LEARNING KEY SKILLS IN NURSING MANAGEMENT Such statements engender feelings of insecurity, incompetence, confusion, embarrassment, and anger. You do not need to respond directly in these situations but, rather, you can simply restate your initial point in a firm manner. Keep your expression neutral, ignore accusations, and restate your position, if appropriate. If you refuse […]
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UNDERSTANDING POWER AND POLITICS:Make it a point to get to know the people who matter in your sphere of influence. 8. Make it a point to get to know the people who matter in your sphere of influence. Become a part of the power network so that when people are discussing issues or seeking people
LEARNING KEY SKILLS IN NURSING MANAGEMENT Individual nurses can promote an image of power by a variety of means, such as: 1. Appropriately introducing yourself by saying your name, making eye contact, and shaking hands can immediately establish you as a powerful person. If nurses introduce themselves by first name to the physician, Dr. Smith,
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LEARNING KEY SKILLS IN NURSING MANAGEMENT a formal reprimand, or recommend termination for a nurse who engages in disruptive behavior. Coercion is used in relation to a manager’s perceived authority to determine employment status. 3. Legitimate power stems from the manager’s right to make a request because of the author- ity associated with job
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Referent power Reward power Shared visioning Stakeholders Vision CHAPTER 7 • UNDERSTANDING POWER AND POLITICS 87 Power Defined Power is the potential ability to influence others (Hersey, 2011). Power is involved in every human encounter, whether you recognize it or not. Power can be symmetrical when two parties have equal and reciprocal power, or it
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Describe how power is used 1. Define power. 2. Describe how power is used. 3. Discuss how image is a source of power. 4. Explain how to use shared visioning as a power tool. 5. Discuss how politics influence policy. 6. Describe how nurses can use politics to influence policies. Learning Outcomes After completing this
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Do you know what standards and outcome measures are used in your clinical setting? Questions to Challenge You 1. Imagine that an organization is debating among several quality management programs. What would you recommend? Why? 2. Do you know what standards and outcome measures are used in your clinical setting? How are data handled? Are
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MANAGING AND IMPROVING QUALITY 83 What You Know Now • Total quality management is a philosophy committed to excellence throughout the organization. • Continuous quality improvement is a process to improve quality and performance. • Six Sigma is another quality management program that uses measures, has goals, and is a management system. • Lean Six
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UNDERSTANDING NURSING MANAGEMENT AND ORGANIZATIONS A just culture, in contrast, allows for reporting of errors without fear of undue retribution (Gorzeman, 2008). Khatri, Brown, & Hicks (2009) suggest that transitioning to a just culture does more than improve reporting mechanisms or initiate training programs. A just culture provides an environment in which employees can question
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MANAGING AND IMPROVING QUALITY 81 asking what is expected in the form of a solution. The nurse manager should ensure that immedi- ate patient care and safety needs are met, collect all facts relevant to the incident, and if possible, comply with the patient or family member’s suggested resolution. Sometimes, a simple apology from a
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