Eustress

The normal motivational stress humans undergo

Enstress

Positive Stress

Low Skill Recognition

not recognizing his or her own abilities as contributors to their own success

Necessitating

The belief that a certain task must be done by a specifice person is a choice of limiting

Role Ambiguity

The frustrations that result from unclear expectations for one's performance

Good recruitment strategy

cross-training

competency-based interviewing

(synonym)

Behavior interviewing

Agreement between 2 interviews by same interviewer

Intrarater reliability

Agreement between 2 interviews of same measure by different interviewers

Interrater reliability

Ability to predict job performance

Validity

Act that took effect in 1990 re:

handicapped?

Americans with Disability

Quality Management

A preventative approach designed to address problems efficiently and quickly

Evidence-based practice

applying best scientific evidence to a pts unique diagnosis, condition, and situation to make clinical decisions

Line authority

Linear hierarchy through wich activity is directed

benchmarking

A method of comparing performance using identified quality indicators across institutions or disciplines

Contingency Theory

Managers adapt their leadership styles in relationship to changing situations.

Matching organization to it's environment

Staff authority

advisory relationship in which responsibility for actual work is assigned to others

Work redesign

Examining distribution of duties, role overlap, and waste

Functional Nursing

Needs of a patient are broken down in Tasks and assigned to caregivers

Example: One med nurse, on IV nurse, one wound nurse etc...

One  RN, one LPN, or UAP or both, care for a group of patients together

Team Nursing

RN gives all care to same pt or pts for entire shift

Total pt care

(Case Method)

Responsibility and authority for nursing care allocated to staff nurses a the Bedside

Primary Nursing

Case Management

Focuses on attaining predetermined pt outcomes within specific time frames and resources

Critical Pathways

Care Maps=expected outcomes/collaborative/interdiciplinary/measurable

Leadership style

Motivated by external forces: power, authority, need for approval

Autocratic

Leader

makes all decisions alone, uses coercion and punishment, concerned with tasks, not relationships,

Lacks group support, Useful in crisis

Autocratic

Leader

Believes individuals are motivated by internal drives and impulses, provides no direction, assumes workers need to be left alone, not very useful

Laissez-faire

Leader

Believes employees are motivated by external forces, tust nether followers nor self to decide, depend on policies and rules, apply fixed-inflexible rules, impersonal with staff, avoids decision making without guidance by standards and policy of buisness

Bureaucratic

Leader

Believes individuals are motivated by internal drives and impulses, want active participation in decision making, leader uses participation and majority rule, concerned with human relations and teamwork, staff satisfaction

Democratic

Functional Structure

departments by specialty, with similiar tasks being performed by the same group, similiar groups  operating out of the same department, and similiar departments reporting to the same manager. (Coordination across function is poor)

Service-Line Structure

product-line or service-integrated structures(potential for rapid change in an unstable environment(client satisfaction is high)

Hybrid Structure

both self contained units and functional units (conflict between top administration and managers)

Matrix Structure

integrates both product and functional structure into one overlapping structure, different managers are responsible for function and product (weakness is dual authority)

Parallel Structure

Medical staff is separate and autonomous from organization, so two lines of authority (becoming less successful)

Goal of Staff Development:

To enhance staff performance

What are the steps to Staff Development?

1.Needs Assessment(for educational program)

2.Planning(establishing objectives,evaluating trends, formulating a means, and coverting to action.

2.  Implementation(bringing together educators, learner, material)

Staff development methods include:

internal(on the unit)

external(off the unit)

sources

On the Job most widely used

What is Lewin's theory of Change?

Unfreezing

Moving

Refreezing

What are the steps in the change process?

Assessment(identify the problem, collect and analyze data)

Planning

Implementation(Methods to change individuals and groups)

Evaluation(evaluate effectiveness and stabilize change)

What are the six reponses to change as identified by Rodgers?

knowledge

persuasion

decision

implementation

confirmation

What are the nurses roles in initiating change?

combine ideas, energize others, skill in human relations, integrative thinking, sufficient flexibility to modify ideas, confidence, realistic thinking, trust worthinesss, to articulate a vision through insights, to handle resistance