Management and leadership for nurse administrators

Management and Leadership: FOR NURSE ADMINISTRATORS
Half Title Page
Title Page
Copyright
Dedication
Contents
Foreword
Preface
Contributors
INTRODUCTION
PART I Leading in Times of Complexity and Rapid Cycle Change
	CHAPTER 1 Forces Influencing Nursing Leadership
		LEARNING OBJECTIVES
		AONE KEY COMPETENCIES
		AONE KEY COMPETENCIES DISCUSSED IN THIS CHAPTER
		FUTURE OF NURSING: FOUR KEY MESSAGES
		Introduction
		ORGANIZATIONAL SYSTEM: CONTEXT FOR TRENDS AND CHANGE
		PRINCIPLES TO CREATE FUTURE CARE MODELS
		NURSING-SENSITIVE INDICATORS, SAFETY STANDARDS, AND QUALITY INDICATORS
		SUMMARY
		REFLECTIVE QUESTIONS
		CASE STUDY 1-1 Who Speaks for the Patient?
		REFERENCES
		SELECTED WEBSITES
	CHAPTER 2 Leadership Theory and Application for Nurse Leaders
		LEARNING OBJECTIVES
		AONE KEY COMPETENCIES
		AONE KEY COMPETENCIES DISCUSSED IN THIS CHAPTER
		FUTURE OF NURSING: FOUR KEY MESSAGES
		Introduction
		WHAT DO LEADERS DO?
		LEADERSHIP VERSUS HEADSHIP
		TRANSFORMATIONAL LEADERSHIP
		STRATEGIC LEADERSHIP
		LEADERSHIP AND JUST CULTURE
		NURSING AND LEADERSHIP HEALTHCARE POLICY
		FUTURE DIRECTION: QUANTUM LEADERSHIP
		INNOVATIVE LEADERSHIP
		SUMMARY
		REFLECTIVE QUESTIONS
		CASE STUDY 2-1 Is a Leader a Leader Only When Paid?
		CASE STUDY 2-2 Managing Conflict
		REFERENCES
	CHAPTER 3 Professional Practice: A Prototype Linking Nursing in Interprofessional Teams
		LEARNING OBJECTIVES
		AONE KEY COMPETENCIES
		AONE KEY COMPETENCIES DISCUSSED IN THIS CHAPTER
		FUTURE OF NURSING: FOUR KEY MESSAGES
		Introduction
		THE CALL FOR A DIFFERENT APPROACH
		INTERPROFESSIONAL COLLABORATION
		INTERPROFESSIONAL PRACTICE PARTNERSHIPS
		SUMMARY
		REFLECTIVE QUESTIONS
		CASE STUDY 3-1 Academic–Clinical Partnership and Team Cohesion
		REFERENCES
	CHAPTER 4 Executive Coaching as a Lever for Professional Development and Leadership in Healthcare Organizations
		LEARNING OBJECTIVES
		AONE KEY COMPETENCIES
		AONE KEY COMPETENCIES DISCUSSED IN THIS CHAPTER
		FUTURE OF NURSING: FOUR KEY MESSAGES
		Introduction
		EXPECTATIONS FOR NURSE LEADER PROFESSIONAL DEVELOPMENT
		SYSTEMS THINKING AS A FRAMEWORK
		QUALITIES AND CHARACTERISTICS OF EFFECTIVE LEADERS
		EMOTIONAL INTELLIGENCE
		BURNOUT AND RESILIENCE
		MINDFULNESS
		LEARNING ORGANIZATIONS AND PROFESSIONAL DEVELOPMENT
		COACHING
		SUMMARY
		REFLECTIVE QUESTIONS
		CASE STUDY 4-1 Chief Nursing Officer Development: Transformational Coaching
		CASE STUDY 4-2 Group Executive Coaching for Directors of Nursing and Service Line Administrators
		REFERENCES
	CHAPTER 5 Leading in an Era of Change and Uncertainty: Driving Excellence in Practice While Developing Leaders of the Future
		LEARNING OBJECTIVES
		AONE KEY COMPETENCIES
		AONE KEY COMPETENCIES DISCUSSED IN THIS CHAPTER
		FUTURE OF NURSING: FOUR KEY MESSAGES
		Introduction
		TeamSTEPPS
		POPULATION HEALTH
		POSITIONING NURSE LEADERS FOR SUCCESS
		AONE NURSE LEADER COMPETENCIES
		COMPLEXITY SCIENCE AND HEALTH CARE: IMPLICATIONS FOR NURSE LEADERS
		SUMMARY
		REFLECTIVE QUESTIONS
		CASE STUDY 5-1 Aligning Strengths and Opportunity to Lead Effective Teams
		REFERENCES
PART II Leading the Business of Health Care: Processes and Principles
	CHAPTER 6 Organizational Structure and Accountability in Healthcare Systems
		LEARNING OBJECTIVES
		AONE KEY COMPETENCIES
		AONE KEY COMPETENCIES DISCUSSED IN THIS CHAPTER
		FUTURE OF NURSING: FOUR KEY MESSAGES
		Introduction
		OVERVIEW
		ORGANIZATIONAL STRUCTURES
		COMPLEX ADAPTIVE SYSTEMS
		UNDERSTANDING THE INTERNAL AND EXTERNAL ENVIRONMENT
		DECISION MAKING AND SYSTEMS THINKING
		DELEGATION
		UNDERSTANDING HEALTHCARE FINANCING
		HUMAN RESOURCES MANAGEMENT AND DEVELOPMENT
		SCOPE AND STANDARDS FOR NURSE ADMINISTRATORS: FRAMEWORK FOR PRACTICE
		THE NURSE ADMINISTRATOR
		SUMMARY
		REFLECTIVE QUESTIONS
		CASE STUDY 6-1 Future of Nursing
		CASE STUDY 6-2 Shared Governance
		CASE STUDY 6-3 Culture of Safety
		CASE STUDY 6-4 Challenges for a Novice Nurse Administrator
		REFERENCES
	CHAPTER 7 Strategic Practices in Achieving Organizational Effectiveness
		LEARNING OBJECTIVES
		AONE KEY COMPETENCIES
		AONE KEY COMPETENCIES DISCUSSED IN THIS CHAPTER
		FUTURE OF NURSING: FOUR KEY MESSAGES
		Introduction
		BACKGROUND
		ORGANIZATIONAL EFFECTIVENESS THROUGH ORGANIZATIONAL LEARNING
		CREATING THE STRATEGIC PLAN
		CHANGE LEADERSHIP AND STRATEGIC PLANNING
		SUMMARY
		REFLECTIVE QUESTIONS
		CASE STUDY 7-1 Creating a Common Nursing Vision and Strategic Priorities across a System
		REFERENCES
	CHAPTER 8 Procuring and Sustaining Resources: The Budgeting Process
		LEARNING OBJECTIVES
		AONE KEY COMPETENCIES
		AONE KEY COMPETENCIES DISCUSSED IN THIS CHAPTER
		FUTURE OF NURSING: FOUR KEY MESSAGES
		Introduction
		BASIC PLANNING
		PROCEDURES
		MANAGING COST CENTERS
		BUDGET STAGES
		TYPES OF EXPENSES AND COSTS
		DEFINITIONS
		RESPONSIBILITY FOR CREATION AND MANAGEMENT OF THE BUDGET
		BUDGETING APPROACHES
		TYPES OF BUDGETS
		NEGATIVE CASH FLOW
		DEVELOPING THE OPERATING BUDGET
		STAFFING PATTERNS AND PROCESSES
		PERSONNEL BUDGET
		NONPRODUCTIVE FULL-TIME EQUIVALENTS
		SUPPLIES AND EQUIPMENT BUDGET
		CAPITAL BUDGET
		CONTROLLING PROCESS
		MONITORING THE BUDGET
		CUTTING THE BUDGET
		REIMBURSEMENT BASED ON CLINICAL PERFORMANCE
		U.S. HEALTHCARE SYSTEM
		VALUE-BASED PURCHASING AND BUNDLED PAYMENTS
		AMBULATORY PAYMENT CLASSIFICATIONS
		SUMMARY
		REFLECTIVE QUESTIONS
		CASE STUDY 8-1 Budgeting to Enhance Professional Practice and Productivity
		REFERENCES
	CHAPTER 9 Maximizing Human Capital
		LEARNING OBJECTIVES
		AONE KEY COMPETENCIES
		AONE KEY COMPETENCIES DISCUSSED IN THIS CHAPTER
		FUTURE OF NURSING: FOUR KEY MESSAGES
		Introduction
		EVOLUTION OF LEADERSHIP IN THE UNITED STATES
		LEADERSHIP APPROACHES
		A VOID OF LEADERSHIP
		ACCOUNTABILITY CHAIN OF LEADERSHIP
		CREATING A NURTURING CULTURE OF EMPOWERMENT
		MAGNET DESIGNATION AND EMPOWERMENT
		EMPOWERMENT MODEL STRUCTURES
		DEVELOP SUCCESSFUL RELATIONSHIPS WITH PHYSICIANS, PRACTITIONER COLLEAGUES, AND OTHER DEPARTMENTS
		RECRUITING NURSES
		MODERN LEADERSHIP COMPETENCIES
		TEAM MANAGEMENT
		COMMUNICATION
		MANAGEMENT OF CRUCIAL CONVERSATIONS
		MANAGING A DIVERSE WORKFORCE
		PERFORMANCE MANAGEMENT
		EMPLOYEE SUPPORT
		CAREER PLANNING
		SUMMARY
		REFLECTIVE QUESTIONS
		CASE STUDY 9-1 Healthy Work Environments
		REFERENCES
	CHAPTER 10 Managing Performance
		LEARNING OBJECTIVES
		AONE KEY COMPETENCIES
		AONE KEY COMPETENCIES DISCUSSED IN THIS CHAPTER
		FUTURE OF NURSING: FOUR KEY MESSAGES
		Introduction
		HIGH-PERFORMANCE ORGANIZATIONS
		COMPLEXITY SCIENCE
		AUTHENTIC LEADERSHIP
		EVIDENCE OF PERFORMANCE MANAGEMENT
		LEADERSHIP DEVELOPMENT
		SUCCESSION PLANNING
		MENTORING
		CRUCIAL CONVERSATIONS
		FOSTERING PROFESSIONALISM
		PROFESSIONAL PORTFOLIOS
		NURSING PERFORMANCE IMPROVEMENT STRUCTURE, DASHBOARDS, AND OUTCOMES REPORTS
		SUMMARY
		REFLECTIVE QUESTIONS
		CASE STUDY 10-1 Conflict Management
		CASE STUDY 10-2 The 360-Degree Change
		CASE STUDY 10-3 Celebrating Generational Differences
		CASE STUDY 10-4 Mentee Reflections from the Field
		CASE STUDY 10-5 Lifelong Learning and Professional Development
		CASE STUDY 10-6 Professional Career Development: Planning for Success
		REFERENCES
	CHAPTER 11 Information Management and Knowledge Development as Actions for Leaders
		LEARNING OBJECTIVES
		AONE KEY COMPETENCIES
		AONE KEY COMPETENCIES DISCUSSED IN THIS CHAPTER
		FUTURE OF NURSING: FOUR KEY MESSAGES
		Introduction
		TECHNOLOGY IN THE NURSING ENVIRONMENT
		INFORMATICS
		TECHNOLOGY PORTFOLIO
		ETHICAL, LEGAL, AND SECURITY ISSUES
		EVIDENCE-BASED CLINICAL AND MANAGEMENT PRACTICE
		ADVOCACY FOR THE CLINICAL ENTERPRISE AND FOR NURSING PRACTICE
		ACTIVE MEMBERSHIP IN PROFESSIONAL ORGANIZATIONS
		INFORMATION MANAGEMENT AND TECHNOLOGY
		SECURING HEALTHCARE INFORMATION
		IMPACT OF TECHNOLOGY ON COMMUNICATION IN NURSING
		SUMMARY
		REFLECTIVE QUESTIONS
		CASE STUDY 11-1 Using Information Technology to Improve Workflow
		CASE STUDY 11-2 Disciplinary Action and Managing Patient Information Breaches
		CASE STUDY 11-3 Maximizing Communication through Technology
		REFERENCES
		Appendix 11-A Nursing Informatics Council Charter and Bylaws
		Appendix 11-B Checklists for Effective Security Implementation
		Appendix 11-C Security Breaches
PART III Leading to Improve the Future Quality and Safety of Healthcare Delivery
	CHAPTER 12 Laws, Regulations, and Healthcare Policy Shaping Administrative Practice
		LEARNING OBJECTIVES
		AONE KEY COMPETENCIES
		AONE KEY COMPETENCIES DISCUSSED IN THIS CHAPTER
		FUTURE OF NURSING: FOUR KEY MESSAGES
		Introduction
		HISTORICAL CONTEXT OF LAW
		SOURCES OF LAW
		HOW A BILL BECOMES LAW
		HOW A BILL IS CHALLENGED
		LAWS THAT AFFECT HEALTH CARE
		CONSTITUTIONAL LAW
		CRIMINAL LAW
		THE BOARD OF NURSING
		CIVIL LAW
		HOW HEALTHCARE POLICY SHAPES ADMINISTRATIVE PRACTICE
		DELIVERY SYSTEMS AND PAYMENT STRUCTURES
		SUMMARY
		REFLECTIVE QUESTIONS
		CASE STUDY 12-1 To Report or Not to Report? Joe’s Dilemma
		REFERENCES
	CHAPTER 13 Risk Anticipation and Management: Creating a Culture of Quality, Safety, and Value
		LEARNING OBJECTIVES
		AONE KEY COMPETENCIES
		AONE KEY COMPETENCIES DISCUSSED IN THIS CHAPTER
		FUTURE OF NURSING: FOUR KEY MESSAGES
		Introduction
		EVOLVING PERSPECTIVES IN HEALTHCARE QUALITY MANAGEMENT
		MEASUREMENT FOR IMPROVEMENT
		COMPONENTS OF A QUALITY MANAGEMENT PROGRAM
		DATA COLLECTION
		QUALITY MANAGEMENT TOOLS
		PROBLEM IDENTIFICATION
		MONITORING AND FEEDBACK
		RESEARCH AND QUALITY MANAGEMENT
		SUMMARY
		REFLECTIVE QUESTIONS
		CASE STUDY 13-1 Patient Safety
		CASE STUDY 13-2 Creating a Culture of Safety within a Microsystem
		CASE STUDY 13-3 Healthy Work Environments
		CASE STUDY 13-4 Developing a Successful Culture of Safety and Point of Care
		CASE STUDY 13-5 Patient Safety, Nurse Handover, and Problem Solving
		CASE STUDY 13-6 Developing Clinical Pathways for Improving Process Flow for Pediatric Cardiothoracic Patients
		REFERENCES
	CHAPTER 14 Leaders Achieving Sustainable Outcomes
		LEARNING OBJECTIVES
		AONE KEY COMPETENCIES
		AONE KEY COMPETENCIES DISCUSSED IN THIS CHAPTER
		FUTURE OF NURSING: FOUR KEY MESSAGES
		Introduction
		LEADERSHIP QUALITIES FOR ACHIEVING SUSTAINABLE OUTCOMES
		SUSTAINING OUTCOMES
		VALUE AND SUSTAINABILITY
		MANAGING VARIABILITY: AN IMPERATIVE FOR ACHIEVING AND MAINTAINING SUSTAINABLE OUTCOMES
		MANAGING SUSTAINABLE OUTCOMES
		BENCHMARKING
		SUMMARY
		REFLECTIVE QUESTIONS
		CASE STUDY 14-1 Cultural Awareness and Sensitivity: Imperatives for Healthcare Providers
		CASE STUDY 14-2 Universal Protocol and Time-Out: What Is Being Measured?
		REFERENCES
	CHAPTER 15 Messaging and Disseminating Excellence in Leadership and Ethical Implications
		LEARNING OBJECTIVES
		AONE KEY COMPETENCIES
		AONE KEY COMPETENCIES DISCUSSED IN THIS CHAPTER
		FUTURE OF NURSING: FOUR KEY MESSAGES
		Introduction
		MANAGING MESSAGES
		COMMUNICATION AND RELATIONSHIP-BUILDING COMPETENCIES
		DEVELOPING A HEALTHCARE ETHICS PROGRAM
		WRITING AN EXECUTIVE SUMMARY
		SUMMARY
		REFLECTIVE QUESTIONS
		CASE STUDY 15-1 How Will They Know?
		CASE STUDY 15-2 Where Do I Get Started?
		CASE STUDY 15-3 New Director Challenges
		CASE STUDY 15-4 Effective Communication and Daily Briefings
		REFERENCES
	CHAPTER 16 Leading Implementation for Sustainable Improvement
		LEARNING OBJECTIVES
		AONE KEY COMPETENCIES
		AONE KEY COMPETENCIES DISCUSSED IN THIS CHAPTER
		FUTURE OF NURSING: FOUR KEY MESSAGES
		Introduction
		DEFINING IMPLEMENTATION SCIENCE AND IMPLEMENTATION PRACTICE
		IMPLEMENTATION THEORIES, MODELS, AND FRAMEWORKS AND THEIR RELATIONSHIP TO IMPROVEMENT
		DISSEMINATION PRACTICE AND DISSEMINATION SCIENCE
		KNOWLEDGE TRANSLATION AND PROCESSES FOR IMPLEMENTATION AND DISSEMINATION
		ATTRIBUTES OF INNOVATION AND THEIR IMPORTANCE TO IMPLEMENTATION, DISSEMINATION, AND KT
		LEADERSHIP COMPETENCIES CRITICAL TO IMPLEMENTATION, DISSEMINATION, AND INNOVATION PRACTICES
		SUCCESSFUL STRATEGIES FOR LEADING AND FACILITATING TEAMS THROUGH IMPLEMENTATION AND SUSTAINED IMPROVEMENT
		SUMMARY
		REFLECTIVE QUESTIONS
		CASE STUDY 16-1 Implementation Practices: Audit, Education, and Leadership Strategies
		CASE STUDY 16-2 Tailored Purposeful Rounding Implementation on a Hospitalist Unit
		REFERENCES
	CHAPTER 17 Polarity Thinking: A Lens for Embracing Wicked Problems, Conflict, and Resistance in Health Care
		LEARNING OBJECTIVES
		AONE KEY COMPETENCIES
		AONE KEY COMPETENCIES DISCUSSED IN THIS CHAPTER
		FUTURE OF NURSING: FOUR KEY MESSAGES
		Introduction
		IMPETUS BEHIND EMBRACING POLARITY THINKING
		HISTORICAL ROOTS OF POLARITY THINKING
		INDUSTRY, EDUCATION, AND POLITICS
		PRINCIPLES OF POLARITY THINKING
		STATE OF THE EVIDENCE AND EMPIRIC STUDY OF POLARITIES
		APPLING A POLARITY LENS: POLARITY THINKING AND MANAGEMENT
		STEPS IN THE POLARITY PROCESS
		METRICS FOR POLARITY ASSESSMENT
		APPLICATIONS FOR TEAMS, INTERPROFESSIONAL EDUCATION, AND QUALITY AND SAFETY
		SUMMARY
		REFLECTIVE QUESTIONS
		CASE STUDY 17-1 Applying Polarity Thinking to Interprofessional Teams, Quality, and Management
		REFERENCES
	CHAPTER 18 Future Considerations: Leading and Managing Population Health
		LEARNING OBJECTIVES
		AONE KEY COMPETENCIES
		AONE KEY COMPETENCIES DISCUSSED IN THIS CHAPTER
		FUTURE OF NURSING: FOUR KEY MESSAGES
		Introduction
		POPULATION HEALTH VERSUS PUBLIC HEALTH
		THE TRIPLE AND QUADRUPLE AIMS AS A COMPASS FOR LEADING AND MANAGING POPULATION HEALTH INITIATIVES
		INFLUENCES OF POLITICAL SYSTEMS, POLITICAL CULTURE, POLICIES, SOCIAL MEDIA, AND SOCIAL AND ENVIRONMENTAL FACTORS FOR EFFECTIVE POPULATION HEALTH MANAGEMENT
		HEALTH FACTORS AS DETERMINANTS OF POPULATION HEALTH
		RISK STRATIFICATION AS A MODEL FOR EFFECTIVE POPULATION HEALTH MANAGEMENT
		THE VALUE OF RELATIONSHIP BUILDING AND CARE MANAGEMENT IN POPULATION HEALTH
		SUMMARY
		REFLECTIVE QUESTIONS
		CASE STUDY 18-1 Managing Health and Well-Being of Underserved Populations
		CASE STUDY 18-2 Using Knowledge and Evidence to Advance Care
		REFERENCES
APPENDIX Beyond Leadership: Building the Next Generation of Leaders
Index