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Dicang, RN
Difference between a Leader and a
Manager
Leader Manager
Informal authority With formal authority
5. Charismatic Theory –
unexplainable charm
Transformational Leadership
- the leader inspires and motivates followers beyond
expectations through his ability to influence attitudes
Leadership Styles
1. Autocratic / Authoritarian / Directive / Hard / Dictatorial
Followers: passive; dec self-esteem; dec sense of
belongingness
Advantage: time-efficient
- Goals
- Effectiveness – “doing the right thing”: meeting the
organization’s objectives
- Efficiency – “doing things right”: maximize the resources and
save up cost
Level of Skills Management
1.Conceptual Skill – creative way of
thinking
Middle Management
- Nursing Supervisor
- implement operating policies and formulate intermediate policies
Organizational Chart
- Line drawing that shows how the parts of an
organization are linked
Elements of Organizing
1. Setting Up the Organizational Structure
Types of Organization
a. Line Organization – simplest and most direct
- Clinical and Administration
b. Informal Organization – horizontal relationship
- Group of workers with same interest
c. Staff Organization – advisory to line structure
- Training and Research
d. Functional Organization – unit is specifically responsible
- All Standing and Ad Hoc Committee
2. Staffing
- process of determining and providing the acceptable
manner and mix of nursing personnel to produce a desired level
of care to meet the patient’s demand
Secondary 65 30 5 -
Tertiary 30 45 15 10
Special 10 25 45 20
Tertiary
300 x .30 = 90 patients needing minimal care
300 x .45 = 135 patients needing moderate care
300 x .15 = 45 patients needing intensive care
300 x 0.1 = 30 patients needing highly specialized care
300 patients
213 265
Total Working Days/Year Total Working Days/Year
1,704 2,120
Total Working Hours/Year Total Working Hours/Year
NO COMPUTATION NEEDED!
1,704 (working hours/year)
Types:
1. Centralized Schedule – Chief Nurse
2. Decentralized Schedule – Supervising/Head/Senior Nurse
3. Cyclical Schedule – covers a designated number of weeks
called cycle length and is repeated thereon
4. Job Description
- A statement that sets the duties and responsibilities of
a specific job.
- Includes needed characteristics or qualifications of the
individual to perform such duties successfully
Directing
- Actuates accomplish goals
- Connecting link between organizing for work and getting the
job done
Elements of Directing
1. Delegation – process by which a manager assigns specific
tasks/duties to workers with commensurate authority to
perform the job
Principles of Delegation
1. Select the right person to whom the job is to
be delegated
2.Delegate both interesting and uninteresting
tasks
3. Provide subordinates with enough time to
learn
4.Delegate gradually
What cannot be delegated
1. Overall responsibility, authority and accountability
for satisfactory completion of all activities in the
unit
2. Authority to sign one’s name is never delegated
3. Evaluating the staff and/or taking necessary
corrective disciplinary action
4. Responsibility for maintaining morale of the
opportunity to say a few words of encouragement
to the staff specially the new ones
5. Jobs that are too technical and those that involve
trust and confidence
Nursing Care Assignment
- Otherwise known as modalities of nursing care, systems of
nursing care or patterns of nursing care
Types of Conflict
a. Covert – not what it appears on the surface
b. Overt – what appears on the surface
c. Vertical – differences of opinion between superiors and
subordinates
d. Horizontal – line or staff conflict; common struggle
between departments
e. Intrapersonal – occur within one individual
f. Interpersonal – between two or more individuals
g. Intragroup – within one group
h. Intergroup – between two or more group
CONFLICT RESOLUTION
1. Avoidance – groups who do not want to do something that
may interfere with their relationships
2. Accommodation – self-sacrifice
3. Collaboration – inspires mutual attention to the problem
4. Compromise – both parties seek expedient, acceptable
answers for short period; lose-lose atmosphere
5. Competition - supervisor or nurse manager exerts power at
the subordinate’s expense; authority-obedience approach
Quality Assurance
- Process of evaluation that is applied to the health care system
and the provision of health care services by health workers
c. Quality Circles
- group of workers doing similar work who meet
regularly to identify, analyze and solve work problems.
- introduced by Japanese
Disciplinary Approaches
A. Problem Solving
1. Oral Warning – includes counseling
B. Disciplinary Action
1. Counseling and Oral Warning
2. Written Warning
3. Suspension
4. Dismissal
RESEARCH
- To search again, to examine carefully
- Diligent and systematic inquiry, discovery
Nursing Research
- Scientific process that validates and refines existing
knowledge and generates new knowledge that
directly influences nursing priorities
Types:
1. Independent Variable – creates an effect on DV
2. Dependent Variable – outcome that is to be predicted
3. Extraneous Variable – affect the measurement of the study
4. Demographic Variable – characteristics of the sample
Major Steps in Quantitative Study
Phases
1. Conceptualization
2. Design and Planning
3. Empirical
4. Analytical
5. Dissemination
Conceptualization
Step 1: Formulating and Delimiting the Problem
(Statement of the Problem)
Forms:
a. Interrogative
b. Declarative
c. Combination
Kinds:
1. Research – previous studies
2. Non-research – experiences, opinions and theories
Step 3: Undertaking clinical framework
Step 4: Defining the framework and developing Conceptual
Definitions
Step 5: Formulating Hypothesis
Hypothesis – intelligent guess
Forms:
1. Research hypothesis – prediction about the relationship
between two or more variables
2. Simple hypothesis – one IV and one DV
3. Complex hypothesis – 2 or more IV and 2 or more DV
4. Affirmative Hypothesis – scientific hypothesis; there is a relationship
between IV and DV
a. Directional Hypothesis – specifies the direction of the
relationship
b. Non-directional Hypothesis – does not specifies the
direction of the relationship
6. Null Hypothesis – statistical hypothesis; no relationship between IV
and DV
Research Instruments
A. Observation – complete view of the situation; most direct
Double-blind phenomenon: use to counteract Hawthorne effect
Variability
a. Range – highest score minus the lowest score
b. Standard deviation – average amount of deviation of values
from the mean
DISSEMINATION PHASE
Step 17: Communicating the findings
Step 18: Utilizing the findings in the research
TO SUM IT UP!
RESEARCH PROCESS
1. Formulation of research problem
2. Review of Related Literature
3. Identify Theoretical/ Conceptual Framework
4. Formulating Hypothesis
5. Defining Variables
6. Research Design
7. Sampling
8. Pilot Study
9. Data Collection
10. Interpret the results
11. Disseminate information
Study Hard
but
Party even Harder!