Management and Leadership in Nursing NUR 211 Spring

Management and Leadership in Nursing NUR 211 Spring 2003 Ginny Rogers NUR 211 2003

“To be good is noble. To teach others to be good is nobler, and no trouble. ” Mark Twain Ginny Rogers NUR 211 2003

NUR 211 Syllabus and Power. Points available on the web Final exam Room May 7 th 11: 00 AM – 1: 00 PM Weekly exams Project- see grading criteria page in Student Assignments Ginny Rogers NUR 211 2003

NUR 211 Paper – see grading criteria page Journal l See journal assignment eval. page ATI comprehensive exam passing rate l Failure requires taking review class and retake Seminars – required, info will be included on exams l Ginny Rogers NUR 211 2003

Clinical information Read role definitions l Weekly evals must be filled in by preceptor and signed, student must return to instructor with journal. l Students must inform instructor of ANY problems immediately. l Final evaluation- critical behaviors must be achieved independently by the completion of clinical work l Please spend time looking over the final evaluation tool, if you feel you are unable to achieve any objectives in your facility, let your instructor know. This is your responsibility. l Ginny Rogers NUR 211 2003

Unit 1 Ginny Rogers NUR 211 2003

Health Care Delivery Systems Reforms began ½ century ago l DRGS – first federally organized incentive to keep health care costs down l 1992 – Clinton’s task force looked at including the 40 M Americans w/o insurance (part of P. Bush’s agenda post war) l Managed Care Refers to the assumption of responsibility and accountability for the health of a defined population and the simultaneous acceptance of financial risk. l Care is population based ( imp. Change of Ginny Rogers NUR 211 2003 l

Changes in Health Care MANAGED CARE COST CONTAINMENT CONTROL OF RESOURCES RESTRUCTURING OF HEALTH CARE ENVIRONMENT NURSING CASE MANAGEMENT Ginny Rogers NUR 211 2003

Managed Care is population based All participants are held accountable Information to assess value will be necessary Primary care is of central importance Interdependence is very important Contracts are used to detail finances and delivery of care Ginny Rogers NUR 211 2003

Nursing Shortage Aging work force Image Retention Emigration of internationally trained (controversial) Nurses need to be politically active Ginny Rogers NUR 211 2003

Leadership Theories Great Man theory Charismatic theory Trait theory Behavioral school l l Autocratic Democratic Laissez-faire Eclectic Situational theory Contingency Model Ginny Rogers NUR 211 2003

Life-Cycle theory New theory of leadership Transformational leadership Connective leadership Ginny Rogers NUR 211 2003

Leadership Style and Leader Behaviors Leader –centered Group-centered Use of Authority by Leader abdicrat autocrat Tells Freedom of the group Sells Tests Ginny Rogers NUR 211 2003 Consults Joi

TRAITS OF A MANAGER HAVE AN ASSIGNED POSITION WITHIN THE FORMAL ORGANIZATION HAVE A LEGITIMATE SOURCE OF POWER DUE TO THE DELEGATED AUTHORITY THAT ACCOMPANIES THEIR POSITION ARE EXPECTED TO CARRY OUT SPECIFIC FUNCTIONS, DUTIES, AND RESPONSIBILITIES EMPHASIZE CONTROL, DECISION MAKING, DECISION ANALYSIS, AND RESULTS MANIPULATE INDIVIDUALS, THE ENVIRONMENT, MONEY, TIME, AND OTHER RESOURCES TO ACHIEVE ORGANIZED GOALS HAVE A GREATER FORMAL RESPONSIBILITY AND ACCOUNTABILITY FOR RATIONALITY AND CONTROL THAT LEADERS DIRECT WILLING AND UNWILLING Ginny Rogers NUR 211 SUBORDINATES 2003

TRAITS OF A LEADER OTHERS OFTEN DO NOT HAVE DELEGATED AUTHORITY BUT OBTAIN THEIR POWER THROUGH OTHER MEANS, SUCH AS INFLUENCE HAVE A WIDER VARIETY OF ROLES THAN DO MANAGERS ARE FREQUENTLY NOT PART OF THE FORMAL ORGANIZATION FOCUS ON GROUP PROCESS, INFORMATION GATHERING, FEEDBACK, AND EMPOWERING Ginny Rogers NUR 211 2003

Traits of a Leader EMPHASIZE INTERPERSONAL RELATIONSHIPS DIRECT WILLING FOLLOWERS HAVE GOALS THAT MAY OR MAY NOT REFLECT THOSE OF THE ORGANIZATION Ginny Rogers NUR 211 2003

ETHICS IN LEADERSHIP MANAGEMENT WITHOUT VALUES, COMMITMENT, AND CONVICTIONS CAN ONLY DO HARM” “WITHOUT INTEGRITY TRUST IS IMPOSSIBLE” Ginny Rogers NUR 211 2003

Tnansformational vs. Transactional Leader Transactional is traditional, one person steps up, leader and follower/s have separate but related purpose Transformational leader mobilizes others, has a vision, and is values oriented Ginny Rogers NUR 211 2003

Contingency Theories Fiedler’s theory l Match the leadership style to the situation Situational leadership theory l Expansion of above theory – looked at four leadership behaviors matching four types of followers Roles and Functions of Nursing Manager l Read through the roles – not on test Ginny Rogers NUR 211 2003

Characteristics of Organizations All organizations resemble one another Organizations are a cluster of suborganizations Organizations have similar problems Organizations have cylces Organizations have crises Some organizational goals are easier to meet than others Ginny Rogers NUR 211 2003

Organizations - Theory Classical Theory Division and specialization of labor l Chain of command l Organizational structure l Span of control l Bureaucracy l Neoclassical l Humanistic Systems theory l Closed or open Ginny Rogers NUR 211 2003

Types of power Coercive Reward Legitimate Expert Referent Information connection Ginny Rogers NUR 211 2003

Power and Leadership Image as power Power and professional influence Power plus vision How can nurses become more powerful? As individuals? l As a group? l Ginny Rogers NUR 211 2003

Political Influence Allocation of scarce resources Interpersonal endeavors Collective activity Analysis and planning Image Ginny Rogers NUR 211 2003

Political Action Framework Politics in the workplace Politics in government Financing Organizational politics Ginny Rogers NUR 211 2003

Contingency l Matches structure to environment Chaos l Based on continuous change Health care organizations l l Types of Ownership Types of organizations Organizational Structure l l l Horizontal Vertical Hybrid Matrix Parallel Shared governance Ginny Rogers NUR 211 2003

Strategic Planning Values l Vision l Mission Statement l Philosophy l Goals l Writing Mission Statements Ginny Rogers NUR 211 2003