Essentials of Nursing Leadership Management

1 Essentials of Nursing LeadershipandManagementfifth 11/6/09 6:03 PM Page 11/6/09 6:03 PM Page iiEssentials of Nursing LeadershipandManagementfifth editionDiane K. Whitehead, EdD, RN, ANEFA ssociate Dean, NursingNova Southeastern UniversityFort Lauderdale, Florida Sally A. Weiss,EdD, RN, CNEA ssociate Chair, NursingNova Southeastern UniversityFort Lauderdale, Florida Ruth M. Tappen, EdD, RN, FAANC hristine E. Lynn Eminent Scholar and ProfessorFlorida Atlantic University College of NursingBoca Raton, 11/6/09 6:03 PM Page iiiF. A. Davis Company 1915 Arch Street Philadelphia, PA 19103 Copyright 2010 by F.

2 A. Davis Company Copyright 2007, 2004, 2001, 1998 by F. A. Davis Company. All rights reserved. This book is protected by part of it may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic,mechanical, photocopying, recording, or otherwise, without written permission from the in United States of AmericaLast digit indicates print number: 10 9 8 7 6 5 4 3 2 1 Acquisition Editor:Joanne Patzek DaCunha, RN, MSNP roject Editors:Kim DePaul, Tyler BaberManager of Art & Design:Carolyn O BrienAs new scientific information becomes available through basic and clinical research, recommended treatments and drugtherapies undergo changes.

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4 Caution is especially urged when using newor infrequently ordered of Congress Cataloging-in-Publication DataWhitehead, Diane K., 1945- Essentials of Nursing Leadership and Management / Diane K. Whitehead, Sally A. Weiss, Ruth M. Tappen. -- 5th ; bibliographical references and 978-0-8036-2208-1 (pbk. : alk. paper)1. Nursing services--Administration. 2. Leadership . I. Weiss, Sally A., 1950- II. Tappen, Ruth M. III. Title.[DNLM: 1. Nursing --United States. 2. Leadership --United States. 3. Nursing --organization & administration--United States. 4. Nursing Services--organization & administration--United States.]

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6 11/6/09 6:03 PM Page ivDedicationTo my sister Michele:Your bravery and spirit inspire me every K. WhiteheadTo my granddaughter Sydni,Whose curiosity and wonder continuously remind me of the reasons I became a nurse A. WeissTo students, colleagues, family and friends,Who have taught me just about everything I M. 11/6/09 6:03 PM Page 11/6/09 6:03 PM Page viPrefaceWe are delighted to bring our readers this Fifth Edition of Essentialsof Nursing Leadership and new edition has beenupdated to reflect the current health-care environment. As in ourprevious editions, the content, examples, and diagrams weredesigned with the goal of assisting the new graduate to make thetransition to professional Nursing Fifth Edition of Essentials of Nursing Leadership andManagementfocuses on the necessary knowledge and skills needed bythe staff nurse as a vital member of the health-care team and manag-er of patient care.

7 Issues related to setting priorities, delegation, qual-ity improvement, legal parameters of Nursing practice, and ethicalissues were updated for this are especially excited to introduce a new chapter, Quality andSafety. This chapter focuses on the current quality and safety issuesand initiatives that affect the current health-care environment. Inaddition, the updated finance chapter and a new chapter on health-care policy will be available on the Davis Web site, continue to bring you comprehensive, practical information ondeveloping a Nursing career.

8 Updated information on leading, manag-ing, followership, and workplace issues continues to be of Nursing Leadership and Managementcontinues toprovide a strong foundation for the beginning nurse leader. We wantto thank the people at Davis for their assistance as well as ourcontributors, reviewers, and students for their guidance and K. WhiteheadSally A. WeissRuth M. 11/6/09 6:03 PM Page 11/6/09 6:03 PM Page viiiContributorsPatricia Bradley, MEd, PhD, RNCoordinator, Internationally Educated NursesProgramFaculty, Nursing DepartmentYork UniversityToronto, Ontario, CanadaKristie Campoe, MSN, RNAdjunct FacultyNursing DepartmentNova Southeastern UniversityFort Lauderdale, FloridaPatricia Welch Dittman, PhD, RN, CDEG raduate Program Director/Assistant ProfessorNursing DepartmentNova Southeastern UniversityFort Lauderdale, FloridaDenise Howard, BSN, RNAdjunct FacultyNursing DepartmentNova Southeastern UniversityFort Lauderdale, FloridaMarcie Rutherford,PhD, MBA.

9 MSN, RNAssistant ProfessorNursing DepartmentNova Southeastern UniversityFort Lauderdale, FloridaWendy Thomson, EdD(c), MSN, BSBA, RN, CNE, IBCLCA ssistant Director of Technology andSimulation/Assistant ProfessorNursing DepartmentNova Southeastern UniversityFort Lauderdale, 11/6/09 6:03 PM Page 11/6/09 6:03 PM Page xTable of Contentsunit1 Professional Considerationschapter1 Leadership and Followership3chapter2 Manager13chapter3 Nursing Practice and the Law21chapter4 Questions of Value and Ethics39chapter5 Organizations, Power, and Empowerment57unit2 Working Within the Organizationchapter6 Getting People to Work Together73chapter7 Dealing With Problems and Conflicts91chapter8 People and the Process of Change103chapter9 Delegation of Client Care115chapter10 Quality and Safety131chapter11 Time Management157unit3 Professional Issueschapter12 Promoting a Healthy Workplace171chapter13 Work-Related Stress and Burnout197chapter14 Your Nursing Career217chapter15 Nursing Yesterday and 11/6/09 6.

10 03 PM Page xiAppendicesappendix1 Codes of Ethics for Nurses257 American Nurses Association Code of Ethics for Nurses257 Canadian Nurse Association Code of Ethics for Registered Nurses257 The International Council of Nurses Code of Ethics for Nurses258appendix2 Standards Published by the American Nurses Association259appendix3 Guidelines for the Registered Nurse in Giving, Accepting, or Rejecting a Work Assignment261 Index267 Bonus Chapters on DavisPlusFinanceTriaxial of Action: Policy, Politics, and NursingCanadian Nursing Practice and the 11/6/09 6:03 PM Page xii1unitProfessional Considerationschapter1 Leadership and Followershipchapter2 Managerchapter3 Nursing Practice and the Lawchapter4 Questions of Values and Ethicschapter5 Organizations, Power, and 11/6/09 5:54 PM Page 11/6/09 5:54 PM Page 2chapter1 Leadership and FollowershipOBJECTIVESA fter reading this chapter, the student should be able to: Define the terms Leadership and followership.