Yoder-Wise's Leading and Managing in Canadian Nursing

2nd Edition - August 8, 2019
Imprint: Mosby Canada
Author: Patricia S. Yoder-Wise
Editors: Janice Waddell, Nancy Walton
Language: English

Prepare for licensure and your transition to practice! Organized around the issues in today's constantly changing healthcare environment Yoder-Wise's Leading & Managing in Ca… Read more

Yoder-Wise's Leading and Managing in Canadian Nursing

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Prepare for licensure and your transition to practice! Organized around the issues in today's constantly changing healthcare environment Yoder-Wise's Leading & Managing in Canadian Nursing, 2nd Edition offers an innovative approach to leading and managing by merging theory, research, and practical application. This cutting-edge text is intuitively organized around the issues that are central to the success of Canadian nurses including cultural diversity, resource management, advocacy, patient safety, delegation, and communication. In addition, it provides just the right amount of information to equip you with the tools you need to master leadership and management – all to help prepare you for clinical practice!

Cover image
Title page
Table of Contents
Copyright
Dedication
Acknowledgements
Contributors
Reviewers List
Preface
Learner’s Guide
PART 1. Core Concepts
1. Leading, Managing, and Following
Introduction
Personal Attributes and Behaviours Needed to Lead, Manage, and Follow
Theory Development in Leading, Managing, and Following
The Promise of Complexity Science
Leading, Following, and Managing Competencies
Leading, Managing, and Following During Complex Times
Conclusion
The Evidence
Chapter Checklist
Tips for Leading, Managing, and Following
2. Developing the Role of Leader
Introduction
The New Competencies for Nurse Leaders
Leadership, Health Informatics, and Social Media
Leadership Styles for Today
Task-Focused Leadership Styles
Relational Leadership Styles
Approaches to Leadership
The Impact of Leadership
Developing Future Leaders
Examples of Leadership Development Frameworks
The Impact of LEADS
The Leadership Challenge
Dorothy Wylie Health Leaders Institute (DWHLI)
The Evidence
Chapter Checklist
Tips for Becoming A Leader
3. Developing the Role of Manager
Introduction
The Management Role
Evidence-Informed Decision Making
Mentoring
Organizational Culture
Day-to-Day Management Challenges
Managing Health Care Settings
Managing Resources
Informatics
Budgets
Quality Indicators
Professionalism
The Evidence
Chapter Checklist
Tips for Implementing The Role of Nurse Manager
4. Nursing Leadership in Indigenous Health
Introduction
Indigenous Populations and Health
Indigenous Nursing Knowledge AND Leadership
Reconciliation
Conclusion
The Evidence
Chapter Checklist
Tips for Leading with Equity
5. Patient Focus
Safe, Competent, and Ethical Practice
Patient-Centred Care
Collaborative Practice
Patient Safety
Nursing-Sensitive Outcomes
Conclusion
The Evidence
Chapter Checklist
Tips for Patient-Focused Leadership
6. Ethical Issues
Introduction
The Relational Context of Ethics
Relational Ethics
The Principles of Bioethics
Code of Ethics for Nurses
The Interdependent Environment of Nursing: Ethics and the Law
Defining Ethical Problems for Nurse Managers
Long-Term Consequences of Experiencing Moral Distress
A Model for Ethical Decision Making for Nurse Managers and Leaders
Conclusion
The Evidence
Chapter Checklist
Tips for Decision Making and Problem Solving
7. Legal Issues
The Law in Canada
The Regulation of Health Care Workers
Implications and Liability
Nursing and the Law
Maintaining Confidentiality and Protecting Privacy
Protective and Reporting Laws
Labour and Employment
Drug Laws
Consent to Treatment
Malpractice
Risk Management
Conclusion
The Evidence
Chapter Checklist
Tips For Incorporating Learning About Legal Concerns Into Nursing Practice Settings
8. Making Decisions and Solving Problems
Introduction
Problem Solving and Decision Making
Intellectual Processing in Problem Solving and Decision Making
Factors that Affect the Quality of Decisions
Applying the Problem-Solving Process
Decision-Making Models
Group Decision Making
Conclusion
The Evidence
Chapter Checklist
Tips for Decision Making and Problem Solving
9. Health Care Organizations
Introduction
History of Medicare
Funding
The Canadian Health Care System
Health Care Services Funding
Organizing the Delivery of Care
Approaches to Delivering Care
Types and Classifications of Health Care Services
A Theoretical Perspective
External Forces Influencing Health Care Organizations
Health Human Resources
Conclusion
The Evidence
Chapter Checklist
Tips for Nurse Managers And Leaders
10. Understanding and Designing Organizational Structures
Introduction
Mission
Vision
Philosophy and Values
Organizational Culture
Factors Influencing Organizational Development
Characteristics of Organizational Structures
Bureaucracy
Types of Organizational Structures
Analyzing Organizations
Emerging Fluid Relationships
The Evidence
Chapter Checklist
Tips for Understanding Organizational Structures
11. Cultural Diversity in Health Care
Introduction
Cultural Diversity in Health Care Organizations
Cultural Diversity and Prejudice
Culture and Theoretical Frameworks and Models
Individual and Societal Factors
Dealing Effectively with Cultural Diversity
Conclusion
The Evidence
Chapter Checklist
Tips for Dealing with Cultural Diversity
12. Power, Politics, and Influence
Introduction
Key Powerful Canadian Nurse Leaders
Types of Power
Empowerment Theories and Nursing
Implications for Practice
Power Strategies
Exercising Power and Influence: Policy and Politics
Policy Recommendations
Implications for Practice
Policy Advocacy and Nursing
The Evidence
Chapter Checklist
Tips for Using Influence
PART 2. Managing Resources
13. Caring and Communicating in Nursing With Technology
Introduction
Nursing Informatics
Technologies
Medical Devices and Monitoring Technologies
Electronic Health Record Systems
Hardware and Devices for Electronic Health Records Systems
Future Technology
Impact of Technology on Clinical Care
Technology, Therapeutic Communication, and Compassionate Care
Implementing Technology in Clinical Settings
Patient Safety and Technology
Technology and Informatics in Nursing Education
Nurse Leaders and Nursing Informatics
Professional, Ethical Nursing Practice and New Technologies
Conclusion
The Evidence
Chapter Checklist
14. Managing Costs and Budgets
Introduction
What Escalates Health Care Costs?
How is Health Care Financed?
Approaches to Health Care Financing
Using Activity to Inform the Budget
The Changing Health Care Economic Environment
Bending the Cost Curve
What Does the Health Care Economic Environment Mean for Nursing Practice?
Cost-Conscious Nursing Practices
Budgets
The Budgeting Process
Managing the Unit-Level Budget
The Evidence
Chapter Checklist
Tips for Managing Costs and Budgets
15. Care Delivery Strategies
Introduction
Total Patient Care (Patient Allocation)
Functional Nursing
Team Nursing
Primary Nursing
Nursing Case Management
Care Strategies That Influence Care Delivery
Conclusion
The Evidence
Chapter Checklist
Tips for Selecting a Care Delivery Model
16. Staffing and Scheduling
Introduction
The Staffing Process
Forecasting Unit Staffing Requirements
Scheduling
Evaluating Unit Staffing and Productivity
Conclusion
The Evidence
Chapter Checklist
Tips for Staffing and Scheduling
17. Selecting, Developing, and Evaluating Staff
Introduction
Role Concepts and the Position Description
Selecting Staff
Developing Staff
Performance Reviews
Coaching
Performance Tools
The Evidence
Chapter Checklist
Tips for Conducting a Job Interview
PART 3. Changing the Status Quo
18. Strategic Planning and Goal Setting
Introduction
Strategic Planning
The Evidence
Chapter Checklist
Tips For Planning and Goal Setting
19. Nurses Leading Change: A Relational Emancipatory Framework for Health and Social Action
Introduction
Critiquing Current Perspectives/Theories of Change
The Framework: Presenting an Alternative
Participation
Engaging in Critical Dialogue
Authentic Listening and Responding
Critical Thinking
The Change Process: A Relational Emancipatory Framework
Example of Student Nurses Leading Change Using a Relational Emancipatory Change Framework
Conclusion
The Evidence
Chapter Checklist
Tips for Leading Change
20. Building Teams Through Communication and Partnership
Introduction
Groups and Teams
Team Development
Qualities of a Team Member
Creating Synergy
Generational Differences Among Team Members
The Value of Team Building
Conflict and Teams
Communication
Managing Emotions
Reflective Practice
Mindfulness and Compassion
The Role of Leadership in Team Success
The Evidence
Chapter Checklist
Tips for Team Building
21. Collective Nursing Advocacy
Introduction
Defining Collective Action and Advocacy
Nursing Organizations and Collective Action
Nursing Governance
Conclusion
The Evidence
Chapter Checklist
Tips for Team Building
22. Understanding Quality, Risk, and Safety
Introduction
Quality and Safety in Health Care
The Quality Improvement Process
Risk Management
Conclusion
The Evidence
Chapter Checklist
Tips for Quality Management
23. Translating Research Into Practice
Introduction
Research Utilization
Evidence-Based Practice
Translating Research Into Practice
Evaluation of Evidence
Organizational Strategies
Challenges for Nurse Managers and Leaders
The Evidence
Chapter Checklist
Tips for Developing Skill in Applying Evidence to Practice
PART 4. Interpersonal and Personal Skills
24. Understanding and Resolving Conflict
Introduction
Types of Conflict
Stages of Conflict
Categories of Conflict
Approaches to Conflict Resolution
Differences of Conflict-Handling Styles Among Nurses
The Role of the Leader
Mediation via Negotiation
Managing Social Dominance
The Evidence
Chapter Checklist
Tips for Addressing Conflict
25. Managing Personnel Challenges
Introduction
Personnel Obstacles: Absenteeism
Personnel Obstacles: Lack of Cooperation and Productivity
Personnel Obstacles: Emotionally Incongruent Employees
Personnel Obstacles: Novice Challenges Versus Clinical Incompetence
Personnel Obstacles: Chemical Dependency
Employee Discipline Approaches
Termination
Documentation
Conclusion
The Evidence
Chapter Checklist
Tips for Documenting Problems
26. Workplace Violence and Incivility
Introduction
Defining Workplace Violence and Incivility
Prevention Strategies
Horizontal Violence: The Threat From Within
Conclusion
The Evidence
Chapter Checklist
Tips for Preventing Workplace Violence
27. Inter- and Intraprofessional Practice and Leading in Professional Practice Settings
Introduction
Concepts and Definitions
The Rise of Distinct Disciplines
Scope of Practice
A Framework for Interprofessional Collaboration
Moving Forward in Collaborative Practice
Leading Interprofessional Teams
Working “With” Versus “Alongside” Others
Conclusion
The Evidence
Chapter Checklist
Tips for Practising and Leading in Interprofessional Settings
28. Role Transition
Introduction
Types of Role Transitions
Roles: the ABCs of Understanding Roles
Role Transition Process
Strategies to Promote Role Transition
Conclusion
The Evidence
Chapter Checklist
Tips for Role Transitioning
29. Self-Management : Stress and Time
Introduction
Understanding Stress
Sources of Job Stress
Stress Management
Resolution of Stress
Time Management
Meeting Management
Conclusion
The Evidence
Chapter Checklist
Tips for Self-Management
30. Thriving for the Future
Introduction
Leadership Demands for the Future
Leadership Strengths for the Future
Visioning
Shared Vision
Projections for the Future
Nursing: Preparing for the Future
Implications
Conclusion
Chapter Checklist
Tips for the Future
31. Leading and Managing Your Career
Introduction
What Is a Career?
Leading and Managing Your Career
The Donner-Wheeler Career Planning and Development Model (Donner-Wheeler Model)
Visioning—What do I Really Want to be Doing?
Assessing—Who am I? How do Others See Me?
Scanning—What are the Current Realities and Future Trends?
Planning—How Can I Achieve My Career Goals?
Marketing—How Can I Best Market Myself?
Conclusion
The Evidence
Chapter Checklist
Tips for Leading and Managing Your Careers
32. Nursing Students as Leaders
Introduction
Leadership Domain: Career Planning and Development
Leadership Domain: Academic Community
Leadership Domain: Research Engagement
Leadership Domain: Professional Practice
Conclusion
Chapter Checklist
Tips to Engage in Student Leadership
Index
Key Leadership Skills

Janice Waddell

Dr. Janice Waddell is a Professor Emeritus in the Daphne Cockwell School of Nursing (DCSN) at Toronto Metropolitan University (TMU). Over the course of her academic career at TMU, Dr. Waddell has served as a faculty member and Associate Director in the DCSN, Associate Dean of the Faculty of Community Services, inaugural Director of Experiential Learning, and Interim Associate Director of the Yeates School of Graduate Studies (YSGS). In addition, she has served as a supervisor for undergraduate and graduate students in Toronto Metropolitan University’s Undergraduate and Master of Nursing programs.

Dr. Waddell’s teaching, learning and research interests include: Career planning and development for nurses, with a particular emphasis on nursing students and faculty; factors influencing student engagement; enhancing the transition from student to registered nurse; curriculum development; new faculty development; and the scholarship of learning and teaching.

Dr. Waddell has been active in the nursing community and has held many leadership roles within the Registered Nurses Foundation of Ontario, a charitable organization that supports nurses and nursing students to advance their nursing leadership, education, and scholarship. Dr. Waddell was made an honorary member of the Canadian Nursing Students’ Association in acknowledgement of her career planning and development work with undergraduate nursing students.

Affiliations and expertise

Professor Emerita, Daphne Cockwell School of Nursing, Toronto Metropolitan University, Toronto, Ontario

Nancy Walton

Dr. Nancy Walton is the Associate Dean, Student Affairs in the Yeates School of Graduate and Postdoctoral Studies, and an Associate Professor in the Daphne Cockwell School of Nursing, at Toronto Metropolitan University (TMU). At TMU since 2003, she has previously served as Director of the School of Nursing, as Director of eLearning, and as the Chair of the TMU Research Ethics Board. In 2016-17 she was seconded to the Ontario Ministry of Colleges and Universities as Special Advisor to the Deputy Minister.

Dr. Walton serves as an ethicist on, and Deputy Chair of the Health Canada and Public Health Agency of Canada’s Research Ethics Board. She also served as the Chair of the Women's College Hospital Research Ethics Board from 2015-2021.

Dr. Walton has a PhD in Nursing with completion of the Collaborative Program in Bioethics from the University of Toronto (2003) and an undergraduate degree in nursing science from TMU (1992). She has published and presented on priority setting and decision-making in cardiac surgery, ethical considerations of internet-based research, research ethics board composition, and ethical and legal considerations in research on children and adolescents and most recently on ethical issues arising in the Ebola virus disease outbreak as well as the implications of artificial intelligence in nursing. She was a co-investigator for the CIHR Team Grant-funded project CCORT 2 (Canadian Cardiovascular Outcomes Research Team 2) and co-investigator for the Ministry of Health and Long-Term Care-funded project on Variations in Revascularization Practices in Ontario, and is currently a Co-Investigator for an ongoing clinical trial on coercion and consent. As a PI, her areas of research and interest are the experiences of parenting children with disabilities, and the ethical considerations in the use of technologies and innovations in health care.

Dr. Walton was a longstanding member with expertise in ethics on the Research Ethics Board at the Hospital for Sick Children, a founding member of the Research Ethics Board at the Ontario College of Art and Design University, a scientific member of the REB at Women's College Hospital and she remains an ad hoc member of the TMU REB. She was a previous member of the National Council on Ethics in Human Research (NCEHR) and is a member of CAREB (Canadian Association of Research Ethics Boards). In 2016, she received the Distinguished Service Award from the Canadian Association of Research Ethics Boards (CAREB) for significant contributions to research ethics through teaching, research or service.

Affiliations and expertise

Associate Professor, Daphne Cockwell School of Nursing; Associate Dean, Yeates School of Graduate and Postdoctoral Studies, Toronto Metropolitan University, Toronto, Ontario; Deputy Chair and Ethicist, Health Canada/Public Health Agency of Canada’s Research Ethics Board, Toronto, Ontario

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Yoder-Wise's Leading and Managing in Canadian Nursing

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Janice Waddell

Nancy Walton

Patricia S. Yoder-Wise

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