Management and Leadership for Nurse Administrators

by ; ;
Edition: 4th
Format: Paperback
Pub. Date: 2005-09-01
Publisher(s): Jones & Bartlett
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Summary

Designed for the management and development of professional nurses, this text provides management concepts and theories, giving professional administrators theoretical and practical knowledge, enabling them to maintain morale, motivation, and productivity. The management changes which are occurring in business and industry, such as organizational downsizing and restructuring, a rise in the temporary workforce, pay-for performance, and the implementation of total quality management programs, are also being adopted in the field of health care. Professional nurses and students will find that keeping abreast of these changes is crucial to their career development, and the fourth edition of this successful text will help them do just that. The text is organized around the four management functions of Planning, Organizing, Leadership, and Evaluation, and includes new chapters on total quality management, the theory of human resource development, and collective bargaining. Additionally, content has been added to include recommendations from the work of the Institute of Medicine (Cross the Quality Chasm, Educating Healthcare Professionals) as well as content on the Magnet Appraisal process. Content has been added on Ethics for the Nursing Manager. Management and Leadership for Nurse Administrators provides a foundation for nurse managers and nurse executives as well as students with major management and administrative content including planning, organizing, leadership, directing, and evaluating.

Table of Contents

Preface xvii
Contributors xix
Conceptualization of Nursing Administration: Theory and Concepts
Learning Objectives and Activities
1(1)
Concepts, Nurse Manager Behaviors, Nurse Executive Behaviors
1(1)
Introduction
1(1)
Scope and Standards for Nurse Administrators: Framework for Practice
2(1)
The Nurse Administrator
2(2)
Level of Nursing Administrative Practice
2(1)
Magnet Recognition Program and Scope and Standards for Nurse Administrators
3(1)
Qualifications of Nurse Administrators
3(1)
Certification of Nurse Administration
4(1)
Management: Premodern, Modern, and Postmodern Era
4(2)
Theory, Concepts, and Principles
6(4)
Critical Theory Versus Critical Thinking
6(1)
General Systems Theory
7(2)
Nursing-Theory-Based Conceptual Models of Administration: Self-Care Nursing
9(1)
Who Needs Nursing Management?
10(1)
General Principles
10(1)
Management Development
10(1)
Roles and Nursing Management
11(2)
Role Development
11(1)
Management Levels
11(2)
Managing a Clinical Practice
13(8)
Use of Nursing Theory
14(1)
Models and Examples
14(2)
Modalities of Nursing Practice
16(3)
Case Management
19(2)
Patient Outcomes
21(1)
Summary
21(1)
Application Exercises
22(2)
Notes
24(1)
References
25(3)
Emotionally Intelligent Leadership in Nursing and Health Care Organizations
Learning Objectives and Activities
28(1)
Concepts, Nurse Manager Behaviors, Nurse Executive Behaviors
28(1)
Introduction
28(1)
What is Emotional Intelligence?
29(9)
The Emotional Intelligence Framework
29(1)
The Emotional Competencies
30(6)
Best and Worst Bosses
36(2)
Research and Professional Support for Emotionally Intelligent Nursing Leadership
38(1)
How to Develop Your Emotional Competencies
39(2)
Summary
41(1)
Notes
41(1)
References
42(3)
Ethical Principles for the Nurse Administrator
Learning Objectives and Activities
45(1)
Concepts, Nurse Manager Behaviors, Nurse Executive Behaviors
45(1)
Introduction
45(1)
Professional Ethics and Integrity
45(2)
Ethical Principles
46(1)
Ethical Theories
46(1)
Ethical Terms
46(1)
Developing a Health Care Ethics Program
47(1)
Ethical Implications for Managing a Clinical Practice Discipline
48(2)
Advance Directives
50(1)
Ethics in Business
51(1)
Summary
52(1)
Application Exercises
52(1)
Notes
53(1)
References
54(1)
The Components of Change: Creativity and Innovation, Critical Thinking, and Planned Change
Learning Objectives and Activities
55(1)
Concepts, Nurse Manager Behaviors, Nurse Executive Behaviors
55(1)
Introduction
55(1)
Creativity and Innovation
55(3)
Creativity and Innovation Defined
55(1)
Why Creativity?
56(1)
Metamanagement
56(1)
Creative Problem Solving
57(1)
Critical Thinking
58(3)
Research
59(1)
Applications of Critical Thinking
60(1)
Planned Change
61(10)
The Need for Change
61(1)
Change Theory
62(4)
The Change Agent
66(1)
Resistance to Change
66(1)
Values and Beliefs
67(1)
Strategies for Overcoming Obstacles to Change
67(1)
Preparation for Planning
68(1)
Training and Education
69(1)
Managing Creativity
70(1)
The Relationship of Nursing Research to Change
71(1)
The Need for Nursing Research
71(3)
Summary
74(1)
Application Exercises
75(2)
Notes
77(2)
References
79(2)
Decision Making and Problem Solving: Communication Practices and Skills
Learning Objectives and Activities
81(1)
Concepts, Nurse Manager Behaviors, Nurse Executive Behaviors
81(1)
Introduction
81(1)
The Decision-Making Process
82(7)
Definition
82(1)
Clinical Decision Making
82(4)
Pitfalls of Decision Making
86(1)
Improving Decision Making by Improving Communication
87(1)
Consensus Building
87(1)
The Role of Intuition
87(1)
Organizational Versus Personal Decisions
88(1)
The Problem-Solving Process
89(1)
Steps in the Process
89(1)
Communication to Enhance Decision Making and Problem Solving
90(8)
Elements of Communication
91(1)
Climate for Communication
91(1)
Cultural Agendas
91(1)
The Nature of an Effective Climate for Communication
92(1)
Negotiation
92(1)
Open-Door Policy
93(1)
Communication as Perception
93(1)
Leveling with Employees
94(1)
Conflict Management
94(1)
Feedback
95(1)
Information
95(1)
Listening
96(2)
Communication Media
98(7)
Meetings
98(1)
Supervisors
98(1)
Questions
99(1)
Oral Communication
100(1)
Interviews
100(1)
Written Communication
100(4)
Organizational Publications
104(1)
Electronic Media
104(1)
Obtaining Information
104(1)
The Future
105(1)
People as Capital
105(1)
Organizations
105(1)
Managers
106(1)
Technology
106(1)
Summary
106(1)
Application Exercises
107(2)
Notes
109(2)
References
111(2)
Organizational Structure and Analysis
Learning Objectives and Activities
113(1)
Concepts, Nurse Manager Behaviors, Nurse Executive Behaviors
113(1)
Organizational Theory
114(22)
Definitions of Organizing
114(1)
Organizational Principles
114(1)
Organizational Components
115(1)
Organizational Development
116(1)
Culture
117(1)
Climate
118(2)
Team Building
120(6)
Types of Committees
126(1)
Making Committees Effective
127(2)
Developing an Organizational Structure
129(7)
Participatory Management
136(8)
Structure of Decentralized and Participatory Organizations
136(4)
Advantages of Participatory Management
140(1)
Disadvantages of Participatory Management
141(1)
Shared Governance
142(2)
Restructuring Nursing Organizations
144(8)
The Organization of Work
146(3)
Analyzing Organizational Structures in a Division of Nursing
149(1)
The Informal Organization
150(2)
Symptoms of Malorganization
152(1)
Summary
153(1)
Application Exercises
154(2)
Notes
156(3)
References
159(5)
Leadership and Evidence-Based Management
Learning Objectives and Activities
164(1)
Concepts, Nurse Manager Behaviors, Nurse Executive Behaviors
164(1)
Introduction
164(1)
History
165(1)
Leadership Defined
165(10)
Leadership Theories
166(3)
Leadership Style
169(1)
Transformational Leadership
170(3)
Leadership Versus Headship
173(1)
Gender Issues
174(1)
Nursing and Leadership Health Care Policy
174(1)
Future Direction: Quantum Leadership
175(1)
Summary
175(2)
Application Exercises
177(1)
Notes
178(1)
References
179(2)
Human Resource Development: Managing a Culturally Diverse Work Force
Learning Objectives and Activities
181(1)
Concepts, Nurse Manager Behaviors, Nurse Executive Behaviors
181(1)
Introduction
181(1)
Recruiting
181(5)
Recruiting Students into Nursing
181(1)
Recruiting Nurses into Employment
182(2)
The Recruiter
184(1)
Marketing
185(1)
Selecting, Credentialing, and Assigning
186(5)
Selecting
186(3)
Credentialing
189(1)
Assigning
190(1)
Retention
191(4)
Turnover
191(1)
Job Expectations and Satisfaction
192(1)
Career Planning
193(2)
Human Resource Development
195(2)
Definition
195(1)
Autonomy and Empowerment
195(1)
Self-Help
196(1)
Typology for Human Resource Development of Personnel
197(1)
Promoting
197(1)
Terminating
198(1)
Cultural Competence
199(1)
Conflict Management
199(9)
Characteristics of Conflict
200(1)
Assessing Conflict
200(1)
Causes of Conflict
200(4)
Conflict Management
204(2)
Technique or Skills for Managing Conflict
206(2)
Summary
208(1)
Application Exercises
209(1)
Notes
210(2)
References
212(3)
The Planning Process
Learning Objectives and Activities
215(1)
Concepts, Nurse Manager Behaviors, Nurse Executive Behaviors
215(1)
Introduction
215(1)
Mission or Purpose, Vision, and Values
216(3)
Mission or Purpose
216(1)
Vision
216(1)
Values
217(1)
Nursing Mission or Purpose
217(2)
Philosophy
219(1)
Objectives
220(2)
Strategy
222(3)
What Is Planning?
225(19)
Purposes
227(1)
Characteristics
227(3)
Elements
230(1)
Strategic Planning
231(3)
Functional and Operational Planning
234(2)
Planning New Ventures
236(1)
Business Plans
237(3)
Practical Planning Actions
240(1)
Divisional Planning
240(4)
Unit Planning
244(1)
Successful Planning
244(1)
Summary
244(2)
Application Exercises
246(1)
Notes
247(1)
References
248(2)
Staffing and Scheduling
Learning Objectives and Activities
250(1)
Concepts, Nurse Manager Behaviors, Nurse Executive Behaviors
250(1)
Introduction
250(1)
Staffing Philosophy
251(17)
Staffing Study
251(2)
Staffing Activities
253(1)
Orientation Plan
253(1)
Staffing Policies
253(1)
Staffing the Units
254(1)
Staffing Modules
255(9)
Fixed Ratio Staffing
264(1)
Nursing Management Information Systems
265(1)
Productivity
265(3)
Summary
268(1)
Application Exercises
268(1)
Notes
269(2)
References
271(1)
Principles of Budgeting
Learning Objectives and Activities
272(1)
Concepts, Nurse Manager Behaviors, Nurse Executive Behaviors
272(1)
Introduction
272(1)
Basic Planning
273(29)
Procedures
273(1)
Managing Cost Centers
274(1)
Budget Stages
274(2)
Types of Expenses/Costs
276(1)
Definitions
277(2)
Budgeting Approaches
279(1)
Types of Budgets
280(1)
Operating or Cash Budget
281(1)
Personnel Budget
282(3)
Supplies and Equipment Budget
285(1)
Product Evaluation
286(1)
Capital Budget
286(2)
Performance Budgeting
288(2)
Revenues
290(1)
The Controlling Process
290(2)
Motivational Aspects of Budgeting
292(4)
Reimbursement
296(1)
Managed Care
297(2)
Problems
299(1)
Economic Implications
300(1)
Ethical Implications
301(1)
Quality Implications
301(1)
Management Implications
302(1)
Summary
302(1)
Application Exercises
303(1)
Notes
304(1)
References
305(3)
The Directing Process
Learning Objectives and Activities
308(1)
Concepts, Nurse Manager Behaviors, Nurse Executive Behaviors
308(1)
Introduction
308(1)
Directing
309(18)
Directing and Nursing Administration
310(1)
Delegating
311(1)
Management by Objectives
312(2)
Benchmarking and Six Sigma Strategies
314(1)
Theories of Motivation
315(5)
Nurses as Knowledge Workers
320(2)
Hard Approach Versus Soft Approach to Nursing Management
322(5)
Summary
327(1)
Application Exercises
328(6)
Notes
334(1)
References
335(2)
eNursing
Learning Objectives and Activities
337(1)
Concepts, Nurse Manager Behaviors, Nurse Executive Behaviors
337(1)
Introduction
337(1)
Historical Perspective
338(1)
Current Information Technology
338(1)
Future Information Technology Trends
339(1)
Computer Networking
339(5)
Local Area Networks (LAN) and Wide Area Networks (WAN)
340(2)
Intranets, Extranets, Virtual Private Networks (VPNS)
342(1)
The Internet
342(2)
General-Purpose Applications Software
344(9)
Communications
344(1)
Database Management
344(3)
Spreadsheet
347(1)
Word Processing and Desktop Publishing
348(3)
Personal Information Manager (PIM)
351(2)
Graphics
353(1)
Information Systems
353(1)
Nursing Information Systems
354(1)
Hospital Information Systems
354(3)
Implementation of Information Systems
355(1)
Data Warehousing and Knowledge Management
355(1)
Decision Support Systems, Expert Systems, and Predictive Technology
355(2)
Nursing Management Applications
357(3)
Ethical, Legal, and Security Issues
360(1)
Summary
361(1)
Application Exercises
361(1)
Notes
362(1)
References
363(3)
Health Policy, Legal, and Regulatory Issues
Learning Objectives and Activities
366(1)
Concepts, Nurse Manager Behaviors, Executive Nurse Behaviors
366(1)
Introduction
366(1)
Health Policy
367(6)
Policy as Entity
367(1)
Policy as Process
368(1)
Policy and Program Implementation
368(1)
Policy and Program Evaluation
369(1)
Nurses and Public Policy
369(1)
Nurse Practice Acts
369(1)
Legal Aspects of Contracts
369(1)
Legal Aspects of Torts
370(1)
Privileged Communication
371(1)
Liability
372(1)
Nurses with Specialized Knowledge
372(1)
Risk Management
373(4)
Process
374(1)
Incident Reporting
375(1)
Accident Reporting
376(1)
Infection Control
376(1)
Summary
377(1)
Application Exercises
377(1)
Notes
378(1)
References
378(2)
Collective Bargaining
Learning Objectives and Activities
380(1)
Concepts, Nurse Manager Behaviors, Executive Nurse Behaviors
380(1)
Introduction
380(1)
Collective Bargaining Defined
381(1)
History in Nursing
381(2)
Laws
381(1)
Nursing Organizations and Unions
382(1)
Issues
383(1)
Process
383(3)
Grievance Procedures
384(1)
Mediation
384(2)
Arbitration
386(1)
Supervisory Influence
386(1)
Advantages of Unionization
386(1)
Disadvantages of Unionization
387(1)
Strikes
388(1)
Vulnerability
388(1)
Summary
389(1)
Application Exercises
389(1)
Notes
390(1)
References
391(1)
Evaluation
Learning Objectives and Activities
392(1)
Concepts, Nurse Manager Behaviors, Nurse Executive Behaviors
392(1)
Introduction
392(1)
Evaluation as a Function of Nursing Management
393(11)
Systems Theory
393(1)
Management Tools: Measurement Issues
393(1)
Standards
394(1)
Controlling Techniques
395(6)
Master Control Plan
401(1)
Evidence-Based Management
401(3)
Summary
404(1)
Application Exercises
404(1)
Notes
404(1)
References
405(1)
Quality Management
Learning Objectives and Activities
406(1)
Concepts, Nurse Manager Behaviors, Nurse Executive Behaviors
406(1)
Introduction
406(1)
Total Quality Management Gurus
407(3)
W. Edwards Deming
407(1)
Joseph Juran
408(1)
Philip B. Crosby
408(2)
Genichi Taguchi
410(1)
Customers
410(2)
Culture and Climate
412(1)
Theory Z Organizations
413(1)
Quality Circles
414(1)
Components of a Quality Management Program
415(2)
Statements of Purpose, Philosophy, and Objectives
415(1)
Standards for Measuring the Quality of Care
416(1)
Policies and Procedures
416(1)
Data Collection
417(1)
Nursing Audits
417(1)
Quality Management Tools
418(5)
Data Analysis
418(4)
Quality Improvement Teams
422(1)
Problem Identification
423(1)
Problem Resolution
423(1)
Monitoring and Feedback
423(2)
Involvement of Practicing Nurses
423(1)
Efficiency
424(1)
Customer Satisfaction
424(1)
Training and Communication
424(1)
Research and Quality Management
425(1)
Summary
425(1)
Application Exercises
425(1)
Notes
426(1)
References
427(10)
Performance Appraisal
Learning Objectives and Activities
437(1)
Concepts, Nurse Manager Behaviors, Executive Nurse Behaviors
437(1)
Introduction
437(1)
Purposes of Performance Appraisal
438(2)
Motivation
438(1)
Salary Problems
438(1)
The Xerox Experience
439(1)
Other Purposes
440(1)
Developing and Using Standards
440(2)
Performance Standards
440(2)
Job Analysis
442(2)
Job Description
444(1)
Job Description as a Contract
444(1)
Use of Job Descriptions
444(1)
Performance Appraisal and Job Descriptions
445(6)
Job Evaluation
447(1)
Work Redesign
448(1)
Training
448(1)
Feedback
448(1)
Coaching
449(1)
Counseling
449(1)
Interviewing
450(1)
Peer Ratings
451(1)
Self-Rating
452(1)
Other Rating Methodologies
453(1)
Team Evaluation Consensus (TEC)
453(1)
Behavior-Anchored Rating Scales (BARS)
453(1)
Task-Oriented Performance Evaluation System (TOPES)
453(1)
Problem Areas in Performance Evaluation
453(1)
Effectiveness
453(1)
Weaknesses
454(1)
The Future of PA
454(1)
Effective Management of Performance Appraisals
454(1)
Pay for Performance
455(2)
Expected Outcomes
456(1)
Types of Compensation Programs
457(1)
Pay-for-Performance Process
457(1)
Group Versus Individual Plans
458(1)
Group Plans
458(1)
Individual Plans
459(1)
Competency Model
459(1)
Peer Review
459(1)
Pay Designs
459(1)
How to do a Merit Pay Increase
460(3)
Performance Standards
460(1)
Measurement Scales
460(1)
Budget
460(1)
Award Procedure
461(1)
The Process
461(2)
Summary
463(1)
Application Exercises
464(1)
Notes
465(2)
References
467(2)
The Nurse Manager of Staff Development
Learning Objectives and Activities
469(1)
Concepts, Nurse Manager Behaviors, Nurse Executive Behaviors
469(1)
Introduction
469(1)
Philosophy of Adult Education
470(1)
Roles of Staff Development
470(1)
The Staff Development Process
471(1)
Philosophy
471(1)
Organization
471(1)
Personnel
471(1)
Advisory Committees
471(1)
Budgets
471(1)
Andragogical Approach to Program Design
472(2)
Mutual Diagnosis of Learning Needs
472(1)
Needs Assessment Methods
472(1)
Questionnaire or Survey
472(2)
Critical Thinking--Learning Model
474(5)
Teaching--Learning Environment
475(2)
The Learner
477(1)
The Teacher
478(1)
Teaching Methods
479(2)
Evaluation Procedures
479(2)
Summary
481(1)
Application Exercises
481(1)
Notes
482(1)
References
482(1)
Index 483

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