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Library of Congress Cataloging-in-Publication Data
Leading and managing in nursing / [edited by] Patricia S Yoder-Wise – Sixth edition p. ; cm.
Includes bibliographical references and index
ISBN 978-0-323-18577-6 (pbk : alk paper)
I Yoder-Wise, Patricia S , 1941- editor of compilation
Senior Content Development Specialist: Danielle Frazier
Publishing Services Manager: Jeff Patterson
Senior Project Manager: Tracey Schriefer
Design Direction: Ashley Miner
Dedication
This book is dedicated to the families and friends who supported us as we created it; to the faculty who are dedicated to producing the nursing service leaders for the ever changing healthcare services; to the learners who have committed to an exciting career in nursing administration; and to the nurse leaders who face the incredible issues of health care every day, who do their best in leading important changes in practice, and who remain committed to the glory of nursing: the care we deliver to patients.
Lead on! ¡Adelante!
Contributors
Michael R Bleich, PhD, RN, NEA-BC, FAAN President and Maxine Clark and Bob Fox Dean and Professor Goldfarb School of Nursing at Barnes-Jewish College St. Louis, Missouri
Chapter 1: Leading, Managing, and Following
Mary Ellen Clyne, MSN, RN, NEA-BC President and Chief Executive Officer Clara Maass Medical Center Belleville, New Jersey
Chapter 16: Strategic Planning, Goal-Setting, and Marketing
Jeannette T. Crenshaw, DNP, RN, LCCE, IBCLC, NEA-BC, FAAN Doctor of Nursing Practice Executive Leadership in Nursing Specialization, Assistant Professor, Texas Tech University Health Sciences Center, Lubbock, Texas
Chapter 19: Workforce Engagement and Collective Action
Mary Ann T. Donohue, PhD, RN, APN, PMH-CNS, NEA-BC Vice President and Chief Nursing Executive, Jersey Shore University Medical Center, Meridian Health System, Neptune, New Jersey
Chapter 28: Self-Management: Stress and Time
Karen A. Esquibel, PhD, RN, CPNP-PC Associate Professor of Nursing, Pediatric Nurse Practitioner, Texas Tech University Health Sciences Center School of Nursing, Lubbock, Texas
Chapter 9: Cultural Diversity in Health Care
Michael L. Evans, PhD, RN, NEA-BC, FACHE, FAAN Dean and Professor, Texas Tech University Health Sciences Center School of Nursing, Lubbock, Texas
Chapter 3: Developing the Role of Leader
Victoria N. Folse, PhD, APN, PMHCNS-BC, LCPC Director and Associate Professor, School of Nursing, Illinois Wesleyan University, Bloomington, Illinois
Ginny Wacker Guido, JD, MSN, RN, FAAN Regional Director for Nursing and Assistant Dean, College of Nursing, Washington State University Vancouver, Vancouver, Washington
Chapter 5: Legal and Ethical Issues
Debra Hagler, PhD, RN, ACNS-BC, CNE, ANEF, FAAN Clinical Professor, College of Nursing & Health Innovation, Arizona State University, Phoenix, Arizona
Chapter 29: Managing Your Career
Karen Kelly, EdD, RN, NEA-BC Associate Professor & Director, Continuing Education, Southern Illinois University Edwards, ville School of Nursing, Edwardsville, Illinois
Chapter 10: Power, Politics, and Influence
Shari Kist, PhD, RN
Assistant Professor, Goldfarb School of Nursing at Barnes-Jewish College, St. Louis, MissouriChapter 1: Leading, Managing, and Following
Karren Kowalski, PhD, RN, NEA-BC, FAAN Professor, Texas Tech University Health Sciences Center, Lubbock, Texas President and CEO, Colorado Center for Nursing Excellence Denver, Colorado
Chapter 18: Building Teams Through Communication and Partnerships
Chapter 24: Managing Personal/Personnel Problems
Mary E. Mancini, PhD, RN, NE-BC, FAHA, FAAN Professor and Associate Dean of Undergraduate Nursing Programs, The University of Texas Arlington, College of Nursing Arlington, Texas
Chapter 7: Healthcare Organizations
Chapter 8: Understanding and Designing Organizational Structures
Maureen Murphy-Ruocco, ANP, C, MSN, EdM, DPNAP, FNAP Professor and Associate Dean School of Nursing and Health Education Graduate Program, Felician College School of Education, Rutherford, New Jersey
Chapter 26: Delegation: An Art of Professional Nursing Practice
Dorothy A. Otto, EdD, MSN, RN, ANEF Associate Professor, University of Texas Health Science Center-Houston, School of Nursing, Houston, Texas
Chapter 9: Cultural Diversity in Health Care
Elaine S. Scott, PhD, RN, NE-BC Associate Professor, Director, East Carolina Center for Nursing Leadership, College of Nursing, East Carolina University, Greenville, North Carolina
Chapter 17: Leading Change
Ashley Sediqzad Clinical Informatics Manager, Children’s Mercy Hospitals and Clinics, Kansas City, Missouri
Chapter 11: Caring, Communicating, and Managing with Technology
Janis B Smith, RN, DNP Director, Clinical Informatics and Professional Practice, Children’s Mercy Hospitals and Clinics, Kansas City, Missouri
Chapter 11: Caring, Communicating, and Managing with Technology
Susan Sportsman, PhD, RN, ANEF, FAAN Director, Academic Consulting Group, Nursing and Health Professions, Elsevier Inc , St Louis, Missouri
Diane M. Twedell, DNP, RN, CENP Chief Nursing Officer, Southeast Minnesota Region Mayo Clinic Health System, Austin, Minnesota
Chapter 15: Selecting, Developing, and Evaluating Staff
Chapter 27: Role Transition
Jana Wheeler, RN, MSN, CPN Manager, Clinical Informatics, Children’s Mercy Hospitals & Clinics, Kansas City, Missouri
Chapter 11: Caring, Communicating, and Managing with Technology
Crystal J. Wilkinson, DNP, RN, CNS-CH, CPHQ Assistant Professor Texas Tech University Health Sciences Center, School of Nursing, Lubbock, Texas
Chapter 25: Workplace Violence and Incivility
Patricia S. Yoder-Wise, RN, EdD, NEA-BC, ANEF, FAAN Professor and Dean Emerita, Texas Tech University Health Sciences Center, Lubbock, Texas
Chapter 2: Safe Care: The Core of Leading and Managing
Chapter 30: Thriving for the Future
Margarete Lieb Zalon, PhD, RN, ACNS-BC, FAAN Professor Department of Nursing, University of Scranton, Scranton, Pennsylvania
Chapter 21: Translating Research into Practice
Chapter 22: Consumer Relationships
David Zambrana, DNP, MBA, RN Chief Operating Officer, University of Miami Hospital, Miami, Florida
Chapter 19: Workforce Engagement and Collective Action
EVOLVE RESOURCES Test Bank
Joyce Engel, PhD, RN, BEd, MEd Associate Professor, Department of Nursing Brock University, St. Catharines, Ontario
Reviewers
Peer review is a critical aspect of most publications Peers tell us what is strong and what is missing They direct the content of a publication from their area of knowledge and experience. These individuals provide insightful comments and suggestions to hone the information presented in a text or article, and we are indebted to them The end result of their efforts, as in any peer review process, is a stronger presentation of information for the readership We are grateful to the masked reviewers of this publication. Thank you!
Mary T. Boylston, RN, MSN, EdD, AHN-BC Professor of Nursing, Eastern University, St Davids, Pennsylvania
Elizabeth P. Crusse, MS, MA, RN, CNE Clinical Assistant Professor, Towson University, Department of Nursing, Towson, Maryland
Dee Ernesti, RN, MSN, CENP Instructor, University of Nebraska Medical Center College of Nursing, Omaha, Nebraska
Mary L. Fisher, PhD, RN Professor of Nursing, Associate Vice Chancellor for Academic Affairs, Indiana University-Purdue University, Indianapolis, Indianapolis, Indiana
Shirley Garick, PhD, RN Interim Director of Nursing, Professor of Nursing, Texas A&M University-Texarkana, Texarkana, Texas
Beth Bates Gaul, PhD, RN Professor of Nursing, Grand View University, Des Moines, Iowa
Evalyn J. Gossett, MSN, RN Clinical Assistant Professor, Indiana University Northwest, College of Health and Human Services, School of Nursing, Gary, Indiana
Judy Gregg, MS, RN Nursing Instructor, Mount Vernon Nazarene University, Mount Vernon, Ohio
Nancy Grove, PhD, RN Associate Professor (Retired), University of Pittsburgh, School of Nursing, Johnstown, Pennsylvania
Emma Kientz, MS, APRN-CNS, CNE Assistant Professor, The University of Oklahoma, Tulsa, Oklahoma
Mary B. Killeen, PhD, RN, NEA-BC Adjunct Associate Professor, Department of Nursing, University of Michigan-Flint, Flint, Michigan
Dimitra Loukissa, PhD, RN Associate Professor, North Park University, School of Nursing, Chicago, Illinois
Catherine Poillon Lovecchio, PhD, RN Assistant Professor of Nursing, The University of Scranton, Scranton, Pennsylvania
Anne Boulter Lucero, MSN, RN Assistant Director, Nursing Instructor, Cabrillo College, Aptos, California
Dorothea E. McDowell, PhD, RN Professor of Nursing, Henson School of Science and Technology, Salisbury University, Salisbury, Maryland
Lynn A. Menzel, RN, BSN, MA Case Management, Martin Health System, Stuart, Florida
Bettie G. Miller, MSN, MS, BSE, BSN, RN-BC Instructor of Nursing, Eleanor Mann School of Nursing, PhD (Candidate), Public Policy Program-Policy Studies in Aging, University of Arkansas, Fayetteville, Arkansas
Juleann H. Miller, PhD, RN Associate Professor, Assistant Director of the Nursing Program, St Ambrose University, Davenport, Iowa
Jack E. Rydell, DNP, RN Assistant Professor, Concordia College, Moorhead, Minnesota
Charlotte Silvers, RN, MSN, CPHQ Assistant Professor, Texas Tech University Health Sciences Center School of Nursing, Lubbock, Texas
Darlene Sredl, PhD, RN Professor of Nursing, College of Nursing, University of Missouri-St. Louis, St Louis, Missouri
Charlotte A Wisnewski, PhD, RN, CDE, CNE BSN Program Director, University of Texas Medical Branch School of Nursing at Galveston, Galveston, Texas
Joyce Wright, PhD, RN, CNE, CNL Associate Professor, Coordinator of the RN to BSN Program, New Jersey City University, Jersey City, New Jersey
Judith Young, DNP, CCRN Clinical Assistant Professor, Indiana University School of Nursing, Indianapolis, Indiana
Acknowledgments
Patricia S Yoder-Wise, RN, EdD, NEA-BC, ANEF, FAAN, Texas Tech University Health Sciences Center, Lubbock, Texas
From the beginning of the precedent setting first edition leadership/management text to this sixth edition, many people had a part in making this publication possible Perhaps the group that is often overlooked is, in a sense, the most important the graduates who tell me how valuable information was in this text and how it prepared them for the evolving role of nurses as they take on new roles and responsibilities in their careers. Thank you for sharing your wisdom with us!
Special acknowledgment goes to the team at Elsevier the “behind the scenes” people who turn Word documents into a graphically appealing and colorful presentation To our content strategist, Yvonne Alexopoulos; to our content development specialist, Danielle Frazier; and to our project manager, Tracey Schriefer: THANKS!
To the authors who made this edition possible: thank you for helping the next generation of nurses be well prepared to enter the profession of nursing and to exercise both leadership and management in responsible and artistic ways. To the educators who have used this textbook and provided feedback, we listened and, as with the comments of the reviewers, incorporated suggestions as needed
Most of all, for me personally, I have to thank my husband and best friend, Robert Thomas Wise He has lived through six editions of this text and knows by now that when the deadlines tighten, his humor and creativity need to increase. And they do! His willingness to take on more of the things that might be deemed mutual tasks is a small example of his ongoing support You are the best!
As has been true since the beginning of Leading and Managing in Nursing, we who created and revised this edition learned more about a particular area and the impact of each area on the whole of leadership and management Our learning reflects the condition of nursing today: there is no room for stagnation on any topic The context in which nurses lead and manage is constantly changing so the key to success is to learn continuously. Keep learning, keep caring, and maintain our passion for nursing and the patients we serve. That message, if nothing else, must be instilled in our leaders of tomorrow
Lead on! ¡Adelante!
Preface
Leading and managing are two essential expectations of all professional nurses and become increasingly important throughout one’s career To lead, manage, and follow successfully, nurses must possess not only knowledge and skills but also a caring and compassionate attitude
This book results from our continued strong belief in the need for a text that focuses in a distinctive way on the nursing leadership and management issues of today and tomorrow We continue to find that we are not alone in this belief. This edition incorporates reviewers from both service and education to be sure that the text conveys important and timely information to users as they focus on the critical roles of leading, managing, and following Additionally, we took seriously the various comments by educators and learners offered as I met them in person or heard from them by email.
ConceptandPracticeCombined
Innovative in both content and presentation, Leading and Managing in Nursing merges theory, research, and practical application in key leadership and management areas Our overriding concern in this edition remains to create a text that, while well grounded in theory and concept, presents the content in a way that is real Wherever possible, we use real-world examples from the continuum of today’s healthcare settings to illustrate the concepts Because each chapter contributor synthesizes the designated focus, you will find no lengthy quotations in these chapters. We have made every effort to make the content as engaging, inviting, and interesting as possible. Reflecting our view of the real world of nursing leadership and management today, the following themes pervade the text:
• Every role within nursing has the basic concern for safe, effective care for the people for whom we exist our clients and patients
• The focus of health care continues to shift from the hospital to the community at a rapid rate
• Healthcare consumers and the healthcare workforce are increasingly culturally diverse.
• Today virtually every professional nurse leads, manages, and follows, regardless of title or position
• Consumer relationships play a central role in the delivery of nursing and health care
• Communication, collaboration, team-building, and other interpersonal skills form the foundation of effective nursing leadership and management
• Change continues at a rapid pace in health care and society in general
• Change must derive from evidence-based practices wherever possible and from thoughtful innovation when no or limited evidence exists.
• Healthcare delivery is highly dependent on the effectiveness of nurses across roles and settings
