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Leadership and Management in Nursing

by: Grohar-Murray, Mary Ellen; DiCroce, Helen R.

Leadership and Management in Nursing

by: Grohar-Murray, Mary Ellen; DiCroce, Helen R.

ISBN 13:
9780130617774
ISBN 10:
0130617776
Edition: 3rd
Format: Paperback
Copyright: 01/01/2003
Publisher: Prentice Hall
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Summary

This book utilizes widely accepted models of leadership, and recognizes time-related changes that have occurred in health care delivery and how nursing is practiced. An emphasis on the workplace covers legal and ethical issues, as well as improving human relationship skills.A four-part organization presents readers with comprehensive coverage:Part Icovers the new health care system, leadership theory, the interactive processes of leadership, and ethics;Part IIprovides an overview of organization and management;Part IIIincludes managers' responsibilities; andPart IVintroduces learners to the management of resources.For staff nurses.

Preface

xvii

Acknowledgments

xix

Contributors

xxi

Reviewers

xxiii

UNIT 1: Leadership

(120)

The New Health Care System; Challenge to Nursing Leadership

(20)

Introduction

(1)

Key Concepts

(1)

Managed Care

(1)

Health Care Reform

(2)

Managed Care Characteristics

(3)

Managed Care Organizations

(1)

Health Maintenance Organizations (HMOs)

(1)

Characteristics of the Health Care System

(2)

Professional Issues: The Nursing Shortage

(1)

Health Care Priorities

(2)

Forecast for Health Care

(1)

Nursing Leadership's Heritage

(3)

Challenge to Nursing

(1)

Leadership Framework

(1)

Differentiating Leadership and Management

(1)

Case Studies

(1)

Summary

(1)

Learner Exercises

(1)

References

(2)

Leadership Theory

(27)

Introduction

(1)

Key Concepts

(1)

Definition of Leadership

(13)

Leadership Theory

(1)

Great Man Theory of Leadership

(1)

Trait Theory

(1)

Behavioral School of Leadership

(1)

Leadership Style

(1)

Leadership Behaviors

(3)

Situational Theory

(1)

Contingency Model

(1)

Situational Leadership Model

(1)

A New Concept of Leadership

(2)

Transformational Leadership

(1)

Connective Leadership

(1)

Seven Lessons of Leadership

(2)

Process Model of Leadership

(3)

Stage 1---Analysis and Problem Identification

(1)

The Event

(1)

The Participants

(1)

Organizational Factors

(1)

Interpersonal Processes between Participants

(1)

Controlling Forces

(1)

Stage 2---Determination of Action

(1)

Action Plan

(1)

Stage 3---Evaluation of Action

(1)

Conclusions on Use of Process

(1)

Case Studies

(2)

Summary

(1)

Learner Exercises

(1)

References

(2)

Appendices

(5)

Interactive Processes of Leadership; Communication and Group Process

(28)

Introduction

(1)

Key Concepts

(1)

Communication

(2)

The Message

(1)

Communication Process

(1)

Ten Basics for Good Communication

(5)

Blocks to Communication

(2)

Culture and Gender

(1)

Communication with the Health Team

(6)

Preventing Communication Breakdown

(1)

Communication with Difficult People

(2)

Communication Networks

(1)

Team Building

(2)

Group Dynamics

(1)

Interdisciplinary Teams

(1)

Characteristics of a Group

(1)

Group Processes

(1)

Leaders Impact on a Group

(4)

Insight

(1)

The Group Approach

(1)

Understanding

(1)

Diagnose a Sick Group

(1)

Flexibility

(1)

Meetings: A Team Tool

(1)

Evaluation of Group Effectiveness

(1)

Case Studies

(2)

Summary

(1)

Learner Exercises

(1)

References

(2)

Appendix

(1)

Decision Making and Conflict Management

(24)

Introduction

(1)

Key Concepts

(1)

Decision Making

(3)

Analysis

(2)

Prediction of Outcomes

(1)

Challenge to Nursing

(1)

Impact of Decisions

(1)

Systems of Decision Making

(1)

The Decision Making Process

(4)

Identify Participants

(1)

Gather Pertinent Facts

(1)

Generate Alternatives

(1)

Predict Outcomes

(1)

Select Best Alternative

(1)

Plan for Managing Consequences

(2)

Management of Conflict

(2)

Nature of Conflict

(2)

Basis of Conflict

(5)

Examples of Common Conflicts in Nursing

(3)

Approaches to Managing Conflict

(1)

Process Model of Conflict Management

(2)

Case Studies

(1)

Summary

(1)

Learner Exercises

(1)

References

100

(2)

The Ethical Responsibility of the Nurse Leader

102

(19)

Introduction

102

(1)

Key Concepts

103

(1)

Ethics

103

(5)

Ethical Theories

105

(1)

Ethical Principles

106

(1)

Barriers to Ethical Decision Making

107

(1)

Strategies for Enhancing Ethical Decisions in Nursing Practice

108

(1)

The Role of Institutional Ethics Committees

109

(1)

The Employer-Employee Relationship

109

(2)

Peer Relationships

111

(2)

The Nurse---Patient Relationship

113

(3)

Case Studies

116

(1)

Summary

116

(1)

Learner Exercises

117

(1)

References

118

(2)

Suggested Readings

120

(1)

UNIT 2: An Overview of Organizations and Management

121

(62)

Organization and Management Theory

123

(26)

Introduction

123

(1)

Key Concepts

123

(1)

Overview: Organizational Dynamics

124

(1)

Classical Theory

125

(4)

Scientific Management

125

(1)

Administrative Management

125

(1)

Organizational Principles

126

(2)

The Bureaucratic Model

128

(1)

Contribution of Classical Theory

128

(1)

Modern Theory

129

(8)

Behavioral Science

129

(1)

General Systems/Social Systems Theory

130

(2)

Modern Systems Theory Models

132

(1)

The Modern Team Concept

133

(1)

Interactional Phenomena

134

(1)

Power

134

(2)

Authority

136

(1)

Responsibility

136

(1)

Status

136

(1)

Process of Delegation

136

(1)

Organizational Concepts

137

(4)

Organizational Chart

137

(1)

Organization Structure

137

(3)

Contingency Structure

140

(1)

Integrated Health Care System

141

(4)

Organizational Model

142

(2)

Organization and Management Link

144

(1)

Properties of an Organization

144

(1)

Case Studies

145

(1)

Summary

146

(1)

Learner Exercises

146

(1)

References

147

(2)

Overview of Nursing Management

149

(23)

Introduction

149

(1)

Key Concepts

150

(1)

Management Process

150

(1)

Levels of Management

151

(1)

Management Science

151

(2)

Management in Nursing

153

(2)

Evolution of Nursing's Management Role

154

(1)

Objectives of Nursing Management

155

(1)

Management Functions

155

(4)

Planning

155

(1)

Types of Planning

156

(1)

Organizing

157

(1)

Staffing

158

(1)

Directing

158

(1)

Coordinating

159

(1)

Controlling

159

(1)

Standards

159

(2)

Policies

161

(1)

Systems of Nursing Care Delivery

161

(2)

Case Method

161

(1)

Functional Method

162

(1)

Team Nursing

162

(1)

Restructuring Nursing Care Delivery Models

163

(5)

Job Design

163

(1)

Primary Nursing

163

(1)

Total Patient Care

164

(1)

Differentiated Practice

164

(1)

Partners in Practice

165

(1)

System Redesign

165

(1)

Case Management

166

(1)

Total Quality Management

167

(1)

Transition to Manager

167

(1)

Management Assessment Guide

168

(1)

Case Studies

169

(1)

Summary

169

(1)

Learner Exercises

170

(1)

References

170

(2)

Delegation; The Manager's Tool

172

(11)

Introduction

172

(1)

Key Concepts

172

(1)

Delegation

173

(7)

Assignment of Work

174

(1)

Scope of Practice

174

(1)

Liability

174

(1)

Scalar Chain

175

(1)

Decentralization

175

(1)

The Purpose of Delegation

176

(1)

Cost Savings

176

(1)

Time Savings

177

(1)

Professional Growth for Employees

177

(1)

Professional Growth of the Manager

177

(1)

The Process of Delegation

177

(1)

Guidelines for Effective Delegation

178

(1)

Barriers to Delegation

178

(2)

Case Studies

180

(1)

Summary

181

(1)

Learner Exercises

181

(1)

References

182

(1)

Suggested Readings

182

(1)

UNIT 3: Special Responsibilities of the Manager

183

(92)

Maintaining Standards

185

(14)

Introduction

185

(1)

Key Concepts

185

(2)

The Climate for Nursing Practice

187

(1)

Professional Basis for Quality Assurance

188

(2)

Practice Framework

190

(2)

Legal Basis of Nursing

192

(1)

Ethical and Societal Concerns

192

(1)

Governmental Regulations

193

(1)

Risk Management

194

(3)

Model of Risk Management

195

(1)

Financial Management

195

(1)

Risk Identification

195

(1)

Risk Analysis

196

(1)

Risk Treatment

196

(1)

Risk Evaluation

196

(1)

Impact on Nursing Development

196

(1)

Case Studies

197

(1)

Summary

197

(1)

Learner Exercises

198

(1)

References

198

(1)

Motivation in the Work Setting

199

(16)

Introduction

199

(1)

Key Concepts

199

(1)

Definitions and Sources of Motivation

200

(1)

Theories of Motivation

201

(3)

Needs Theorists

201

(1)

Personality Type and Motivation

202

(1)

Motivation as Rational Decision Making

203

(1)

Organizational Climate and Motivation

204

(4)

Micromotivation and Macromotivation

207

(1)

Motivational Problems

208

(2)

A Situational Approach

209

(1)

Issues Central to Nursing

210

(1)

Case Studies

210

(1)

Summary

211

(1)

Learner Exercises

212

(1)

References

213

(2)

Monitoring and Improving Performance

215

(21)

Introduction

215

(1)

Key Concepts

215

(1)

The Performance Appraisal System

216

(3)

Design of a Performance Appraisal System

217

(1)

Career Planning

217

(2)

Criteria for Nursing Standards

219

(1)

Active Participation in Performance Appraisal

220

(1)

Essential Elements

220

(4)

Philosophy, Mission, and Objectives

221

(1)

Well-Defined Purpose

221

(1)

Evaluation Tools that Produce Desired Information

222

(2)

Performance Appraisal Process

224

(3)

Planning for the Interview

224

(1)

Participating in the Evaluation Interview

225

(1)

Using Evaluation Results

226

(1)

Rewards

227

(2)

Obstacles to Performance Improvement

229

(3)

Case Studies

232

(1)

Summary

233

(1)

Learner Exercises

234

(1)

References

234

(2)

Legal Issues in the Work Place

236

(15)

Introduction

236

(1)

Key Concepts

237

(1)

Equal Employment Opportunity (EEO) Laws

237

(4)

Title VII of the Civil Rights Act of 1964 (Amended in 1972)

238

(1)

Civil Rights Act of 1991

238

(1)

Civil Rights Act, Amended 1993

238

(1)

Age Discrimination in Employment Act

238

(1)

Pregnancy Discrimination Act

238

(1)

Americans with Disabilities Act (ADA)

239

(1)

Immigration Reform and Control Act

239

(1)

Consolidated Omnibus Budget Reconciliation Act (COBRA)

239

(1)

Occupational Safety and Health Act (OSHA)

239

(1)

Sexual Harassment: A Special Case of Discrimination

239

(2)

Hiring and Interviewing

241

(1)

Family and Medical Leave Act (FMLA) of 1993

241

(1)

Labor-Management Laws

242

(4)

Unions and Collective Bargaining

242

(3)

Strikes

245

(1)

Case Studies

246

(1)

Summary

247

(1)

Learner Exercises

247

(1)

References

248

(3)

Managing Change

251

(24)

Introduction

251

(1)

Key Concepts

251

(1)

A Theoretical Perspective

252

(3)

Expanded Conceptual Framework

252

(2)

Change and Stress

254

(1)

Expanded Rate and Scope of Change

255

(1)

Change Strategies

255

(1)

Planned Change Theory

255

(1)

Basis of Change in Nursing

256

(4)

External Forces

257

(1)

Internal Forces

257

(3)

The Change Process

260

(4)

Problem Identification

260

(1)

Gaining Support for Change

261

(1)

How Changes Are Made

261

(1)

Planned Change

262

(1)

Radical Intervention

262

(1)

Change through Nonintervention

263

(1)

An Example of Differing Adaptations to Change

263

(1)

Stages of Change

264

(1)

Unfreezing

264

(1)

Moving

264

(1)

Refreezing

265

(1)

Change Agents

265

(1)

Characteristics of Change Agents

265

(1)

Responsibilities of Change Agents

266

(1)

Strategies for Change Agents

266

(1)

Response to Change

266

(3)

Resistance to Change

267

(2)

Evaluating Change

269

(1)

Case Studies

269

(2)

Summary

271

(1)

Learner Exercises

272

(1)

References

272

(3)

UNIT 4: Managing Resources

275

(60)

Managing Resources; The Staff

277

(13)

Introduction

277

(1)

Key Concepts

278

(1)

Staffing

278

(3)

Process and Staffing Plan

278

(2)

Workload Measures: Productivity Index

280

(1)

Staffing Methodologies

281

(5)

Scheduling Patterns

283

(1)

Work Schedules

284

(1)

Shared Staffing Help List

285

(1)

Management's Role: Planning the Staffing Program

286

(1)

Economic and Regulatory Issues

286

(1)

Case Studies

287

(1)

Summary

288

(1)

Learner Exercises

288

(1)

References

289

(1)

Managing Resources; Time

290

(10)

Introduction

290

(1)

Key Concepts

290

(1)

Time Management

291

(1)

Principles of Time Management

291

(2)

Communication

291

(1)

Planning

291

(1)

Delegation

292

(1)

Prioritizing Goals

292

(1)

Time Management Strategies

293

(3)

Time Analysis

293

(1)

Daily Planning

293

(1)

Crisis Control

294

(1)

Problem Analysis

295

(1)

Task Analysis

295

(1)

Time Control

295

(1)

Time Evaluation

295

(1)

Barriers to Effective Time Management

296

(1)

Habit

296

(1)

Work Expansion

296

(1)

Over supervision

296

(1)

Under delegation

296

(1)

Losing Sight of Objectives

296

(1)

Case Studies

297

(1)

Summary

298

(1)

Learner Exercises

298

(1)

References

298

(1)

Suggested Readings

299

(1)

Managing Resources; the Budget

300

(18)

Introduction

300

(1)

Key Concepts

300

(2)

Managing Financial Resources

302

(1)

Financial Structure

302

(1)

The Budgeting Process

303

(1)

A Policy Statement

303

(1)

Goals and Financial Projections

303

(1)

Related Budgeting Concepts

304

(6)

Accounting

304

(1)

Category One: Income Statements

304

(1)

Category Two: The Balance Sheet

304

(1)

Category Three: Cash-Flow Statements

305

(1)

Cost Accounting

305

(1)

Double-Entry Accounting

306

(1)

Long-Range Financial Plans

306

(1)

Types of Budgets

307

(3)

Preparation of the Budget

310

(5)

Review Past Performance

310

(1)

Review the Organization's Goals and Projections

311

(1)

Review the Variance

311

(1)

Actual Preparation of the Budget

311

(1)

Specific Responsibilities of the Nurse Manager

311

(1)

Monitoring the Budget

312

(3)

Case Studies

315

(1)

Summary

316

(1)

Learner Exercises

317

(1)

Suggested Readings

317

(1)

Informatics in Nursing

318

(17)

Introduction

318

(1)

Key Concepts

318

(1)

Definition of Informatics

319

(1)

Computers

319

(2)

Components of Computers: Hardware and Software

320

(1)

Hardware

320

(1)

Software

321

(1)

Nursing Informatics

321

(4)

Significance of Nursing Informatics

322

(1)

Nursing Informatics: Special Applications

323

(2)

The Health Care Record

325

(1)

Computerized Patient Record

326

(1)

A Computerized Patient Record for Data Management

326

(1)

Informatics Systems

326

(2)

Challenge of Nursing Informatics

327

(1)

Ethical Considerations

327

(1)

Security

327

(1)

Confidentiality

327

(1)

Privacy

328

(1)

The Internet; A Resource for Nursing

328

(1)

Future Directions

329

(1)

Case Studies

329

(1)

Summary

330

(1)

Learner Exercises

330

(1)

References

331

(4)

Index

335

Amazon no longer offers textbook rentals. We do!

Leadership and Management in Nursing

Leadership and Management in Nursing

9780130617774

0130617776

Summary

Table of Contents

Supplemental Materials

Excerpts

Write a Review

Amazon no longer offers textbook rentals. We do!

Leadership and Management in Nursing

Leadership and Management in Nursing

9780130617774

0130617776

Summary

Table of Contents

Supplemental Materials

Excerpts

Write a Review

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