definitions
What is transformational leadership? what does it put an emphasis on?
•emphasis on COLLECTIVE PURPOSE AND TEAMWORK
•4 major components
-Idealized attributes
-Individualized consideration
- Inspirational motivation
- Intellectual stimulation
What is Authoritative/Autocratic management style?
manager makes all the decisions. best when in the ER, needed structure, noones listening?
finish the sentence: the more stable the patient ______________
the more likely delegation is likely to be appropriate!
5 rights of delegation?
•Right task
•Right circumstances
•Right person
•Right communication
•Right supervision
what are some activities that CANNOT be delegated???????
• Initial nursing assessment and any subsequent assessments that
require nursing judgment, knowledge, skills
• Determining nursing diagnoses
• Establishment of nursing care goals
• Development of nursing plan of care
• Evaluation of pt. progress w/the nursing plan of care
• Health counseling or teaching
• Activities that require specialized nursing knowledge, skill, or judgment
-NO INITIAL EDUCATION
This is absolute list – this is true for UAP and LPN
when is Continuous supervision is required:?
• When working relationship is new
• When task is very complex
• When the delegatee is inexperienced or has not demonstrated
an acceptable level of competence
what is EQ?
emotional intelligence! self regulation. mindfulness, be in the present
•Self-awareness
•Motivation
•Empathy
•Social skills
What is Democratic/Participative
management style?
the manager asks for input from the group regarding decisions. best in situations where there's bad satisfaction scores for the unit.
T/F: once a nurse delegates a task, they're not responsible for the care given.
FALSE!
•RN transfers responsibility and authority for the performance of an activity, but remains accountable for the overall nursing care
what are some things the nurse must take into account before delegating a task?
• As the RN you must assess the patient and know the level of their needs before delegating. stable=delegate
- How will you as the RN know this person has completed their competencies??
• As RN you need to make an assessment of whether the NAP/LPN has the time to perform the tasks you are delegating.
the 5 main types of power and their meaning?
•Legitimate – official position
•Referent – followers ID w/leader
•Reward – the ability to reward
•Coercive – based on fear and punishment
•Expert – based on knowledge, skills
What is Laissez-faire/Permissive
management style?
manager has little to no direction, friendly relationship but no decision-making. best when everyone coexists as equals.
what is the RN (delegator) responsible for when delegating?
• Act of delegation
• Supervising performance of delegated task
• Assessment & follow-up evaluation
• Any intervention or corrective actions needed to ensure safe and effective care
•Direct care activities that meet basic human needs
- Feeding, positioning, ambulating, grooming, toileting, dressing, socializing
-Collecting, reporting & documenting data related to these activities
•Indirect care activities ( not pt. care but necessary for functioning of pt. care unit)
-Maintaining a clean, safe and efficient environment
-Housekeeping, transporting, record-keeping
-Stocking and maintaining supplies
what are some other types of power? (not in the main 5)
•Information – possession of information
•Connection – working together toward a goal
•Motivational – stimulate interest, enthusiasm or
participation to a common goal
What is Multi-cratic
management style?
takes the most favorable traits from all 3 styles and puts them into one. this is the best management style obvi
what is the LPN/UAP (delegatee) responsible for?
• His/her own actions
• Accepting delegation with in parameters of his/her training & education
• Communicating the appropriate information to the delegator ie: vitals
• Completing task, or letting you know if they cant
what are some considerations regarding assigning
•UAP assignments would include functions & tasks, not a
group a pts
•LPN may be assigned specific pts for which to perform
care but RN remains responsible for all nursing practice
activities
what absolutely cannot be delegated? **************
•Assessment, Evaluation and Nursing Judgment CANNOT Assessment, Evaluation and Nursing Judgment CANNOT
be delegated (ANA, 2005)