Table of Contents

Section I Leadership and Planning
1. Conceptual Base for Leadership and Management
    Change in the Health Care Delivery System: Implications for Nurse
    Leadership and Management Theories
      A historic perspective of leadership theories
      Modern or current leadership theories and styles
      A conclusion: Effective leadership
    Leaders and Managers: A Comparison
      Who is a nurse leader?
      Preparation and development of nurse managers
      Nurse manager competencies
      Leadership in community health
      The image of nursing
      Making a difference: Increasing nurse leaders
2. Change and Decision Making
    The Five “Rs”: Change and Decision Making in Action Reengineering the health care organization
      Redesigning the workforce
      Re-regulating professional practice
      Rightsizing the workforce
      Restructuring nursing education
    The Concept of Change
      Examples of change theory
      The process of change
    A Decision: A Response to Change
      Decision styles
      Types of decisions
      The decision-making process
      Planning
3. Keys to Working with Others: Collaboration, Coordination, and Conflict Resolution
    Collaboration
      Definitions
      Barriers to effective collaboration
      Nurse-physician relationships
      Skills to achieve effective collaboration
    Coordination
      Definitions
      Barriers to effective coordination
      Skills to achieve effective coordination
      Application of coordination
    Negotiation and Conflict Resolution
      Definitions
      Causes of conflict
      Stages of conflict
      Prevention conflict
      Conflict management: Issues and strategies
      Application of negotiation to conflict resolution
4. Effective Staff Communication and Working Relationships
    Communication: What is It?
      Communication systems and lines of communication
      The communication process
      Communication component systems: verbal, nonverbal, and miscommunication
      Assessment of communication effectiveness
    Communication Methods
      Written communication
      Face-to-Face communication
      Storytelling
      Information technology and communication
      Resolving communication problems and improving communication
Section II Delivery Systems/ Nursing Models
5. Organizational Structure for Effective Care Delivery
    Organizational Theories: Emphasis on Structure and Process
      Organizational theories
      Structure and process: Parts of organizational theory
    Health Care Organizations
      For-profit and not-for-profit delivery systems
      Marketing
      Health care providers
      Professional nursing practice within nursing care models
      Total patient care/case method
      Shared governance
      Organizational analysis
6. Acute Care Organizations: An Example of a Health Care Organization
    Development of U.S. Hospitals
      Acute care organization and governance
      Classification of hospitals
      Typical departments found in an acute care
      Organizations and committees
    Framework for Effective Care
      Standards
      Policies and procedures
    Changes That Affect Health Care Delivery
      Emergency services
      Patient access to services
      Patient education
      Expansion into new areas and approaches
      Use of hospitalists /intensivits
      Advanced practice nurses, clinical nurse specialists, and nurse midwives
      Alternative/complementary therapies
      Financial issues and managed care: Impact on acute care
      Continuum of care and acute care
      Primary care providers
      Nurses and acute care hospital changes
      Staffing issues
    Magnet Nursing Services Recognition Program
    Research: The pathway to the magnet nursing services
    Recognition Program
      Magnet hospital framework
      Building magnetism
      The magnet recognition process
      Benefits of the program
7.   Teamwork and Motivation
    Teams in Today’s Health Care Environment
      Teams and teamwork
      Types of teams
      Team-based organizations
      The team leader
      Team building: Development of effective teams
    Effective Teams
      Stages of team development
      Motivation
      Building team power and spirit
      Barriers to team success
      Getting the job done
      The charge nurse and the team
8. Delegation for the Staff Nurse
      Delegation: What Is It?
      Benefits of delegation
      Legal issues related to delegation
      Critical delegation issues: authority, responsibility, and accountability
      The delegation and unlicensed assistive personnel
      The delegation process and the NCSBN guidelines
    Effective Delegation
      Assessment of the delegation process
      Characteristics of effective delegation
      Barriers to effective delegation
      Supervision and assignment
9. Tools to Manage and Evaluate Care
    Clinical Pathways
      Definition of clinical pathways
      Evolution of pathways
      Purpose of pathways
      Pathway development and implementation process
    Other Tools Used to Manage Care
      Practice guidelines
      Disease management
      Demand management
      Standards of care
      Utilization review/ management
      Benchmarking
      Evidence-based practice
      Health promotion and disease and illness prevention
Section III Legislation/Regulation/Policy
10. Health Care Policy, Legal Issues, and Ethics in Health Care Delivery
    Health Care Policy
      Key health care policy issues
      The policy-making process
      The political process
      Health care policy and nursing
      Legislation: Impact on health care delivery
    Legal Issues and Nursing
      Basic legal terminology
      Patient privacy: The law expands
    Ethics: Impact on Decision Making, Planning, and Practice
      Ethical decision making
      Professional ethics
      Making complaints to the board of nursing
      Managed care organizations and ethics
      Health care rationing
      Health care fraud and abuse
      Organizational ethics
      Nurses coping with ethical dilemmas
11. Consumers and Nurses
    The Consumer and Health Care
      Who is the consumer?
      Public policy and the health care consumer
      Examples of current consumer issues
      Patient satisfaction and quality
      The nurse as patient advocate
Section IV Recruitment/Retention
12. Recruitment and Retention: Meeting Staffing Requirements
    Recruitment
      Human resources
      What is recruitment?
      The employment process
    Retention: What Is It Important
      Turnover: costs, reasons, prevention
      Staff role
      Orientation: Its role in retention and prevention of reality shock
      Losing staff
    Performance Appraisal
      Performance standards and position descriptions
      Competency-based performance appraisal
      Legal and regulatory issues
      Performance appraisal/evaluation process
      Problems with employees
    Staffing: The critical issue today
      Staffing basics
      The nursing shortage
      Strategies to resolve the problems: Some are successful and some are not
Section V Nursing/ Professional Culture
13. Keys to Professional Success
    Career Development
      First job: Early issues
    Career plan: A Professional Growth Action Plan
      Getting guidance
      Licensure
      Certification
      Professional organizations: Developing a nursing career
      Seeking promotion
      Entrepreneur/intrapreneur
      Lifelong learning: Nursing professional development
      Professional issues
    Time Management to Get the Work Done
      Making the most of your time
      Time management implementation and barriers
      Meetings
Section VI Economic Value
14. Health Care Financial Issues
    Health Care Financial Issues: The Macrolevel
      National health care expenditures
      Reimbursement for health care delivery services
      Government health benefit programs
      Managed care
      Reimbursement issues: Impact on nurses and nursing care
    Financial Issues: MicroLevel
      Financial component of hospitals and other types of health care Organizations
      Key financial management terminology
      The budgeting process: An overview
      Productivity
      Cost containment
Section VII Work Environment
15. Technology and Health Care
    Importance of Information and Clinical Technology
      Critical factors
      Technical skills
      Information technology: Critical issues
    Technology: Implications on health care delivery
      Telehealth
      Implication for clinical practice
      Implications for nursing education
      Implications for nursing administration
      Implications for patient education
      Implications for nursing research
      Technology and managed care
16. Health Care Quality Improvement and Safety
    The Changing View of Quality
      Increased interest in quality care
      Definition of quality
      Critical quality elements
      Critical health care safety issues
    Quality, Safe Care: Measurement and Improvement
      The accreditation process
      Methods used in establishing quality, safe care
      Evidence-based practice
      Quality report cards
      An example of professional perspectives on the quality of care
      The future direction: Nursing quality issues
Section VII Diversity
17. Pulling It All Together: The Culture of the Organization
    Culture and Climate: Building Cultural Competency
      Definition of organizational culture and climate
      Consonant and dissonant cultures
      An effective, creative, and productive workplace
      Legal issues
      The staff and their culture
    Cultural Perceptions of Health and Illness: Need for a Caring, Healing Environment
      A diverse patient population
      What is the healing environment
      Safety: A component of organizational culture
      The physical environment as part of the healing environment
      Facilitating diversity and cultural diversity within health care organizations