Chapter 11

1. Chapter 11 Leadership, Delegation, and Power

2. Professional Nursing Practice • Late 19th century • Nursing lacked organization and legislation • Lack of accepted standards for nursing education • Early 20th century • Nursing organized to establish legislation to legitimize nursing practice and be seen as profession (continued)

3. Professional Nursing Practice • Criteria of profession: • Group that requires specialized education and intellectual knowledge • Intellectual work distinguished by substantial body of knowledge • Unique service provided to society • Expanding body of knowledge • Responsibility to public for services provided (continued)

4. Professional Nursing Practice • Criteria of profession: • Long period of education • Theory and practice • Autonomy and development of policy • Common identity, values, and attitudes • Altruistic, long-term career choice • Code of ethics for members

5. Professional Accountability • Individuals answerable for actions and have obligation to act • Distinguishing characteristic of profession (continued)

6. Professional Accountability • Professional nurse accountable in several domains: • Professional • Legal • Ethical (continued)

7. Professional Accountability • Elements: • Rights and responsibilities • Organizational accountability • Accreditation • Certification • Standards of clinical practice (continued)

8. Professional Accountability • Legislative issues: • Licensure • Licensure process • Nurse licensure compact • Licensure examination • National data banks • Licensure examination (continued)

9. Professional Accountability • Student • Legal exception while in nursing program • Individual • Continued competency • Professional development

10. Advanced Practice Nursing • Requires expanded knowledge base and clinical expertise in specialty area • Increased level of accountability (continued)

11. Advanced Practice Nursing • Roles: • Clinical nurse specialist (CNS) • Nurse practitioner (NP) • Certified nurse midwife (CNM) • Certified registered nurse anesthetist (CRNA)

12. Leadership in Nursing • Management • Accomplishment of tasks by oneself or by directing others • Leadership • Interpersonal process that involves motivating and guiding others to achieve goals (continued)

13. Leadership in Nursing • Managerial functions: • Planning • Organizing • Directing • Controlling • Decision making (continued)

14. Leadership in Nursing • Leadership styles: • Autocratic • Democratic • Laissez-faire • Situational

15. Leadership Characteristics • Communication • Credibility • Delegation • Critical thinking • Action-initiating • Risk taking • Persuasiveness and influence

16. Power • Types: • Coercive • Expert • Informational • Legitimate • Personal • Referent • Reward (continued)

17. Power • Principles of power • Developing power base

18. Leadership in Nursing • Mentoring • Networking • Empowerment • Clients • Nurses (continued)

19. Leadership in Nursing • Ways to empower nurses: • Share power and resources • Admit mistakes • Avoid power struggles • Use persuasion • Use accurate information to make decisions

20. Politics of Nursing • Organizational politics determines who has power, who controls resources, who is rewarded, and who makes decisions • Nurses need to be involved not only in organizational politics, but also in politics that affect society at large