Leadership/Management ATI
Authoritative
-makes decisions for the group
-motivates by coercion
-communication occurs down the chain of command
-work output by staff is usually high: good for crisis situations and bureaucratic settings
-effective for employees with little or no formal education
democratic
-includes the group when decisions are made
-motivates by supporting staff achievements
-communication occurs up and down the chain of command
-work output by staff is usually of good quality: good when cooperation and collaboration are
necessary
Laissez-Faire
-makes very few decisions, and does little planning
-motivation is largely the responsibility of individual staff members
-communication occurs up and down the chain of command and between group members
-work output is low unless an informal leader evolves from the group
-effective with professional employees
contemporary leadership theory
supports the belief that leaders can develop the necessary skills
transformational leaders
,empower followers to assume responsibility for a communal vision, and personal development
is a secondary outcome
transactional followers
focus on immediate problems, maintaining the status quo and using rewards to motivate
followers
Prioritization principles
-Prioritize systemic before local ("life before limb")
-prioritize acute before chronic
-prioritize actual problems before potential future probelms
-listen carefully and don't assume
-recognize and respond to trends vs transient findings
-recognize indications of medical emergencies and complications vs expected findings
Maslow hierarchy
1. physiological
2. safety and security
3. love and belonging
4. self-esteem
5. self-actualization
priority interventions
1. Airway
2. Breathing
3. Circulation
4. Disability
, 5. Exposure
Assigning
is the process of transferring the authority, accountability, and responsibility of client care to
another member of health care team
Delegating
is the process of transferring the authority and responsibility to another team member while
retaining the accountability
Supervising
is the process of directing, monitoring, and evaluating the performance of tasks by another
member of the health care team. RNs are responsible for the supervision of client care tasks
delegated to APs and PNs
when a nurse receives an unsafe assignment
1. bring unsafe assignment to attention of charge nurse and negotiate a new assignment
2. if no resolution, take concern up chain of command
3. if no resolution, file a written protest
delegating
-nurses can't delegate the nursing process, client education, or tasks that require clinical
judgment to PNs or APs
Delegating to PN
-monitoring findings (as input to RN ongoing assessment)
-reinforcing client teaching from a plan
-performing trach care
-suctioning
-checking NG tube patency
-administering enteral feedings
Authoritative
-makes decisions for the group
-motivates by coercion
-communication occurs down the chain of command
-work output by staff is usually high: good for crisis situations and bureaucratic settings
-effective for employees with little or no formal education
democratic
-includes the group when decisions are made
-motivates by supporting staff achievements
-communication occurs up and down the chain of command
-work output by staff is usually of good quality: good when cooperation and collaboration are
necessary
Laissez-Faire
-makes very few decisions, and does little planning
-motivation is largely the responsibility of individual staff members
-communication occurs up and down the chain of command and between group members
-work output is low unless an informal leader evolves from the group
-effective with professional employees
contemporary leadership theory
supports the belief that leaders can develop the necessary skills
transformational leaders
,empower followers to assume responsibility for a communal vision, and personal development
is a secondary outcome
transactional followers
focus on immediate problems, maintaining the status quo and using rewards to motivate
followers
Prioritization principles
-Prioritize systemic before local ("life before limb")
-prioritize acute before chronic
-prioritize actual problems before potential future probelms
-listen carefully and don't assume
-recognize and respond to trends vs transient findings
-recognize indications of medical emergencies and complications vs expected findings
Maslow hierarchy
1. physiological
2. safety and security
3. love and belonging
4. self-esteem
5. self-actualization
priority interventions
1. Airway
2. Breathing
3. Circulation
4. Disability
, 5. Exposure
Assigning
is the process of transferring the authority, accountability, and responsibility of client care to
another member of health care team
Delegating
is the process of transferring the authority and responsibility to another team member while
retaining the accountability
Supervising
is the process of directing, monitoring, and evaluating the performance of tasks by another
member of the health care team. RNs are responsible for the supervision of client care tasks
delegated to APs and PNs
when a nurse receives an unsafe assignment
1. bring unsafe assignment to attention of charge nurse and negotiate a new assignment
2. if no resolution, take concern up chain of command
3. if no resolution, file a written protest
delegating
-nurses can't delegate the nursing process, client education, or tasks that require clinical
judgment to PNs or APs
Delegating to PN
-monitoring findings (as input to RN ongoing assessment)
-reinforcing client teaching from a plan
-performing trach care
-suctioning
-checking NG tube patency
-administering enteral feedings
