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Chapter 27
Role Transition
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc.
Objectives
 Construct the full scope of a manager’s role
using the ROLES framework.
 Analyze specific examples of role transition
as a staff nurse and a nurse manager.
 Describe the phases of role transition.
 Construct a response to an unexpected role
transition.
 Compare strategies to facilitate successful
role transition.
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 2
Transitions
 Big societal transitions are usually accompanied
by some support in society.
 Even a change in job usually involves some
“farewell” parties.
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 3
Marking Transitions
 What transition markers occur when you:
 Get engaged
 Get married
 Have a baby (or have the fifth baby)
 Get divorced
 Lose a job
 Graduate from school
 Move from one employer to another
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 4
Transitions
Changes in roles can be either painful or
exciting, depending largely on the work
culture and support provided.
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 5
Intertwining Roles
Lead
Follow Manage
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 6
Leader, Manager, Follower Roles
 Leader
 Interacts with:
• Peers
 Manager
 Interacts with:
• Persons being supervised
• Administrators
• Supervisors
• Regulating agencies
 Follower
 Interacts with:
• Supervisor
• Peers
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 7
ROLES
Responsibilities
Opportunities
Lines of communication
Expectations
Support
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 8
Responsibilities
Each position has specific tasks for which the
position holder is responsible.
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 9
Opportunities
Possibilities represent opportunities for a
manager to influence organizational and
unit goals.
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 10
Lines of Communication
 Roles incorporate patterns of structured
interaction between the manager and people
in these groups.
 The nurse manager receives and sends
messages.
 Being a skillful listener can be more important than
being skillful in sending messages.
 Skill is required to effectively communicate both
the content and the intent of the message; only
through practice can one develop skill.
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 11
Expectations
Clear expectations = Less role confusion
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 12
Support
 All roles are shaped to some degree by the
support and services others provide.
 Each role has some available support.
 When a new position is being considered, it is
important to evaluate whether support is
available in areas in which a manager may
lack knowledge or skill.
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 13
Benefits of Mentoring
Mentor Mentee
Role Model Develop career goals
Nurturer Recognize strengths and
weaknesses
Caregiver One-to-one relationship
with mentor
Develop larger network
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 14
Making Transitions
 When the transition is a bad one
 When the transition is a good one
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 15
Making Transitions (Cont.)
 Good Transitions
 Praise the
predecessor.
 Acknowledge the
team.
 Celebrate the good
deeds.
 Be public.
 Bad Transitions
 Do not demean the
predecessor; do not
cover up.
 Focus on the future
and the immediate
steps that will happen.
 Create the team.
 Be silent, apologize,
and move on.
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 16
Promoting Success
 Recognize, use, and strengthen the internal
resources of commitment, character, self-
respect, and flexibility.
 Negotiate the role.
 Seek a mentor, sponsor, or coach.
 Get education.
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 17
Roles
Making a smooth transition to the next role
you assume depends on your personal
strengths and abilities and on capitalizing
on the strengths and resources of the
organization.
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 18
Role preview
Role acceptance
Role exploration
Role discrepancy
Role development
Role internalization
Phases of Role Transition
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 19

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Chapter 027

  • 1. Chapter 27 Role Transition All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc.
  • 2. Objectives  Construct the full scope of a manager’s role using the ROLES framework.  Analyze specific examples of role transition as a staff nurse and a nurse manager.  Describe the phases of role transition.  Construct a response to an unexpected role transition.  Compare strategies to facilitate successful role transition. All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 2
  • 3. Transitions  Big societal transitions are usually accompanied by some support in society.  Even a change in job usually involves some “farewell” parties. All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 3
  • 4. Marking Transitions  What transition markers occur when you:  Get engaged  Get married  Have a baby (or have the fifth baby)  Get divorced  Lose a job  Graduate from school  Move from one employer to another All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 4
  • 5. Transitions Changes in roles can be either painful or exciting, depending largely on the work culture and support provided. All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 5
  • 6. Intertwining Roles Lead Follow Manage All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 6
  • 7. Leader, Manager, Follower Roles  Leader  Interacts with: • Peers  Manager  Interacts with: • Persons being supervised • Administrators • Supervisors • Regulating agencies  Follower  Interacts with: • Supervisor • Peers All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 7
  • 8. ROLES Responsibilities Opportunities Lines of communication Expectations Support All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 8
  • 9. Responsibilities Each position has specific tasks for which the position holder is responsible. All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 9
  • 10. Opportunities Possibilities represent opportunities for a manager to influence organizational and unit goals. All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 10
  • 11. Lines of Communication  Roles incorporate patterns of structured interaction between the manager and people in these groups.  The nurse manager receives and sends messages.  Being a skillful listener can be more important than being skillful in sending messages.  Skill is required to effectively communicate both the content and the intent of the message; only through practice can one develop skill. All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 11
  • 12. Expectations Clear expectations = Less role confusion All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 12
  • 13. Support  All roles are shaped to some degree by the support and services others provide.  Each role has some available support.  When a new position is being considered, it is important to evaluate whether support is available in areas in which a manager may lack knowledge or skill. All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 13
  • 14. Benefits of Mentoring Mentor Mentee Role Model Develop career goals Nurturer Recognize strengths and weaknesses Caregiver One-to-one relationship with mentor Develop larger network All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 14
  • 15. Making Transitions  When the transition is a bad one  When the transition is a good one All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 15
  • 16. Making Transitions (Cont.)  Good Transitions  Praise the predecessor.  Acknowledge the team.  Celebrate the good deeds.  Be public.  Bad Transitions  Do not demean the predecessor; do not cover up.  Focus on the future and the immediate steps that will happen.  Create the team.  Be silent, apologize, and move on. All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 16
  • 17. Promoting Success  Recognize, use, and strengthen the internal resources of commitment, character, self- respect, and flexibility.  Negotiate the role.  Seek a mentor, sponsor, or coach.  Get education. All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 17
  • 18. Roles Making a smooth transition to the next role you assume depends on your personal strengths and abilities and on capitalizing on the strengths and resources of the organization. All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 18
  • 19. Role preview Role acceptance Role exploration Role discrepancy Role development Role internalization Phases of Role Transition All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 19

Editor's Notes

  1. One of the things we can do to be better prepared for the future is to understand the role of nurse managers, whether we intend to be one or not. Knowing what they go through as they transition to a leadership role and how others can be supportive helps all of us function in more collegial ways.
  2. When we think about the big transitions in society, such as weddings, funerals, or even presidential elections, a ceremony usually marks the occasion. Even when people change jobs, those left behind often have a party to say goodbye formally. When these changes are less subtle, marking of the transition may not be as evident.
  3. [Discuss with students; they should be able to define that the celebration for the fifth baby is often less than for the first, that some people have divorce celebrations, that most people don’t want to talk about job loss, and that unless you are “moving up” at the next employment setting, many places “welcome” new people with a bunch of rules and regulations.]
  4. At work, we can plan for most transitions, but exceptions occur: The Chief Nursing Officer is suddenly terminated, a nurse manager becomes terminally ill, or a business transition for a spouse causes a staff member to leave. The key point is to be supportive.
  5. Like a piece of rope in which no single strand is found, the roles of leading, following, and managing are intertwined. This is especially true for the manager. The transition from a staff nurse role to a nurse manager (leader) role can occur overnight, so it is important to think about how roles fit together and how managers differ from followers.
  6. If you think about the acronym that was in your book, you can recall the key components of roles that you may assume throughout your career.
  7. In well-designed organizations, differentiation between and among positions is clear. In other words, when position descriptions are compared, it is possible to tell who is responsible for what.
  8. Opportunities exist in every element of work when the organization is nimble and forward thinking. Organizations often offer incentives for creativity that help make a difference in the workplace.
  9. The L in ROLES is a critical one. It represents lines of communication. Although the manager may have many informal lines of communication, some are very structured and formal. These include the “up and down” within the nursing division and the “across” with other disciplines and departments. Being able to listen and to speak clearly and intelligently is critical for success.
  10. Being clear about your own expectations is really important. Additionally, you need to consider the expectations of others: your boss, your peers, and your staff. Each of these persons probably has a different set of expectations. If you are clear about your own, you can help others frame their expectations in reference to yours. Otherwise, you are responding to multiple, and not necessarily compatible, sources of input.
  11. Support may mean the difference between success and failure. Support is derived from family and friends too; however, we can control or influence only what happens in the workplace. Setting up formal expectations for support helps transition activities.
  12. Although common strategies are used in making transitions, some are unique to good transitions, and others to bad ones.
  13. When transitions are good, it is always wise to praise the predecessor. Theoretically, this is a person who was admired and valued. Capitalize on this to let that person know you know, and to let the team know how smart they were to have had this predecessor in place. Celebrate the person’s accomplishments and be public about it. When transitions are not so positive, it is easy to get pulled into demeaning the previous person. Obviously, this is totally unwise if for no other reason than it creates staff distrust when they think they could be the next ones demeaned. It is equally important not to cover up. Rather than dwell on what didn’t work in the past, the most useful strategy is to focus on the future and what will happen immediately to change the situation. Because the team may feel conflicted about loyalties or trust, one of the first steps should be to create the team! It is also important to think about whether you should be silent about the past, apologize that it happened, create a “finale” to the past, or simply move on. Those decisions flow from the particular situations themselves.
  14. Four key strategies may be used to promote success. The first is personal, and the last three are organizational. Your personal strengths really come into play when you are making transitions. Knowing your personal strengths, being clear about why you are committed to a particular role, using your personal character, maintaining your self-respect, and being flexible are characteristics you have, no matter what system you are in. Using these strengths during transitions helps to keep you focused on the work to be done. In some cases, you may want to negotiate the role. For example, based on personal needs, you may choose to vary the hours that you prefer to work from the “traditional” hours in an organization. In so doing, you might discuss how you could modify some role expectation so that this factor provides added value to the organization. Having a mentor, a sponsor, or a coach can be productive. Someone with those types of skills can help you develop your skills and link you with others who can provide further support. Finally, through formal, degree-granting opportunities or through informal workshops or conferences, the latest thinking about management development and success strategies can be accessed.