Leading and Managing in Nursing.

Leading and Managing in Nursing.

Leading and Managing in Nursing.

Leading and Managing in Nursing

SEVENTH EDITION

Patricia S. Yoder-Wise, RN, EdD, NEA-BC, ANEF, FAAN Professor and Dean Emerita, Texas Tech University Health Sciences Center, Lubbock, Texas

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Table of Contents

Cover image

Title page

Copyright

Dedication

Contributors

Reviewers

Acknowledgments

Preface

Concept and practice combined

Diversity of perspectives

Audience

Organization

Design

Learning strategies

Complete teaching and learning package

Chapter overview Part 1: Overview

1: Leading, Managing, and Following

Introduction

Theory development in leading, managing, and following

Leading, managing, and following—different but related

Traditional and emerging leadership and management roles

Leading, managing, and following in a diverse organization

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Conclusion

Reflections

The evidence

Tips for leading, managing, and following

2: Clinical Safety: The Core of Leading, Managing, and Following

Introduction

The classic reports and emerging supports

Other key agencies and endeavors

Meaning for leading and managing in nursing

Conclusion

Reflections

The evidence

Tips for clinical safety

3: Legal and Ethical Issues

Introduction

Professional nursing practice: nurse practice acts

Negligence and malpractice

Informed consent

Privacy and confidentiality

Policies and procedures

Employment laws

Professional nursing practice: ethics

Conclusion

Reflections

The evidence

Tips for incorporating legal and ethical issues in practice settings

4: Cultural Diversity and Inclusion in Health Care

Introduction

Concepts and principles

Theory

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National and global directives

Special issues

Language

Meaning of diversity in the organization

Cultural relevance in the workplace

Individual and societal factors

Dealing effectively with cultural diversity

Implications in the workplace

Conclusion

Reflections

The evidence

Tips for incorporating cultural diversity in health care

Part 2: Know Yourself

5: Gaining Personal Insight: The Beginning of Being a Leader

Introduction

Informal and formal leadership

The core of learning to be a leader

Gaining insight into self

Becoming an authentic leader

Conclusion

Reflections

The evidence

Tips for Gaining Personal Insight

6: Being an Effective Follower

Introduction

Research on followership

Followership theories

Differences between leading and following

Leader–follower relationship

Conclusion

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Reflections

The evidence

Tips on how to be an effective follower

7: Managing Self: Stress and Time

Introduction

Emotional intelligence

Understanding stress

Definition of stress

Sources of job stress

Dynamics of stress

Management of stress

Burnout

Resolution of stress

Management of time

Conclusion

Reflections

The evidence

Tips for self-management

8: Communication and Conflict

Introduction

Effective communication within healthcare settings

Types of conflict

Stages of conflict

Categories of conflict

Modes of conflict resolution

Differences of conflict-handling styles among nurses

The role of the leader

Managing incivility, lateral violence, and bullying

Conclusion

Reflections

The evidence

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Tips for effective communication and addressing conflict

9: Power, Politics, and Influence

Introduction

History

Power

Empowerment

Sharing Power

Personal power strategies

Exercising Power and Influence in the Workplace and Other Organizations

Conclusion

Reflections

The evidence

Tips for using influence

Part 3: Know the Organization

10: Healthcare Organizations

Introduction

Characteristics and types of organizations

Integration

Acquisitions and mergers

Forces that influence healthcare organizations

Theoretical Perspectives

Nursing role and function changes

Conclusion

Reflections

The evidence

Tips for healthcare organizations

11: Organizational Structures

Introduction

Mission

Vision

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Philosophy

Organizational culture

Factors influencing organizational development

Characteristics of organizational structures

Bureaucracy

Types of organizational structures

Emerging fluid relationships

Conclusion

Reflections

The evidence

Tips for understanding organizational structures

12: Care Delivery Strategies

Introduction

Historical methods of organizing nursing care

Leadership during implementation of a model of care

Organizational strategies influencing care delivery

Positive care delivery systems

Transitional care

Interprofessional education and collaboration

Conclusion

Reflections

The evidence

Tips for selecting a care delivery model

13: Staffing and Scheduling

Introduction

The staffing process

Evaluation of effective staffing

Factors in staffing that influence patient outcomes

Supplemental (agency or contract) staff and float pools

Organizational factors that affect staffing plans

Developing a staffing budget

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Scheduling

Evaluating unit staffing and productivity

Conclusion

Reflections

The evidence

Tips for staffing and scheduling

14: Workforce Engagement Through Collective Action and Governance

Introduction

Nurses as knowledge workers

Professional practice responsibility

Workplace advocacy, engagement, and empowerment

Shared governance

Collective action, collective bargaining, and unionization in nursing

Healthy work environments

Conclusion

Reflections

The evidence

Tips for workforce engagement and collective action

Part 4: Use Your Skills

15: Making Decisions and Solving Problems

Introduction

Differentiation of decision making and problem solving

Decision making

Problem solving

Conclusion

Reflections

The evidence

Tips for decision making and problem solving

16: The Impact of Technology

Introduction

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Types of technologies

Knowledge technology

Information systems

Informatics

Patient safety

Impact of clinical information systems

Safely implementing health information technology

Future trends and professional issues

Professional, ethical nursing practice and new technologies

Conclusion

Reflections

The evidence

Tips for managing information and technology

17: Delegating: Authority, Accountability, and Responsibility in Delegation Decisions

Introduction

Historical perspective

Definitions

Assignment versus delegation

NCSBN model: an organizational framework for delegation

Effective communication: an essential competency for successful delegation

Delegation and the decision-making process in nursing

Organizational and individual accountability

Legal authority to delegate

Learning how to delegate: different strategies for success

Conclusion

Reflections

The evidence

Implications for practice

Tips for delegating

18: Leading Change

Introduction

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The nature of change

The change process

People and change

Context and change

Leadership and change

Conclusion

Reflections

The evidence

Tips for leading change

19: Building Effective Teams

Introduction

Groups and teams

Creating effective teams

Key concepts of teams

Issues that affect team functioning

Interprofessional teams

The value of team-building

The role of leadership

Conclusion

Reflections

The evidence

Tips for team building

20: Managing Costs and Budgets

Introduction

What escalates healthcare costs

How health care is financed

Healthcare reimbursement

The changing healthcare economic environment

Why profit is necessary

Cost-conscious nursing practices

Budgets

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Conclusion

Reflections

The evidence

Tips for managing costs and budgets

21: Selecting, Developing, and Evaluating Staff

Introduction

Roles in an organization

Selection of staff

Developing staff

Performance appraisals

Coaching

Conclusion

Reflections

The evidence

Tips for selecting, developing, and evaluating staff

22: Person-Centered Care

Introduction

Person-centered care—why now?

Initiatives to deliver person-centered care

Challenges in the delivery of person-centered care

Patient engagement

Nurses in the delivery of person-centered care

Synthesis and application

Conclusion

Reflections

The evidence

Tips for competent person-centered care

23: Managing Quality and Risk

Introduction

Quality management in health care

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Benefits of quality management

Planning for quality management

Evolution of quality management

Quality management principles

Customers

The quality improvement process

Quality assurance

Risk management

Conclusion

Reflections

The evidence

Tips for quality management

24: Translating Research Into Practice

Introduction

From using research to evidence-based practice

Development of evidence-based practice

Comparative effectiveness research

Practice-based evidence

Participatory action research

Quality improvement

Evaluating evidence

Organizational strategies to embed evidence-based practice into organizations

Issues for nurse leaders and managers

Conclusion

Reflections

The evidence

Tips for developing skill in using evidence and translating research into practice

25: Managing Personal and Personnel Problems

Introduction

Personal/personnel problems

Documentation

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Progressive discipline

Termination

Conclusion

Reflections

The evidence

Tips in the documentation of problems

Part 5: Prepare for the Future

26: Role Transition

Introduction

Types of roles

Roles: The ABCs of understanding roles

Role transition process

Strategies to promote role transition

Conclusion

Reflections

The evidence

Tips for role transition

27: Managing Your Career

Introduction

A career framework

Career theory

Professional development

Contributing through scholarly activities and research

Career marketing strategies

Conclusion

Reflections

The evidence

Tips for a successful career

28: Developing the Role of Leader

Introduction

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What is a leader?

The practice of leadership

Leadership development

Leadership development model

Surviving and thriving as a leader

The nurse as leader

Conclusion

Reflections

The evidence

Tips for becoming a leader

29: Developing the Role of Manager

Introduction

The definition of management

Nurse manager as change leader

Nurse manager role and the intergenerational workforce

The nurse manager and interprofessional collaboration

Building a positive work environment

Consuming research

Organizational culture

Mentoring

Day-to-day management challenges

Managing resources

Technology and informatics

Dashboards and decision support tools

Budgets and finance

Quality indicators

Professionalism

Conclusion

Reflections

The evidence

Tips for implementing the role of nurse manager

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30: The Strategic Planning Process

Introduction

Strategic planning

Reasons for strategic planning

Phases of the strategic planning process

Conclusion

Reflections

The evidence

Tips for developing and executing a strategic plan for nursing

31: Thriving for the Future

Introduction

Leadership demands for the future

Leadership strengths for the future

Visioning, forecasting, and innovation

The wise forecast model©

Shared vision

Projections for the future

Conclusion

Reflections

Tips for the Thriving in the future

The evidence

Index

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Copyright

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LEADING AND MANAGING IN NURSING, SEVENTH EDITION ISBN: 978-0-323-44913-7

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Dedication

This book is dedicated to the families and friends who supported all of us who created it, to the faculty who use this book to develop tomorrow’s emerging leaders and managers, and to the

learners who have the vision and insight to grasp today’s reality and mold it into the future of dynamic nursing leadership.

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