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Define Autocratic Leadership
make decisions without consulting anyone
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Define Democratic Leadership
- involve people in their decisions, even if they
- make decision
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Define Laissez-Faire Leadership
- leader is not usually involved in decision
- making. Other parts are capable and
- motivated to make decisions
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Define Participative Leadership
- makes max use of participative methods, engages
- people in making decisions and work well at all levels
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Define Exploitative Leadership
- the leader uses threats and other fear-based methods to
- achieve conformance
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Define Benevolent Leadership
- the leader is concerned for people and forms a
- benevolent dictatorship. Rewards and performance is praised. Decisions delegated but most by leader
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Describe Trait Theory
- People are born with inherited traits
- Some traits are particularly suited to leadership
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Describe Weber’s Bureaucracy and Authority
- Traditional- determined by power
- Rational- regulation. Legal
- Charismatic- personality
- Rules based on division and accomplishment,
- hierarchy
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Describe Transformational Leadership
- People will follow a leader who inspires them
- Has vision and passion, maintains personal integrity
- Injects enthusiasm and energy
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Describe Collective Leadership
Property of a social system, can occur anywhere, is a complex process of mutual influence, is within everyone's grasp, is only one factor influencing organizational performance, and is viewed in context
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Describe Scientific Management
- all about numbers, research
- efficiency, best use of resources
- Depersonalizes- gets rid of the relationship
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Describe Hawthorne effect
- improve work when you know people are watching
- you
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Describe McGregor’s X & Y
- X- bad people, innately lazy, must be threatened or at risk because people are evil.
- Y- good, people are efficient, want to succeed, “people are good at heart” theme.
- Both come from social sciences
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Discuss Ethical Principles Autonomy
- right to choose care
- People who don’t have are children and people deemed unfit
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Discuss Ethical Principles Beneficence
- do good, avoid evil.
- Do what is best for the patient
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Discuss Ethical Principles Non-malfesance
- first doing no harm.
- Ex. End of life care- does the treatment cause more harm than good
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Discuss Ethical Principles Utility
- act results in as much good as other alternatives.
- Ex. Coercion to prevent suicide.
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Discuss Ethical Principles Justice
equality
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Discuss Ethical Principles Veracity
always telling the truth
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Discuss Ethical Principles Fidelity
keeping promises
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Discuss Ethical Principles Confidentiality
legal implications
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Resolution of Ethical Dilemmas
- Get the facts
- Who is affected
- What are the options
- Test your decision
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Nursing Tort Law
- A wrongful act committed against a person or property in absence of contract
- Unintentional: negligence (omission or commission)
- Intentional: assault, battery, false imprisionment, intentional infliction of emotional distress, client abandonment
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Interpret Malpractice Defenses: Contributory Negligence
- Clients are not allowed to receive money if they contributed to the injury
- Ex. they caused the injury
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Interpret Malpractice Defenses: Comparative Negligence
- Based on the percentage of fault (nurse, physician, client)
- all at risk
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Interpret Malpractice Defenses: Assumption of Risk
If a listed complication occurs after informed consent, the client has assumed that risk
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Interpret Malpractice Defenses: Good Samaritan Act
Protected in emergency situations when care is given according to established guidelines and was within scope of education/ practice
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Interpret Malpractice Defenses: Unavoidable Accident
Accidents happen without contributions from HCPs
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Interpret Malpractice Defenses: Defense of the Fact
- Nurses followed standards of care
- Standards of care that weren't followed did not result directly in injury
- Ex. dobholf in chest
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DNR orders
- Legally separate from advanced directives
- Process of the decision and the specifics of that status should be documented
- DNR status should be communicated and looked up every shift
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Kohlberg’s Moral Development Theory: Preconventional
- Avoid punishment, defer to power (external)
- Doing what is satisfying to self or reciprocal sharing
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Kohlberg’s Moral Development Theory: Conventional
- Behave so others will approve (don't rock the boat)
- Maintain status quo
- (Do what society thinks is right)
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Kohlberg’s Moral Development Theory: Postconventional
- Contracts with clients about care
- Acts based on universal ethics
- (How I believe, this is whats right)
- (Advocacy)
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Stress & Stages of Burnout
- Stress is all about perception
- Honeymoon- high expectations
- Balancing Act- cannot be entire life
- Chronic Sx- physical problems, start calling in
- Crisis- H/A, tired
- Enmeshment- CHRONIC mental or physical illness
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Role Conflict/Transition
- Others expectations different from yours
- Letting go- of the old role
- Tuning in- into the new role, be aware of expectations
- Mastering environment- become informed (polices, heirarchy of mgt)
- Using prior skills- bedside manner
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Bandura’s Social Cognitive Theory
- "I can do this"
- Must have incentives- salary
- Must have the resources- environmental
- Must not have social contraints- family structures have an influence
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External vs. internal motivators
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The 10 Rules of successful communication
- Use Small Words
- Use Short Sentences
- Credibility is as important as Philosophy
- Consistency Matters
- Novelty: Offer Something New
- Sounds & Texture Matter
- Speak Aspirationally
- Visualize
- Ask A Question
- Provide Context & Explain Relevance
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