Table of Contents
| Ch. 1 | Introduction to nursing management | 2 |
| Ch. 2 | How organizations are designed | 10 |
| Ch. 3 | How nursing care is delivered | 31 |
| Ch. 4 | Leading and managing | 43 |
| Ch. 5 | Understanding legal and ethical issues | 67 |
| Ch. 6 | Understanding power and politics | 84 |
| Ch. 7 | Thinking critically, making decisions, solving problems | 100 |
| Ch. 8 | Communicating effectively | 121 |
| Ch. 9 | Handling conflict | 133 |
| Ch. 10 | Delegating successfully | 143 |
| Ch. 11 | Building and managing teams | 155 |
| Ch. 12 | Budgeting and managing resources | 171 |
| Ch. 13 | Managing and improving quality | 182 |
| Ch. 14 | Using health care technology systems | 194 |
| Ch. 15 | Managing stress and time | 202 |
| Ch. 16 | Initiating and managing change | 216 |
| Ch. 17 | Handling staffing and scheduling | 230 |
| Ch. 18 | Recruiting and selecting staff | 241 |
| Ch. 19 | Motivating and developing staff | 259 |
| Ch. 20 | Evaluating staff performance | 277 |
| Ch. 21 | Coaching, disciplining, and terminating staff | 295 |
| Ch. 22 | Reducing turnover, retaining staff | 302 |
| Ch. 23 | Managing absenteeism and other staff problems | 312 |
| Ch. 24 | Handling collective-bargaining issues | 327 |
Forewords & Introductions
Leading and managing are essential skills for all nurses in today's rapidly changing health care arena. New graduates find themselves managing unlicensed assistive personnel, and experienced nurses are managing groups of health care providers from a variety of disciplines and educational levels. Declining revenues and increasing costs mandate that every organization use its resources efficiently; thus, nurses are challenged to manage effectively with fewer resources. Never has the information presented in Effective Leadership and Management in Nursing, Fifth Edition, been needed more. This textbook can help both student nurses and those with practice experience acquire the skills to ensure success in today's dynamic health care environment.
FEATURES OF THE FIFTH EDITION
Effective Leadership and Management in Nursing has made a significant and lasting contribution to the education of nurses and nurse managers in its four previous editions. Used worldwide, this award-winning textbook is now offered in an updated and revised edition to reflect changes in the current health care system and in response to suggestions from the book's users. The Fifth Edition builds upon the work of previous contributors to provide the most up-to-date and comprehensive learning package for today's busy students and professionals.
Two supplementary texts, the popular student workbook and the Instructor's Resource Manual, have been revised. In addition, we have added a few unique new supplements—a Companion Website and online course management systems—designed to enhance both student and faculty use of this textbook. Together this complete packagefacilitates rapid learning of essential content and skills.
Student-Friendly Learning Tools
Designed with the adult learner in mind, the book focuses on the application of the content presented and integrates clinical examples throughout each chapter. To further illustrate and emphasize key points, each chapter in this edition includes these features:
- Chapter outline and content preview
- Key terms defined on the pages where they first appear
- "Leadership and Management in Action"—end-of-chapter critical thinking exercises that help students apply what they have learned
- A bulleted summary at the end of the chapter
- Up-to-date references
Plus, at the end of each chapter, the reader will find a link to the Companion Website for additional exercises and research on the Web.
HALLMARK FEATURE: MULTIDISCIPLINARY AUTHORS
This book has been a success for many reasons. It combines practicality with conceptual understanding; is responsive to the needs of faculty, nurse managers, and students; and taps the expertise of contributors from a variety of disciplines, especially management professionals whose work has been adapted by nurses for current nursing practice. The expertise of management professors in schools of business and practicing nurse managers is seldom incorporated into nursing textbooks. This unique approach provides students with invaluable knowledge and skills and sets the book apart from others.
ORGANIZATION
The text is organized into three sections that address the essential information and key skills that nurses must learn to succeed in today's volatile health care environment.
Part I. Understanding Nursing Management and Organizations. Part I introduces the concepts of organizations and organizational theory and design with an emphasis on redesign, restructuring, reengineering, integrated care networks, and managed care. Leadership is presented within a theoretical framework, and management functions are explained. Also included in Part I is information about legal challenges, ethical dilemmas, power, and politics, all necessary for nurses to succeed and prosper.
Part II. Key Skills in Nursing Management. Essential skills for today's managers comprise Part II. These include creating and managing budgets, encouraging efficiency and productivity, promoting quality management, solving problems and making decisions, communicating with a variety of individuals and groups, resolving conflicts, using information technology effectively, managing time and stress, delegating, working in teams, and effecting change.
Part III. Human Resource Management. Human resources are the health care system's most valuable asset so nurses must be adept at recruiting and selecting staff, assigning staff, handling scheduling, managing turnover, appraising and enhancing performance, and handling the inevitable personnel problems. In addition, collective bargaining—a key issue today in many organizations—is included in Part III.
NEW EXPANDED TEACHING AND LEARNING PACKAGE
Effective Leadership and Management in Nursing has been designed for leadership and management courses for undergraduate students and for experienced nurses who are new managers. The book comes with a complete teaching/learning package, which includes the Instructor's Resource Manual; a student workbook, Nursing Leadership and Management in Action; a Companion Website; and online course companions available in WebCT and Blackboard.
Instructor's Resource Manual. The popular Instructor's Resource Manual provides instructors with a comprehensive outline of the entire book for syllabi and classroom lectures, a complete test bank, and overhead transparency masters. The Instructor's Resource Manual also guides instructors in how to get the most out of the other elements of the teaching/ learning package, such as the student workbook, Nursing Leadership and Management in Action, and the Companion Website.
Nursing Leadership and Management in Action. The companion workbook, Nursing Leadership and Management in Action, has been designed for use with Effective Leadership and Management in Nursing, Fifth Edition. Developed to help students acquire practical management skills, the workbook consists of a series of modules, each focusing on a particular skill. Some modules are designed for individual student practice and others for use in the skills laboratory or classroom. This workbook provides the instructor with valuable teaching activities and gives students opportunities to practice the skills introduced in the textbook. Activities in the workbook cover important timely topics, including problem solving, critical thinking, leadership styles, budgeting, using the Internet, communication, conflict resolution, delegation, and sensitivity to multicultural issues.
Companion Website. New to this package is a free Companion Website. This website serves as a text-specific, interactive online workbook to both Effective Leadership and Management in Nursing and Nursing Leadership and Management in Action. The Companion Website includes modules for objectives, chapter outlines, key terms and definitions, discussion questions with essay responses, NCLEX review questions with automatic grading, current event exercises with links to other sites for student research and essay responses, and more. Instructors adopting this textbook for their courses have free access to an online Syllabus Manager with a whole host of features that facilitate the students' use of this Companion Website.
Online Course Management. Also new to this package are online course companions available for schools using WebCT and Blackboard course management systems. For more information about adopting an online course management system to accompany Effective Leadership and Management, Fifth Edition, please contact your Prentice Hall Health sales representative.
ACKNOWLEDGMENTS
The success of previous editions of this book has been due to the expertise of many contributors. Nursing administrators, management professors, and faculty in schools of nursing all made significant contributions to earlier editions. I am enormously grateful to them for sharing their knowledge and experience to help nurses learn leadership and management skills. Without them, this book would not exist. A complete list of contributing authors to all the editions of Effective Leadership and Management in Nursing is found on page viii.
At Prentice Hall Health, Executive Editor, Maura Connor, and Beth Romph, Editorial Assistant, guided this revision throughout. Gretchen Miller provided editing services, Larry Purnell contributed advice about health care organizations, Carol Perry offered up-to-date information on employment law, and Karen Backus furnished information on the status of collective bargaining. I am grateful to all of them.
Because health care continues to change, reviewers who are using the book in their management practice and in their classes provided invaluable comments and suggestions. I am indebted to the reviewers listed on page viii.
A special thank you to Consulting Editor, Pat Jamerson. She managed the project throughout, updated content, wrote, and edited chapters. Her work was vital to this edition and is greatly appreciated.
To everyone who has contributed to this fine book over the years, I thank you.
Eleanor J. Sullivan, PhD, RN, FAAN
Read an Excerpt
Preface
Leading and managing are essential skills for all nurses in today's rapidly changing health care arena. New graduates find themselves managing unlicensed assistive personnel, and experienced nurses are managing groups of health care providers from a variety of disciplines and educational levels. Declining revenues and increasing costs mandate that every organization use its resources efficiently; thus, nurses are challenged to manage effectively with fewer resources. Never has the information presented in Effective Leadership and Management in Nursing, Fifth Edition, been needed more. This textbook can help both student nurses and those with practice experience acquire the skills to ensure success in today's dynamic health care environment.
FEATURES OF THE FIFTH EDITION
Effective Leadership and Management in Nursing has made a significant and lasting contribution to the education of nurses and nurse managers in its four previous editions. Used worldwide, this award-winning textbook is now offered in an updated and revised edition to reflect changes in the current health care system and in response to suggestions from the book's users. The Fifth Edition builds upon the work of previous contributors to provide the most up-to-date and comprehensive learning package for today's busy students and professionals.
Two supplementary texts, the popular student workbook and the Instructor's Resource Manual, have been revised. In addition, we have added a few unique new supplements—a Companion Website and online course management systems—designed to enhance both student and faculty use of this textbook.Together this complete package facilitates rapid learning of essential content and skills.
Student-Friendly Learning Tools
Designed with the adult learner in mind, the book focuses on the application of the content presented and integrates clinical examples throughout each chapter. To further illustrate and emphasize key points, each chapter in this edition includes these features:
- Chapter outline and content preview
- Key terms defined on the pages where they first appear
- "Leadership and Management in Action"—end-of-chapter critical thinking exercises that help students apply what they have learned
- A bulleted summary at the end of the chapter
- Up-to-date references
Plus, at the end of each chapter, the reader will find a link to the Companion Website for additional exercises and research on the Web.
HALLMARK FEATURE: MULTIDISCIPLINARY AUTHORS
This book has been a success for many reasons. It combines practicality with conceptual understanding; is responsive to the needs of faculty, nurse managers, and students; and taps the expertise of contributors from a variety of disciplines, especially management professionals whose work has been adapted by nurses for current nursing practice. The expertise of management professors in schools of business and practicing nurse managers is seldom incorporated into nursing textbooks. This unique approach provides students with invaluable knowledge and skills and sets the book apart from others.
ORGANIZATION
The text is organized into three sections that address the essential information and key skills that nurses must learn to succeed in today's volatile health care environment.
Part I. Understanding Nursing Management and Organizations. Part I introduces the concepts of organizations and organizational theory and design with an emphasis on redesign, restructuring, reengineering, integrated care networks, and managed care. Leadership is presented within a theoretical framework, and management functions are explained. Also included in Part I is information about legal challenges, ethical dilemmas, power, and politics, all necessary for nurses to succeed and prosper.
Part II. Key Skills in Nursing Management. Essential skills for today's managers comprise Part II. These include creating and managing budgets, encouraging efficiency and productivity, promoting quality management, solving problems and making decisions, communicating with a variety of individuals and groups, resolving conflicts, using information technology effectively, managing time and stress, delegating, working in teams, and effecting change.
Part III. Human Resource Management. Human resources are the health care system's most valuable asset so nurses must be adept at recruiting and selecting staff, assigning staff, handling scheduling, managing turnover, appraising and enhancing performance, and handling the inevitable personnel problems. In addition, collective bargaining—a key issue today in many organizations—is included in Part III.
NEW EXPANDED TEACHING AND LEARNING PACKAGE
Effective Leadership and Management in Nursing has been designed for leadership and management courses for undergraduate students and for experienced nurses who are new managers. The book comes with a complete teaching/learning package, which includes the Instructor's Resource Manual; a student workbook, Nursing Leadership and Management in Action; a Companion Website; and online course companions available in WebCT and Blackboard.
Instructor's Resource Manual. The popular Instructor's Resource Manual provides instructors with a comprehensive outline of the entire book for syllabi and classroom lectures, a complete test bank, and overhead transparency masters. The Instructor's Resource Manual also guides instructors in how to get the most out of the other elements of the teaching/ learning package, such as the student workbook, Nursing Leadership and Management in Action, and the Companion Website.
Nursing Leadership and Management in Action. The companion workbook, Nursing Leadership and Management in Action, has been designed for use with Effective Leadership and Management in Nursing, Fifth Edition. Developed to help students acquire practical management skills, the workbook consists of a series of modules, each focusing on a particular skill. Some modules are designed for individual student practice and others for use in the skills laboratory or classroom. This workbook provides the instructor with valuable teaching activities and gives students opportunities to practice the skills introduced in the textbook. Activities in the workbook cover important timely topics, including problem solving, critical thinking, leadership styles, budgeting, using the Internet, communication, conflict resolution, delegation, and sensitivity to multicultural issues.
Companion Website. New to this package is a free Companion Website. This website serves as a text-specific, interactive online workbook to both Effective Leadership and Management in Nursing and Nursing Leadership and Management in Action. The Companion Website includes modules for objectives, chapter outlines, key terms and definitions, discussion questions with essay responses, NCLEX review questions with automatic grading, current event exercises with links to other sites for student research and essay responses, and more. Instructors adopting this textbook for their courses have free access to an online Syllabus Manager with a whole host of features that facilitate the students' use of this Companion Website.
Online Course Management. Also new to this package are online course companions available for schools using WebCT and Blackboard course management systems. For more information about adopting an online course management system to accompany Effective Leadership and Management, Fifth Edition, please contact your Prentice Hall Health sales representative.
ACKNOWLEDGMENTS
The success of previous editions of this book has been due to the expertise of many contributors. Nursing administrators, management professors, and faculty in schools of nursing all made significant contributions to earlier editions. I am enormously grateful to them for sharing their knowledge and experience to help nurses learn leadership and management skills. Without them, this book would not exist. A complete list of contributing authors to all the editions of Effective Leadership and Management in Nursing is found on page viii.
At Prentice Hall Health, Executive Editor, Maura Connor, and Beth Romph, Editorial Assistant, guided this revision throughout. Gretchen Miller provided editing services, Larry Purnell contributed advice about health care organizations, Carol Perry offered up-to-date information on employment law, and Karen Backus furnished information on the status of collective bargaining. I am grateful to all of them.
Because health care continues to change, reviewers who are using the book in their management practice and in their classes provided invaluable comments and suggestions. I am indebted to the reviewers listed on page viii.
A special thank you to Consulting Editor, Pat Jamerson. She managed the project throughout, updated content, wrote, and edited chapters. Her work was vital to this edition and is greatly appreciated.
To everyone who has contributed to this fine book over the years, I thank you.
Eleanor J. Sullivan, PhD, RN, FAAN
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