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Crisis management Design flaws E
avoidance of, 164 resistance to change and, 105–106
Critical pathways Detachment Economics
in quality improvement, 137–139 in burnout, 204 in care setting, 139
sample, 140t–141t Detention of client care, 132
Critical thinking as false imprisonment, 25–26 in collective bargaining contracts, 98
in effective leadership, 9f, 10 Deutschman’s myths and stages of in formal negotiations, 98
in quality improvement, 152 changing behavior, 110, 111t health-care system and, 143–146,
workplace climate and, 191 Devaluation reaction myth 144f
Crossing the Quality Chasm, 135, 135b of conflict resolution, 94 of sexual harassment, 180
Cultural diversity Diagnostic errors Education
in advance directive procedure, 32 patient safety and, 146b in advance directive procedure, 32
as barrier to effective communication, Diagnostic-related groups employability and, 219
76 in client care economics, 144 expertise enhanced by, 67–68, 68f
components of, 192–193 Dignity Henderson’s contribution to, 247–248
in ethical dilemma assessment, 50 in code of ethics, 257 Montag’s contribution to, 246–247
health-care trends and, 132 Dilemma Nightingale’s contribution to, 242
as source of conflict, 93 defined, 49 in résumé writing, 222, 224
workplace climate and, 192–193 Direct channels of surgical patients, 81–82
Culture in effective communication, 75, 75t workplace climate and, 191
organizational, 59–60 Direct delegation Effective leadership
of safety, 147b, 147–148 indirect versus, 117, 125, 126t behaviors in, 9f, 10–11
Direction setting qualities in, 8–10, 9f, 9t
D in leadership, 5 Efficiency
Directive leadership style, 6, 6t in delegation, 123–124
Decisional activities in scientific management theories, 14
in effective management, 16f, 17 in effective management, 17 in time management, 164, 166
Decision making Disagreement Elder abuse
in care delivery models, 127 in effective followership, 5 as licensure violation, 36
delegation grid in, 121, 121b, 123f Disasters Electronic health records
empowerment through, 65 readiness for, 189–190 benefits of, 76, 76b
in ethical dilemmas, 50–51 Disconfirming of beliefs confidentiality and, 25, 46
matrix for staffing, 188, 188t resistance to change and, 107 in time management, 166
value of involvement in, 190–191 Discussion leadership E–mail
in work assignment guidelines, in informal negotiations, 97, 97b in job search, 226, 231t
262–266 Disempowerment rules for, 76–77, 77b
Delegation contributors to, 65 Emotional intelligence
of client care, 115–129 Distributive justice in leadership, 7
barriers to, 125–126, 126t defined, 45 theory of, 7
criteria for, 121 Do Not Resuscitate order Emotions
models of care delivery in, components of, 32b in ethical dilemmas, 48–51
126–127 ethical issues in, 47 in informal negotiations, 97, 97b
need for, 119 legal issues in, 31–32 in resistance to change, 105
nursing process and, 118–119, Documentation Employee development
120f in advance directive procedure, 32 in effective management, 16f, 17
principles of, 116–118, 117b of health-care provider contact, 80 feedback in, 82
relationship-oriented concerns in, lawsuit prevention and, 28b, 28–29, Employee evaluation
124–125, 125b 29t–30t in effective management, 16f, 17
safety and, 120–121, 121b, 122f, of medical errors, 147 performance appraisal in, 85–86
123b of practice situation, 262 Employee wellness
task-related concerns in, 121, 123f, of sexual harassment, 181 in risk management, 143
123–124 time management and, 159 Employer demand
direct versus indirect, 117, 125, 126t Dominance nursing job growth and, 145
five rights of, 116–117, 117b as organizational goal, 61 Empowerment
Nurse Practice Act definition of, Drug use defined, 65
262 as licensure violation, 36 of nurses, 65–68
overview of, 116b, 116–118 workplace, 185–186 collective bargaining and, 67
supervision versus, 117 Durable power of attorney contributors to, 65
Democratic leadership style, 6, 6t legal issues in, 32–33 decision making and, 66
Demographics Duty of care emotional components of, 65
health-care changes and, 132 as component of negligence, 24 enhancing expertise and, 67–68, 68f

