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Leading and Managing in Nursing, Yoder-Wise, 8th Edition

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Leading and Managing in Nursing, Yoder-Wise, 8th Edition

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Leading and Managing in Nursing, Yoder-Wise, 8th Edition





nursing: main responsibilities - (answer)1. lead

2. manage

3. collaboratively follow (active collaborators w/ HC team; shared decision-making)



institute of medicine (IOM) and patient protection and affordable care act (PPACA) - (answer)- no
substantial healthcare reform can occur w/out active nursing involvement

- nurses shift between a leader, manager, and a follower no matter if a bedside nurse or the chief nurse
executive

- interdisciplinary collaboration to meet "the triple AIM"



IOM triple AIM - (answer)1. access

2. quality

3. cost

~ providing access to quality care that is cost effective



access to care - (answer)practice in places beyond the hospital setting



quality of care - (answer)- sensitive to pt. needs

- safety & freedom from medical errors

- educate & ensure understanding of their care



cost of care - (answer)challenge of HC workers to work in new ways to coordinate care to be safe,
efficient, & cost effective



leadership, management, & followership - (answer)nurses live on a continuum & w/ these skills/abilities
will be able to:

- make imp. clinical decisions

- consider the organization & societal context of decisions

- advocate

, Leading and Managing in Nursing, Yoder-Wise, 8th Edition






management vs. leadership - (answer)management: process of planning, organizing, directing, &
coordinating the work w/in the organization

leadership: ability to inspire others to achieve the desired outcome

~ can be a leader & manager in one



management - (answer)process of guiding others through a set of practices & procedures that are EB &
known to satisfy pre-established outcomes based on repeated clinical situations

- doesn't always mean 'top' person in authority

- challenge: maintain enthusiasm for followers who may tire



management traits - (answer)- task master (scheduling personnel)

- promotes safety

- maintains pt. standards

- complies w/ regulatory agency reports

- enforces agency policy

- selects care delivery system for unit

- coordinates continuing education (skills check-off & competency training)

- listener & encourager to staff/ideas



management tasks - (answer)- ID systems & processes that require responsibility & accountability (owns
the process)

- ID standards of practice & roles (who does what & how?)

- competency eval. staff & build it

- communicate a 'big picture' plan for the work

- eliminate barriers to work effectiveness

- measure the equity of workload

- provides rewards & recognition to individuals/teams

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