Definitions
Individuals who effect change within themselves and builds capacity for change in others
Change agent
Defining the role
educating others
selecting the right personnel
providing adequate support
mastering role development
constantly evaluating the role to ensure maintenance
Role management activities
Right task, right conditions, right individual, provide right instruction/communication, and right supervision and assessment.
Rights of delegation
Self-governance, free from controlling interference by others
Autonomy
Inspiring and motivating, empower individuals to create a vision and then trust them to work towards achieving that vision
Transformational leadership
Alters human capabilities while supporting and influencing others towards change
change coach
develop a need for change, disseminating information, identifying the problem, develop the client's intent to change, translating intent into action, hardwiring adoption and preventing compliance, and achieving termination/adjournment
Stages in role of change agent
A nurse is caring for a patient who is diagnosed with CAD and sleep apnea. which action should the delegate unlicensed personnel?
a. discuss weight loss strategies such as diet and exercise with the patient
b. Remind the patient to sleep on his side instead of his back
b. Remind the patient to sleep on his side instead of his back
Doing good by helping others with compassionate care
Beneficence
Litlle freedom, high control, and very efficient
Autocratice
Incessant adaptation to an ever-changing environment and available resources.
innovation
Decisions made between equally unfavourable options in clinical practice
Ethical Dilemma
A patient turns his call light on and states, “I’m having trouble breathing.” Which team members should be delegated to respond to this call light?
a.
RN
b.
LPN
c.
Senior student nurse
d.
UAP
A
RN because this patient requires an assessment to determine the cause of his difficulty breathing
Avoid causing harm
Nonmaleficence
moderate freedom, leader and group together, creative, high quality
Democratic
activities necessary for leaders to successfully develop and maintain role definitions over time, based on standardized expectations within an organization
Role management
A nurse must delegate some responsibilities of the care of patients on a particularly busy and chaotic day to the LPN and UAP team members. Which of the following can be appropriately delegated to the LPN?
a.
Assisting with a central line insertion
b.
Giving bath supplies to patients who are capable of bathing themselves
c.
Rechecking the blood pressure on a patient who is having episodes of bigeminy and ventricular tachycardia
d.
Transporting a patient in a wheelchair for discharge
A
The LPN has been trained to assist the health care provider with complicated procedures. The assignments in options B and D can be delegated to the UAP. Option C is incorrect because this patient is unstable and requires an RN’s assessment.
Fair and equal treatment, consistent with equal distribution of benefits and burden
Justice
much freedom, little control, abdicated variable, and may be poor qualty
laissez-Faire
Method of activities used to transport individuals through the process of accepting change and accomplishing desired outcomes
Transformational coaching
The nurse and UAP are working together with four patients. Which patient should the nurse assign the UAP?
a.
A patient waiting for discharge instructions before going home
b.
A patient who received morphine 20 minutes ago and now has the call light on
c.
A patient with diabetes who needs her blood glucose checked
d.
A patient returning from a bronchoscopy
C
It is within the UAP’s scope of practice to check blood glucose levels on a diabetic patient. Options A and B are incorrect because this patient requires assessment and therefore cannot be delegated to the UAP until stability is assessed. Option D is incorrect because this patient requires assessment and therefore cannot be delegated to the UAP until stability is assessed
Faithful, loyal, and committed to keeping promises and fulfilling commitments to patients
Fidelity