Nursing Trends and Issues

7/30/2019 Nursing Trends and Issues

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Nursing Trends and Issues

NPN 215


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WHAT LIES BEHIND US AND

WHAT LIES BEFORE US ARE TINY

MATTERS COMPARED TO WHAT

LIES WITHIN US.

Oliver Wendell Holmes


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Leadership

Defined : process of influence

Any person in an organization can be a leader.

Characteristics contained in most persons who areleaders

passionate

curious

intelligent

flexible

self confident

have ability to support others


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Leadership

True leadership is not based on the

traditional views of having authority,

command, and power

Success of a leader depends on

Positive interactions between leaders

and followers

The leaders and the followers must havea reciprocal relationship


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Types of Leadership

Formal

A person in a position of influence or

authority, or who has a sanctioned role

within the organization

Informal

A person who demonstrates leadership

and has influence even though he or sheis not in the leadership role


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Leadership Styles

Autocratic

Laissez-faire

DemocraticEmployee centered


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Management

Define a process of coordinating actions,directing actions, and assigning resources

Purpose perform these tasks in order to

achieve the goals of the organizationManagement focuses on issues such ascosts, productivity, staffing, andeffectiveness

Management doses not equal leadership,but leadership may play a role inmanagement


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Management

Functions

Planning

Staffing

Organizing

Directing

Controlling

Decision making


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Leadership versus Management

Concepts are not interchangeable

Leaders do the right thing and managers do things right

Leaders get other people to do something and managers getother people to do what they do not want to do

Management works within the system, and leaders work on

the systemYou manage things and lead peopleThe 2 do not need to work against each other, as thisdescribes, but leaders can be managers and managers canbe leaders

Leadership is the preferred way, in todays world, to get

things done in health care


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Characteristics of a Nurse Leader

Experts in a particular field of nursing

Generalists

Self-reliant

Connectivity

FlexibilityCan disseminate information rapidly

Develops and maintains strong trust andinterpersonal connections with staff, peers,patients, and other professionals

Builds up and supports team members skills andstrengths

Thrives on uncertainty and chaos


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Direct Patient Care Nursing

Charge nurse or clinicalsupervisor

Expanded staff nurse role

May be permanent ortemporary

Functions as a liaison tomanagement

Tasks : shift coordination,quality care, problemssolver, help withprioritizing and making

decisionsMore limited authority andscope of responsibilitythan the manager

Staff nurse

No formal management orleadership rank

Works to manage patientcare

Uses skills ofmanagement andleadership when workingwith other staff nurses andassistive personnel

Supervise to ensure

quality patient careDelegates tasks to othersappropriately

Motivates staff


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LPN as Managers

You must always direct, handle, and organize careto the patients you are assigned to care for

You have the skills to function as 1st line managersBasic nursing skills and the nursing process

Time managementUse of resources and how to learn new information

Communication skills

Ethical and legal aspects of patient care

Stress management

How to participate in a clinical evaluation


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Power vs Authority

Power means being able to make change,

or to prevent change from happening.

Nurses have the power to take resources

and use them to benefit patient care.Power is linked with expertise in nursing

Authority is the right to act or to command

the actions of others. It comes with the job

of nursing because we cannot functionwithout it, and the amount is based on the

Nurse Practice Act


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Delegation and Assignment

Delegation is the transfer ofresponsibility for the performance ofan activity from one individual to

another while retaining accountabilityfor the outcome.

Assignment is the downward or lateraltransfer of both the responsibility andaccountability of an activity from oneindividual to another


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Accountability and Responsibility

Accountability is being responsible

and answerable for actions and

inactions of self or others in the

context of delegation

Responsibility is the obligation

involved when one accepts an

assignment


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Organizational Chart

State licensing board

Board of directors

CEO

Ethics committeeNurse manager

Charge nurse

Staff RN

LPN

Nursing assistant


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Communication

Communication is an essential skill forleaders

Giving information is not communication

Communication involves the sender, themessage, the receiver and feedback fromthe receiver

Use simple exact language

Use direct communicationMake sure the communication channelsare open


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Communication, cont.

Types of communication

Written

Non-verbal

Negative or hostileTherapeutic

Aggressive

PassivePassive-aggressive

Assertive


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Assertiveness

Are we handmaidens to the physicians

Traditionally LPNs are not assertive

Assertive communication is the ability to

express yourself and protect your rightswithout violating the rights of another

person

Nurse managers who are assertive aremore effective than those who are not


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10 Basic Rights of Women in the

Health Field (Melodie Chenevert)

You have the right to betreated with respect

You have the right to areasonable work load

You have the right to an

equitable wageYou have the right todetermine your ownpriorities

You have the right to ask

for what you want

You have the right torefuse without makingexcuses or feeling guilty

You have the right to makemistakes and to be

responsible for themYou have the right to giveand receive information asa professional

You have the right to act inthe best interest of thepatient

You have the right to behuman

Documents

Nursing Trends and Issues