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BUILDING AND MANAGING TEAMS 147 As the group begins to develop, storming occurs. Members wrestle with roles and relation- ships. Conflict, dissatisfaction, and competition arise on important issues related to procedures and behavior. During this stage, members often compete for power and status, and informal leadership emerges. During the storming stage, the leader helps the […]

Each type of group presents unique opportunities and challenges. An important role of the nurse manager is to link service areas with groups at higher levels in the organization. This link facilitates problem solving, coordination, and communication throughout the organization. Leadership roles in work groups are important and may also be either formal or informal.

Most groups are considered ordinary interacting groups. These groups usually have a des- ignated formal leader, but they may be leaderless. Most work teams, task groups, and commit- tees are ordinary interacting groups. Discussions usually begin with a statement of the problem by the group leader followed by an open, unstructured conversation. Normally, the final

Many different types of groups and teams are used throughout organizations. Examples are ad hoc task groups, quality improvement teams, quality circles, self-directed work teams, shared governance councils, and focus groups. Nurse managers at a large university hospital are responsible for educating their staff about patient satisfaction. Patient satisfaction surveys are sent to randomly selected

BUILDING AND MANAGING TEAMS 145 bodies, such as committees for education, standards, disaster, and patient care evaluation. Others are established to meet a specific need (e.g., to formulate a new policy on substance abuse). Teams are real groups in which individuals must work cooperatively with each other in order to achieve some overarching goal. Teams

Group members include: ● Individuals from a single work group (e.g., nurses on one unit) or individuals at similar job levels from more than one work group (e.g., all professional staff) ● Individuals from different job levels (e.g., nurses and UAPs) ● Individuals from different work groups and different job levels in the organization (e.g.,

High-performance teams require expert leadership skills. In a health care delivery system integrated across settings, a team environment becomes increasingly essential. Nurse managers must skillfully orchestrate the activity and interactions of interprofessional teams as well as con- ventional nursing work groups. Understanding the nature of groups and how groups are trans- formed into teams is

LEARNING KEY SKILLS IN NURSING MANAGEMENT M ost often, nursing occurs in a team environment. Work groups that share common objectives function in a harmonious, coordinated, purposeful manner as teams. The staff nurse is constantly involved in teamwork. The nurse/aide/unit secretary team works together every day on a nursing unit. With shared governance more often

What are your organizational policies on delegation? 142 PART 2 • LEARNING KEY SKILLS IN NURSING MANAGEMENT Austin, S. (2008). 7 legal tips for safe nursing practice. Nursing 2008, 38(3), 34–39. Bittner, N. P., & Gravlin, G. (2009). Critical thinking, delegation, and missed care in nursing practice. Journal of Nursing Administration, 39(3), 142–146. Gravlin, G.,