management - ANSThe process of planning, organizing, directing, and coordinating the work
within an organization
leadership - ANSThe ability to inspire others to achieve a desired outcome.
3 main leadership styles - ANSauthoritative, democratic, laissez-faire
characteristics of leaders - ANSinitiative, inspiration, energy, positive attitude, communication
skills, respect, problem-solving and critical thinking skills
How does emotional intelligence leader affect nursing? - ANS-has insight into the emotions of
members of the team
-understands the perspective of others
-encourages constructive criticism and is open to new ideas
-is able to maintain focus while multitasking
-manages emotions and channels them in a positive direction, helps the team accomplish its
goal
-is committed to the delivery of high-quality client care
-refrains from judgment in controversial or emotionally charged situations until facts are
gathered
characteristics of managers - ANS-hold formal position of authority and power
-possess clinical expertise
-network with members of the team
-coach subordinates
-make decisions about organization function, including resources, budget, hiring, and firing
5 major management functions - ANSplanning, organizing, staffing, directing, and controlling
critical thinking - ANSThese skills include interpretation, analysis, evaluation, inference and
explanation
clinical reasoning - ANSIs the mental process used when analyzing the elements of a clinical
situation and using analysis to make a decision
clinical judgment - ANSIs the decision made regarding a course of action based on a critical
analysis of data when using knowledge is applied to a clinical situation
, prioritization and time management - ANSNurses must continuously set and reset priorities in
order to meet the needs of multiple clients and to maintain client safety.
priority setting requires that decisions be made regarding the order in which: - ANSclients are
seen, assessments are completed, interventions are provided, steps in a client procedure are
completed, components of client care are completed.
prioritization principles in client care - ANS-"life before limb"
-acute vs. chronic
-actual problems vs. potential problems
-listen carefully to clients and don't assume
-recognize and respond to trends vs. transient findings
-medical emergencies and complications vs. "expected client findings"
-apply clinical knowledge to procedural standards
Priority setting frameworks - ANS-Maslow's Hierarchy
-Airway, Breathing, Circulation (ABC) framework
-Safety/Risk reduction
-Assessment/Data Collection First
-Survival Potential
-Least Restrictive/Least Invasive
-Acute vs. Chronic/Urgent vs. Nonurgent/Stable vs. Unstable
Maslow's Hierarchy - ANSphysiological, safety and security, love and belonging, self-esteem,
self-actualization
ABCs (AIRWAY BREATHING CIRCULATION) Framework - ANS-An open airway is necessary
for breathing, so it is the highest priority.
-Breathing is necessary for oxygenation of the blood to occur.
-Circulation is necessary for oxygenated blood to reach the body's tissues.
severity of clinical manifestations should also be considered when determining priorities - ANSA
severe circulation problem may take priority over a minor breathing problem.
FIRST PRIORITY-AIRWAY - ANSINTERVENTION:
1. identify an airway concern (obstruction, stridor)
2. establish a patent airway if indicated
3. recognize that 3 to 5 min w/o oxygen causes irreversible brain damage secondary to cerebral
anoxia
SECOND PRIORITY-BREATHING - ANSINTERVENTION:
1. assess the effectiveness of the client's breathing (apnea, depressed resp rate)
2. intervene as appropriate (reposition, administer naloxone [Narcan]).
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