ATI proctored leadership

ATI proctored leadership Management - ANS Process of planning, organizing, directing, and coordinating the work within an organization Leadership - ANS Ability to inspire others to achieve a desired outcome Authoritative leadership - ANS makes decisions for the group motivates by coercion Good for crisis situations and bureaucratic settings effective for employees with little or no formal education Democratic leadership - ANS Includes the group motivates by supporting staff achievements good when cooperation and collaboration are necessary Laissez-faire - ANS Makes very few decisions effective with professional employees Contemporary leadership theory - ANS supports the belief that leaders can develop the necessary skills Transformational leaders - ANS empowers followers to assume responsibility for a communal vision and personal development is a secondary outcome Transactional leaders - ANS focus on immediate problems, maintaining status Quo and using rewards to motivate followers Emotional intelligence - ANS ability of an individual to perceive and manage the emotions of self and others 5 management functions - ANS Planning Organizing staffing directing Controlling clinical reasoning - ANS mental process used when analyzing the elements of a clinical situation and using analysis to make a decision prioritization - ANS Systemic before local Acute before chronic actual before potential Maslows heirarchy - ANS Self actualization self esteem love and belonging safety and security physiological Priority interventions - ANS Airway Breathing Circulation Disability Exposure Assigning - ANS process of transferring the authority, accountability, and responsibility of a client care to another member of the health care team Delegating - ANS process of transferring of authority and responsibility ti another team member to complete a task Supervising - ANS process of directing, monitoring, and evaluating the performance of tasks by another member of health care 5 rights of delegation - ANS Right task Right circumstance Right person Right direction and communication Right supervision and evaluation Socialization - ANS person learns a new role and the values and culture of the group within which that role is implemented Novice nurse - ANS students or newly licensed nurse with minimal clinical experience theoretical perspective Advance beginner - ANS Most new nurses practice independently can make some clinical judgements Competent nurse - ANS 2-3 years increasing levels of skills and proficiency ability to organize and plan care using abstract and analytical thinking anticipate long term outcomes proficient nurse - ANS significant amount of experience conceptualizes situations more holistically recognize and respond to unexpected changes Expert nurse - ANS view situations holistically and process information efficiently do not need to rely on rules to comprehend a situation and take action Quality improvement - ANS process used to identify and resolve performance deficiencies Audits - ANS produce valuable quantitative data Structure audits - ANS evaluate the influence of elements that exists separate from or outside of the client staff interaction Process audits - ANS review how care was provided and assume a relationship exists between nurses and the quality care provided Outcome audits - ANS determine what results occurred as a result of nursing care provided Nursing sensitive audits - ANS directly affected by nursing care Retrospective audits - ANS after the client receives the care Concurrent audits - ANS while the client is receiving care prospective audits - ANS how future client care will be affected Performance appraisal - ANS process by which a supervisor evaluates an employees performance in relation to the job description for that employees position done at regular intervals Interpersonal conflict - ANS occurs within a person and can involve internal struggle Ex. nurse wants to move up in career ladder but finds time with family is compromised interpersonal conflict - ANS between 2 or more people with differing values, goals, or beliefs; bullying Ex. new nurse is given a heavier assignment than others and is denied any help intergroup conflict - ANS between 2 or more groups Ex. confusion as to if it is the units responsibility or dietary to pass meal trays latent conflict - ANS conflict has yet to develop but factors are present perceived conflict - ANS problem is present although an actual conflict might not exist Ex. nurse thinks manager is unfair with scheduling although its just the manager didnt understand what the nurse wanted Felt conflict - ANS feel an emotional response to the conflict manifest conflict - ANS parties involved are aware of conflict and action is taken conflict aftermath - ANS completion of the conflict process steps to problem solving - ANS Identify the problem discuss possible solutions analyze identified solutions select a solution implement selected solution evaluate the solutions ability to resolve the original problem negotiation - ANS resolve ongoing conflict agree on steps to take bargain to protect individual or collective interests pursue outcomes that benefit mutual interests Avoiding/withdrawing - ANS the parties know there is a conflict but they refuse to face it or work toward a solution Lose-Lose situation Ex. nurse manager does not intervene when there is an issue smoothing - ANS one party attempts to smooth another party by trying to satisfy the other party Lose-Lose situation competing/coercing - ANS one party pursues a desired solution at the expense of others Win-Lose situation Cooperating/accommodating - ANS one party sacrifices allowing the other party to get what it wants Lose-Win situation Compromising/negotiating - ANS each party gives up something Win-Lose situation Collaborating - ANS both parties set aside their original individual goals and work together to achieve a new common goal Win-Win situation Assertive communication - ANS allows expression in direct, honest, and nonthreatening way Grievance - ANS Wrong perceived by an employee based on a feeling of unfair treatment that is considered grounds for a formal complaint Resource management - ANS budgeting and resource allocation responsibility of unit manager and every practicing nurse Interprofessional team - ANS group of health care professionals decisive - ANS minimum amount of data and generates one opinion flexible - ANS limited amount of data and several opinions Hierarchical - ANS large amount of data and one opinion Integrative - ANS large amount of data and several opinions rational-empirical - ANS provides factual information to support the change normative -reeducative - ANS focuses on interpersonal relationships to promote change power-coercive - ANS uses rewards to promote change forming - ANS members of the team get to know each other leader defines task and offers direction storming - ANS conflict arises and team members get to express polarized views team establishes rules and members to take on various roles Norming - ANS team establishes rules 'members show respect for one another and begin to accomplish some task performing - ANS team focuses on accomplishment of tasks veteran nurse - ANS accepts authority appreciates hierarchy loyal to employer Baby boomer nurse - ANS accepts authority workaholics struggle with new technology loyal to employer Generation X - ANS adapts easily to change personal life and family are important proficient with technology makes frequent job changes Generation Y - ANS optimistic and self confident values achievement technology is a way of life at ease with cultural diversity advocacy - ANS the nurse supporting the clients decision by ensuring their rights are respected and they are receiving proper care informed consent - ANS legal process in which the clients gives permission for a treatment/procedure to be performed nurses role- witness the clients signature, documents- reinforcement of information, any questions the client had were reported to the provider individuals authorized to grant consent for another person - ANS parent of minor legal guardian court specified representative clients health care surrogate spouse or closest available relative felony - ANS serious crime like homicide misdemeanor - ANS less serious crime such as petty theft civil laws - ANS protect individual rights of people negligence - ANS practice or misconduct that does not meet expected standards of care and places the client at risk for an injury malpractice - ANS professional negligence ex. giving a large amount of medication that causes harm failure of a person within a professional training to act in a reasonable and prudent manner good Samaritan law - ANS protects nurses who provide emergency assistance outside of employee location defamation - ANS false communication or communication with careless disregard for the truth with intent of injury an individuals reputation libel - ANS written words or photographs slander - ANS defamation with spoken word assault - ANS conduct of one person makes another person fearful and apprehensive ex. threatening to place a NG tube in a client who wont eat battery - ANS intentional and wrongful physical contact with a person that involves an injury or offensive contact ex. restraining and client to administer an injection against their will false imprisonment - ANS a person confined or restrained against his will incivility - ANS action that is rude, intimidating, and insulting ex. teasing, joking, dirty looks lateral violence - ANS occurs between individuals who are the same job level ethics - ANS what is considered right or wrong morals - ANS values and beliefs help by a person that guide behavior and decision making utilitarianism - ANS decision making based on what provides the greatest good for the greatest number deontological - ANS decision making based on obligation, duty and what is considered to be right or wrong autonomy - ANS allowing the client to make decisions beneficence - ANS doing good, keeping the clients best interest in mind fidelity - ANS keeping a promise justice - ANS treating everyone fairly nonmaleficence - ANS do no harm varacity - ANS telling the truth