Essentials of Nursing Leadership And Management 6th Edition by Sally Weiss, Ruth Tappen 0803636636 9780803636637

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ISBN 10: 0803636636

ISBN 13: 9780803636637

Author: Sally A Weiss; Ruth M Tappen

Successfully make the transition to professional nursing practice. Two books in one, for the price of one―all the issues and trends coverage you need, plus leadership and management content. The completely revised and updated 6th Edition of this popular resource prepares you to meet the challenges you’ll face as a professional in today’s changing health care environment. You’ll explore your future responsibilities as a leader and a manager and the workplace issues and trends that you’ll encounter in practice. A wealth of resources online at DavisPlus provides tools to hone your skills and prepare for the future, including interactive case studies, review questions, bonus chapters, a resume template, sample letters and emails, and much more.

Essentials of Nursing Leadership And Management 6th Table of contents:

unit 1 Professional Considerations

chapter 1 Leadership and Followership

OBJECTIVES

Leadership

Are You Ready to Be a Leader?

Leadership Defined

What Makes a Person a Leader?

Leadership Theories

Trait Theories

Behavioral Theories

table 1-1 Comparison of Autocratic, Democratic, and Laissez-Faire Leadership Styles

Task Versus Relationship

Motivation Theories

Emotional Intelligence

table 1-2 Leading Motivation Theories

Situational Theories

Transformational Leadership

box 1-1 BHAGs, Anyone?

Moral Leadership

Caring Leadership

box 1-2 Distinctive Styles of Leadership

Qualities of an Effective Leader

Figure 1.1 Keys to effective leadership.

table 1-3 Winner or Whiner—Which Are You?

Behaviors of an Effective Leader

Followership

Followership Defined

Becoming a Better Follower

Managing Up

Conclusion

Study Questions

Case Study to Promote Critical Reasoning

References

chapter 2 Manager

OBJECTIVES

Management

Are You Ready to Be a Manager?

What Is Management?

Management Theories

Scientific Management

table 2-1 Differences Between Leadership and Management

Human Relations–Based Management

Servant Leadership

Figure 2.1 Theory X versus Theory Y.

Qualities of an Effective Manager

Behaviors of an Effective Manager

Interpersonal Activities

Figure 2.2 Keys to effective management.

Decisional Activities

Informational Activities

table 2-2 Bad Management Styles

Conclusion

Study Questions

Case Studies to Promote Critical Reasoning

Case I

Case II

References

chapter 3 Nursing Practice and the Law

OBJECTIVES

General Principles

Meaning of Law

Sources of Law

The Constitution

Statutes

Administrative Law

Types of Laws

Criminal Law

Civil Law

Tort

Quasi-Intentional Tort

Negligence

Malpractice

Other Laws Relevant to Nursing Practice

Good Samaritan Laws

Confidentiality

Social Networking

Slander and Libel

False Imprisonment

Assault and Battery

Standards of Practice

Use of Standards in Nursing Negligence Malpractice Actions

Patient’s Bill of Rights

Informed Consent

Staying Out of Court

Prevention

box 3-1 Tips for Avoiding Legal Problems

table 3-1 Common Causes of Negligence

Appropriate Documentation

box 3-2 Some Documentation Guidelines

Medications

Physician Communication

Formal Issues in Charting

Common Actions Leading to Malpractice Suits

If a Problem Arises

Professional Liability Insurance

End-of-Life Decisions and the Law

Do Not Resuscitate Orders

box 3-3 Elements to Include in a DNR Order

Advance Directives

Living Will and Durable Power of Attorney for Health Care (Health-Care Surrogate)

Nursing Implications

Legal Implications of Mandatory Overtime

Licensure

Qualifications for Licensure

Licensure by Examination

NCLEX-RN

table 3-2 Major Categories and Subcategories of Client Needs

Preparing for the NCLEX-RN

Licensure Through Endorsement

Multistate Licensure

Disciplinary Action

Conclusion

Study Questions

Case Study to Promote Critical Reasoning

Case Study on Mandatory Overtime

References

chapter 4 Questions of Values and Ethics

OBJECTIVES

Values

Morals

Values and Moral Reasoning

Value Systems

How Values Are Developed

Values Clarification

box 4-1 Values Clarification

Choosing

Prizing

Acting

Belief Systems

Ethics and Morals

Ethics

Ethical Theories

Ethical Principles

Autonomy

Nonmaleficence

Beneficence

Justice

Fidelity

Confidentiality

Veracity

Accountability

Ethical Codes

Virtue Ethics

Nursing Ethics

Organizational Ethics

Ethical Issues on the Nursing Unit

Moral Distress in Nursing Practice

Ethical Dilemmas

Resolving Ethical Dilemmas Faced by Nurses

Assessment

box 4-2 Questions to Help Resolve Ethical Dilemmas

Planning

Implementation

Evaluation

box 4-3 The Moral Model

Current Ethical Issues

Practice Issues Related to Technology

Genetics and the Limitations of Technology

Stem Cell Use and Research

Professional Dilemmas

Conclusion

Study Questions

Case Study to Promote Critical Reasoning

References

unit 2 Working Within an Organization

chapter 5 Organizations, Power, and Empowerment

OBJECTIVES

Understanding Organizations

Types of Health-Care Organizations

Scenario 1

Scenario 2

Organizational Characteristics

Organizational Culture

Culture of Safety

Care Environments

Identifying an Organization’s Culture

Organizational Goals

box 5-1 What Is a Bureaucracy?

Structure

The Traditional Approach

Figure 5.1 The organizational ladder.

More Innovative Structures

Processes

Figure 5.2 Table of organization of an ambulatory care center.

Figure 5.3 An organic organizational structure for a nontraditional wellness center.

Power

Definition

Sources

Power at Lower Levels of the Hierarchy

Empowering Nurses

Participation in Decision Making

Shared Governance

Professional Organizations

Collective Bargaining

Enhancing Expertise

Figure 5.4 How to increase your expert power.

Conclusion

Study Questions

Case Study to Promote Critical Reasoning

References

chapter 6 Communicating With Others and Working With the Interprofessional Team

OBJECTIVES

Communication

Assertiveness in Communication

Interpersonal Communication

Barriers to Communication Among Health-Care Providers and Health-Care Recipients

Low Health Literacy

Cultural Diversity

Cultural Competence

Interprofessional Communication Education of Health-Care Providers

Electronic Forms of Communication

Information Systems and E-Mail

Electronic Medical Records and Electronic Health Records

table 6-1 Barriers to Effective Communication in Health Care

box 6-1 Potential Benefits of Computer-Based Patient Information Systems

E-Mail

Text Messaging

box 6-2 Rules of Netiquette

Reporting Patient Information

box 6-3 Information for Change-of-Shift Report (Hand-Off)

Hand-Off Communications

Communicating With the Health-Care Provider

ISBARR

Figure 6.1 Organization and time management schedule for patient care.

Figure 6.2 Patient information report.

Health-Care Provider Orders

table 6-2 ISBARR (Introduction, Situation, Background, Assessment, Recommendation, Read-Back)

Teams

Learning to Be a Team Player

Building a Working Team

box 6-4 Ten Qualities of an Effective Team Player

Interprofessional Collaboration and the Interprofessional Team

Interprofessional Collaboration

Interprofessional Communication

Building an Interprofessional Team

box 6-5 Characteristics of Effective Interprofessional Health-care Teams

Conclusion

Study Questions

Case Study to Promote Critical Reasoning

References

chapter 7 Delegation and Prioritization of Client Care

OBJECTIVES

Introduction to Delegation

Definition of Delegation

Assignments and Delegation

box 7-1 The Five Rights of Delegation

Supervision

The Nursing Process and Delegation

The Need for Delegation

Safe Delegation

box 7-2 Seven Components of the Delegation Decision-Making Grid

box 7-3 Five Factors for Determining If Client Care Activity Should Be Delegated

Figure 7.1 Delegation decision-making grid.

Criteria for Delegation

Figure 7.2 Diagram of delegation decision-making grid.

Task-Related Concerns

Abilities

Priorities

Efficiency

Appropriateness

Relationship-Oriented Concerns

Fairness

Learning Opportunities

Health

Compatibility

Staff Preferences

box 7-4 Basic Entitlements of Nurses in the Workplace

Barriers to Delegation

Experience Issues

Licensure Issues

table 7-1 Direct and Indirect Client Care Activities

Legal Issues and Delegation

Quality-of-Care Issues

Assigning Work to Others

Prioritization

Coordinating Assignments

Models of Care Delivery

Functional Nursing

Figure 7.3 Personalized patient worksheet.

Team Nursing

Total Patient Care

Primary Nursing

Conclusion

Study Questions

Case Study to Promote Critical Reasoning

References

chapter 8 Dealing With Problems and Conflicts

OBJECTIVES

Conflict

Many Sources of Conflict

Case 1

Team A and Team B

Power Plays and Competition between Groups

Increased Workload

Multiple Role Demands

Threats to Safety and Security

Scarce Resources

Cultural Differences

Ethical Conflicts

Invasion of Personal Space

When Conflict Occurs

Resolving Problems and Conflicts

Win, Lose, or Draw?

box 8-1 Signs That Conflict Resolution Is Needed

Other Conflict Resolution Myths

Problem Resolution

Identify the Problem or Issue

Generate Possible Solutions

Figure 8.1 The process of resolving a problem.

Review Suggested Solutions and Choose the Best Solution

Implement the Solution Chosen

Case 2

The Vacation

Evaluate: Is the Problem Resolved?

Negotiating an Agreement Informally

Scope the Situation

box 8-2 The Informal Negotiation Process

Set the Stage

Conduct the Negotiation

box 8-3 Tips for Leading the Discussion

Agree on a Resolution of the Conflict

Formal Negotiation: Collective Bargaining

The Pros and Cons of Collective Bargaining

Case 3

Collective Bargaining

Conclusion

Study Questions

Case Study to Promote Critical Reasoning

References

chapter 9 People and the Process of Change

OBJECTIVES

Change

A Natural Phenomenon

Macro and Micro Change

Figure 9.1 The change process.

Change and the Comfort Zone

Resistance to Change

Receptivity to Change

Preference for Certainty

Speaking to People’s Feelings

Sources of Resistance

Technical Concerns

Personal Needs

Figure 9.2 Maslow’s hierarchy of needs.

Position and Power

Recognizing Resistance

Lowering Resistance

table 9-1 Resistance to Change

Sharing Information

Disconfirming Currently Held Beliefs

Providing Psychological Safety

Dictating Change

Leading Change

Designing the Change

Figure 9.3 Four phases of planned change.

Planning

Implementing the Change

Integrating the Change

Personal Change

table 9-2 Which Stage of Change Are You In?

Conclusion

table 9-3 Five Myths About Changing Behavior: An Alternative Perspective

Study Questions

Case Study to Promote Critical Reasoning

References

unit 3 Career Considerations

chapter 10 Issues of Quality and Safety

OBJECTIVES

Overview

Historical Trends and Issues

table 10-1 Historical Timeline

box 10-1 Institute of Medicine Priority Areas (IOM, 2003b)

The Institute of Medicine and the Committee on the Quality of Health Care in America

box 10-2 IOM Quality Reports (IOM, 2006)

box 10-3 Focus Areas of To Err is Human Recommendations (IOM, 2000)

box 10-4 Ten Rules to Govern Health-Care Reform for the 21st Century (IOM, 2001, p. 61)

Quality in the Health-Care System

Quality Improvement (QI)

box 10-5 Six Aims for Improving Quality in Health Care (IOM, 2001, p. 39).

Using CQI to Monitor and Evaluate Quality of Care

QI at the Organizational and Unit Levels

Strategic Planning

Figure 10.1 Unit level QI process.

Structured Care Methodologies

box 10-6 Questions the Team Needs to Ask

Critical Pathways

Aspects of Health Care to Evaluate

Structure

table 10-2 Sample Critical Pathway: Heart Failure, Hospital; ELOS 4 Days Cardiology or Medical Unit

table 10-3 Dimensions of QI in Nursing: Examples

Process

Outcome

Risk Management

The Nursing Shortage and Patient Safety

Factors Contributing to the Nursing Shortage

Safety in the U.S. Health-Care System

Types of Errors

box 10-7 Types of Errors (IOM, 2000, p. 36)

Diagnostic

Treatment

Preventive

Other

Error Identification and Reporting

Developing a Culture of Safety

box 10-8 Joint Commission International Center for Patient Safety

Organizations, Agencies, and Initiatives Supporting Quality and Safety in the Health-Care System

Government Agencies

box 10-9 Organizations and Agencies Supporting Quality and Safety

Government Agencies

Health-Care Provider Professional Organizations

Nonprofit Organizations, Foundations, and Research

Quality Organizations

Health-Care Provider Professional Organizations

Nonprofit Organizations and Foundations

Quality Organizations

Integrating Initiatives and Evidenced-Based Practices Into Patient Care

box 10-10 Core Competencies for Health Professionals (IOM, 2003a, p. 4)

Influence of Nursing

Conclusion

Study Questions

Case Study to Promote Critical Reasoning

References

chapter 11 Promoting a Healthy Work Environment

OBJECTIVES

Workplace Safety

Threats to Safety

Addressing Threats to Safety

OSHA

Centers for Disease Control and Prevention (CDC)

American Nurses Association (ANA)

The Joint Commission

Institute of Medicine (IOM)

Developing Workplace Safety Programs

box 11-1 Federal Laws Enacted to Protect the Worker in the Workplace

Violence

box 11-2 Behaviors Indicating a Potential for Violence

Preventing Violent Behavior

box 11-3 When an Assault Occurs: Placing Blame on Victims

If Violent Behavior Occurs

box 11-4 Steps Toward Increasing Protection From Workplace Violence

Horizontal Violence

Sexual Harassment

box 11-5 Behaviors That Could Be Defined as Sexual Harassment

Discrimination

Latex Allergy

Needlestick (Sharps) Injuries

Your Employer’s Responsibility

Employee Responsibilities

Ergonomic Injuries

Back Injuries

Repetitive Stress Injuries

Toxic Environments

Impaired Workers

Disabled Employees

Natural Disasters and Terrorism Threats

Enhancing the Quality of Work Life

Shift Work Disorders

Mandatory Overtime

Staffing Ratios

Reporting Questionable Practices

Social Environment

Working Relationships

Involvement in Decision Making

Professional Growth and Innovation

Encourage New Ideas and Critical Thinking

Reward Professional Growth

Cultural Diversity

Physical Environment

Stress, Burnout, and Job Satisfaction

Stress

Sources of Stress

Why Is Health Care a Stressful Occupation?

Responses to Stress

Managing Stress

box 11-6 Signs That Your Stress Level Is Too High

box 11-7 Questions for Self-Assessment

Burnout

Stages of Burnout

box 11-8 Useful Relaxation Techniques

box 11-9 Coping With Daily Work Stress

box 11-10 Ten Daily De-Stressors

Buffers Against Burnout

box 11-11 Assessing Your Risk for Stress and Burnout

Job Satisfaction

The Work Itself

The Health-Care Team

The Employing Organization

New Graduates’ Concerns

Initial Concerns

Differences in Expectations

Additional Pressures on the New Graduate

Easing the Transition

table 11-1 Mentor and Mentee Responsibilities

Ineffective Coping Strategies

Conclusion

Study Questions

Case Studies to Promote Critical Reasoning

Diversity

Burnout

References

unit 4 Professional Issues

chapter 12 Your Nursing Career

OBJECTIVES

Getting Started

SWOT Analysis

Strengths

Weaknesses

Opportunities

Threats

Beginning the Search

Researching Your Potential Employer

Writing a Résumé

box 12-1 Reasons for Preparing a Résumé

Essentials of a Résumé

table 12-1 Action Verbs

How to Begin

Education

Your Objective

Skills and Experience

Other

Job Search Letters

Cover Letter

Thank-You Letter

Acceptance Letter

Rejection Letter

table 12-2 Do’s and Don’ts of Internet Job Searching

Using the Internet

The Interview Process

Initial Interview

Answering Questions

Background Questions

Professional Questions

Personal Questions

Additional Points About the Interview

Appearance

Handshake

Eye Contact

Posture and Listening Skills

Asking Questions

box 12-2 Do’s and Don’ts for Interviewing

Do:

Do Not:

After the Interview

The Second Interview

Making the Right Choice

Job Content

Development

Direction

Work Climate

Compensation

I Cannot Find a Job (or I Moved)

The Critical First Year

Attitude and Expectations

Impressions and Relationships

Organizational Savvy

Skills and Knowledge

Advancing Your Career

Conclusion

Study Questions

Case Study to Promote Critical Reasoning

References

chapter 13 Evolution of Nursing as a Profession

OBJECTIVES

Introduction

Nursing Defined

Early and Modern Nurse Leaders

The 19th and 20th Centuries

Nurse Leaders in the 21st Century

Linda Aiken

Dr. Beverly Malone

Dr. Tim Porter-O’Grady

Political Influences and the Advance of Nursing as a Profession

Nursing and Health Care Reform

Nursing Today

Health Care in the Future

Conclusion

Study Questions

Case Study #1 to Promote Critical Reasoning

Case Study #2 to Promote Critical Reasoning

References

chapter 14 Looking to the Future

OBJECTIVES

Professional Organizations

American Nurses Association (ANA)

National League for Nursing

box 14-1 American Nurses Association (ANA) Position Statements

Bloodborne and Airborne Diseases

Consumer Advocacy

Drug and Alcohol Abuse

Environmental Health

Ethics and Human Rights

Nursing Practice

Social Causes and Health Care

Unlicensed Personnel

Workplace Advocacy

box 14-2 Canadian Nurses Association (CNA) Position Statements

Nurse Practitioners and Clinical Nurse Specialists

RN Licensing

Nursing Ethics

Leadership

Fixing the Health Care System

Primary Health Care

Nursing and Environmental Health

Public Health

Mental Health

Emergency Preparedness

Improve Your Workplace

Staffing

Patient Safety

Nursing Informatics

Global Health Issues

National Organization for Associate Degree Nursing

National Student Nurses Association

American Academy of Nursing

National Institute for Nursing Research

Specialty Organizations

Health Care Today

Health-Care Reform

table 14-1 Provisions of the Affordable Care Act 2010–2015

Nursing Today

Trends in Nursing and Health Care

Health Care in the Future

Nursing in the Future

Conclusion

Study Questions

Case Study to Promote Critical Reasoning

References

Back Matter

Appendices

appendix 1 Codes of Ethics for Nurses

American Nurses Association Code of Ethics for Nurses

Canadian Nurse Association Code of Ethics for Registered Nurses

The International Council of Nurses Code of Ethics for Nurses

Nurses and People

Nurses and Practice

Nurses and the Profession

Nurses and Co-Workers

appendix 2 Standards Published by the American Nurses Association*

appendix 3 Guidelines for the Registered Nurse in Giving, Accepting, or Rejecting a Work Assignment*

Nursing Care Delivery

Assignment Despite Objection (ADO)/Documentation of Practice Situation (DOPS)

Staffing

Nurse Practice Act, 1994, Administrative Rules Chapt. 59s, 14.001 Definitions (4/29/96)

Scenario

Guidelines for Decision Making

Legal Issues

Application of Guidelines for Decision Making

Scenario—A Question of Competence

Scenario—A Question of an Additional Shift

Summary

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