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18 Cards in this Set

  • Front
  • Back
Leadership
•“Leadership is the art of getting someone to do something you want done because he wants to do it.” Dwight D. Eisenhower
•“Leadership is the ability to influence people to accomplish goals.” (Huber, 2000)
•It is the combined use of innate personality traits, learned behaviors, and the specific elements of a given situation “to guide individuals and groups (usually employees, co-workers, or colleagues) toward the attainment of some common mission or outcome”.
•Leaders
Three Primary Tasks of a Leader
•Set Direction: Mission, Goals, Vision
•Build Commitment: Motivate and Inspire
•Confront Challenges: Innovation, Deal with Change, take Risks
What Does Leadership Involve?Qualities of a good Leader
•Leadership Theories
•Motivation
•Group development and teamwork
•Power & Conflict
•Confrontation and Negotiation
•Effective Communication
•Critical Thinking and Problem Solving
•Sets worthy goals and achieves them
•Sets an overall positive example for others to follow; uplifting and optimistic
•Responsible
•Has integrity & honesty
•Compassionate
•Good interpersonal skills
•Listens to others
•Supportive and guiding: respects the individual
•Helps others achieve their goals and develop their skills
•Tolerates criticism/good self esteem
•Risk taker/Perseverance
What is Management?
•A process of influencing people but with the specific intention of contributing to meeting the organization’s goals.
•Is the process of getting work done through other people.
•Planning, organizing, coordinating, and controlling work given to employees
Management Functions
Officially responsible for the work of a group.
•Hiring and firing
•Evaluating staff performance
•Prepare and implement a budget
•Approve expenses and purchases
•Plan current and future activities of the unit.
•Recommend raises and promotions
•Handle conflict
•Evaluating staff performance
•Be open to demands of continuous change
Differences Between Leadership and Management
Managers have formal authority to direct the work of a given set of employees.
•Managers are formally responsible for the quality and cost of that work.
–Neither is necessary to be a leader
–On the other hand, to be an effective manager, you need to be a good leader.
•You do not have to be a manager to be a leader.
•Managers control aspects of the environment such as resources, time, and money.
•Management positions may be assigned.
•With a management position, comes power
Differences Between Leadership and Management
•Leadership
–Based on influence
–An informal designation
–An achieved position
–Part of every nurse’s role
–Independent of management
Differences Between Leadership and Management
Management
–Based on authority
–A formally designated position
–An assigned position
–Usually responsible for budgets, hiring and firing
–Improved by use of effective leadership skills
Theory X states that it is assumed that:
–Most people don’t want to work hard
–The manager’s job is to see that they work hard
–And the best way to do this is to use a control-supervision-and punishment method.
Theory Y assumes that:
–Work is motivating and stimulating
–People really want to do their job well
–The best way to assure this is to use a guidance-development-reward method
Evidenced Based Nursing
The process by which we as nurses make clinical decisions using the “best available research available, our clinical expertise, and patient preferences in the context of available resources”.
Evidence Based Nursing (EBN)
•What factors must be considered?
–Sufficient research must have been published on the specific topic.
–The nurse must have skill in accessing and critically analyzing research.
–The nurse’s practice must allow her/him to implement changes based on EBN.
Evidence Based Nursing (EBN)
•Must solve problems encountered by nurses by:
Clearly identify the issue or problem based on accurate analysis of current nursing knowledge and practice.
–Search the literature for relevant research.
–Evaluate the research evidence using established criteria regarding scientific merit.
–Choose interventions and justify the selection with the most valid evidence.
Evidence-Based Practice Model(
Step 1: Assess the need for change.
Step 2: Ability to connect the identified problem with appropriate interventions and outcomes through the use of nursing standards and “best practices”.
Step 3: Literature review of the interventions and outcomes to determine if there is enough evidence to support a change in current practice
Step 4: Based on the literature supported best evidence, a change in practice can be proposed.
Step 5: Decision to implement change, adapt it further, or discard it.
Step 6: Integrate the change into practice. Assist in change acceptance and quality management
Quantitative Designs
Apply knowledge from a smaller sample to a larger populaton.
–Quantitative designs: survey, needs assessment, experimental, quasi-experimental, methodologic, meta-analysis, secondary analysis. (See table 6-1)
Qualitative Designs
Used for discover rather than verification.
–Explain a process rather than to verify cause and effect.
–Interviewing to explore the meaning of experiences.
–Generalizations not made from findings. Cannot assert that findings from a small sample would be the same in a large population.
–See table 6-2
Research Based
Meta Analysis
Experimental studies
All types of Research
Multiple non-experimental studies
Published EBP Guidelines
Non-Research Based
Case Studies
Quality Improvement Data or Case Reports
Practice Guidelines
Expert Opinions-Standard of Practice