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ISBN 10: 0176752996
ISBN 13: 9780176752996
Author: Patricia Kelly
Nursing Leadership and Management, Third Canadian Edition, is designed to help students and beginning nurses develop the knowledge and skills to lead and manage nursing care delivery in the 21st century. The nursing shortage and fiscal realities are pressuring health care organizations to require nurses to do more with less and to adapt quickly to change. Recommendations for the health care profession highlight the need for nurses to be educated in a broader way, including education in the areas of interprofessional teamwork, integration, population-based health care, evidence-based practice, informatics, ethics, quality improvement, culture, spirituality, and change, to name just a few. This text addresses many of these topics, along with others, to prepare the beginning nurse leader and manager to successfully function in the modern health care system.
Nursing Leadership and Management 3rd Table of contents:
CHAPTER 1 Canada’s Health Care Environment
Organization of Health Care
Types of Health Care Services
Health Care Professionals in Canada
Health Care Spending
Approaches to Health Care in Canada
Population Health
Public Health
Primary Health Care
Integrated Health Care Delivery Systems
Horizontal and Vertical Integration
Disease Management
Accreditation
Health Care Variation and Evidence-based Practice
Variation in Client Outcomes
Canadian Foundation for Healthcare Improvement
Accreditation Canada’s Patient Safety Goals
Institute of Medicine Committee on Health Care Quality Reports
Canadian Adverse Events Study
Quality Health Care
Structure, Process, Outcome
The 3M Health Care Quality Team Awards
Outcome Measurements
Recent Changes in Health Care
Privacy Legislation in Canada
Canadian College of Health Leaders
Other Forces Influencing Trends in Health Care
Nursing Role
Interprofessional Nursing Practice
CHAPTER 2 Basic Clinical Health Care Economics
Traditional Perspective on the Cost of Health Care: Health Care as Altruism
Need For Health Care Determined By Provider
The Right to Health Care at any Cost
Federal and Provincial Reports
Accountability
Functions of the Health Care System
Health Care Finance Reform
Funding Health Reform
Delivery Health Reform
Future Perspective On The Cost Of Health Care
UNIT II A NEW HEALTH CARE MODEL
CHAPTER 3 Evidence-based Practice
History of Evidence-based Practice
Importance of Evidence-based Practice
Attributes of Evidence-based Practice
Misconceptions About Evidence-based Practice
Evidence: Sources, Types, and Evaluation
Levels of Evidence
Knowledge Transfer and Evidence-based Decisions in Policy
CHAPTER 4 Nursing and Health Care Informatics
What is Nursing Informatics?
E-Health and Telehealth
Elements of Nursing Informatics
The Specialty of Nursing Informatics
Education in Informatics
Formal Programs
Informal Education
Certification
Career Opportunities
Health Information Systems
Electronic Health Record
Data Capture
Storage
Information Processing
Information Communication
Security
Information Presentation
Canada Health Infoway
Interface Between the Informatics Nurse and the Clinical Information System
Trends in Computing
Development of Modern Computing
Ubiquitous Computing
Virtual Reality
The Internet
Using the Internet for Clinical Practice
The P-F-A Assessment
Quick and Dirty Searching
Brute Force
Links and Bookmarks
Resources for Professionals and Consumers
Literature Resources
Evaluation of Information Found on the Internet
CHAPTER 5 Population-based Health Care Practice
Population Health
Population-based Nursing Practice
Nursing in Nontraditional Settings
Program Planning and Evaluation
Assessment
Planning and Implementation
Evaluation
CHAPTER 6 Personal and Interprofessional Communication
Trends in Society That Affect Communication
Elements of the Communication Process
Channels of Communication
The Visual Channel
The Auditory Channel
The Kinesthetic Channel
Modes of Communication
Verbal Communication
Nonverbal Communication
Electronic Communication
Social Media
Level of Communication
Public Communication
Intrapersonal Communication
Interpersonal Communication
Organizational Communication
Communication Skills
Attending
Responding
Clarifying
Confronting
Barriers to Communication
Linguistically Appropriate Services
Gender
Culture
Generational Differences
Health Literacy
Anger
Incongruent Responses
Conflict
Workplace Communication
Superiors
Co-workers
Subordinates
Clients and Families
Medication Reconciliation
Physicians and Other Health Care Professionals
Clients and Their Families
Mentor and Prodigy
CHAPTER 7 Politics and Consumer Partnerships
Stakeholders and Health Care
The Politics and Economics of Human Services
Cultural Dimensions of Partnerships and Consumerism
Politics and Demographic Changes
Nurse as Political Activist
Politics and Advocacy
Advocacy and Consumer Alliances
Consumer Demands
Turning a Consumer-Oriented Vision into Reality
The Consumer Demand for Accountability
Credibility and Politics
UNIT III PLANNING CARE
CHAPTER 8 Nursing Leadership and Management
Definition of Leadership
Leadership Characteristics
Factors That Influence the Quality of Nursing Leadership
Leadership Theories
Behavioural Approaches
Contingency Approaches
Contemporary Approaches to Leadership
Kouzes and Posner’s Five Leadership Practices
Nursing Leadership and Outcomes
Future Directions
The New Leadership
Definition of Management
The Management Process
Management Theories
Classical Viewpoint
Scientific Management
Bureaucratic Management
Administrative Principles
Human Relations
Motivation Theories
Maslow’s Hierarchy of Needs
Herzberg’s Two-Factor Theory
McGregor’s Theory X and Theory Y
Ouchi’s Theory Z
Vroom’s Expectancy Theory
The Changing Nature of Managerial Work
Nursing Leadership and Management: The Link
CHAPTER 9 Current Issues and Trends
Sustainability
Integration
Client-centred Care
Engagement
Community Engagement
Client Engagement in Research
Scope of Practice
Lean in Health Care
CHAPTER 10 Effective Team Building
Defining Teams and Committees
Stages of Team Process
Group Roles
Functional vs. Dysfunctional Members
Key Concepts of Effective Teams
Great Team Guidelines
Creating an Environment Conducive to Team Building
Teamwork on a Client Care Unit
Effective Team Meetings
Interprofessional Health Care Teams
Developing Decision-making and Problem-solving Skills
Successful Team Membership
CHAPTER 11 Budget Concepts for Client Care
Types of Budgets
Operating Budget
Capital Budget
Construction Budget
Budget Overview
Budget Preparation
Demographic Information
Regulatory Influences
Strategic Plans
Scope of Service and Goals
History
Budget Development
Revenue
Expenses
Supplies
Human Resources
Staffing
Budget Approval and Monitoring
CHAPTER 12 Effective Staffing
Determination of Staffing Needs
Core Concepts
Full-Time Equivalent
Units of Service
Nurse Intensity
Workload Measurement Systems
Factor System
Prototype System
Utilization of Classification System Data
Considerations in Developing a Staffing Pattern
Benchmarking
Regulatory Requirements
Skill Mix
Staff Support
Historical Information
Establishing a Staffing Pattern
Inpatient Unit
Determining the Number of FTEs Needed to Meet the Staffing Pattern
Determining the FTEs Needed to Staff an Episodic Care Unit
Scheduling
Client Needs
Experience and Scheduling of Staff
New Options in Staffing Patterns
Impact on Client Care
Financial Implications
Cyclical Scheduling
Self-Scheduling
Informatics Support for Evidence-based Staffing
Evaluation of Staffing Effectiveness
Client Outcomes and Nurse Staffing
Nurse Staffing and Nurse Outcomes
Models of Care Delivery
Total Patient Care
Advantages and Disadvantages
Functional Nursing
Advantages and Disadvantages
Team Nursing
Advantages and Disadvantages
Primary Nursing
Advantages and Disadvantages
Client-centred Care or Client-focused Care
Advantages and Disadvantages
Emerging Models of Care: Client-centred Collaborative Practice
Care Delivery Management Tools
Clinical Pathways (Care Maps)
Advantages and Disadvantages
Case Management
CHAPTER 13 Delegation of Nursing Care
Perspectives on Delegation
What Is Delegation?
Accountability and Responsibility
Authority
Assignment Making
Responsibilities of Health Team Members
The Nurse Manager’s Responsibilities
The Novice Nurse’s Responsibilities
The Registered Nurse’s Responsibilities
The UCP’s Responsibilities
The Licensed Practical Nurse’s Responsibilities
Direct Delegation and Indirect Delegation
Underdelegation
Inappropriate Delegation
Transcultural Delegation
Communication
Space
Social Organization
Time
Environmental Control
Biological Variations
UNIT IV MANAGING CARE
CHAPTER 14 Strategic Planning and Organizing Client Care
Strategic Planning
Strategic Planning Definition
The Purpose of Strategic Planning
Steps in the Strategic Planning Process
Environmental Assessment
Community and Stakeholder Assessment
Other Methods of Assessment
Surveys and Questionnaires
Focus Groups and Interviews
Advisory Panel
Review of Literature Related to Identified Programs
Best Practices
Relationship of Strategic Planning to the Organization’s Mission
Planning Goals and Objectives
Developing a Marketing Plan
Organizational Culture
High-reliability Organizations—A Culture of Safety
Organizational Vision, Mission, and Philosophy
Mission Statement
Philosophy
Vision
Values
Organizational Structure
Types of Organizational Structures
Matrix Structure
Flat vs. Tall Structure
Decentralized versus Centralized Structure
Division of Labour
Span of Control
Roles and Responsibilities
Reporting Relationships
Division of Labour by Geographic Area
Functional Division of Labour
Division of Labour by Program
Factors Influencing Organizational Structures
Technology
Sociocultural Environment
Trends in Organizations
The Structure of Professional Practice
Shared Governance
Clinical Practice Council
Quality Council
Education Council
Research Council
Management Council
Coordinating Council
Ensuring Competence and Professional Staff Development
Benner’s Novice to Expert
The Process of Professional Practice
Situational Leadership
Accountability-based Care Delivery
Measurable Quality Outcomes
Unit-based Performance Improvement
CHAPTER 15 Change, Innovation, and Conflict Resolution
Change
Traditional Change Theories
Emerging Theories of Change
The Change Process
Steps in the Change Process
Assessment
Planning
Implementation of Change Strategies
Evaluation of Change
Stabilization of Change
Responses to Change
The Change Agent
Change Agent Strategies
Innovation
Conflict
Sources of Conflict
Types of Conflict
The Conflict Process
Conflict Resolution
Strategies to Facilitate Conflict Resolution
Leadership and Management Roles
Conflict Management and Change
CHAPTER 16 Power
Definitions of Power
Power and Accountability
Sources of Power
Personal Orientation and the Internet
Empowerment and Disempowerment
Role of the Media
A Plan for Personal Empowerment
Power and the Limits of Information
Machiavelli on Power
UNIT V EVALUATION
CHAPTER 17 Managing Performance and Outcomes Using an Organizational Quality Improvement Model
Evolution of Quality Improvement Initiatives
Total Quality Management
General Principles of Quality Improvement
Customers in Health Care
Participation of Everyone in the Organization
Focus on Improvement of the Health Care Work Process
Improvement of the System
A Continuous Process
Outcomes Monitoring
Improvement Based on Data
Implications for Client Care
Methodologies for Quality Improvement
The Plan-Do-Study-Act Cycle
The FOCUS Methodology
Other Improvement Strategies
Benchmarking
Regulatory Requirements
Sentinel Events
Balanced Scorecard
Storyboard: How to Share Your Story
Client Satisfaction Data
Interpreting Data
Time Series Data
Pareto Charts, Histograms, Flowcharts, Fishbone Diagrams, Pie Charts, and Check Sheets
Principles in Action in an Organization
Organizational Structure
Outcomes Monitoring
Enterprise Risk Management
CHAPTER 18 Decision Making
Critical Thinking
Reflective Thinking
Problem Solving
Decision Making
An Introduction
Nature of Decision Making in Nursing
Factors Influencing Decision Making
Intrinsic Factors
Extrinsic Factors
Steps in the Decision-making Process
Clinical Application
Management Application
Decision Tree
Gantt Chart
Group Decision Making
Techniques of Group Decision Making
Nominal Group Technique
Delphi Technique
Consensus Building
Groupthink
Limitations to Effective Decision Making
Use of Technology in Decision Making
Nurses’ Role in Client Decision Making
Strategies to Improve Decision Making
UNIT VI OTHER PROFESSIONAL CONSIDERATIONS
CHAPTER 19 Legal Aspects of Client Care
Sources of Law
Public Law
Constitutional Law
Criminal Law
Statutory Law
Civil Law
Contract Law
Tort Law
Non-intentional Torts
Intentional Torts
Informed Consent
Do Not Resuscitate (DNR) Orders
False Imprisonment
Right to Privacy
Legal Protections in Nursing Practice
Government Inquiries
Good Samaritan Laws
Skillful Communication
Following Doctors’ Orders
Enterprise Risk Management Programs
Malpractice and Professional Liability Insurance
CHAPTER 20 Spirituality and the Profession of Nursing
Spirituality and Nursing
Leadership: Learning and Growing
Holistic Care
Models of Spirituality
Hierarchy of Care
History of Compassionate Care
Assessment Education
Religious Needs
What Health Professionals Need to Know
Spiritual Abuse
Unhealthy Religious Ideation
What About Sharing My Faith?
Parish Nursing: Faith Community Nursing
Primary Roles of the Parish Nurse
Cultural Care Theories
Multiculturalism in Canada
Needs
Spiritual
Comfort
Hope
Creativity
Legacy
Reminiscence
Spiritual Distress
Spiritual Distressors
Loss
Anger
Fear
Guilt
Pain
Loneliness
Experiences of Loss
Working with a Spiritual Care Team
Leadership Roles for Modelling Spiritual and Cultural Care
Nursing Leadership
Spiritual Practices Every Nurse Can Adopt
Spiritual Care at the End of Life
Ho’oponopono
Ethical Concerns
CHAPTER 21 Ethics and the Profession of Nursing
Ethics and Morality
Nursing Ethics
Ethical Theories
Principlism
Feminist Ethics
Foundations for Ethical Care in Canada
Codes of Ethics in Nursing
Professional Dilemmas
Consent and Autonomy
Resource Allocation
End-of-Life Issues
Truth Telling
Leadership Roles and Challenges in Ethics
Two Models for Ethical Decision Making
CHAPTER 22 Collective Bargaining
History of Nursing Unionization in Canada
Collective Action Models
Workplace Advocacy
Collective Bargaining
Factors Influencing Nurses to Unionize
Unions
Whistle-Blowing
The Process of Unionization
The Manager’s Role
The Employee’s Role
Striking
Nursing Associations
Professionalism and Unionization
Physician Unionization
Unionization of University Professors
Managing in a Union Environment
Grievances
Pros and Cons of Collective Bargaining
UNIT VII PREPARATION FOR ENTRY-LEVEL NURSING PRACTICE
CHAPTER 23 Career Planning and Development: Creating Your Path to the Future
Creating Your Career Vision
Your Self-Assessment and Reality Check
Scanning Your Environment
Creating Your Strategic Career Plan
Marketing Yourself
Personal Resources
Written Resources
Electronic Résumés
Business Cards
Portfolios
Preparing for an Interview
A Note About References
APPENDIX
ABBREVIATIONS
GLOSSARY
INDEX
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Tags: Patricia Kelly, Nursing Leadership