NURS 4343 Leadership and Management

NURS 4343 Leadership and Management

In Nursing

COURSE DESCRIPTION: This course explores concepts of leadership and management through an examination of various leadership/management theories, application of ethical and legal principles, organizational and resource management styles, meeting consumer needs and delegation of nursing care. The course will emphasize the use of critical thinking in the leadership/manager role.

CREDIT: 3 credit hours (3 hrs. class; 8 hrs. clinical)

PROGRAM LEVEL: III

TEXTBOOKS:

American Psychological Association (2001). Publication Manual of the American Psychological Association. (5^th Edition). Chicago: APA

Huber, D. L. (2006). Leadership and Nursing Care Management. (3^rd Edition). St. Louis: Saunders.

Faculty: Marilyn Lynch-Goddard MSN, BSN, RN

Faculty contact: Office: Room 109

(210) 826-7595

marilyn.lynchgoddard@wbusa.wbu.edu

COURSE OBJECTIVES:

At the end of this course, the student will be able to:

Recognize the use of organizational theories in structures and environment.
Identify leadership versus managerial traits and functions.
Discuss fundamental aspects of the budgeting process including: productivity measures in today’s healthcare environment.
Identify the concepts of conflict management using appropriate communication tasks.
Identify and define the delegation process.
Discuss staffing resources including recruitment and retention of staff and the allocation and evaluation of staff performance.
Describe collective bargaining, its legal structure and its role in today’s healthcare environment.

CLINICAL OBJECTIVES:

At the end of this course, the student will be able to:

Distinguish between leadership and management.
Identify the organizational structure in which they are practicing.
Apply time management skills to their practice.
Manage patient care for more than 2 clients at a time.
Utilize the delegation process.
Identify the staffing resources utilized in the facility they are practicing in.
Identify the recruitment and retention strategies utilized by the facility.
Evaluate the effectiveness of the organizational structure and its leadership style.

EVALUATION AND GRADING: A point system is used to determine the grade in Leadership and Management in Nursing.

A = 90-100

B = 80-89

C = 75-79 An average of 75 or better is required to pass Nursing courses.

D = 70-74

F = 69 and below

GRADING CRITERIA:

Exam 1 15%

Exam 2 15%

ATI 10%

Exam 3 20%

Final Exam 20%

Leadership Project 20%

Total 100%

Worksheets, quizzes, or other learning tools may be used @ instructor’s discretion.

The clinical portion of the course is on a pass/fail basis and must be passed to pass the course. The level three clinical evaluation form will be used to determine the students pass or fail performance for this course. The evaluation form will be provided at the second class meeting.

Leadership Project:

Choose a nurse leader in your hospital. Identify her/his leadership and managerial style. Discuss the budgeting process utilized by the facility. Inquire about how staffing works, as well as, how they recruit and retain staff. Also, identify how staffs are evaluated in their facility. Once you have obtained all your information, write a 5 to 10 page paper using the following grading criteria. Identify whether it appears the leadership and management style is effective in the organization. Identify whether or not you would want to work in this organization and if not why. Please submit your project and your log through the digital drop box. This project is worth 20% of your grade.

Criteria:

Introduction 5%

Content 80%

Summary 10%

APA Format 10%

Total 100%

Testing

Test dates and content will be published in the course syllabi purchased by the students at the beginning of each term from the bookstore. Exam blueprints may be provided by the instructor. The type of question will be categorized two ways (where applicable). First the question will be categorized by the areas of the nursing process; assessment, planning, implementation and evaluation. The question will also be categorized by

cognitive level; knowledge, analysis, application, and comprehension. In the event a faculty must change a test date, they will notify the students as soon as possible. If the student must miss an exam, they must notify the faculty that they will not be present for the exam and schedule a date for the make-up exam within one week of the date of the exam.

Make-up Tests

Occasionally a student will miss a test that is scheduled for a class. A student should contact his/her instructor first, and then make arrangements to take the make-up test with the staff at the front desk in the main office. The make-up test will be administered by the staff at the IH 35 location on Monday- Friday at 1 PM; if both the instructor and the individual student contact the office to schedule the test. Test must be completed within one week from date of missed exam.

Class Attendance

The student must attend the class (es) for which he/she is enrolled.
A student enrolled at Wayland Baptist University should make every effort to attend all class meetings. All absences must be explained to the satisfaction of the instructor, who will decide whether the omitted work can be made up.
A student who misses twenty-five percent (25%) or more of the regularly scheduled class meetings will receive a grade of “F” for that class.
When a student reaches a number of absences considered by the instructor to be excessive, the instructor will so advise the student and file an Unsatisfactory Progress Report at the San Antonio Campus.
Three tardies count as one absence.
If an instructor fails to appear or fails to send notification of arrival within the first fifteen minutes of a class period, the student may leave without incurring an absence.

Clinical Attendance & Attire

Attendance to clinical is mandatory. This is the opportunity for the student to learn and practice skills in the Skills Lab and then apply them later in patient care. All time spent in the skills lab and receiving instruction is considered clinical time. Any student missing a clinical must call in to the instructor prior to the scheduled clinical. Clinical cannot be made up; therefore attendance is critical to successfully complete required clinical objectives.

Solid white professional uniforms and shoes are required. No Scrubs. School patches must be attached to uniform tops and lab coats. Patch must be purchased at WBU bookstore.

Clinical Failing Behaviors

Clinical failing behaviors are linked to the Texas Board of Nursing Standards of Professional Practice. Issues related to professional conduct, management of stress, clarification of course, clinical assignment, and/or professional role expectations, may warrant clinical warnings, contracts for remediation, or course failure.

Clinical Failing Behaviors	Matched to NPA
1. Performance is unsafe.	1,2,3,5,6,7,9,10,11,12,13,14,15
2. Questionable decisions are often made.	1,2,3,4,5,6,7,8,9,10,11,12,13,14,15
3. Lacks insight into own behaviors and that of others.	1,2,3,4,5,6,8,9,10,11,12,13,14,15
4. Difficulty in adapting to new ideas/functions.	4,5,6,7,8,9,10,11,13,14,15
5. Continues to need additional guidance and direction.	1,2,3,5,6,7,8,9,10,11,14,15

Standards of Professional Nursing Practice (BON 213.27, 217.11, 217.12)

1. Knows rationale for side effects of medications and treatments, and correctly administers same 217.00 (1) (C).

2. Documents nursing care accurately and completely, including signs and symptoms, nursing care rendered medication administration. Contacts health care team concerning significant events in patient health 217.11 (1) (D).

3. Implements a safe environment for patients and/or others, i.e., bed rails up, universal precautions 217.11 (1) (B).

4. Respects client confidentiality 217.11 (1) (E).

5. Accepts assignments commensurate with educational level, preparation, experience and knowledge 217.11(1) (T).

6. Obtains instruction and supervision as necessary when implementing nursing procedures or practices 217.11(1) (H).

7. Notifies the appropriate supervisor when leaving an assignment 217.11(1) (I).

8. Recognizes and maintains professional boundaries of the nurse/patient relationship 217.11(1) (J).

9. Clarifies orders, treatments, that nurse has reason to believe are inaccurate, non-effective or contraindicated 217.11(1) (N).

10. Able to distinguish right from wrong 213.27(b) (2) (A).

11. Able to think and act rationally 213.27(b) (2) (B).

12. Able to keep promises and honor obligations 213.27(b) (2) (C).

13. Accountable for own behavior 213.27(b) (2) (D).

14. Able to promptly and fully self-disclose facts, circumstances, events, errors and omissions when these disclosures will enhance health status of patients or protect patients from unnecessary risk or harm 213.27(b) (2)(G).

Please refer to the Board of Nursing at www.BON.state.tx.us for any additional information regarding the Texas Nursing Practice Act.

Disability Services: It is University policy that no otherwise qualified disabled person be excluded from participation in, be denied the benefits of, or be subject to discrimination under any educational program or activity.

COURSE AGENDA

Week	Unit	Activity
Wk 1: 05/27/09		Orientation and course overview Clinical Friday 6:45am-3pm
Wk 2: 06/03/09	Unit 1	Class: Lecture, discussions, and case studies Clinical Friday 6:45am-3pm
Wk 3: 06/10/09	Unit II	Class: Lecture, discussions, and case studies Clinical Friday 6:45am-3pm
Wk4: 06/17/09		Gather information for Leadership project Clinical Friday 6:45am-3pm
Wk 5: 06/24/09	Exam 1 Unit III	Class: Lecture, discussions, and case studies Clinical Friday 6:45am-3pm
Wk 6: 07/01/09	Unit IV	Class: Lecture, discussions, and case studies Clinical Friday 6:45am-3pm
Wk7: 07/08/09	Unit v Exam 2	Class: Lecture, discussions, and case studies Clinical Friday 6:45am-3pm
Wk 8: 07/15/09	Unit V Cont’d	Class: Lecture, discussions, and case studies Clinical Friday 6:45am-3pm
Wk 9: 07/22/09	Unit VI	Class: Lecture, discussions, and case studies Clinical Friday 6:45am-3pm
Wk 10: 07/29/09	Exam 3 Unit VII	Class: Lecture, discussions, and case studies Class: Leadership project due Clinical Friday 6:45am-3pm
Wk 11: 08/05/09	Final Exam	Class: Leadership project back

**** Clinical hours to be confirmed.

****ATI testing date to be assigned.

COURSE OUTLINE:

Unit 1: Leadership and Care Management Overview

Unit II: The Professional’s Role

Unit III: Health Care Organizations and Systems

Unit IV: Care Management

Unit V: Human Resources Management

Unit VI: Fiscal Management

Unit VII: Outcomes Management

Unit 1: Leadership and Care Management Overview

Unit Objectives

Reading

Assignments

Learning

Activities

1. Explore principles of leadership.

2. Discuss principles of management.

Chapter 1

Chapter 2

Lecture

Discussion

Case Studies

Unit II: The Professional’s Role

Unit Objectives

Reading

Assignments

Learning

Activities

1. Define professional practice and career development.

2. Discuss time management and stress.

3. Examine health policy, health, and nursing.

4. Understand the concepts of critical thinking skills and decision-making skills.

Chapter 3

Chapter 4

Chapter 5

Chapter 6, 7

Lecture

Discussion

Case Studies

Unit III: Health Care Organizations and Systems

Unit Objectives

Reading

Assignments

Learning

Activities

1. Define the health care system.

2. Discuss organizational climate and culture.

3. Explore mission statements, policies, and procedures.

4. Examine organizational structure.

5. Discuss decentralization and Shared Governance.

6. Explore data management and informatics.

7. Discuss the concepts of strategic management.

8. Define marketing

Chapter 8

Chapter 9

Chapter 10

Chapter 11

Chapter 12

Chapter 13

Chapter 14

Chapter 15

Lecture

Discussion

Case Studies

Unit IV: Care Management

Unit Objectives

Reading

Assignments

Learning

Activities

1. Identify models of care delivery.

2. Define case management.

3. Define disease management.

4. Identify patient and family cultural values.

5. Compare communication, persuasion, and negotiation.

6. Discuss all-hazards disaster preparedness.

7. Discuss evidence-based practice: Strategies for nursing leading.

Chapter 16

Chapter 17

Chapter 18

Chapter 19

Chapter 20

Chapter 21

Chapter 22

Lecture

Discussion

Case Studies

Unit V: Human Resources Management

Unit Objectives

Reading

Assignments

Learning

Activities

1. Define motivation.

2. Discuss power, conflict and delegation.

3. Explore team building and working with effective. groups.

4. Discuss confronting the nursing shortage.

5. Define cultural and general workforce diversity.

6. Discuss Staff recruitment, retention, and performance appraisal.

7. Define performance appraisal.

8. Discuss collective bargaining, staffing and schedule, legal and ethical issues.

Chapter 23

Chapter 24, 25

Chapter 26

Chapter 27

Chapter 28

Chapter 29, 30

Chapter 30

Chapter 32, 33, 34

Lecture

Discussion

Case Studies

Lecture

Discussion

Case Studies

Unit VI: Fiscal Management

Unit Objectives

Reading

Assignments

Learning

Activities

1. Define financial management, and budgeting.

2. Discuss productive and costing out nursing.

Chapter 35,

Chapter 37

Lecture

Discussion

Case Studies

Unit VII Outcomes Management

Unit Objectives

Reading

Assignments

Learning

Activities

1. Discuss change and innovation.

2. Explain quality improvement and health care safety.

3. Discuss measuring and managing outcomes.

Chapter 38

Chapter 39

Chapter 40

Lecture

Discussion

Case Studies