Motivating staff is a big part of leadership in any industry. Because of the high stress nature of staff nursing, motivation and support and proactive work environment improvement policies are very important to retain qualified nurses. In "The Five Practices of Exemplary Leadership" Nursing," authors James Kouzes and Barry Posner claim that "leadership is everyone's business," including CEOs, unit leaders, nurse managers and even nurses. Motivating nurses is one of the biggest challenges of nursing management that registered nurse Michelle Voss says can be met by introducing interactive and proactive processes and avoiding reactive responses. Show
Regularly Ask for Feedback
Involve Nurses in Leadership
Set Up Mutual Understanding
Commit to Positive Communication
requires the development of a long term plan advantages of recruiting from outside organizations increases number of candidates key principal of resume
construction personal responsibilities for career management long-term coaching for career development occurs over the entire employment tenure of an employee transfer to another unit to perform the same duties management development classes require the inclusion of social learning activities lead nurses to become disengaged in their career boredom--increases with time on the same job increases the chances of long-term career success voluntarily opt for a self-selected downward transfer competency of an employee determined by documentation of effectively meeting role demands
demonstration of advance achievement of competencies professional specialty certification restraining forces for specialty certification in professional nursing
included in a well developed, planned system for career development
management function associated with career development works cooperatively to arrange intra-orgizational transfers stage of career where nurses are experienced clinicians with expert knowledge, skill, abilities, credentials and education base focus of a nursing portfolio purpose of competency assessment regarding a nurse's career identifying way to exceed minimal licensing requirements activities that represent a commitment to career planning
effective transition program for grad nurses address what issues
activities directed toward new grads responsibilities to their nursing career
maintaining adequate staff in the organization use knowledge of turnover rates on their units for planning and hiring role of unit managers in recruitment regardless of the extent of their involvement, must be aware of recruitment and selection constraints within their organization relationship between national and local economy and an organization's ability to maintain adequate workforce in recession many part-time nurses have to return to full-time and other to delay their retirement improves if the interview is structured uniformly ways the interviewer can increase reliability and validity of an interview develop a
structured interview format appropriate strategy for planning, conducting, and controlling the interview an applicant isn't qualified, the interviewer should be tactful, but advise the applicant ASAP that they aren't qualified for the job illegal
interview questions
selectors processing employment applications always follow up on references and verify
employment history when an attempt is made to place employees in units where they have the greatest chance of success induction phase of employee indoctrination occurs after hiring but before preforming the role acceptable interview question
nursing shortages usually occur when the economy is receding or beginning upswinging contributed to acute shortage in health-care settings in the late 90's
driving current nursing shortage--economically supply side of the supply/demand equation important factors to consider in recruiting, interviewing, and selecting personnel
predictor of job performance and overall effectiveness interview questions are difficult to respond to without some advance thought
must be completed before a position is offered
health disparities are likely
to occur when health-care workers lack diversity in:
factors affecting accurate prediction of staffing needs
greatest obstacle to solving the projected nursing shortage advantage of staff turnover
most
helpful intervention to help new RN adjust to the professional nursing role be alert to s/s of the shock phase of role transition managers role in socialization sharing organizational values, expected attitudes, and history You overhear an experienced nurses say to a new nurse, "Sorry you won't be able to join us for our weekly get-together at the local yogurt shop. I see you are going to be here charting for a while yet." What is this an example of? application of sanction regarding group norms action likely to
result in encouraging EBP providing a computer program to nurses for access to the latest nursing research relationship between employee and role model Which intervention by the unit supervisor best assist the RN who has just been promoted to charge nurse to adjust to the new role? Encourage the RN to meet with staff peers in the organization initial task when organizing a class to prepare nurses to function in the new neonatal ICU? identifying the knowledge or skill needed works well with people
who have had life experiences readiness to learn implies acquired skills necessary for what is to be learned best way to teach a pt to self-administer insulin teach in short, frequent
sessions suggests most behavior is leaned by direct experience and observation emphasis of the manager in the coaching role helping employees reach optimal level of performance first
step to developing an educational program for an organization identify the skills or knowledge the staff should have best method for determining the effectiveness of a staff development program for managing IV puncture sites? observe the staff implement and document the changes
recommended common feature of a learning organization neglected areas of the indoctrination phase
who is responsible for education
and training of staff manager and education department Which action demonstrates the leadership role to the socialization and education of new nursing staff during their orientation? discusses the value the unit places upon patient satisfaction negative outcome that can result from decentralization of the responsibilities of staff development increased role ambiguity (2 people share responsibilities) previously acquired skills necessary for further learning Which statement demonstrates understanding of the concept of the knowledge of results? "today each of you demonstrated an understanding of pt. focused care" The nurse-manager stresses the importance of learning a new skill to achieving the unit's goal of patient satisfaction. This demonstrates understanding of which concept of learning? most fiscally responsible method for determining staffing needs for a hospital unit agreed-upon staffing formula currently in use patient classification system internal and external forces may affect
classification system requires greater worker accountability outcome of decentralized staffing greater manager autonomy to control the staffing on the units, resulting in an increase in self-esteem and teamwork priority goal for a manager with regard to staffing and scheduling ensure that there is adequate staff to meet the needs of each patient most accurate statement regarding staffing and scheduling policies? it is necessary that policies
are written in a manner that allows some flexibility concerns associated with decentralized staffing carries the risk that employees may be treated unequally or inconsistently outcome associated with good PCS provides understanding of staffing problems positive impacts, new practice models have on the staffing mix? impact patient care assignment mentods identifies a system that allows employees to select among variations in work start-time
schedules to meet their personal needs prenegotiated budget management critical responsibility of managers legislated minimum staffing ratios proposed to improve patient care There are advantages and disadvantages to each type of scheduling. What is true about extending the workday with 10- or 12-hour shifts?
What occurs when RN hours decrease in a unit's calculation of nursing care hours per patient day (NCH)/(PPD)? decrease patient satisfaction silent/veteran generation values more flexible part-time and 12-hour shift options generation X
(early 1960s-early 1980s) staff scheduling policies must not violate
advantage of decentralized scheduling unit manager understands the needs of the unit and staff intimately what is true about agency or travel nurses? leadership role associated with staffing and scheduling role models the use of evdience in making appropriate staffing and scheduling decisions advantages of centralized scheduling
legal nurse-patient ratio for med-surge since '08
Which external and internal forces must a manager adjust for when implementing the PCSs associated with unit staffing?
employee behavior best reinforced by employees' expectations about their work environment or a certain even will affect their behavior motivating factor identified in Herzberg's motivation-hygiene theory motivation that is directly related to a person's internal level of aspiration McClelland said achievement motivation focuses on the intrinsic need to be successful employees are lazy, uncreative, and indifferent toward work implication in a hierarchy of needs unsatisfied needs trigger behavior Vroom emphasized the importance of managers knowing each employee's expectation of reward employees should be "stretched" intermittently to complete tasks more difficult than what they are used to
doing Skinner, rewards to reinforce should be given specific to a particular performance purpose for manages to "network" further professional goals related to the degree of work life control subordinates perceive they have what helps with demotivation managerial characteristic is essential in assuring that employees will find joy at work? forming respectful relationships intrinsic motivation is directly related to Herzberg's example of a hygiene factor 3 basic needs people are motivated by according to McMlelland
Gellerman said most managers in organizations fail to give employees sufficient decision-making power most important strategy to prevent burnout most powerful yet overlooked or understood motivators that managers can use to create a
motivating climate When attempting to create a work environment that includes appropriate and effective monetary incentives, the nurse-manager will initially address which issue? whether the staff views monetary incentives as having the greatest value basic factor involving staff motivation and its relationship with the achievement of unit-oriented goals relationship staff has with management nursing manager will have the greatest impact on staff satisfaction regarding the filling of an assistant management position recruitment policies are followed consistently statement made by the Director of Nursing demonstrates the value of internal promotion of nursing staff "this faculty values the efforts made by its nursing staff to perform at their highest levels of knowledge and practice" example of intrinsic motivation reward a staff member is awarded a trip to a nursing conference based on written request that was submitted best combination that characterizes the communication process When does communication have the greatest likelihood of being accurately interpreted? when more than one mode is used It is given more credence than verbal communication when the two are An RN is a team leader for a small module of patients. While listening to a tape- recorded report on Mr. Smith, one of your team members remarks, ìMy mother lives near him and she says his wife is a terrible housekeeper.î As the leader of the team, what will the RN do? ask the team member what the point of sharing the info was downsizing will occur through normal attrition and voluntary absences without pay. Today, the evening charge nurse reported that last evening the staff was discussing various rumors about mass layoffs. What is the best approach to take? hold a meeting for all staff members and tell them the rumors are not true behavior associated with the "norming" phase Group members establish short- and long-term goals for the group to accomplish involves rights and responsibilities for all parties in the communication An RN is orienting a new graduate nurse to the unit and has found this individual's charting to be inadequate. What is the most appropriate statement to initiate a discussion with the new RN? "tell me in your own words what you intend your charting to convey" The RN overhears the nurses' aide speaking in a harsh tone to Mrs. Smith, who has some early Alzheimer's memory loss. Which statement will the RN make to begin addressing this issue? "i am concerned about your conversation with
Ms. Smith. It seemed short and impatient" most personnel engaging in the unofficial exchange of information only essential information is included responsibility of the gatekeeper in group building Facilitating and promoting open communication of all group members the maintenance of confidentiality it can be breached when necessary for legitimate professional need what is important to remember about gender differences in communication it affects the quality of organization communication where do you state the pt problem in SBAR traditional form of communication in organizations that helps to coordinate activities in various levels of the hierarchy What portion of GRRRR (greeting, respectful listening, review, recommend or request more information, and reward) is being used when the speaker summarizes the information conveyed to make sure the message was understood correctly? communication mode is considered most reliable in conveying the emotional component of the message most significant barrier to effective interpersonal communication Incongruence between verbal and nonverbal messages Which method best provides a structured orderly approach to communicating accurate, relevant information, in emergent patient situations as well as routine handoffs How can the Internet be best used as a means of improving one's personal nursing practice? Accessing the latest research and best practice information behavior by a team member is demonstrated through cynicism and a nonchalance attitude about the group's work Which nursing action demonstrates compliance with the American Nurses Association (ANA) principles for social networking by nurses? Participating in the development of institutional policies governing online conduct vocal delivery suggests that a person is asking a question rather than making a statement A nurse sits at the foot of a patient's bed during an admission interview. This positioning supports the proxemics concept of which psychological comfort zone? accepted tactic when engaged in a negotiation beginning with a high but realistic expectation A charge nurse assists a group of personnel to resolve their conflict, with the outcome being that the two opposing goals were discarded and new goals were adopted. What is this an example of? facilitating collaboration among personnel can be manipulative; thus, managers should know how to identify and counter destructive tactics interactionist theorists of the 1970s believe about organizational conflict contemporary thinking about conflict two or more people have conflict about values or goals occurs if the conflict is intellectualized What methods do managers use to add motivational theory into practice?In this section you'll study two methods used by managers to put motivational theory into practice: job models and goals. These two practices can be observed in almost every organization, profit and nonprofit alike.
What action should the nurseWhat action should the nurse-manager perform to increase the likelihood that performance appraisals will motivate employees and be seen as fair? Reflect carefully on his or her own biases and values and their possible effect on appraisals.
Which methods to improve motivation of nurses would be most effective and why?15 tips to engage and motivate nurses. Build a strong employer brand. ... . Communicate your ethics and core values. ... . Provide a great onboarding experience. ... . Drive engagement through daily huddles. ... . Create a positive work environment through a culture of respect. ... . Lead by example. ... . Provide ongoing development opportunities.. What methods do managers put motivational theory into practice quizlet?Two methods of applying motivation theory in the workplace are job models and goal setting.
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A nurse manager can best implement Gellerman theory of motivation by performing what action
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