Nursing Leadership HESI

Nursing Leadership = Everything (Final) Complete! 1. #1 thing to remember about negative feedback Unsatisfactory work must be acknowledged and discussed 2. 2 biggest/worst actions that lead to malpractice lawsuits Altering/falsifying a medical record, violation of an internal or external standard of practice 3. 2 out of 3 people leave a job because of this Ineffective/incompetent management 4. 2 types of change Planned/Managed, Unplanned/Reactive 5. 2 types of resistance to change Active resistance and passive resistance 6. 2 ways to be an emotionally stable leader 1. Recognize and understand your own emotions, learn to manage them, stay calm and clear headed. 2. Listen to others, perceive unspoken concerns, acknowledge others perspectives, helpful 7. 3 qualifications for RN licensure in the USA Graduate from an approved RN program, english language proficiency, disclosure of criminal convictions 8. 3 quality behaviors of effective nurse managers? Interpersonal, decisional and informational behaviors along with leadership, business sense and clinical expertise 9. 3 stages of lewins theory of change Unfreeze(take out of comfort zone), Change(discomfort), Refreeze(new comfort zone) 10. 3 types of liability Personal, vicarious, employer/corporate 11. 4 stages of burnout 1. high expectations and idealism, 2. pessimism and early job dissatisfaction, 3. withdrawal and isolation 4. irreversible detachment and loss of interest 12. According to JCAHO what is the reason for a large number of sentinel events that occur? Communication deficits among health care providers 13. According to Rogers what are typical responses to change? innovators, early adapters, early majority, late majority, laggards and rejectors. 14. Advice for giving feedback Give both negative and positive, give immediately, give frequently, give negative feedback in private, base it on observed behavior, include suggestions for change. 15. AKA - Bottling emotions (inappropriate way of dealing reality shock) Rutter 16. These are activities that an RN may NOT delegate Initial and follow up assessments, decisions and judgements about client plan of care, interventions that require professional RN knowledge or skills, decisions/judgements needed to evaluate care 17. These are clinical protocols involving all disciplines Critical pathways 18. These are established guidelines for the nursing profession to ensure quality of care Nursing Standards 19. _______________ are influenced by values Choices 20. These are non life essential values (things, people, ideas, kindness, and understanding) Extrinsic values 21. These are offenses committed against state laws Criminal acts 22. These are organized thoughts about why people exist in the universe Beliefs 23. Behaviors at risk for violence History of violent behavior, delusions paranoia suspicion, aggression, threats, rapid speech, anger, stiff posture, clenched fists, ETOH/drug use, male or youth, unrealistic policies/procedures 24. Causes of reality shock Culture shock (expectations distorted with reality), incongruent school values and work values, lack of support, lack of a mentor 25. Choices to resolve conflict Avoid it, accommodate, compete, compromise, collaborate 26. Common actions leading to malpractice lawsuits Fail to assess properly, fail to report changes in pt status, fail to document, fail to obtain informed consent, fail to report co-worker negligence, fail to provide adequate education * TWO BIGGEST* Altering/falsifying a medical record and Violation of an internal or external standard of practice 27. Common causes of negligence Client falls, equipment injuries, failure to monitor, failure to communicate, medication errors, medical errors 28. Common mistakes made during change implementation Failure to make need for change clear, unclear goals, too little time, poor leadership, insufficient coordination of the change process, insufficient education, dismissing complaints 29. The CQI program evaluates what 3 things? 1.Structure within which care is given, 2. the process of giving the care 3. the outcome of that care 30. Describe the traditional organizational structure Tall and narrow chain of command - Employees ranked top to bottom with the number on bottom greater than the top, authority is at the top only, power is distributed, communication is a challenge because of all of the layers of power 31. Dont's of feedback Focus on negatives, let personalities intrude, be vague, play favorites, correct people publicly 32. Do's and Don'ts for managing diversity Do - recognize it, value it and develop support for it, Ensure fairness, make all of the above part of your philosophy. Don't- pretend all are alike, expect everyone to conform, seek quick solutions, develop different performance standards, expect one workshop/meeting to solve it. 33. Do's of feedback Include positive comments, be objective, be specific, treat everyone the same, correct people privately 34. These ethical concepts are learned and change with maturity and experience Values (The amount of values a person holds, isn't as important as "which" values they consider important)