Leadership and Change Management
Nurses participating in more decisions affecting nursing and client care if shared governance is adopted. This allows nurses to have a direct voice in their practice environment.
Shared Governance
Monitoring blood glucose levels for clients with fluctuating levels and assisting with meals. .... can also be assigned clients needing routine oral medications.
Appropriate Tasks for LPNs
Striking a client's hand for spitting out meds.
Battery
Support patient decisions including AMA and end-of-life choices
Client Autonomy
In this conflict management approach, each party gives up something it wants. Although many see this as an optimum conflict resolution strategy, it may result in a lose–lose situation because either or both parties perceive that they have given up more than the other and may therefore feel defeated
Compromising
Facilitating dialogue between departments to collaboratively resolve conflicts affecting client care.
Quantum Leadership
Measuring and recording blood pressure of stable postoperative patients.
Assisting with repositioning bed-bound clients and recording intake and output.
Assisting clients with ambulation following knee replacement surgery.
Appropriate Tasks for Unlicensed Assistive Personnel (UAPs)
Telling a client they will receive an injection to knock them out if they don't stop hollering.
Assault
Advocate for LGBTQ+ rights and inclusive healthcare practices
Equitable Treatment
This conflict management approach is used when one party pursues what it wants at the expense of the others (zero sum game). Because only one party typically wins, one party seeks to win regardless of the cost to others. These win–lose conflict resolution strategies then typically leave the loser angry, frustrated, and wanting to get even in the future.
Competing
Quickly adapting workflows and seeking creative solutions during sudden staff shortages.
Agile Leadership Principles
Asking the LPN, "Is there anything that I can do to help you meet your goals for today?"
Feedback on Delegated Tasks
Restraining a client who is unsteady on their feet trying to get out of bed without proper justification.
False Imprisonment
Promote safe staffing levels and optimal work environments
Safe Working Conditions
This conflict management approach is the opposite of competing. In this approach, one party sacrifices their beliefs and allows the other party to win. The actual problem is usually not solved in this win–lose situation
Cooperating
Prioritizing innovative approaches to persistent client care issues that challenge the status quo.
Thought Leadership
Actively participating in discussions, offering evidence-based suggestions, and considering diverse perspectives when part of a committee.
Team Contribution
The priority action when considering whistleblowing is to be sure of the facts that wrongdoing has occurred.
Whistleblowing
Understand malpractice, torts, and HIPAA requirements
Legal Compliance
This conflict management approach is used to manage a conflict situation. This occurs when one party in a conflict attempts to pacify the other party or to focus on agreements rather than differences. In doing so, the emotional component of the conflict is minimized.
Smoothing
Learning from past experiences to improve future outcomes and identify areas for improvement.
Reflective Thinking
The nurse retains responsibility for tasks delegated. If an AP does not complete a delegated task, the RN's priority is to provide feedback and determine the reason.
Delegation Liability
A nurse's spouse overhearing a conversation about a client (even an acquaintance) and calling them to offer support can be a _____ _______.
HIPAA Violations
Maintain accurate records and privacy protection
Documentation Standards
In this conflict management approach, the parties involved are aware of a conflict but choose not to acknowledge it or attempt to resolve it. This approach may be indicated in trivial disagreements, when the cost of dealing with the conflict exceeds the benefits of solving it, when the problem should be solved by people other than you, when one party is more powerful than the other, or when the problem will solve itself.
Avoiding