Week 1 discussion
Leading and Managing
in Nursing, Ch. 1, 3
Read the following from Leading and Managing in Nursing:
Ch. 1: Leading, Managing, and Following
Ch. 3: Developing the Role of Leader
Exemplary Leadership:
How Style and Culture Predict Organizational Outcomes
Read “Exemplary Leadership: How Style and Culture
Predict Organizational Outcomes” from this week’s Electronic Reserve
Readings.
Leading, Managing,
and Following
Search the University Library or Google Scholar™ for
definitions of the terms leading, managing, and following.
Write 175-word summary in which you interpret the
definitions and explain them in your own words.
Explain how the terms are interconnected and how they often
play out in a clinical nurse setting.
Local campus students: Prepare to present and discuss your
summary in the next class meeting.
Online students: Post your summary and respond to at least
one classmate’s post.
Generational
Leadership
Nurse leaders have the opportunity to influence diverse
groups of people. This activity is designed to challenge you to think about the
opportunities that come with leading and managing a cross-generational
workforce.
Members of the younger generation—those 18 to 35 years of
age—have said that they want to be led, not managed.
Write a 175-word summary in which you answer the following
questions:
How do you think leadership would be different for a person
who leads only people between 18 and 35 years of age compared with a person
whose followers are mostly over the age of 40?
What strategies would you recommend for a person who becomes
the leader of a cross-generational group?
Local campus students: Prepare to present and discuss your
summary in the next class meeting.
Online students: Post your summary and respond to at least
one classmate’s post.
Assignment adapted from Leading and Managing in Nursing (Ch.
21), by Patricia S. Yoder-Wise, 2015, St Louis, MI: Elsevier. Copyright 2015 by
Elsevier. Adapted with permission.
FIRST
MESSAGE #1
LEADERS
Are leaders born or made? If you think they are born, can
anything be done to help someone who wants to lead but was not born a leader?
If you think they are made, how are they made?
FIRST
MESSAGE #2
LEADING VS MANAGING
What supervisory behaviors do you perceive as “leading”
versus “managing”? Why?
Week 2
discussion
Leading and Managing
in Nursing, Ch. 12–14
Read the following from Leading and Managing in Nursing:
Ch. 12: Managing Costs and Budgets
Ch. 13: Care Delivery Strategies
Ch. 14: Staffing and Scheduling
Keeping Patients
Safe: Transforming the Work Environment of Nurses
Read the Executive Summary (pages 24-43) of the landmark
Institute of Medicine* report, Keeping Patients Safe: Transforming the Work
Environment of Nurses.
*Institute of Medicine is now called the Health and Medicine
Division
Health Care Right or
Privilege?
Consider the following questions:
In the current U.S. health care system, is health care a
right or a privilege?
Do you think health care should be a right or a privilege?
Support your stance with two scholarly articles.
Write a 175-word summary.
Local campus students: Prepare to present and discuss your
summary in the next class meeting.
Online students: Post your summary and respond to at least
one classmate’s post
Health Care Spending
Comparison
Despite having the highest health care spending in the
world, the U.S. continues to have worse health outcomes than other developed
nations. This activity is designed to expose you to some of the data that
results when resources are not managed effectively. As you review the tables,
think about what all nurses can do as leaders to change these trends.
Explore The Commonwealth Fund issue brief, U.S. Health Care
from a Global Perspective, to see an explanation of health care from a global
perspective.
Review Exhibits 1 and 9.
Driving Health Care
Costs
Explore the Kaiser Health News website to learn about some
of the contributing factors in increasing health care costs. As you explore the
website and review the visuals, think about your practice area. What examples
can you provide for these seven key drivers?
Write a 175-word summary.
Local campus students: Prepare to present and discuss your
summary in the next class meeting.
Online students: Post your summary and respond to at least
one classmate’s post.
Waste
Reducing and eliminating waste is essential to managing
resources. Waste in health care can take many forms: materials, unneeded
transport of people or items from one place to another, inventories, wait
times, employees working on processes that are not valuable to the customer,
arduous processes, re-work due to incompetence or lack of organization, and
incorrect staff staffing levels.
The Institute for Health Improvement (IHI) developed a
Hospital Inpatient Waste Identification tool.
Review the IHI resources to better understand some of the
ways you can affect waste as a nurse and nurse leader.
FIRST MESSAGE #1
REIMBURSEMENT SYSTEMS
Think about how profits are realized in varying
reimbursement systems (cost-based vs. prospective vs value-based). How can this
impact how nursing care is planned and delivered?
FIRST MESSAGE #2
RESOURCES AND IOM
How does managing resources relate to the IOM report on
transforming the work environment of nurses?
Week 3
discussion
Leading and Managing
in Nursing, Ch. 9, 10, 23–25
Read the following from Leading and Managing in Nursing:
Ch. 9: Cultural Diversity in Health Care
Ch. 10: Power, Politics, and Influence
Ch. 23: Conflict: The Cutting Edge of Change
Ch. 24: Managing Personal/Personnel Problems
Ch. 25: Workplace Violence and Incivility
Defining Culturalism
Nurse leaders must work with staff to foster respect for
varied lifestyles. Showing respect to all patients and colleagues, irrespective
of their cultural differences, tells staff that differences are valuable. This
exercise is designed to introduce key principles nurse leaders must address in
leading and managing diverse groups.
Use Google Scholar™, Leading and Managing in Nursing, or the
University Library to define multiculturalism, cross-culturalism, and
transculturalism.
Write a 175-word summary explaining the definitions in your
own words and give an example of applying each term to a leadership situation.
For example, think of a time in your practice when you, as a leader, or your
leader used multiculturalism to promote inclusion among colleagues or patients.
Local campus students: Prepare to present and discuss your
summary in the next class meeting.
Online students: Post your summary and respond to at least
one classmate’s post.
Care of Diverse
Populations
One way of ensuring respect for all patients and staff is to
consider how an individual’s point of view, past experiences, and background
affect their decisions or how they approach situations. This activity is
designed to demonstrate how different organizations operationalize culturally
competent care.
Think about the organization where you currently practice or
one where you practiced in the past.
Does the organization have programs related to
cultural/social diversity, either with relation to patient care or in
understanding team dynamics?
What do the programs entail? When were you exposed to them?
If programs do not currently exist, explain why you think
that is and suggest ways for your organization to integrate awareness of social
and cultural diversity into the culture.
Write a 175-word summary.
Local campus students: Prepare to present and discuss your
summary in the next class meeting.
Online students: Post your summary and respond to at least
one classmate’s post.
Assignment adapted from Leading and Managing in Nursing (Ch.
21), by Patricia S. Yoder-Wise, 2015, St Louis, MI: Elsevier. Copyright 2015 by
Elsevier. Adapted with permission.
Ebook Central™
Bookshelf: Critical Conversations
Effective communication is essential to addressing
challenges at all levels of an organization. This activity is designed to
introduce communication strategies to work through the critical conversations
that happen frequently in nursing. This text from Sigma Theta Tau is an item
you can add to your leadership toolbox for future use.
Add the following book to the Ebook Central™ bookshelf you
created in NSG/302: Professional Contemporary Nursing Role and Practice.
Clancy, C. (2014). Critical conversations in healthcare:
Scripts and techniques for effective interprofessional and patient
communication. Indianapolis, IN: Sigma Theta Tau.
Note: If you have not created a bookshelf, access the Ebook
Central™ website from the Student Resources website and visit the help page to
learn how to create your account and use your bookshelf.
Read the Preface, Introduction, and Ch. 1.
Use the Critical Conversations graphic organizer to create a
one-page sheet to review when you need to have a critical conversation.
Exercising Power
Nurses use power to influence others in an effort to achieve
goals. This activity is designed to encourage you to think about all the
different ways you can use power to influence patients and colleagues to
improve outcomes and the workplace environment.
Review Theory Box: Sources of Power on page 171 of Leading
and Managing in Nursing by clicking the Discussion tab.
Give an example of how a nurse can exercise each kind of
power:
Personal
Expert
Position
Perceived
Information
Connections
Write a 175-word summary.
Local campus students: Prepare to present and discuss your
summary in the next class meeting.
Online students: Post your summary and respond to at least
one classmate’s post
Conflict
Self-Assessment
Workplace conflict is unavoidable. Although it tends to have
a negative connotation, it can be a positive catalyst for change. Conflict can
and should be effectively managed by everyone at every level of the
organization. This self-assessment is designed to make you more aware of how
you could and do handle conflict at work.
Complete the Conflict Self-Assessment from Box 23-2 of
Leading and Managing in Nursing by clicking the Exploration tab.
Read boxes 23-3–23-8 to see some of the appropriate uses for
each approach. As you read, think about times when you have applied each
approach effectively or ineffectively.
Bullying and Lateral
Violence
Part of a nurse leader’s responsibility is to create an
environment that fosters creativity, innovation, and success. This activity is
designed to show you some of the resources that are available to leaders
looking for information to address and improve bullying and violence in the
workplace.
Review the Incivility, Bullying, and Workplace Violence web
page from the American Nurses Association website.
Write a 95-word summary in which you:
Explain and summarize two tools or resources.
Explain how you will use the material to address
organizational issues or promote positive change at your facility.
Local campus students: Prepare to present and discuss your
summary in the next class meeting.
Online students: Post your summary and respond to at least
one classmate’s post.
FIRST MESSAGE #1
COMMUNICATION
1.
We all have a primary style in communicating –
one style tends to be more dominant than others. Think about your primary and
secondary interactions styles. How do they impact your communication with
others – e.g., supervisor, patients, and friends?
FIRST MESSAGE #2
INTERPERSONAL SKILLS
1.
Can teams function effectively with nurses who
have great clinical skills but very poor interpersonal skills? Explain and
support your answer.
Week 4 discussion
Leading and Managing
in Nursing, Ch. 2, 6, 8,17–19
Read the following from Leading and Managing in Nursing:
Ch. 2: Safe Care: The Core of Leading and Managing
Ch. 6: Making Decisions and Problem Solving
Ch. 8: Understanding and Designing Organizational Structures
Ch. 17: Leading Change
Ch. 18: Building Teams Through Communication and
Partnerships
Ch. 19: Workforce Engagement and Collective Action
Change Readiness
Self-Assessment
Complete the Table 17-1 Self-Assessment: How Receptive are
you to Change and Innovation? on page 313 of Leading and Managing in Nursing by
clicking the Exploration tab.
Reflect on changes you have experienced. Knowing your change
readiness score now, think about what you would do differently to make yourself
more change-agile.
Team Assessment
Complete the Table 18-1 Team Assessment Exercise: Are We a
Team? on page 323 of Leading and Managing in Nursing by clicking the Discussion
tab.
Write a 90-word summary of how you can improve your team’s
dynamics, regardless of your assessment score.
Local campus students: Prepare to present and discuss your
summary in the next class meeting.
Online students: Post your summary and respond to at least
one classmate’s post.
Driving Forces for
Change
Change in health care is often related to quality. This
activity introduces you the three major driving forces of the current emphasis
on quality.
Explore the Health and Medicine Division*, the Agency for
Healthcare Research and Quality, and the National Quality Forum to understand
each organization’s key focus and its mission, vision, and values.
*Formerly Institute of Medicine
FIRST MESSAGE #1
CHANGE INITIATIVES
What examples of quality and safety change initiatives have
you experienced in practice?
FIRST MESSAGE #2
CHANGE AGENT
Why is important for every nurse to think of themselves as a
change agent?
Week 5
discussion
Leading and Managing
in Nursing, Ch. 5, 26–30
Read the following from Leading and Managing in Nursing:
Ch. 5: Legal and Ethical Issues
Ch. 26: Delegation: An Art of Professional Nursing Practice
Ch. 27: Role Transition
Ch. 28: Self-Management: Stress and Time
Ch. 29: Managing Your Career
Ch. 30: Thriving for the Future
Everyday Leadership
Watch “TEDTalks: Drew Dudley—Everyday Leadership”
from this week’s Electronic Reserve Readings.
As you watch, think of the ways you can impact people’s
lives each day.
Professional
Development for Everyday Leadership
Write a list of goals that you have for personal and
professional development (e.g., make a public speech, write an article, hold an
officer position, conduct research, gain experience as a manager). For each of
the goals, identify the first small step you need to take toward achieving that
goal.
Think of how this exercise relates to everyday leadership as
you are writing the goals.
Assignment adapted from Leading and Managing in Nursing (Ch.
21), by Patricia S. Yoder-Wise, 2015, St Louis, MI: Elsevier. Copyright 2015 by
Elsevier. Adapted with permission
Delegation
Search the National Council of State Boards of Nursing (NCSBN)
website for their joint statement on delegation.
Review the Joint Statement on Delegation by the NCSBN and
the ANA.
Write a 90-word summary explaining three ways you can
improve your delegation skills as a leader.
Local campus students: Prepare to present and discuss your
summary in the next class meeting.
Online students: Post your summary and respond to at least
one classmate’s post.
FIRST MESSAGE #1
DELEGATION
All RNs use delegation. How does delegation change when one
moves into a leadership and management role?
FIRST MESSAGE #2
LEADERSHIP
What are some ways to incorporate everyday leadership into
your routine at work?
