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Leadership And Management in Nursing

ISBN: 9780131138698 | 0131138693
Edition: 1st
Format: Paperback
Publisher: Prentice Hall
Pub. Date: 1/1/2006

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SummaryTable of Contents
This is a comprehensive resource on leadership and management specific to nursing professionals.Topics include details of the leadership and management skills need to perform professionally in today's nursing profession. Included are modules of "content chunks" to assist in streamlining the material. Activities interwoven within the chapters and on the corresponding website encourage further research and critical thinking. Also found on the website are: video and audio examples and exercises, log on (internet-based exercises with student search... MORE
SECTION I Leadership and Planning
1(124)
Desired Future Statement (Vision)
1(1)
Objectives to Support the Primary Strate... MORE
1(1)
Conceptual Base for Leadership and Management
2(30)
Chapter Outline
2(1)
What's Ahead
2(1)
Objectives
3(1)
Test Your Understanding
3(1)
Your Opinion Counts
4(1)
Change in the Health Care Delivery System: Implications for Nurse Leadership
4(1)
Think Critically
5(1)
Leadership and Management Theories and Styles
5(9)
A historical perspective of leadership theories
5(1)
Modern or current leadership theories and styles
5(9)
Current Issues
14(2)
Think Critically
16(1)
A conclusion: Effective leadership
16(1)
Benchmarks
16(1)
Leaders and Managers: A Comparison
17(2)
Think Critically
19(7)
Who is a nurse leader?
19(1)
Preparation and development of nurse managers
20(2)
Nurse manager competencies
22(2)
Leadership in community health
24(1)
The image of nursing
25(1)
Making a difference: Increasing nurse leaders
25(1)
Current Issues
26(1)
Benchmarks
27(1)
Chapter Wrap-Up
27(1)
Summary and Applications
27(5)
Change and Decision Making
32(38)
Chapter Outline
32(1)
What's Ahead
32(1)
Objectives
33(1)
Test Your Understanding
33(1)
The Five ``Rs'': Change and Decision Making in Action
33(3)
Reengineering the health care organization
34(1)
Redesigning the workforce
35(1)
Re-regulating professional practice
36(1)
Think Critically
36(2)
Rightsizing the workforce
37(1)
Current Issues
38(1)
Restructuring nursing education
38(1)
Current Issues
39(1)
Benchmarks
40(1)
The Concept of Change
40(1)
Think Critically
41(7)
Examples of change theory
42(1)
The process of change
43(5)
Your Opinion Counts
48(4)
Think Critically
52(1)
Benchmarks
52(1)
A Decision: A Response to Change
52(5)
Decision styles
53(2)
Types of decisions
55(1)
The decision-making process
55(2)
Current Issues
57(9)
Planning
66(1)
Current Issues
66(1)
Current Issues
66(1)
Benchmarks
67(1)
Chapter Wrap-Up
67(1)
Summary and Applications
67(3)
Keys to Working with Others: Collaboration, Coordination, and Conflict Resolution
70(28)
Chapter Outline
70(1)
What's Ahead
70(1)
Objectives
71(1)
Test Your Understanding
71(1)
Collaboration
71(3)
Definitions
71(1)
Barriers to effective collaboration
72(1)
Nurse-physician relationships
73(1)
Think Critically
74(2)
Skills to achieve effective collaboration
74(2)
Current Issues
76(1)
Application of collaboration
76(1)
Current Issues
76(1)
Your Opinion Counts
77(1)
Benchmarks
78(1)
Coordination
78(1)
Definitions
78(1)
Barriers to effective coordination
78(1)
Think Critically
78(1)
Skills to achieve effective coordination
78(1)
Application of coordination
79(1)
Benchmarks
79(1)
Negotiation and Conflict Resolution
80(1)
Your Opinion Counts
80(3)
Definitions
80(1)
Causes of conflict
81(1)
Stages of conflict
82(1)
Think Critically
83(9)
Prevention of conflict
83(1)
Conflict management: Issues and strategies
84(8)
Current Issues
92(2)
Application of negotiation to conflict resolution
92(2)
Benchmarks
94(1)
Chapter Wrap-Up
94(1)
Summary and Applications
95(3)
Effective Staff Communication and Working Relationships
98(27)
Chapter Outline
98(1)
What's Ahead
98(1)
Objectives
99(1)
Test Your Understanding
99(1)
Communication: What Is It?
99(8)
Communication systems and lines of communication
100(3)
The communication process
103(2)
Communication component systems: Verbal, nonverbal, and metacommunication
105(1)
Assessment of communication effectiveness
106(1)
Think Critically
107(1)
Your Opinion Counts
108(5)
Think Critically
113(1)
Benchmarks
113(1)
Communication Methods
114(7)
Written communication
115(1)
Face-to-face communication
115(1)
Storytelling
116(1)
Information technology and communication
117(2)
Resolving communication problems and improving communication
119(2)
Current Issues
121(1)
Current Issues
121(1)
Think Critically
122(1)
Benchmarks
122(1)
Chapter Wrap-Up
122(1)
Summary and Applications
122(3)
SECTION II Delivery Systems/Nursing Models
125(150)
Desired Future Statement (Vision)
125(1)
Objectives to Support Primary Strategy
125(1)
Organizational Structure for Effective Care Delivery
126(31)
Chapter Outline
126(1)
What's Ahead
126(1)
Objectives
127(1)
Test Your Understanding
127(1)
Organizational Theories: Emphasis on Structure and Process
127(7)
Organizational theories
127(5)
Structure and process: Parts of organizational theory
132(2)
Think Critically
134(2)
Think Critically
136(1)
Benchmarks
136(1)
Health Care Organizations
136(2)
For-profit and not-for-profit delivery systems
138(1)
Your Opinion Counts
138(9)
Marketing
138(3)
Health care providers
141(2)
Professional nursing practice within nursing care models
143(1)
Total patient care/case method
144(3)
Your Opinion Counts
147(1)
Think Critically
148(1)
Current Issues
148(3)
Shared governance
148(3)
Current Issues
151(1)
Benchmarks
151(2)
Organizational analysis
151(2)
Chapter Wrap-Up
153(1)
Summary and Applications
153(4)
Acute Care Organizations: An Example of a Health Care Organization
157(43)
Chapter Outline
157(1)
What's Ahead
158(1)
Objectives
158(1)
Test Your Understanding
158(1)
Development of U.S. Hospitals
158(4)
Acute care organization and governance
160(1)
Classification of hospitals
161(1)
Current Issues
162(1)
Think Critically
163(3)
Typical departments found in an acute care hospital
164(2)
Think Critically
166(1)
Organizations and committees
166(1)
Think Critically
167(3)
Your Opinion Counts
170(1)
Benchmarks
170(1)
Framework for Effective Care
170(9)
Standards
170(1)
Policies and procedures
170(9)
Think Critically
179(1)
Benchmarks
180(1)
Changes That Affect Health Care Delivery
180(8)
Emergency services
181(2)
Patient access to services
183(1)
Patient education
184(1)
Expansion into new areas and approaches
184(1)
Use of hospitalists/intensivists
185(1)
Advanced practice nurses, clinical nurse specialists, and nurse midwives
186(1)
Alternative/complementary therapies
186(1)
Financial issues and managed care: Impact on acute care
186(1)
Continuum of care and acute care
187(1)
Primary care providers
187(1)
Nurses and acute care hospital changes
187(1)
Staffing issues
188(1)
Benchmarks
188(1)
Magnet Nursing Services Recognition Program
188(2)
Research: The pathway to the Magnet Nursing Services Recognition Program
189(1)
Your Opinion Counts
190(5)
Magnet hospital framework
190(1)
Building magnetism
191(2)
The Magnet Recognition Process
193(2)
Benefits of the program
195(1)
Current Issues
195(1)
Benchmarks
195(1)
Chapter Wrap-Up
195(1)
Summary and Applications
195(5)
Teamwork and Motivation
200(24)
Chapter Outline
200(1)
What's Ahead
200(1)
Objectives
201(1)
Test Your Understanding
201(1)
Teams in Today's Health Care Environment
201(1)
Your Opinion Counts
201(3)
Teams and teamwork
202(1)
Types of teams
202(2)
Think Critically
204(3)
Team-based organizations
204(1)
The team leader
205(2)
Your Opinion Counts
207(3)
Team building: Development of effective teams
208(2)
Current Issues
210(1)
Current Issues
211(1)
Benchmarks
211(1)
Effective Teams
212(8)
Stages of team development
212(1)
Motivation
213(4)
Building team power and spirit
217(1)
Barriers to team success
218(2)
Think Critically
220(1)
Getting the job done
220(1)
The charge nurse and the team
221(1)
Benchmarks
221(1)
Chapter Wrap-Up
221(1)
Summary and Applications
221(3)
Delegation for the Staff Nurse
224(17)
Chapter Outline
224(1)
What's Ahead
224(1)
Objectives
225(1)
Test Your Understanding
225(1)
Delegation: What Is It?
225(1)
Your Opinion Counts
226(1)
Benefits of delegation
226(1)
Legal issues related to delegation
226(1)
Think Critically
227(2)
Critical delegation issues: Authority, responsibility, and accountability
228(1)
Think Critically
229(1)
Delegation and unlicensed assistive personnel
229(1)
Think Critically
230(3)
The delegation process and the NCSBN guidelines
230(3)
Think Critically
233(1)
Benchmarks
233(1)
Effective Delegation
233(3)
Assessment of the delegation process
233(1)
Characteristics of effective delegation
233(1)
Barriers to effective delegation
233(3)
Think Critically
236(1)
Supervision and assignment
236(1)
Current Issues
237(1)
Current Issues
238(1)
Benchmarks
238(1)
Chapter Wrap-Up
238(1)
Summary and Applications
238(3)
Tools to Manage and Evaluate Care
241(34)
Chapter Outline
241(1)
What's Ahead
241(1)
Objectives
242(1)
Test Your Understanding
242(1)
Clinical Pathways
242(1)
Your Opinion Counts
243(12)
Definition of clinical pathway
243(1)
Evolution of pathways
243(1)
Purpose of pathways
244(2)
Pathway development and implementation process
246(9)
Think Critically
255(1)
Benchmarks
255(1)
Other Tools Used to Manage Care
256(11)
Practice guidelines
256(3)
Disease management
259(3)
Demand management
262(1)
Standards of care
263(1)
Utilization review/management
263(1)
Benchmarking
263(1)
Evidence-based practice
264(3)
Current Issues
267(3)
Health promotion and disease and illness prevention
268(2)
Current Issues
270(1)
Benchmarks
270(1)
Chapter Wrap-Up
270(1)
Summary and Applications
270(5)
SECTION III Legislation/Regulation/Policy
275(60)
Desired Future Statement (Vision)
275(1)
Objectives to Support Primary Strategy
275(1)
Health Care Policy, Legal Issues, and Ethics in Health Care Delivery
276(38)
Chapter Outline
276(1)
What's Ahead
276(1)
Objectives
277(1)
Test Your Understanding
277(1)
Health Care Policy
277(3)
Key health care policy issues
278(2)
Current Issues
280(9)
The policy-making process
282(3)
The political process
285(2)
Health care policy and nursing
287(2)
Current Issues
289(1)
Think Critically
290(1)
Legislation: Impact on health care delivery and policy
290(1)
Current Issues
291(1)
Think Critically
292(1)
Think Critically
292(1)
Benchmarks
293(1)
Legal Issues and Nursing
293(3)
Basic legal terminology
293(3)
Your Opinion Counts
296(1)
Patient privacy: The law expands
297(1)
Benchmarks
297(1)
Ethics: Impact on Decision Making, Planning, and Practice
297(6)
Ethical decision making
297(4)
Professional ethics
301(1)
Making complaints to the board of nursing
302(1)
Managed care organizations and ethics
302(1)
Your Opinion Counts
303(5)
Health care rationing
303(1)
Health care fraud and abuse
304(3)
Organizational ethics
307(1)
Nurses coping with ethical dilemmas
308(1)
Current Issues
308(1)
Benchmarks
309(1)
Chapter Wrap-Up
309(1)
Summary and Applications
310(4)
Consumers and Nurses
314(21)
Chapter Outline
314(1)
What's Ahead
314(1)
Objectives
315(1)
Test Your Understanding
315(1)
The Consumer and Health Care
315(1)
Who is the consumer?
315(1)
Your Opinion Counts
316(1)
History of health care consumerism
316(1)
Public policy and the health care consumer
317(1)
Your Opinion Counts
317(1)
Think Critically
318(2)
Current Issues
320(9)
Examples of current consumer issues
322(4)
Patient satisfaction and quality
326(3)
The nurse as patient advocate
329(1)
Current Issues
329(1)
Think Critically
330(1)
Think Critically
330(1)
Benchmarks
330(1)
Chapter Wrap-Up
330(1)
Summary and Applications
331(4)
SECTION IV Recruitment/Retention
335(46)
Desired Future Statement (Vision)
335(1)
Objectives to Support Primary Strategy
335(1)
Recruitment and Retention: Meeting Staffing Requirements
336(45)
Chapter Outline
336(1)
What's Ahead
336(1)
Objectives
337(1)
Test Your Understanding
337(1)
Recruitment
338(9)
Human resources
338(4)
What is recruitment?
342(2)
The employment process
344(3)
Think Critically
347(2)
Think Critically
349(3)
Benchmarks
352(1)
Retention: Why Is It Important?
352(1)
Turnover: Costs, reasons, prevention
353(1)
Current Issues
353(2)
Staff role
354(1)
Orientation: Its role in retention and prevention of reality shock
355(1)
Think Critically
355(2)
Losing staff
356(1)
Benchmarks
357(1)
Performance Appraisal
357(1)
Your Opinion Counts
357(7)
Performance standards and position descriptions
358(1)
Competency-based performance appraisal
359(2)
Legal and regulatory issues
361(1)
Performance appraisal/evaluation process
361(2)
Problems with employees
363(1)
Think Critically
364(2)
Benchmarks
366(1)
Staffing: The Critical Issue Today
366(1)
Your Opinion Counts
366(1)
Current Issues
367(8)
Staffing basics
367(1)
The nursing shortage
368(3)
Strategies to resolve the problems: Some are successful and some are not
371(4)
Current Issues
375(2)
Benchmarks
377(1)
Chapter Wrap-Up
377(1)
Summary and Applications
377(4)
SECTION V Nursing/Professional Culture
381(42)
Desired Future Statement (Vision)
381(1)
Objectives to Support Primary Strategy
381(1)
Keys to Professional Success
382(41)
Chapter Outline
382(1)
What's Ahead
382(1)
Objectives
383(1)
Test Your Understanding
383(1)
Career Development
383(1)
First job: Early issues
383(1)
Career Plan: A Professional Growth Action Plan
384(5)
Think Critically
389(3)
Getting guidance
389(3)
Think Critically
392(1)
Licensure
392(1)
Think Critically
393(1)
Certification
393(1)
Think Critically
393(4)
Professional organizations: Developing a nursing career
394(1)
Seeking promotion
394(1)
Entrepreneur/intrapreneur
395(1)
Lifelong learning: Nursing professional development
396(1)
Your Opinion Counts
397(7)
Current Issues
404(1)
Professional issues
404(1)
Benchmarks
405(1)
Time Management to Get the Work Done
405(7)
Making the most of your time
405(7)
Think Critically
412(7)
Time management implementation and barriers
412(3)
Meetings
415(4)
Benchmarks
419(1)
Chapter Wrap-Up
419(1)
Summary and Applications
419(4)
SECTION VI Economic Value
423(40)
Desired Future Statement (Vision)
423(1)
Objectives to Support Primary Strategy
423(1)
Health Care Financial Issues
424(39)
Chapter Outline
424(1)
What's Ahead
424(1)
Objectives
425(1)
Test Your Understanding
425(1)
Your Opinion Counts
425(1)
Health Care Financial Issues: The Macrolevel
425(16)
National health care expenditures
426(3)
Reimbursement for health care delivery services
429(11)
Government health benefit programs
440(1)
Think Critically
441(3)
Managed care
443(1)
Think Critically
444(7)
Reimbursement issues: Impact on nurses and nursing care
450(1)
Benchmarks
451(1)
Financial Issues: Microlevel
451(1)
Current Issues
452(6)
Financial component of hospitals and other types of health care organizations
452(1)
Key financial management terminology
453(2)
The budgeting process: An overview
455(3)
Think Critically
458(2)
Productivity
459(1)
Cost containment
459(1)
Benchmarks
460(1)
Chapter Wrap-Up
460(1)
Summary and Applications
460(3)
SECTION VII Work Environment
463(60)
Desired Future Statement (Vision)
463(1)
Objectives to Support Primary Strategy
463(1)
Technology and Health Care
464(18)
Chapter Outline
464(1)
What's Ahead
464(1)
Objectives
465(1)
Test Your Understanding
465(1)
Importance of Information and Clinical Technology
465(1)
Critical factors
465(1)
Current Issues
466(2)
Technical skills
466(1)
Information technology: Critical issues
467(1)
Benchmarks
468(1)
Technology: Implications on Health Care Delivery
468(2)
Telehealth
468(2)
Your Opinion Counts
470(3)
Implications for clinical practice
470(3)
Think Critically
473(3)
Implications for nursing education
473(1)
Implications for nursing administration
474(1)
Implications for patient education
475(1)
Think Critically
476(1)
Implications for nursing research
476(1)
Technology and managed care
477(1)
Current Issues
477(1)
Benchmarks
478(1)
Chapter Wrap-Up
478(1)
Summary and Applications
479(3)
Health Care Quality Improvement and Safety
482(41)
Chapter Outline
482(1)
What's Ahead
482(1)
Objectives
483(1)
Test Your Understanding
483(1)
Your Opinion Counts
483(1)
The Changing View of Quality
483(13)
Increased interest in quality care
483(13)
Think Critically
496(4)
Definition of quality
496(1)
Critical quality elements
497(1)
Critical health care safety issues
498(2)
Current Issues
500(1)
Benchmarks
500(1)
Quality, Safe Care: Measurement and Improvement
500(4)
The accreditation process
500(4)
Think Critically
504(7)
Methods used in establishing quality, safe care
504(5)
Evidence-based practice
509(2)
Think Critically
511(1)
Quality report cards
511(1)
Current Issues
512(6)
An example of professional perspectives on the quality of care
515(1)
The future direction: Nursing quality issues
516(2)
Benchmarks
518(1)
Chapter Wrap-Up
518(1)
Summary and Applications
518(5)
SECTION VIII Diversity
523(24)
Desired Future Statement (Vision)
523(1)
Objectives to Support Primary Strategy
523(1)
Pulling It All Together: The Culture of the Organization
524(23)
Chapter Outline
524(1)
What's Ahead
524(1)
Objectives
525(1)
Test Your Understanding
525(1)
Your Opinion Counts
525(1)
Culture and Climate: Building Cultural Competency
525(2)
Definition of organizational culture and climate
525(1)
Consonant and dissonant cultures
526(1)
Think Critically
527(2)
An effective, creative, and productive workplace
527(2)
Think Critically
529(4)
Legal issues
529(2)
The staff and their culture
531(2)
Your Opinion Counts
533(2)
Benchmarks
535(1)
Cultural Perceptions of Health and Illness: Need for a Caring, Healing Environment
535(3)
A diverse patient population
535(1)
What is a healing environment?
536(2)
Current Issues
538(3)
Safety: A component of organizational culture
538(2)
The physical environment as part of a healing environment
540(1)
Facilitating diversity and cultural diversity within health care organizations
540(1)
Current Issues
541(1)
Benchmarks
542(1)
Chapter Wrap-Up
542(1)
Summary and Applications
543(4)
Index547

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