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Second level
Third level
Fourth level
Fifth level
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Effective Leadership and Management in Nursing, Eighth Edition
Eleanor J. Sullivan
Effective Leadership and Management in Nursing
CHAPTER
EIGHTH EDITION
Click to edit Master text styles
Second level
Third level
Fourth level
Fifth level
Click to edit Master title style
Effective Leadership and Management in Nursing, Eighth Edition
Eleanor J. Sullivan
Click to edit Master text styles
Second level
Third level
Fourth level
Fifth level
Click to edit Master title style
Click to edit Master text styles
Second level
Third level
Fourth level
Fifth level
Introducing Nursing Management
Learning Outcomes
Describe the forces that are changing the health care system.
Discuss changes in paying for health care.
Explain how quality initiatives can reduce medical errors.
Describe how evidence-based practice is changing nursing.
Learning Outcomes
Explain how to become a Magnet-certified hospital.
Explain what emerging technologies mean for nursing.
Describe how cultural, gender, and generational differences affect management.
Learning Outcomes
Explain why preparation is the best defense against violence and disasters.
Discuss the changes and challenges that nurses face now and into the future.
Continuing Changes in Health Care
Health care not accessible to everyone
Costs are skyrocketing
Paying for Health Care
U.S. spends more on health care than any other country
Patient Protection and Affordable Care Act (PPACA)
Pay for performance
Cost of medical errors
19.5 billion annually
Quality Initiatives
Goal to reduce errors
Quality management
Continuous improvement
Benchmarking
Quality Management
Is a preventive approach
Involves continuous evaluation and improvement
Is implemented through patient satisfaction surveys
The Leapfrog Group
Consortium of public and private purchasers
Leverages purchasing power
Rewards organizations for quality measures
Benchmarking
Compares an organization s data with similar organizations
Uses outcome indicators to compare performance across organizations
Uses results to address weaknesses and enhance strengths
Evidence-Based Practice (EBP)
EBP decision-making steps
Identifying the clinical question
Finding evidence to answer the question
Evaluating the evidence
Applying the evidence
Evaluating the outcome
Magnet Recognition Program
Certifies health care organizations for nursing excellence
14 Forces of Magnetism
Patient safety improves when forces are met
Electronic Health Records (EHR)
Includes health information from all medical sources
Can be accessed by multiple authorized providers at different locations
Barriers Versus Benefits of EHR
Barriers
Privacy and confidentiality concerns
Costs of implementing and operating
Benefits
Reduced redundancies
Improved efficiency
Decreased medical errors
Lower health care costs
Other Benefits of EHR
Allows for collective data analysis
Facilitates a common nursing language
Supports evidence-based decision making
Other Technological Changes
Virtual care (telehealth)
Robotics
Communication technology, including social media
Cultural and Generational Differences
Cultural diversity is increasing in the U.S. population
Diversity in the nursing population
Ethnicity
Gender
Generations
Gender
Female nurses outnumber male nurses
Nursing shortages might be alleviated if more men were entering the profession
Generational Diversity
Four generations work side-by-side
Traditionals
Baby boomers
Generation X
Generation Y (millenials)
Each generation has different values and expectations
Generational differences can be leveraged to produce better outcomes
Violence Prevention and Disaster Preparedness
Nearly 500,000 nurses victim of workplace violence
Other threats affecting nurses include
Disasters
Terrorism
Pandemics
Staff Training for Disasters
Computer simulations
Video demonstrations
Disaster drills
Preparation a must
Mass casualty event probably will occur
Aging Patients, Aging Nurses
Aging patients increase the demand for health care
As aging nurses retire, the nursing shortage will grow worse
Demand for nurses will continue to grow
Changes Facing Nurses
Change will become the one constant
Nurses becoming full partners in health care
Focus of nursing education changing
Apply knowledge
Clinical reasoning
Integrating classroom and clinical
Focus on quality control
Changes Facing Nurses
Access to care is affecting policy decisions
Every nurse must be prepared to manage
Organizations must provide management training for all nurses
The Nurse Manager
Balances the needs of administrators and employees
Functions as coach, teacher, and facilitator
Motivates and inspires others
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