Nursing Leadership & Management

Accountability
Moral concept that involves acceptance by a professeional nurse of the consequences of a decision or action
Authority
Legitimate power or official righ to act.
Case Management
Health care delivery strategy that supports managed care; it is an interdisciplinary health care delivery approach that provides comprehensive client care using available resources to promote quality and cost-effective care.
Critical Pathway
clinical management care plan for providing client-centered care and for planning and monitoring the client’s progress within an established time frame; multidisciplinary collabration and teamwork ensure shared decision making and quality client care.
delegation
Process of transferring a selected nursing task in a situation to an individual who is competent to perform that spicific task.
Disaster
Any human-made or natural event that causes destruction and devastation that cannot be alleviated without assistance; . .
External disasters
events that occur outside the health care agency.
Internal disasters
events that occur within a health care agency
Emergency response plan
A health care agency’s preparedness and response plan in the event of a disaster.
Evidence-based practice
Approch to client care in which the nurse integrates the client’s preferences, clinical expertise, and the best research eveidence to deliver quality care.
Leadership
Interpersonal process that involves influencing other (followers) to achieve goals
Management
Accomplishment of tasks or goals by oneseld or by directing others.
Prioritizing
Deciding which needs or problems require immediate action and which ones could tolerate a delay in action until a later time because they are not urgent
Quality improvement (performance improvement)
focuses on processes or systems that significantly contribute to client safety and effective client care outcomes; criteria are used to monitor outcomes of care and to determine the need for change to improve the quality of care.
Triage
Classifying procedure that ranks clients according to their need for medical care.
Coercive
Ability to punish
Referent
Based on attraction. Motivates one person to communicate with another
Expert
Based on having an expert knowledge base and skill level
Legitimate
Based on a position in society
Informational
When one person provides explanations why another should behave in a certain way
Transfer Reports
Include;
~Client’s name, age, physician and diagnosis
~Current health status and plan of care
~Any assessments or interventions that need to be performed after transfer such as laboratory tests medication administration or dressing changes
~Need for special equipment
~Additional considerarions such as allergies, resuscitation status, precautions or family issues
Triage “Emergent (Red)” Priority 1
Clients who have life-thrententing injuries and need immediate attention and continuous evaluation, but have high probability for survival when stabilized
~eg; truama victims, clients with chest pain, clients with limb amputation, clients with acute neurological deficits, and clients who have sustained chemical splashes to eyes.
Triage “Urgent (Yellow)” Priority 2
Clients who require treatment and whose injuries have comlpications that are not life-threatening, provided that they are treated within 1 to 2 hours; these clients require continuous evaluation every 30 to 60 minutes thereafter
~eg. clients with a simple fracture, asthma without respiratory distress, fever, hypertendion, abdominal pain, or a renal stone.
Triage “Nonurgent (Green)” Priority 3
Clients with local injuries who do not have immediate compications and who can wait several hours for medical treatment; these clients require evaluation every 1 to 2 hours thereafter
~eg. clients with conditions such as a minor laceration, sprian, cold symptoms.
Guidelines for client care assignments
~Always ensure client safety
~Be aware of individual variations in work abilities
~Determine which tasks can be delegated and to whom
~Match the task to the delegatee based onthe nurse practice act and appropriate position describtions
~Provide directions that are clear, concise, accurate and complete.
Effective Leader and Management Qualities
~effective communicator
~Creadible (capable of being believed)
~Critical thinker
~Intiater of action
~Risk taker
~Is persuasive and influences employees
Five “RIGHTS” of Delegation
~Right Person
~Right Task
~Right curcumstance
~Right direction/communication
~right Supervision/evaluation