Leading and Managing in Canadian Nursing

Title page
Table of Contents
Copyright
Dedication
Acknowledgements
Contributors
Reviewers
Preface
Learner’s Guide
Part 1. Core Concepts
	Chapter 1. Leading, Managing, and Following
		Introduction
		Personal Attributes Needed to Lead, Manage, and Follow
		Theory Development in Leading, Managing, and Following
		The Promise of Complexity Science
		Leading, Following, and Managing Competencies
		Leading, Managing, and Following During Complex Times
		Conclusion
		The Evidence
		Chapter Checklist
		Tips for Leading, Managing, and Following
	Chapter 2. Patient Focus
		Safe, Competent, and Ethical Practice
		Patient-Centred Care
		Patient Safety
		Nursing-Sensitive Outcomes
		Conclusion
		The Evidence
		Chapter Checklist
		Tips for Patient-Focused Leadership
	Chapter 3. Developing the Role of Leader
		What is a Leader?
		The Practice of Leadership
		Leadership Development
		Developing Leaders in the Emerging Workforce
		Surviving and Thriving as a Leader
		The Nurse as Leader
		The Evidence
		Chapter Checklist
		Tips for Becoming a Leader
	Chapter 4. Developing the Role of Manager
		Introduction
		The Management Role
		Evidence-Informed Decision Making
		Mentoring
		Organizational Culture
		Day-to-Day Management Challenges
		Managing Health Care Settings
		Managing Resources
		Informatics
		Budgets
		Quality Indicators
		Professionalism
		The Evidence
		Chapter Checklist
		Tips for Implementing the Role of Nurse Manager
	Chapter 5. Legal Issues
		Sources of Law
		The Regulation of Health care Workers
		Implications and Liability
		Leadership Perspectives
		Privacy and Confidentiality
		Protective and Reporting Laws
		Labour and Employment
		Drug Laws
		Consent to Treatment
		Malpractice
		Risk management
		Distinguishing Law and Ethics
		The Evidence
		Chapter Checklist
		Tips for IncorporatiNG Learning About Legal Issues in Practice Settings
	Chapter 6. Ethical Issues
		Introduction
		The Relational Context of Ethics
		Relational Ethics
		The Principles of Bioethics
		Code of Ethics for Nurses
		The Interdependent Environment of Nursing
		Defining Ethical Problems for Nurse Managers
		Ethics Committees
		A Model for Ethical Decision Making for Nurse Managers and Leaders
		Conclusion
		The Evidence
		Chapter Checklist
		Tips for Decision Making and Problem Solving
	Chapter 7. Making Decisions and Solving Problems
		Introduction
		Problem Solving and Decision Making
		Intellectual Processing in Problem Solving and Decision Making
		Factors that Affect the Quality of Decisions
		Applying the Problem-Solving Process
		Decision-Making Models
		Group Decision Making
		Conclusion
		The Evidence
		Chapter Checklist
		Tips for Decision Making and Problem Solving
	Chapter 8. Health Care Organizations
		Introduction
		The Canadian Health Care System
		Health Care Services Funding
		Organizing the Delivery of Care
		Approaches to Delivering Care
		Types and Classifications of Health Care Services
		A Theoretical Perspective
		Internal Forces Influencing Health Care Organizations
		External Forces Influencing Health Care Organizations
		Health Human Resources
		Conclusion
		The Evidence
		Chapter Checklist
		Tips for Nurse Managers and Leaders
	Chapter 9. Understanding and Designing Organizational Structures
		Introduction
		Mission
		Vision
		Philosophy
		Organizational Culture
		Factors Influencing Organizational Development
		Characteristics of Organizational Structures
		Bureaucracy
		Types of Organizational Structures
		Analyzing Organizations
		Emerging Fluid Relationships
		The Evidence
		Chapter Checklist
		Tips for Understanding Organizational Structures
	Chapter10. Cultural Diversity in Health Care
		Introduction: Concepts and Principles
		Cultural Diversity in Health Care Organizations
		Cultural Diversity and Prejudice
		Culture and Theoretical Models
		Individual and Societal Factors
		Dealing Effectively with Cultural Diversity
		Conclusion
		The Evidence
		Chapter Checklist
		Tips for Dealing with Cultural Diversity
	Chapter 11. Power, Politics, and Influence
		Introduction
		Key Powerful Canadian Nurse Leaders
		Types of Power
		Empowerment Theories and Nursing
		Power Strategies
		Exercising Power and Influence: Policy and Politics
		Policy Advocacy and Nursing
		The Evidence
		Chapter Checklist
		Tips for Using Influence
Part 2. Managing Resources
	Chapter 12. Caring, Communicating, and Managing with Technology
		Introduction
		Types of Technologies
		Information Systems
		Communication Technology
		Informatics
		Evidence-Informed Practice
		Patient Safety
		Impact of Clinical Information Systems
		Successfully Implementing Health Information Technology
		Future Trends and Professional Issues
		Summary
		The Evidence
		Chapter Checklist
		Tips for Managing Information and Technology
	Chapter 13. Managing Costs and Budgets
		Introduction
		What Escalates Health Care Costs?
		How is Health Care Financed?
		Approaches to Health Care Financing
		Using Activity to Inform the Budget
		The Changing Health Care Economic Environment
		Bending the Cost Curve
		What Does the Health Care Economic Environment Mean for Nursing Practice?
		Cost-Conscious Nursing Practices
		Budgets
		The Budgeting Process
		Managing the Unit-Level Budget
		The Evidence
		Chapter Checklist
		Tips for Managing Costs and Budgets
	Chapter 14. Care Delivery Strategies
		Introduction
		Case Method (Total Patient Care)
		Functional Nursing
		Team Nursing
		Primary Nursing
		Nursing Case Management
		Care Strategies That Influence Care Delivery
		Conclusion
		The Evidence
		Chapter Checklist
		Tips for Selecting a Care Delivery Model∗
	Chapter 15. Staffing and Scheduling
		Introduction
		The Staffing Process
		Forecasting Unit Staffing Requirements
		Scheduling
		Evaluating Unit Staffing and Productivity
		Conclusion
		The Evidence
		Chapter Checklist
		Tips for Staffing and Scheduling
	Chapter 16. Selecting, Developing, and Evaluating Staff
		Introduction
		Role Concepts and the Position Description
		Selecting Staff
		Developing Staff
		Performance Appraisals
		Performance Appraisal Tools
		The Evidence
		Chapter Checklist
		Tips for Conducting a Job Interview
Part 3. Changing The Status Quo
	Chapter 17. Strategic Planning and Goal Setting
		Introduction
		Strategic Planning
		The Evidence
		Chapter Checklist
		Tips for Planning and Goal Setting
	Chapter 18. Leading Change
		Introduction
		Context of the Change Environment
		Planned Change Using Linear Approaches
		Nonlinear Change: Chaos Theory and Learning Organization Theory
		Major Change Management Functions
		Responses to Change
		Strategies
		Roles and Functions of Change Agents
		Principles
		Conclusion
		The Evidence
		Chapter Checklist
		Tips for Leading Change
	Chapter 19. Building Teams Through Communication and Partnerships
		Introduction
		Groups and Teams
		Team Development
		Qualities of a Team Member
		Creating Synergy
		Generational Differences Among Team Members
		The Value Of Team Building
		Conflict and Teams
		Communication
		Managing Emotions
		Reflective Practice
		The Role of Leadership in Team Success
		The Evidence
		Chapter Checklist
		Tips for Team Building
	Chapter 20. Collective Nursing Advocacy
		Introduction
		Defining Collective Action and Advocacy
		Nursing Organizations and Collective Action
		Nursing Governance
		Conclusion
		The Evidence
		Chapter Checklist
		Tips For Collective Action
	Chapter 21. Managing Quality and Risk
		Introduction
		Quality Management in Health Care
		Benefits of Quality Management
		Planning for Quality Management
		Evolution of Quality Management
		Quality Management and Quality Improvement Principles
		The Quality Improvement Process
		Quality Assurance
		Risk Management
		Conclusion
		The Evidence
		Chapter Checklist
		Tips for Quality Management
	Chapter 22. Translating Research into Practice
		Introduction
		Research Utilization
		Evidence-Based Practice
		Diffusion of Innovations
		Translating Research into Practice
		Evaluation of Evidence
		Organizational Strategies
		Issues for Nurse Managers and Leaders
		The Evidence
		Chapter Checklist
		Tips for Developing Skill in Applying Evidence to Practice
Part 4. Interpersonal and Personal Skills
	Chapter 23. Understanding and Resolving Conflict
		Introduction
		Types of Conflict
		Stages of Conflict
		Categories of Conflict
		Approaches to Conflict Resolution
		Differences of Conflict-Handling Styles Among Nurses
		The Role of the Leader
		Mediation
		Managing Lateral Violence and Bullying
		The Evidence
		Chapter Checklist
		Tips for Addressing Conflict
	Chapter 24. Managing Personal/Personnel Problems
		Introduction
		Personal/Personnel Problems
		Documentation
		Progressive Discipline
		Termination
		Conclusion
		The Evidence
		Chapter Checklist
		Tips for Documenting Problems
	Chapter 25. Workplace Violence and Incivility
		Introduction
		Defining Workplace Violence and Incivility
		Prevention Strategies
		Horizontal Violence: The Threat from Within
		Conclusion
		The Evidence
		Chapter Checklist
		Tips for Preventing Workplace Violence
	Chapter 26. Practising and Leading in Interdisciplinary Settings
		Introduction
		Concepts and Definitions
		The Rise of Distinct Disciplines
		Scope of Practice
		A Framework for Interprofessional Collaboration
		Moving Forward in Collaborative Practice
		Leading Interdisciplinary or Interprofessional Teams
		Working “with” Versus “Alongside” Others
		Conclusion
		The Evidence
		Chapter Checklist
		Tips for Practising and Leading in Interdisciplinary Settings
	Chapter 27. Role Transition
		Introduction
		Types of Role Transitions
		Roles: the ABCs of Understanding Roles
		Role Transition Process
		Strategies to Promote Role Transition
		Conclusion
		The Evidence
		Chapter Checklist
		Tips for Role Transitioning
	Chapter 28. Self-Management: Stress and Time
		Introduction
		Understanding Stress
		Sources of Job Stress
		Stress Management
		Resolution of Stress
		Time Management
		Meeting Management
		Conclusion
		The Evidence
		Chapter Checklist
		Tips for Self-Management
	Chapter 29. Managing Your Career
		Introduction
		A Framework
		Career Development
		Career Marketing Strategies
		Data Assembly for Professional Portfolios
		The Interview
		Professional Development
		Academic and Continuing Education
		Certification
		Professional Associations
		A Model for Involvement
		Conclusion
		The Evidence
		Chapter Checklist
		Tips for a Successful Career
	Chapter 30. Thriving for the Future
		Introduction
		Leadership Demands for the Future
		Leadership Strengths for the Future
		Visioning
		Shared Vision
		Projections for the Future
		Nursing: Preparing for the Future
		Implications
		Conclusion
		Chapter Checklist
		Tips for the Future
Glossary
Illustration Credits
Index
Key Leadership Points