Distracting, annoying, irritating behaviors (‘eye rolling”, sarcastic comments) to bullying, menacing, and violent behavior (withholding vital client information, intimidating others, or making threats of physical harm)
INCIVILITY
Aka horizontal violence; happens between and among coworkers with the same level/rank.
LATERAL VIOLENCE
Actions which aim to intimidate, degrade, humiliate, undermine an employee; or which create a risk to the health of the employee.
BULLYING
INDIVIDUAL
Be respectful of others.
Raise awareness of disruptive behaviors in self and others.
Increase communication skills
ADMINISTRATIVE
Develop a position statement that supports zero tolerance for disruptive behaviors.
Develop an emotionally safe work environment.
Develop and implement a strong code of conduct.
Intervene when disruptive behaviors occur.
Assess the culture of work unit.
influences others to work together to accomplish a specific goal - often visionary
LEADER
employee of an organization - given authority, power, and responsibility for planning, organizing, coordinating, and directing the work of others and for establishing and evaluating standards
MANAGER
or appointed leader - selected by an organization - given official authority to make decisions and act.
FORMAL LEADER
not officially appointed to direct the activities of others - but because of seniority, age, or special abilities, the individual is recognized by the group as its leader.
INFORMAL LEADER
LEADERSHIP THEORY
focused on what leaders are (trait theories), what leaders do (behavioral theories), and how leaders adapt their leadership style according to the situation (contingency theories)
Makes decisions for the group - believes individuals are externally motivated and are incapable of independent decision-making; creativity, autonomy, and self-motivation are not met
AUTOCRATIC (AUTHORITARIAN LEADER)
the most effective, especially when urgent decisions are necessary (e.g., a cardiac arrest, a unit fire, or a terrorist attack).
AUTOCRATIC STYLE
encourages group discussion and decision-making; acts as a catalyst or facilitator; group productivity and satisfaction are high; democratic leader assumes individuals are internally motivated & capable of making decision
DEMOCRATIC LEADER
demands that the leader have faith in the group members to accomplish the goals; can be extremely effective in the healthcare setting.
DEMOCRATIC
recognizes the group’s need for autonomy and self-regulation; “hands-off” approach. members have both personal and professional maturity.
LAISSEZ-FAIRE (PERMISSIVE) LEADER
does not trust self or others to make decisions; relies on the organization’s rules, policies, and procedures to direct the group’s work efforts. members are usually dissatisfied with the leader’s inflexibility.
BUREAUCRATIC LEADER
according to them, effective leaders adapt their leadership style to the situation.
CONTINGENCY THEORIST
flexes task and relationship behaviors - considers the staff members’ abilities - knows the nature of the task to be done - sensitive to the context or environment in which the task takes place - adapt their leadership style to the readiness and willingness of the individual/group to perform the assigned task
SITUATIONAL LEADER
focuses the leader on activities that encourage group productivity to get the work done. concerned with interpersonal relationships and focuses on activities that meet group members’ needs.
TASK ORIENTED STYLE
CONTEMPORARY LEADERSHIP THEORIES
CHARISMATIC LEADER
TRANSACTIONAL LEADER
TRANSFORMATIONAL LEADER
Relationship w/ members are based on an exchange for some follower’s valued resource - incentives are used to promote loyalty and performance
TRANSACTIONAL
rare - characterized by having an emotional relationship with the group members - nurses feel inspired and motivated to do whatever they can to meet the leader’s expectations
CHARISMATIC
fosters creativity, risk taking, commitment, and collaboration - inspires others with a clear, attractive, and attainable goal.
TRANSFORMATIONAL
SUBTYPE OF TRANSFORMATIONAL LEADERSHIP
SERVANT LEADERSHIP
SHARED LEADERSHIP
SHARED GOVERNANCE
EFFECTIVE LEADERSHIP PRINCIPLES
VISION
INFLUENCE
BEING A POSITIVE ROLE MODEL
MANAGEMENT
responsible for managing the work of nonmanagerial personnel & day-to-day activities of a specific work group/s. primary responsibility: to motivate staff to achieve the organization’s goals.
FIRST-LEVEL MANAGERS
supervise a number of first-level managers - responsible for the activities in the departments they supervise. - serve as liaisons between first-level managers and upper-level managers. (Supervisor, nurse managers, or head nurse)
MIDDLE-LEVEL MANAGERS
primarily responsible for establishing goals and developing strategic plans. - Nurse executives are registered nurses who are responsible for the management of nursing within the organization and the practice of nursing. (EG. VICE PRESIDENT, VP OF NURSING, DIRECTOR OF NURSING, CHIEF NURSE)
UPPER-LEVEL (TOP-LEVEL) MANAGERS
4 MANAGEMENT FUNCTIONS
PLANNING
ORGANIZING
DIRECTIVE
COORDINATION
PRINCIPLES OF MANAGEMENT
AUTHORITY
ACCOUNTABILITY
RESPONSIBILITY
measure of the quality or quantity of services provided
EFFECTIVENESS
measure of the resources used in the provision of nursing services
EFFICIENCY
performance measure of both the effectiveness and efficiency of nursing care; measured by the amount of nursing resources used/provided actual hours of care per client.
PRODUCTIVITY
5 “rights” of delegation
right task, 2. under the right circumstances, 3. to the right person, 4. with the right directions and communication, 5. and the right supervision and evaluation