course materials

1. Discussion: qualities of a good nurse manager
Discussion: qualities of a good nurse manager ON Discussion: qualities of a good nurse
managerThe assignment is as follows:1.Discuss the differences between a leader and a
manager.2. Which is more important, working for an effective leader or an effective
manager? Explain your answer.3. Observe the nurse manager in a unit to which students
have been assigned. What management style is displayed? How does the staff respond to
this style4. What qualities do you think are most important to be a good nurse manager?1.
Interview the nurse manager on your assignment unit. What interpersonal, decisional, and
informational activities does he or she complete on a daily basis?2. You are the nurse
manager on your unit. One of the most experienced staffers has been out on sick leave, and
another just had a baby. The rest of the staff are working very hard to pick up the slack to
avoid using agency personnel. What tangible and intangible rewards might you use to thank
the staff?3. PART 1: Begin by writing a 50-word description of the ideal nurse manger,
someone you would like to work for. Describe a real-life nurse manager whom you have
encountered in one of your clinical rotations. What qualities of this person meet your ideal?
In what ways does this individual not meet your ideal? (Reminder: nobody’s perfect.)PART
2: Think about becoming an ideal manager yourself. What qualities of an ideal manager do
you already possess? What qualities do you still need to develop? How will you accomplish
this?1. Find your own state’s requirements for informed consent. Do elective procedures
and emergency situations use the same standard?2. Obtain a copy of your state’s Nurse
Practice Act. Does the act give adequate guidance for nurses to know if an action is within
the scope of nursing practice?1. Explain how the Nurse Practice Act in your state provides
for consumer protection and for professional nursing progress.2. What are your thoughts
on multistate licensure? How does it strengthen and weaken professional nursing?3. As a
new nurse, how can you ensure confidentiality in clinical settings?4. How can nurses
safeguard the confidentiality of medical information when sending it by fax or e-mail?5.
Explain the role of the nurse in obtaining informed consent. Do you believe that this is
within the scope of nursing practice? Explain your answer.6. Should nurses carry
malpractice insurance? Explain your answer.7. Should all patients have advance directives?
Explain your answer.8. Should employers be permitted to require nurses to work overtime
if there is a shortage of registered nursing staff on a unit? your answer with evidence from
the literature.ch02.pptch03.pptUnformatted Attachment PreviewChapter 2 Manager
Copyright © 2015. F.A. Davis Company Management • Getting work done through others •
Doing what is needed to assist employees to work well Copyright © 2015. F.A. Davis

2. Company Management Theories Copyright © 2015. F.A. Davis Company Scientific
Management • Efficiency-focused • Increasing productivity is the goal • Workflow and time
to complete tasks is measured and evaluated. Copyright © 2015. F.A. Davis Company
Human Relations-Based Management Theory X • Work is something to be avoided. • People
want to do as little work as possible. • Use: Control Supervision Punishment Copyright ©
2015. F.A. Davis Company Human Relations-Based Management Theory Y • The work itself
can be rewarding. • People really want to do their job well. • using – Guidance –
Development – Reward Copyright © 2015. F.A. Davis Company Servant Leadership • People
have value as people. • Commit to improving treatment at work. • Employee first Copyright
© 2015. F.A. Davis Company Qualities of an Effective Manager • Leadership • Clinical
expertise • Business sense Copyright © 2015. F.A. Davis Company Management • Decisional
• Interpersonal • Informational Copyright © 2015. F.A. Davis Company Behavior of an
Effective Manager • Interpersonal – Networking – Conflict negotiation and resolution –
Employee development – Coaching – Rewards and punishments Copyright © 2015. F.A.
Davis Company Behavior of an Effective Manager (cont’d) • Decisional activities – Employee
evaluation – Resource allocation – Hiring and firing – Planning for the future – Job analysis
and design Behavior of an Effective Manager (cont’d) • Informational activities –
Spokesperson – Monitoring – Reporting Conclusion • Discussion: qualities of a good nurse
managerNursing management is a complex, responsible position. • Ineffective managers
may harm – Employees – Clients – Organizations Copyright © 2015. F.A. Davis Company
Chapter 3 Nursing Practice and the Law Copyright © 2015. F.A. Davis Company Objectives •
• • • Identify three major sources of law. Explain the differences among various types of
laws. Differentiate between negligence and malpractice. Explain the difference between an
intentional tort and an unintentional tort. Copyright © 2015. F.A. Davis Company Objectives
(cont’d) • Explain how Standards of Care are used in determining negligence and
malpractice. • Describe how nurse practice acts guide nursing practice. • Explain the
purpose of licensure. • Explain the difference between internal standards and external
standards. Copyright © 2015. F.A. Davis Company Objectives (cont’d) • Discuss Advance
Directives and how they pertain to patients’ rights. • Discuss the legal implications of the
Health Insurance Portability and Accountability Act (HIPAA). Copyright © 2015. F.A. Davis
Company Meaning of Law • Law refers to any system of regulations that govern the conduct
of individuals within a community and/or society in response to the need for regularity,
consistency, and justice. • Law is the rules that prescribe and control social conduct in a
formal and legally binding manner. Copyright © 2015. F.A. Davis Company Types of Laws •
Statutory law • Common law • Administrative law Copyright © 2015. F.A. Davis Company
Statutory Law • Created by various legislative bodies – Congress – State legislatures •
Examples of federal statutes – Patient Self-Determination Act of 1990 – The Americans with
Disabilities Act Copyright © 2015. F.A. Davis Company Statutory Law (cont’d) • Examples of
state statutes – Nurse Practice Acts – Good Samaritan Law Copyright © 2015. F.A. Davis
Company Common Law • Comes from the traditional unwritten law of England. • Based on
custom and usage. • Develops within the court system as judicial decisions are made. • One
decision creates the precedence for another. Copyright © 2015. F.A. Davis Company
Administrative Law • Procedures created by administrative agencies – City councils –

3. County boards – State government • Discussion: qualities of a good nurse
managerEstablished through the authority given to government agencies by a legislative
body – Boards of Nursing Copyright © 2015. F.A. Davis Company Sources of Law Copyright
© 2015. F.A. Davis Company The Constitution • Foundation of American law • The Bill of
Rights • Limits the power of the government and protects citizens’ freedoms •
Constitutional law evolves as issues emerge. Copyright © 2015. F.A. Davis Company
Statutes • Localities, state legislatures, and the U.S. Congress create statutes. • Ordinances –
Local statutes – Example: noise ordinance • Nurses can influence the development of
statutory laws. Copyright © 2015. F.A. Davis Company Administrative Law • Created by
administrative agencies that develop specific rules and regulations that direct the
implementation of statutory law. • Rules must be consistent with statutory laws. • Specific
statutory laws give state Boards of Nursing the authority to issue and revoke licenses.
Copyright © 2015. F.A. Davis Company Agencies • Department of Health and Human
Services • Department of Labor • Department of Education Copyright © 2015. F.A. Davis
Company Types of Laws Copyright © 2015. F.A. Davis Company Criminal Law • Felony •
Misdemeanor • Juvenile Copyright © 2015. F.A. Davis Company Civil Law • • • • Tort Quasi-
intentional tort Negligence Malpractice Copyright © 2015. F.A. Davis Company Other Laws
Relevant to Nursing Practice Copyright © 2015. F.A. Davis Company Good Samaritan Laws •
Created to encourage physicians and nurses to respond to emergencies • Protects licensed
health-care providers from civil liability as long as they “behave in the same manner as an
ordinary, reasonable, and prudent professional in the same or similar circumstances.”
Copyright © 2015. F.A. Davis Company Confidentiality • Patients have the right to
confidentiality. • Information should only be shared with others who have a “need to know.”
• Need permission to share information • HIPAA Copyright © 2015. F.A. Davis Company
Social Networking • Use of technology has caused an increase in violations of
confidentiality. • Breach of confidentiality without intent • Need to be aware of institutional
policies on social networking – Immediate termination – Cancellation of
contracts/affiliation agreements with outside agencies Copyright © 2015. F.A. Davis
Company Slander and Libel • • • • Quasi-intentional torts Slander refers to the spoken word.
Libel refers to the written word. Can refer to patients, coworkers, or other individuals
Copyright © 2015. F.A. Davis Company False Imprisonment • Discussion: qualities of a good
nurse managerConfining an individual against his or her will – Restraining – Detaining •
Removing a patient’s clothes • Keeping a patient who has been medically discharged for an
unreasonable amount of time Copyright © 2015. F.A. Davis Company Assault and Battery •
Assault is the threat to do harm. • Battery is touching without consent. • The significance of
an assault is embedded in the threat. • Often, the terms are used together. • Informed
consent Copyright © 2015. F.A. Davis Company Standards of Practice Copyright © 2015.
F.A. Davis Company Purpose • Guidelines to ensure quality of care • Criteria to determine if
quality care has been delivered • May be specialty directed – AACN standards of care –
AWHONN standards of care Copyright © 2015. F.A. Davis Company Internal Standards • • •
• • Developed within institutions Usually explained within specific policies Included in
Policy and Procedure Manuals Based on current literature and research Nursing
responsibility to meet the institution’s standards Copyright © 2015. F.A. Davis Company

4. Use of Standards in Nursing Negligence and Malpractice • • • • One of the elements used to
determine liability Use of professional standards Institutional policy Standards of the
Specialty organization if warranted • Expert opinions Copyright © 2015. F.A. Davis
Company Patient’s Bill of Rights • Created by the American Hospital Association in 1973
and amended in 1992 • In 2003, replaced by the Patient Care Partnership • The patient
rights were derived from the ethical principle of autonomy. Copyright © 2015. F.A. Davis
Company Informed Consent • Informed consent is a legal document in all 50 states. •
Requires physicians to divulge the benefits, risks and alternatives to treatment,
nontreatment, and/or procedures. • Allows individuals to be involved in choices about their
health care. Copyright © 2015. F.A. Davis Company Informed Consent (cont’d) • Permits
health-care providers to “touch.” • Physicians are responsible for “obtaining” the informed
consent. • Nurses are involved in the process when – Witnessing a signature – Clarifying
questions • If a nurse assesses that a patient lacks a full understanding of the risks/benefits,
the nurse should notify the physician. Copyright © 2015. F.A. Davis Company Criteria for
Informed Consent • A mentally competent adult as voluntarily given the consent. • The
client understands exactly what he or she is consenting to. • The consent includes the risks
involved in the procedure, alternative treatments, and risk of refusal. • The consent is
written. Copyright © 2015. F.A. Davis Company Implied Consent • Occurs when consent is
assumed • Emergency situations • Child is involved and the health-care institution is unable
to reach parents and/or legal guardians Copyright © 2015. F.A. Davis Company Staying Out
of Court Copyright © 2015. F.A. Davis Company Prevention • Practice caring behaviors. •
Demonstrate an interest in patients and their families. • Assist patients and families in
making choices by providing information. • Maintain accountability. • Discussion: qualities
of a good nurse managerAdhere to Standards of Practice. Copyright © 2015. F.A. Davis
Company Documentation • • • • • Needs to be legally credible Avoid charting by exception.
Clear, concise, and accurate Only sign off on medications once administered. Document
assessments after completion. Copyright © 2015. F.A. Davis Company Keys to Credible
Documentation • • • • Contemporaneous Accurate Truthful Appropriate Copyright © 2015.
F.A. Davis Company Common Actions Leading to Malpractice Suits • Failure to assess
properly • Failure to report changes in a patient’s condition to the appropriate personnel •
Failure to document in a patient’s record • Altering or falsifying a patient’s record • Failure
to obtain an informed consent • Failure to report a coworker’s negligence or poor practice •
Violation of internal or external standards of practice Copyright © 2015. F.A. Davis
Company What to Do if Named in a Suit • • • • Contact the legal department of your
institution. Answer the complaint. Obtain legal guidance/representation. Only sign
documents after review by legal counsel or malpractice insurance company. • Maintain a
file of all information connected to the case. • BE HONEST. Copyright © 2015. F.A. Davis
Company Professional Liability Insurance • Nurses need to consider obtaining insurance. •
Policies protect nurses against personal financial loss. • If a nurse is found guilty of
malpractice the employing agency has the right to sue the nurse to reclaim damages.
Copyright © 2015. F.A. Davis Company End-of-Life Decisions and the Law • • • • • Do Not
Resuscitate Orders (DNRs) Advance Directives Patient Self-Determination Act Living Will
Health-Care Surrogate Copyright © 2015. F.A. Davis Company Patient Self-Determination

5. Act • Allows individuals to make decisions regarding treatment in advance of a time when
they may be unable to make these decisions. • Federal law directs that health-care
institutions that receive federal funding inform patients of their right to create advance
directives. Copyright © 2015. F.A. Davis Company Provisions of the Act • Provide
information to every patient. • Document. – All patients must be asked if they have a Living
Will. – Ask about a health-care surrogate (Durable Power of Attorney). – Must be placed in
the patient’s record. • Educate. • Be respectful of patients’ rights. • Have cultural humility.
Copyright © 2015. F.A. Davis Company Nursing Implications • The Patient Self-
Determination Act does not specify who should discuss treatment decisions or advance
directives with patients. • Nurses are patient advocates. • Nurses need to have knowledge
about documents pertaining to the Act. • Review institutional policies. Copyright © 2015.
F.A. Davis Company Issues Affecting Practice • Legal implications of mandatory overtime –
Affects patient safety – Position statements from nursing organizations – Nurse Practice
Acts • Licensure – Qualifications – Endorsement – Multistate • Disciplinary action Copyright
© 2015. F.A. Davis Company NCLEX-RN • Preparation – Review courses – NCSBN online
NCLEX-RN study program • Test plan – Test plan blueprint changed in April 2013 – Changes
in the blueprint are based on findings from practice. – Level of difficulty increased •
Alternative question formats Copyright © 2015. F.A. Davis Company Preparing for NCLEX-
RN • Be positive. • Use relaxation techniques. • Advance planning. – Pack an “NCLEX bag.” –
Perform a “dry run” at the same time you would leave to get to the test site to familiarize
yourself with the area, parking, etc. – Call the Center and see if you may bring water or
snacks. • Eat well and get a good night’s sleep the night before the test. Copyright © 2015.
F.A. Davis Company On the Day of the Test • Eat before you leave. • Leave early and give
yourself sufficient time to arrive at your destination. • Bring a jacket or sweater. Copyright
© 2015. F.A. Davis Company Conclusion • Nurses need to understand the legal issues
regarding practice. • It is important to know and understand the Nurse Practice Acts in your
state. • Patients expect nurses to provide safe, competent, and quality care. Copyright ©
2015. F.A. Davis CompanyDiscussion: qualities of a good nurse manager