This document discusses leadership and management in nursing. It defines leadership as getting others to want to do something and management as handling day-to-day operations. Effective leadership involves establishing a vision, role modeling, and influencing others, while effective management involves planning, organizing resources, and coordinating work. There are different leadership styles such as autocratic, bureaucratic, democratic, and laissez-faire that vary in how decisions are made and input is gathered from others. Situational leadership adapts the style based on employee maturity and the situation.

1. Leadership&Management Mary Curran MN,RN 8/2011

2. Leadership and Management Leadership The art of getting others to want to do something you are convinced should be done Management Handles the day-to-day operations to achieve a desired outcome

3. Leadership Comes 1st Is doing the right thing Establish vision & goals for an organization & ability to execute them Uses role modeling to influence others

4. Management Comes 2nd Is doing things right Plan, organize, motivate, manage personnel & material resources of an organization Coordinates & controls the work of others

5. Shared Skills Role model Educator Advocate Decision maker Planner Counselor Change agent

6. Characteristics of an Effective Manager Desire & comfort with role Trust own judgment Stress management skills Motivator Handle different situations Competent decision making Channel others’ feelings & hostility

7. Characteristics of an Effective Leader Self confidence Self awareness Strong personal values Values clarification Advocacy Accountability

8. Types of Leaders Formal leader Office/nameplate Informal leader Without an office Respected for personal wisdom & willingness to share it Role model excellent leadership daily Everyone goes to this person for expert assistance

9. Hx of Nursing Leadership Florence Nightingale Lillian Wald Mary Brewster Jean Watson

10. Different Types of Leadership Styles The point of gaining some understanding into the different types of leadership styles is to know one when you see one and to know how to work most effectively with that person.

11. Leadership Styles Autocratic Bureaucratic Democratic Laissez-Faire Multicratic or participative

12. Autocratic Self directed Retains all authority and responsibility Makes decisions independently Concerned primarily with tasks and goal accomplishment Assigns clearly defined tasks Establishes one-way communication with the group Little or no input from others Power struggle Excels in times of crisis (cardiac arrest) and in situation of disorder (natural disasters)

13. Bureaucratic Policy minded Rely on established protocols for decision making This style is help for new graduates

14. Democratic People-centered approach Allows employees more control and participation in the decision-making process Gives suggestions & is more willing to share information Emphasis is on team building and collaboration Atmosphere of mutual respect & shared responsibility Works best with mature employees who work well together as groups Pleasant person to work with

15. Laissez-Faire “Free-run style” or permissive leadership Relinquishes control completely Chooses to avoid responsibility by delegating all decision making to the group Wants everyone to feel free to “do their own thing” May work well with highly motivated professional groups Those that need structure may not enjoy working under this leadership style

16. Multicratic or participative Between autocratic & democratic Active role in decision making Empowering environment Shared information Encourages social & self esteem levels of Maslow’s hierarchy of needs Caring

17. Leadership and Management Situational Leadership Takes into account the style of the leader, the maturity of the group, and the situation at hand to form a comprehensive approach Four typical styles Directing Provides specific instructions and supervises the accomplishment of tasks New employees, employees with repeated performance problems, and crisis work situations

18. Leadership and Management Situational Leadership (continued) Four typical styles (continued) Supporting Supports the efforts of others, facilitates their goal accomplishment, and shares responsibility for decision making Values growth and not perfection, collaboration and not competition Delegating Gives responsibility for decision making and problem solving to mature staff who have demonstrated their competence

19. Leadership and Management Situational Leadership (continued) Four typical styles (continued) Coaching Monitors the accomplishment of tasks while also explaining decisions, asking for feedback or suggestions, and recognizing good performance Typically, leader and staff have have jointly developed a work plan.

20. Leadership and Management Team Leading Assisting and guiding the nursing team in providing care for a select group of patients Duties Receive reports on assigned patients Make assignments for team members Make rounds and assess all assigned patients Assist in administering medications and treatments Confer with team members on priority patients

21. Leadership and Management Time Management Using time to good advantage will be of great value. Learn effective time management skills, and practice them frequently until they become fully developed. These skills will help you manage not only at work but also in daily living.

22. What type of leader are you?

23. References Anderson, Mary Ann (2005). Nursing Leadership, Management, & Professional Practice for the LPN/LVN: In Nursing School & Beyond 3rd Ed. Philadelphia: FA Davis Rosdahl, C. B & Kowalski, M. T. (2003). Textbook of Basic Nursing 8th Ed. Philadelphia, PA: Lippincott Williams & Wilkins.