Page 292 - Essentials of Nursing Leadership and Management, 5th Edition

CikguOnline
2208_Index_267-280.qxd 11/6/09 6:04 PM Page 279
Index 279 CikguOnline
Structure Threats United States
organizational, 61b, 61–62, 62f–64f to professional identity health-care crisis in, 150–153, 151b,
in quality improvement evaluation, resistance to change and, 106–107 252–253
139, 142t as source of conflict, 93 health-care history in, 132–135, 133t,
Structured care methodologies to safety and security 134b–135b
in quality improvement, 137–138 defined, 177 United States Supreme Court
Substance abuse resistance to change and, 106 on nurses as supervisors, 189
workplace, 185–186 as source of conflict, 93 on sexual harassment, 180
Supervision workplace violence as, 176–179, Unlicensed assistive personnel
delegation and, 117–118 177b–179b American Nurses Association and,
delegation versus, 117 in SWOT analysis, 219 119
Nurse Practice Act definition of, 262 Time log delegation and, 116–119, 122f, 123f,
in work assignment guidelines, in time management, 164, 165f 125–128
262–263 Time management, 157–168 utilization of, 188
Supervisory support computers and, 158–159 Unnecessary work
value of, 190 cultural diversity and, 192 elimination of, 163–164
Support direct client care and, 159 Unsafe staffing complaint
in adaptation to workplace, 203, 203t documentation and, 159 for understaffing, 163
in effective followership, 5 fallacies in, 159 Utilitarianism
as power source, 66 limit setting in, 163–164 in ethics, 43
in sexual harassment, 181 organization in, 160–163,
in stress management, 211 161b–162b V
value of peer and supervisory, 190 overview of, 158 Value systems
Survival rhythm model in, 166–167, 167t components of, 41
as organizational goal, 60 schedule for, 77–79, 78f Values
SWOT analysis staff makeup and, 159–160 as barrier to effective communication,
in job search, 218–219 streamlining in, 164, 165f, 166–167, 75
in quality improvement, 137 167t clarification of, 41–42, 42t
time log in, 164, 165f defined, 40
T time perception in, 158b, 158–159 as determinants of behavior, 41
time-wasting activities and, 161,
Task nursing care delivery model, 127 development of, 41
Task versus relationship theory 161b ethics and, 39–56
of leadership, 6 Tort law. See also specific issues codes of, 257–258
Tasks overview of, 23–24 in ethical dilemma assessment, 50,
conflict from assignment of, 93 Total client care delivery model, 127 50b
delegation of, 121, 123f, 123–124 Traditional hierarchical structure extrinsic, 41
Team approach organizational, 61b, 61f–63f, 61–62 intrinsic, 41
in client information conferences, Trait theories moral reasoning and, 40
79–80 of leadership, 5 personal, 41
in quality improvement, 136f, Transformational leadership theory, 8 professional, 41
136–137, 137b Treatment errors systems of, 41
Team nursing care delivery model, 127 patient safety and, 146b Veracity
Technology Treatment goals as ethical principle, 46–47
burnout and, 206 in ethical dilemmas, 50 Verbal physicians’ orders
in client care trends, 132 TriCouncil telephone, 81
in code of ethics, 258 focus of, 249 Vicarious liability
confidentiality and, 46 Truth in malpractice, 26
in ethical dilemmas, 40, 52–54 as ethical principle, 46–47 Violence
time management and, 158–159, Tuberculosis workplace, 172, 176–179, 177b–179b
166 workplace, 186–187 blaming the victim of, 178, 178b
Telephone orders U categories of, 177
physician, 81 clues to potential for, 177–178,
Terminal condition Unfreezing 178b
defined, 33 in change process, 104f, 104–105 incidence of, 176–177
Territoriality Uninsured and underinsured workers, negative organizational outcomes
as source of conflict, 93 252–253 of, 177b
Terrorism Unions protection against, 178–179, 179b
readiness for, 189–190 in collective bargaining, 98–99, 99b Virtue ethics, 47–48
Thank you letters conflicts with management of, 93 Vision
job search, 225–226, 228f pros and cons of, 98 in effective leadership, 8, 10