Chapter 19: The Gerontological Nurse as Manager and Leader

1. Chapter 19: The Gerontological Nurse as Manager and Leader

2. Learning Objectives • Identify characteristics of effective nurse managers and leaders. • Compare various leadership styles and strategies. • Describe effective communication strategies. • Describe the process of delegation, including how it is used in the management of unlicensed assistive personnel.

3. Learning Objectives (cont’d) • Compare various leadership roles available to nurses who care for older adults. • Analyze the characteristics of the major generations of nurses. • Recognize the value of professional associations to the nurse manager and leader. • Evaluate one’s own strengths and weaknesses as a future nurse manager or leader.

4. The Nurse Manager • Nurse Manager Leadership Partnership (NMLP) Learning Domain Framework (Figure 19-1, p. 676) • The Leader Within: Creating the Leader in Yourself • Self assessment • Goal setting • The Art of Leadership: Leading the People • High-performance work team • Conflict resolution • Culture of safety • Delegation (Box 19-1, p. 680)

5. The Nurse Manager (cont’d) • The Science of Leadership: Managing the Business • Financial management • Human resource management • Performance improvement • Foundational thinking skills • Technology • Strategic management • Clinical practice knowledge

6. The Nurse Manager (cont’d) • Tasks Associated with the Role of Nurse Manager (T. 19-1)

7. Comparison between Managers and Leaders

8. The Nurse Leader • Leader develops and articulates clear vision of the future of the organization • Performance improvement catalyst • Interpersonal relations facilitator • Human resources developer • Resource and financial manager • Standards and compliance expert resource • Customer service advocate

9. Leadership Qualities and Theories • Qualities of effective leaders (Table 19-2, p. 689) • Transactional leadership • Behavior theory: automatic leadership, bureaucratic leadership, democratic l. , laissez-faire, situational l. • 21st century leadership (Table 19-3) • Transformational/charismatic leadership(T 19-4) • Servant leadership • Complexity leadership

10. Effective Communication • Role of the nurse leader in establishing effective communication • Facilitates collegial relationship among team members, whether all nurses or interdisciplinary. • Sets clear expectations for professionalism, respect, and collegiality to foster effective communication and patient safety. • Role model for effective communication and promotes opportunities for ongoing education about effective communication strategies. • Patient safety and quality care flourish in an environment where leader actively pursues establishing effective communication among the team.

11. Nursing Leadership Roles in Caring for Older Adults • Executive Roles • Director of Nursing • Charge Nurse • Staff Nurse • Gerontological Nurse Practitioner • Clinical Nurse Leader • Registered Nurse Assessment Coordinator: Minimum Data Set (MDS) coordinator

12. Multigenerational Workforce Issues • Veterans – born before 1945 • Bring a lifetime of experience, respect for authority, dedication, loyal, and sacrifice. • Baby boomers – born 1946-1964 • Value personal growth, interpersonal communication, often question the status quo, strong work ethic • Generation X – born 1965-1980 • Value independence, informality, technological literacy, and having fun • Millennials (Generation Y) – born 1981-1999 • Confident, bring a mastery of all things technical, adept at multitasking, collaborative decision making

13. Professional Associations • Coalition of Geriatric Nursing Organizations • National Gerontological Nursing Association • National Association of Directors of Nursing Administration in Long Term Care (NADONA) • American Association for Long Term Care Nursing • American Association of Nurse Assessment Coordinators • American Health Care Association • Leading Age • National Association of Health Care Assistants • American Medical Directors Association (AMDA) • American College of Health Care Administrators

14. Summary • Both nurse managers and nurse leaders are needed in gerontological nursing • Managers focus on direction of the details of a unit • Leaders are visionaries who see the larger picture • Engaged staff means better, safer care for patients and residents • Developing sound management strategies requires the desire to change and maintain a constant state of self-reflection