delegation and managem

Autocratic/authoritarian 

Leader assuming control over decisions and activities of the group. High staff turnover and burnout are more common

Democratic/participative

Decisions and activities are shared. The group and leader work together to accomplish mutually set goals and outcomes 

Laissez-faire/non directive 

The leader relinquished power to the group most effective when all staff are clinical experts 

Transactional

Leadership maintain control by rewarding good behavior and punishing behavior they perceive as detrimental or negative 

Servant

Philosophy and set of practices that enrich the lives of individuals, build better organizations and ultimately create a more just and caring world

Transformational

Can create revolutionary change. Often described as charismatic, transformational leaders are unique to their ability to inspire and motivate others 

Magnet recognition

Framework for excellence in nursing practice, and hospitals must meet certain criteria to be certified as a magnet hospital by ANCC

Roles of nurse manager

• Planning: identifying problems and developing goals, objectives and related strategies to meet the demands of the clinical area 

• Organizing: acquiring, managing and mobilizing resources to meet both clinical and financial objectives

• Staffing: hiring, orienting, scheduling to facilitate team building; also includes staff development 

• Directing: leading others in achieving goals within the constraints of the current fiscal and workforce shortage scenarios, a demanding task for managers and staff alike 

• Controlling: implementing mechanisms for ongoing evaluation, particularly in areas of clinical quality and financial accountability

Leadership

ability to influence, guide and direct. Focuses on relationships. May not have a position of authority

Management

the process of coordinating others and directing them toward a common goal, focuses on the task at hand. Formal position of authority

Clinical nurse leader role

• Works collaboratively with health care team to facilitate, coordinate and oversee patient care

• should be able to clearly communicate, integrate evidence based practices into patient care, evaluate risks and outcomes

• Person centered care aimed at functioning as a patient advocate, educator, and provider of patient care in complex situations 

Delegation

transference of responsibility and authority for an activity to a competent individual

Delegate

the person responsible for performing the task

Delegator

the person who assigns the task and is responsible for the outcome 

Assignment

a skill or task that needs to be accomplished as a part of one’s regular responsibilities

5 rights of delegation

1. Right task: can the task be delegated?

2. Right circumstance: is the whole patient care situation appropriate for delegation?

3. Right person: does the delegate have necessary skills?

4. Right direction: delegator must give clear direction to delegate 

5. Right supervision: delegator must evaluate and provide feedback to delegate

Unnecessary delegation

-Associated tasks should be delegated to as few people as possible 

-If multiple people involved, team meeting should be held to plan delegation

Underdelegation

-Delegator may fail to transfer full authority to delegate

-Delegator may take back responsibility for some aspects of task

-Delegator may fail to appropriately equip, direct delegate

Reverse delegation

Someone with lower rank delegates task to someone with more authority

LPN

-provide basic medical care

• Requires completing an approved education program (1.5-2 years)

• Must have a license

LPNS do not

• Give blood transfusions or blood products

• Care for critically ill patients 

• Assess newly admitted patients

• No discharge teaching

• Care for fresh post op patients

• Administer cardiac or high risk infusions via IV

• Care for a patient requiring invasive bedside procedure 

Collaborating

Parties work together to develop a win-win solution. Should be reserved for important, non-trivial decisions, as it can be time consuming.

Competing

One party in the conflict takes a firm stand. Often seen as aggressive, it is typically used in emergency situations where decisions must be made quickly, or an unpopular choice needs to be made.

accommodating/compromising 

Each person in the conflict gives up something that contributes towards the conflict resolution. Appropriate for important but not urgent scenarios where resolving the conflict is more important than having each individual “win”

Avoiding

Accepting decisions without question, avoiding confrontation, and delegating difficult decisions and tasks. Passive approach but useful when the issue is trivial or will resolve itself on its own.