Effective Leadership and Management in Nursing, 8th Edition

- 3 - 3 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 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