Leadership and Management Exam 1
Chapter 1: Leading, Managing, and Following
I. Triple Aim in Healthcare
a. Access
b. Quality
c. Cost of Care
i. Each nurse is responsible for making the best use of scarce resources
II. Social networking
a. Tools can be used to expand beyond tradition bound organizations, linking professionals to solve complex
care and health system problems
b. Relates to webs of relationships supported by technology to rapidly transmit and receive information
III. Leadership
a. The use of individual traits and abilities to interpret an emerging situation and to address the situation in the
absence of a script or defined plan.
b. The process of engaged decision making linked with actions taken in the face of complex, or perilous
circumstances present in clinical situations for which no standardized solution exists
c. The leader:
i. Assess the context surrounding the situation
ii. Creates and adapts strategies based on scientific evidence and tacit knowledge
iii. Guides others to broad-based outcomes that at a minimum alleviate risk and harm
iv. Approach decision making and action setting by communicating direction using principles to guide
the process and
v. Projects and air of self assuredness
d. Ethical leadership is not coercive or manipulative the leader informs other of the goal to be attained so
solutions can be co-created in the best manner to serve clinical and organizational needs
IV. Management
a. The act of any individual who guides others through a series of routines, procedures, or practice guidelines.
b. Engaged process of guiding others through a set of derived practices and procedures that are evidence-based
and known to satisfy established outcomes based on repeated clinical situations
c. Actions and decisions may be routine in frequency and low in complexity
d. The challenge is to maintain enthusiasm
e. Differs form leadership in that the behaviors and activities required occur in clinical situations that are less
ambiguous; the outcomes are known and the sequence of actions is prescribed
V. Followership
a. The optimal use of personal attributes in a team situation, while acquiescing to a peer who is leading or
managing, to ensure the best clinical decision making and actions are taken to achieve clinical or
organizational outcomes.
b. Engaging with others who are leading or managing by contributing to problem identification, completing
tasks, and providing feedback for evaluation
c. Provide a complementary set of healthy and assertive actions to support the leader or the manager
d. Nurses lead, manage and follow in daily clinical practice
VI. Emotional Intelligence
a. Possession of social skills, interpersonal competence, psychological maturity, and emotional awareness
devoted to helping people work well together.
b. The Five Domains of Emotional Intelligence
i. Having self-awareness: stepping outside oneself to envision the context of what is happening
ii. Managing emotions: owning feelings
iii. Motivating self: focusing on a goal
iv. Being empathetic: showing sensitivity to the experiences of others
v. Handling relationships: exhibit social appropriateness and expand social networks
VII. Effective Leaders and Managers
a. Focused energy and stamina to accomplish a vision
b. Critical thinking skills in decision making
c. Trust personal intuition and back it up with facts
d. Accept responsibility willingly and follow up on the consequences of actions taken
e. Identify needs of others
f. Deal with people skillfully
g. Demonstrate ease in boundary/standard setting
h. Examine multiple options to accomplish the objective at hand flexibly
i. Trustworthy and handle information from various sources with respect for the source
, j. Motivate others assertively toward the objective at hand
k. Demonstrate competence or are capable of rapid learning in the arena which change is desired
VIII. Theoretical Basis
a. Leadership
b. Motivation
IX. Leadership Theories: Trait, Style, Situational-Contingency, Transformational
, a.
X.
XI. Motivational Theories: Hierarchy of needs, Two-factor theory, Expectancy theory, OB modification
Chapter 1: Leading, Managing, and Following
I. Triple Aim in Healthcare
a. Access
b. Quality
c. Cost of Care
i. Each nurse is responsible for making the best use of scarce resources
II. Social networking
a. Tools can be used to expand beyond tradition bound organizations, linking professionals to solve complex
care and health system problems
b. Relates to webs of relationships supported by technology to rapidly transmit and receive information
III. Leadership
a. The use of individual traits and abilities to interpret an emerging situation and to address the situation in the
absence of a script or defined plan.
b. The process of engaged decision making linked with actions taken in the face of complex, or perilous
circumstances present in clinical situations for which no standardized solution exists
c. The leader:
i. Assess the context surrounding the situation
ii. Creates and adapts strategies based on scientific evidence and tacit knowledge
iii. Guides others to broad-based outcomes that at a minimum alleviate risk and harm
iv. Approach decision making and action setting by communicating direction using principles to guide
the process and
v. Projects and air of self assuredness
d. Ethical leadership is not coercive or manipulative the leader informs other of the goal to be attained so
solutions can be co-created in the best manner to serve clinical and organizational needs
IV. Management
a. The act of any individual who guides others through a series of routines, procedures, or practice guidelines.
b. Engaged process of guiding others through a set of derived practices and procedures that are evidence-based
and known to satisfy established outcomes based on repeated clinical situations
c. Actions and decisions may be routine in frequency and low in complexity
d. The challenge is to maintain enthusiasm
e. Differs form leadership in that the behaviors and activities required occur in clinical situations that are less
ambiguous; the outcomes are known and the sequence of actions is prescribed
V. Followership
a. The optimal use of personal attributes in a team situation, while acquiescing to a peer who is leading or
managing, to ensure the best clinical decision making and actions are taken to achieve clinical or
organizational outcomes.
b. Engaging with others who are leading or managing by contributing to problem identification, completing
tasks, and providing feedback for evaluation
c. Provide a complementary set of healthy and assertive actions to support the leader or the manager
d. Nurses lead, manage and follow in daily clinical practice
VI. Emotional Intelligence
a. Possession of social skills, interpersonal competence, psychological maturity, and emotional awareness
devoted to helping people work well together.
b. The Five Domains of Emotional Intelligence
i. Having self-awareness: stepping outside oneself to envision the context of what is happening
ii. Managing emotions: owning feelings
iii. Motivating self: focusing on a goal
iv. Being empathetic: showing sensitivity to the experiences of others
v. Handling relationships: exhibit social appropriateness and expand social networks
VII. Effective Leaders and Managers
a. Focused energy and stamina to accomplish a vision
b. Critical thinking skills in decision making
c. Trust personal intuition and back it up with facts
d. Accept responsibility willingly and follow up on the consequences of actions taken
e. Identify needs of others
f. Deal with people skillfully
g. Demonstrate ease in boundary/standard setting
h. Examine multiple options to accomplish the objective at hand flexibly
i. Trustworthy and handle information from various sources with respect for the source
, j. Motivate others assertively toward the objective at hand
k. Demonstrate competence or are capable of rapid learning in the arena which change is desired
VIII. Theoretical Basis
a. Leadership
b. Motivation
IX. Leadership Theories: Trait, Style, Situational-Contingency, Transformational
, a.
X.
XI. Motivational Theories: Hierarchy of needs, Two-factor theory, Expectancy theory, OB modification
