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Challenges of Nursing Management

STUDY
PLAY
Leader
selects and assumes role:
Manager
ia assigned ot appointed to role
management
is a problem-oriented process with similarities to the nursing process
Leadership
ia a way of behaving: it is the ability to cause others to respond, not because they have to, but b/c they want to
Managers four functions
Planning- What is to be done
Organizing- How it is to be done
Directing- Who is to do it
Controlling- when and how it is to be done
Theories of Management
Traditional (scientific) theory
Behavorial (human-interaction) theory
Systems Theory
Contingency (motivational) theory
Traditional (scientific) theory
high productivity level expected from worker
Behavorial (human-interaction) theory
considers the workers needs
Systems theory
-Decisions are based on how others will be affected
-considering the parts of a system as a whole
contingency(motivational) theory
examines what motivates workers to be productive and effective in completing the work
3 types of management styles
autocratic, democratic, laissez-faire
Autocratic manager
uses an authoritarian approach to direct activities of others
democratic manager
people-oriented and emphasizes effective group functioning
laissez faire manger
maintains a permissive climate with little direction or control exerted
Theories of Leadership
Contingency leadership
Situational leadership
interactional leadership
transactional/transformational leadership
Contingency leadership
leadership flexible enough to address varying situations
situational leadership
situation is analyzed and leadership style is selected that will best address issue
Interactional leadership
development of trust in relationship
transactional/transformational
one who has a greater focus on vision, defined as the ability to picture some future state and describe it to others so they will begin to share in that vision
Leadership traits
can be learned through education and experience
management and leadership in the 21 century
-changes in health care is altering foundations of nursing practice
-nurses are becoming increasing frustated with nursing care they were taught
-they feel like what they need to do is not possible due to decreased time spent with patients
-leadership is affected by the diverse generations in the workplace
silent or veterans
retiring group of nurses, oldest generation, taught to rely on tried and true and tested ways
-autocratic style of leaders and managers
baby boomers
-largest group of nurses
-care for own children and aging parents
-used technology to be more productive and have more free time
-building careers and invested in organizational loyalty
generation x
-little loyalty
-grew up in information age
-change jobs frequently and stay in a postion as long as it is good for them
-no aspirations of retirement
-they want different employment standards
generation y
-generation "net",
-born 1978-1995
-lots of baby boomers
-individuality, uniqueness, multitask, think fast, extremely creative
generation now
-igeneration
-never lived without internet
-never known a world without immediacy
Power
is having the ability to effect change and influence others
authority
relates to a specific position and the responsibility associated with that postion
legitimate power
is power connected to a position of authority
reward power
comes about bc the individual has the power to provide or withhold rewards
coercive power
is power derived from fear of consequences
expert power
is based on specialized skills, knowledge, or abilities respected by others
reherent power
is power a person has bc others closely identify with that persons personal characteristics, liked and admired by others
information power
is knowledge a person possesses that is needed by others to function effectively
-most abused power
problem solving in management
-compared with nursing process
-not always in a orderly flow
-differentiate amoung fact and opinion
-clearly identify problem and then brainstorm
problem solving and decision making
-decision making requires a clear objective
-both are initatied in the prescence of problem
-deal with the results of the problem
Decision making
valued based
problem solving
scientific process
What influences effect the funtioning of a group?
Leaders philosophy, self-concept, and interpersonal skills
Most effective groups
consistent membership and are highly developed
Challenges of change
change is inevitable
-can withdraw to avoid conflict or go with the change and steer in a postive direction
Change
-resisting change is a natural response
-every change involves adaptation
3 phases of change process
unfreezing, moving refreezing
unfreeze
all of the factors that may cause resistance to change are considered
moving
ppl are recruited to implement the change
refreezing
when plan is in place and everyone knows what is going on and what to expect
Who initiates change and why?
system-most common reason-what you do is no longer effective
management-changes frequently-new perspective and view regarding how the system operates
patient-when patients arent happen something needs to change
yourself-
WIIFM principle
whats in it for me?? either take part or be passive
Motivational Strategies for X and Y Generations
-let them know what they do matters
-tell them the truth
-explain why you ask them to do something
-learn their language
-lookout for rewarding oppurtunities
-praise them
-make the workplace fun
-model behavior
-give them tools for the job
motivational statgies for generation now
-look at where they get information
-make message relevant