demonstrate nursing knowledge and display confidence
demonstrate knowledge of roles, responsibilities, and functions of a nurse
recognize own limitations and see support of validation of decisions as needed
are good communicator, manages conflict, knowledgeable, role model, uses participatory approach in decision making, delegates appropriately, sets objectives/guides staff, displays caring and sympathy, motivates, and is flexible
magnet recognition program
empower the nursing team to make changes and bee innovative resulting in a strong collaborative relationship among team members and improved pt quality of care outcomes
Team Nursing- Nursing care delivery model
RN leads team of RNs, practical nurses and CNA: Team members provide direct pt care under supervision and develop pt care plans, coordinates care among team members, and provides care requiring complex nursing skills.
hierarchical communication from charge nurse to charge nurse, charge nurse to team leader and team leader to team members
decision making occurs at clinical level
Total pt care- Nursing care delivery model
RN is responsible for all aspects of care for one or more pts during a shift of care.
care can be delegated and the RN works directly with the pt, family, and team members.
high number of RN needed.
pt satisfaction is high
Primary Nursing- Nursing care delivery model
One primary RN assumes responsibility for caseload. works with a limited amount of pts
communication is lateral from nurse to nurse and from caregiver to caregiver.
flexible model uses a variety of staffing levels and mixes.
the case manager
is an advanced practice nurse who helps improve pt outcomes via specific interventions
decentralized management means
that decision making occurs at the level of the staff including:
responsibility: duties and activities an individual is employed to perform.
autonomy: independent decisions about pt care
authority: legitimate power to give commands and make final decisions specific to a give position
accountability: answerable for the actions
transfers responsibility while remaining accountable for outcomes, requires knowing which skills can be transgered, and results in improved quality of pt care, improved efficacy, increased productivity, and an empowered staff.
5 rights of delegation
the nurse must know each employees capabilities.
identify tastk, analyze skill and knowledge needed to accomplish the task, assign task, periodically evaluate the deligation
3 elements necessary for healthy work enviornments
promotion of nurses decision making.
is generally regarded as the best way to resolve conflict because it reduces competition and avoidance without excessive accommodation or collaboration.
Six strategies of conflict resolution
agree on a common goal
change the pronouns to we
position equally-all parties sitting or standing
set ground rules for the discussion
limit the number of people in the discussion
The YOU message
places blame, tells the listener about themselves, attacks
The listener feels: put down, attacked, defensive
reacting by: pulling away, shutting of, discounting, attacking back
talks about the speaking YOU OWN IT
does not attack
makes the speaking right.
"I observe that"
essential components for a successful team effort
shared goals, commitment to pt care, accountability for pt outcomes, and open communication about interventions
Chain of command
The line of authority and responsibility along which orders are passed within the nursing department, hospital, and between different units
The 4 steps to the chain of command
talk to the charge nurse or team leader (clinical instructor)