and contrast leadership and management
  • Explain the functions of a nurse manager
  • Discuss management and leadership roles in nursing
  • Describe seven types of power
  • Examine the differences between psychological and structural empowerment
  • Define shared governance in nursing
  • Identify different organizational structures and cultures
  • Describe quality practice environments
  • Compare and contrast models of care

Leadership

  • The process of influencing others
  • Creative thinking
  • Establishes a vision, sets direction, communicates values
  • Motivates, inspires, and empowers others
  • Produces change
  • You can be a good leader, but not necessarily a good manager, and vice versa

Management

  • The accomplishment of tasks or goals
  • Formal authority to direct the work of a set of employees
  • Evaluates outcome and assesses if care is cost-effective and productive
  • Engages in analysis and problem-solving
  • Takes responsibility for the quality and cost of work
  • Produces results

Management Functions

  • Systematic planning, organizing, leading, coordinating, and controlling of staff, resources, and services to ensure timely, safe, and effective patient care.
  • Planning: Choosing appropriate goals and objectives, determining strategies and actions, deciding on needed resources
  • Organizing: Establishing structure for achieving the plan, determining roles, tasks, and oversight
  • Leading: Articulating a vision, energizing employees, inspiring and motivating people, using vision, influence, and persuasion
  • Staffing: Recruiting, hiring, retaining employees, delegation, effective communication, and conflict management skills, part of career planning and development
  • Controlling: Evaluating how well goals are met

Types of Management in Nursing

  • Nurse Managers: Includes unit manager, nurse manager, nursing unit supervisor, clinical manager, nursing unit administrator (NUA)
  • Responsibilities include a range of complex responsibilities, dealing with complaints, participating in nursing policy formation, decisions making, and recruitment selections, ensuring quality care, and managing operational aspects of a unit/service

Why is a nurse both a leader and manager?

  • Point-of-care nurses need to accomplish clinical tasks and maintain quality within finite resources
  • Similarly, nurse managers need to accomplish organizational tasks and maintain quality within organizational budgets, staffing, and operations.

How to positively influence the work life of nurses

  • Exhibit a good combination of management and leadership
  • Exhibit transformational/relational leadership
  • Support clinical leadership in front-line nurses
  • Create a safe, open, and democratic unit culture
  • Set a good vision to inspire others

Models of Care

  • Collaborative practice/team-based care: Diverse inter/intra-professional teams supporting patients, often led by a nurse team leader, which can improve patient satisfaction and outcomes.
  • Functional: Work is divided by task. Includes both regulated and unregulated care providers.
  • Individual: Single nurse responsible for a patient or patient group during a shift.
  • Primary: One nurse is assigned accountability for managing all aspects of a patient's care plan.

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Description

This quiz explores the key concepts of leadership and management in the nursing profession. It delves into the roles of nurse managers, different types of power, and the importance of shared governance. Additionally, it examines various organizational structures and models of care.

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