management
the process of:
-planning (what needs to be done, who/how)
-organizing (lines of authority/channels of comm.)
-staffing
-directing (leadership role- motivating staff to perform)
-controlling (evaluation)
leadership
the ability to inspire others to achieve a desired outcome
authoritative
-makes decisions for the group
-flows down the COC
-motivates by coercion
-good for crisis situations, for employees with little formal education
democratic
-includes groups in decision making
-motivates by supporting achievements
-communication flow up and down COC
laissez-faire
-few decisions, little planning
-motivation responsibility of individuals
-communication up/down COC and between group members
transformational leaders
empowers followers to assume responsibility for a communal vision
-personality development is a secondary outcome
transactional leaders
focus on immediate problems, maintaining the status quo, and using rewards to motivate followers
critical thinking
interpretation, analysis, evaluation, inference, explanation
-reflect/evaluate from a broader scope of view
clinical reasoning
the mental process used when analyzing the elements of a clinical situation and using analysis to
make a decision
-sorting through relevant data
-using nursing knowledge to make decisions about client care
clinical judgement
, decision made based on critical analysis of data when using knowledge is applied to a clinical situation
Prioritization principles
1) Systemic > local (life before limb)
2) Acute > chronic
3) Actual problems > potential problems
4) listen carefully to pts and don't assume
5) Trends > transient findings
6) Signs of medical emergencies or complications > expected findings
7) Prioritize certain meds/procedures over others
(antibiotics and diabetic meds > other meds)
8) unstable > stable
Maslow's Hierarchy
1) Physiological
2) Safety and security
3) Love and belonging
4) Self esteem
5) self actualization
ABCD
airway
breathing
circulation
disability
Safety/risk reduction
give priority to whatever poses the greatest risk (or most imminent) to the clients physiologic well
being
Assessment/data collection first
use nursing process to gather data prior to making a decision
survival potential
-used in mass casualty or disaster triage
-priority to clients with reasonable chance of survival with prompt intervention
least restrictive/least invasive
select the intervention that is least invasive
time savers
-document ASAP
-grouping activities to prevent unnecessary walking
-estimating length of time and planning accordingly
-mentally envisioning the procedure to ensure all equipment has been gathered prior to entering pts
room
-planning care and prioritizing
-delegating
-enlisting aid of other staff when team approach is needed