Nursing

Communication MODES OF COMMUNICATION Web Resources DyNADS project: http://www.dynads.nursing.arizona.edu Post-Master’s Certificate Program in Innovation and Intra/Entrepreneurship: http://www.drexel.edu/ gradnursing/msn/post-MastersCertOnline/innovationEntrepreneurship/ American Academy of Nursing Edge Runners: http://www.aannet.org/edgerunners American Academy of Nursing Raise the Voice: http://www.aannet.org/raisethevoice References Ashcraft, T. (2010). Solving the critical thinking puzzle. Nursing Management, 41(1), 8–10. Benner, P., Sutphen, M., Leonard, V., & Day, L. (2009). […]

Identify opportunities to use groups appropriately to make decisions and solve problems LEARNING KEY SKILLS IN NURSING MANAGEMENT 4. Identify opportunities to use groups appropriately to make decisions and solve problems. 5. Follow the problem-solving process described in the chapter. 6. Challenge yourself to look for creative and innovation solutions. Questions to Challenge You 1.

To stimulate innovation, several techniques include: ● Simulations—uses actors representing standardized patients or high-tech mannequins ● Case studies—encourages participants to use critical thinking to analyze actual patient situations ● Problem-based learning—incorporates additional information into the case study over time ● Debate—helps participants examine an issue from more than one viewpoint (Lachman, Glasgow, & Donnelly, 2009)

THINKING CRITICALLY, MAKING DECISIONS, SOLVING PROBLEMS 115 will be silent. They start out with a commitment to find out why others disagree. If the staff, other professionals, or patients see a different reality or even a different problem, leaders need to integrate this information into developing additional problem-solving alternatives. Innovation Innovation is a strategy to

Manager’s Checklist The nurse manager is responsible for: ● Tracking and identifying recurring negative perfor- mance issues on the unit ● Analyzing adverse outcomes to determine what fac- tors contributed to the outcome ● Empowering staff to improve work processes on the unit ● Understanding the organizational structure and helping staff work with other departments

Latonia Wilson is nurse manager for a busy 20-bed telemetry unit. In addition to providing postsurgical care for cardiac patients, nurses also prepare patients for cardiac catheterization lab procedures. Latonia’s staff includes eight new graduate nurses, almost half of her nursing staff. The new nurses have attended most of the required nursing orientation for the

Evaluate the solution Evaluate the solution. After the solution has been implemented, review the plan and compare the actual results and benefits to those of the idealized solution. People tend to fall back into old patterns of habit, only giving lip service to change. Is the solution being implemented? If so, are the results better

Implement the decision Implement the decision. Implement the decision after selecting the best course of action. If unforeseen new problems emerge after implementation, evaluate these impediments. Be careful, however, not to abandon a workable solution just because a few people object; a minority always will. If the previous steps in the problem-solving process have been

LEARNING KEY SKILLS IN NURSING MANAGEMENT history by the time they reach you, and attempts may have been made to resolve them over a period of time. “We tried this before and it didn’t work” is often said and may apply—or more likely, may not apply—in a changed situation. Past experience may not always supply

Consider how long the situation has been going on. Because no amount of information is ever complete or comprehensive enough, critical- thinking skills, discussed earlier, help the manager examine the assumptions, evidence, and potential value conflicts. 4. Develop solutions. As an individual or a group analyzes information, numerous possible solutions will suggest themselves. Do not