NURS 4800 - Leadership - Final Exam
democratic leadership
let other people come together to make decisions
(team in decision making)
transaction leadership
- leaders give rewards or punishments to the
employees respective of the way they complete
tasks
- focuses on management tasks
- is directive and results-oriented
- uses trade offs to meet goals
- do not identify shared values
- examine causes
- uses contingency reward
what is a manager?
given power through organization
- focus on making sure tasks are completely
properly odne
- person who brings things about; the one who
accomplishes, has the responsibility and conducts
- leader in front lines; include staff in decision;
empower staff to improve outcomes; coaching is
vital to role; focus on individual and organization
required
,leader
- person who influences and guides direction,
opinion, and course of action; more dynamic than
management
- often do not have authority but obtain power
through other means (influence)
- may or may not be a part of formal organization
- focus on group process, info gathering, feedback,
and empowering others
what is power of attorney?
a legal document that gives someone you choose
the power to act in your place
when can POA make decisions for patient?
the POA has to follow patient's expressed wishes or
in absence of expressed wishes, to act in pt's best
interest
- a medical POA only happens when the pt is
incapacitated and can no longer make health-
related decisions for themselves
rights of medical POA
- making decisions about med tx, including
diagnostics, surgery, and end-of-life care
- choosing doctors, caregivers, and hospitals
- making decisions about long-term living
arrnagements
,4 components of box method
- clinical indications
- patient preferences
- quality of life
- contextual features
used to make ethical decisions in clinical medicine
used to analyze ethical issues in a variety of
situations, including clinical medicine and nursing
practice
clinical indications (4 box method)
the principles of beneficience and nonmaleficence
In sum: how can this patient be benefited by
medical and nursing care, and how can harm be
avoided?
EX: what is pt's medical problem? hx? dx?
prognosis?
- what are goals of tx?
- critical? chronic? irreversible?
patient preferences (4 box method)
the principles of respect and autonomy
, in sum: is the patient's right to choose being
respected to the extent possible in ethics and law?
quality of life (4 box method)
the principles of beneficience and nonmaleficence
and respect for autonomy
- what deficits are likely to experience if tx
succeeds?
- what are the prospects w or w/o tx to return to
normal life?
- are there biases that might prejudice MD's eval of
patient's QOL?
contextual features (4 box method)
the principles of loyalty and fairness
- are there family issues?
- are there provider issues?
- are there financial/economic factors?
- are there religious/cultural factors?
what is substituted standard
the decision that ought to be made for the
incompetent patient is the decision the patient
would have made, had he or she been competent
what is a best interest standard?
democratic leadership
let other people come together to make decisions
(team in decision making)
transaction leadership
- leaders give rewards or punishments to the
employees respective of the way they complete
tasks
- focuses on management tasks
- is directive and results-oriented
- uses trade offs to meet goals
- do not identify shared values
- examine causes
- uses contingency reward
what is a manager?
given power through organization
- focus on making sure tasks are completely
properly odne
- person who brings things about; the one who
accomplishes, has the responsibility and conducts
- leader in front lines; include staff in decision;
empower staff to improve outcomes; coaching is
vital to role; focus on individual and organization
required
,leader
- person who influences and guides direction,
opinion, and course of action; more dynamic than
management
- often do not have authority but obtain power
through other means (influence)
- may or may not be a part of formal organization
- focus on group process, info gathering, feedback,
and empowering others
what is power of attorney?
a legal document that gives someone you choose
the power to act in your place
when can POA make decisions for patient?
the POA has to follow patient's expressed wishes or
in absence of expressed wishes, to act in pt's best
interest
- a medical POA only happens when the pt is
incapacitated and can no longer make health-
related decisions for themselves
rights of medical POA
- making decisions about med tx, including
diagnostics, surgery, and end-of-life care
- choosing doctors, caregivers, and hospitals
- making decisions about long-term living
arrnagements
,4 components of box method
- clinical indications
- patient preferences
- quality of life
- contextual features
used to make ethical decisions in clinical medicine
used to analyze ethical issues in a variety of
situations, including clinical medicine and nursing
practice
clinical indications (4 box method)
the principles of beneficience and nonmaleficence
In sum: how can this patient be benefited by
medical and nursing care, and how can harm be
avoided?
EX: what is pt's medical problem? hx? dx?
prognosis?
- what are goals of tx?
- critical? chronic? irreversible?
patient preferences (4 box method)
the principles of respect and autonomy
, in sum: is the patient's right to choose being
respected to the extent possible in ethics and law?
quality of life (4 box method)
the principles of beneficience and nonmaleficence
and respect for autonomy
- what deficits are likely to experience if tx
succeeds?
- what are the prospects w or w/o tx to return to
normal life?
- are there biases that might prejudice MD's eval of
patient's QOL?
contextual features (4 box method)
the principles of loyalty and fairness
- are there family issues?
- are there provider issues?
- are there financial/economic factors?
- are there religious/cultural factors?
what is substituted standard
the decision that ought to be made for the
incompetent patient is the decision the patient
would have made, had he or she been competent
what is a best interest standard?
