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Questions and Answers of
Leadership And Management
What are the elements of the conflict resolution process that Sam must be aware of as he walks through the stages of addressing the conflict between these two individuals?
How does Sam engage the team in owning and investing in this conflict resolution process?
How does Sam keep the environment safe, push for resolution among team members, and ensure a successful conflict resolution process?
How does Sam evaluate the effectiveness of the process and determine whether it made any difference?
Before pulling her team together, which kinds of strategic planning activities should Jane consider doing with her manager?
What would be a simple and definitive purpose statement that would guide Jane in structuring the team’s work?
How should Jane “set the table” with the right diversity of team members to address the issues the team will need to confront?
After selecting members of the team, what are the first activities Jane should lead the team members in addressing before beginning the team’s work?
Which goals should the team set out for itself? Which measures should the team use to evaluate the achievement of those goals?
As Kevin is planning for this meeting, which kinds of things should he be thinking about?
Should Kevin have any “terms of engagement” to address issues of communication with this individual?
Which ideas might Kevin give to help this individual become a more focused and positive contributor to the team’s deliberation and work?
What expectations should Kevin address and clarify prior to closing his meeting with this individual?
Should Kevin define a specific communication mode or any relational expectations for this individual? What expectations might you recommend to him?
List at least five supply and five demand factors that might have created this situation.
Is it possible to standardize these prices?
What would be the facilitators and obstacles to standardization?
In a team setting, make a list of activities specific to each of the five practices that are occurring in your organization.
Make a list of activities that should occur in the next year for each of the five categories.
What are the facilitators and barriers to improving retention?
Identify all of the issues or factors related to each of the three major categories of supply, demand, and price for the drugstores’ clinical services.
Based on your analysis, do you believe that supply of healthcare services and the demand for services has been equalized? Why or why not?
Are there additional changes in price, supply, or demand that would further equalize the economic dynamics of supply–price–demand?
Discuss the issue with your colleagues, sort through the complexities, and construct a protocol/standard that could be presented to the practice council.
With your team, present and defend the protocol/standard to your classmates by citing your supporting rationale and evidence.
Because this task will require interdisciplinary team deliberation and decision making, who should be at the table? How do those individuals reflect the continuum of care for this patient population?
Because Frank and his team are building a continuum of care service structure for a specific patient population, which services will be provided for that population? How do they reflect the continuum
What is the specific role of the nurse both in development of this continuum of care model and in its coordination, facilitation, and integration once the team has designed and formulated their
Which conversations do you need to have with your new manager at the outset before considering approaches that you might take to engage long-term staff for the unit?
What are some of the specific barriers to obtaining engagement and investment of your staff colleagues as they try to differentiate the more traditional management approach of the previous manager
You have noticed a general lack of enthusiasm on the part of the longer term staff members to become involved and personally invested in changes that affect their practice and patient care for the
What are some of the behaviors you need to be aware of in your own leadership practice that might affect your relationship—either negatively or positively—with your staff colleagues as you
In your learning team, discuss and then role-play a conversation you might have with the long-term staff about their becoming more fully invested and engaged in a particular change process. How might
With whom does Jan need to discuss this situation first, and what should be the content of this dialogue?
Who is the stakeholder community here, and how should they be gathered around this issue?
What would be some of the first elements of discussion and dialogue with the stakeholder group? Are the questions and issues that the group should initially concern itself with more about the
For this interdisciplinary relationship to work and integration to interdisciplinary care to thrive, which three or four principles must all the disciplines agree upon as a way of guiding their work
With the colleagues on your learning team, develop a plan for this interdisciplinary group as its members begin the work of building their relationships with one another and implementing an
Are these statements used routinely by any members on the team?
Are there other negative statements that are also used by team members?
Identify strategies to eliminate or at best minimize these statements both personally and in helping others eliminate internal negativity.
To present formally to a supervisor, work with two to three team members—using financial principles, value-driven outcomes, and multilevel measurements—to build a convincing case for decreasing
Which coaching practices should be in place that are specific to positive and negative performance?
How frequently should feedback be given? What should be included?
Describe the policies that would be needed to correct this problem.
Which providers would be involved?
What evidence would be used to select interventions?
How would the effectiveness be evaluated?
How would interventions be documented?
Should patients with intractable pain be considered a specific“population group”? Why? Why not?
As an experienced nurse, identify and describe the specific opportunities at the institutional, organizational, public, social, and health policy levels to improve palliative, hospice, and
What are the issues at each level that prevent adequate care?
Which key stakeholders need to be involved in addressing this issue?
How will you evaluate progress at each policy level when changes are made?
Describe a plan specific to nursing interventions at each policy level, including the facilitators of and barriers to the policy proposal.
What was appropriate and what was inappropriate?
How could this same situation be avoided in the future?
How might you prepare Nancy and Jane for this dialogue?
How will you prepare yourself as leader to facilitate their interaction?
Which key data will you need to inform the discussion at the table?
Who else will need to be present at the table and what will their role be?
Which conflicts do you anticipate and how will you prepare yourself for them?
Because you are attempting to establish a standard of delegation for practice on the unit, which critical elements of delegation are required to inform that standard?
Now that Nancy and Jane have agreed, who needs to be involved in the standards development process that reflects their agreement?
How will you obtain consensus around the standard once it is established as a protocol for practice?
What is the role of the Practice Council? How will the Council establish the expectations for performance with regard to the new standard on delegation?
What is the role of the unit manager in relationship to the established new standard for delegation?
Having seen the emotional reaction and heard the response from one of the nurses in this conflict, what is the first thing that Aaron should do in proceeding to address this issue?
After clarifying the elements involved in the issue and recognizing that the two nurses had legitimate concerns, Aaron has decided to mediate a conversation between them. What are some of the things
Aaron is aware that these two nurses need to find common ground and negotiate their differences so that they can continue to work together as colleagues. What are some of the things Aaron will need
The negotiation will need to go through a series of steps or stages as it proceeds toward agreement and resolution. With your learning team, outline the elements of this process of negotiation and
After agreement has been reached between these two nurses, what timeline should Aaron establish for evaluating progress and performance relative to their agreement? Which elements of the evaluation
Clearly, there is strong opportunity for using negotiation and communication skills as Elaine facilitates dialogue and decision making around the adaptation and application of the new LEAD
As Elaine leads this process and moves it toward defining particular standards, there will be times when the group members become entrenched in their positions. What are some of the strategies that
Strong emotions often come to the fore when people are attached to beliefs and practices. What are some techniques or processes that can help Elaine deal with these emotions and attachments to
Is there a role for testing and experimentation of approaches when absolute agreement cannot be reached for a single approach? How might that response be structured?
When a decision has been reached by the Practice Council for a particular protocol or standard of practice, what are some of the characteristics and elements of a valuation that need to be
How does the unit create a model that integrates the elements identified in the scenario and establishes a framework for planning evidence-driven care?
How can we engage the staff in the process of planning and implementing an evidence-based model so that there are higher levels of ownership from each of the practitioners?
Can we link patient needs, workload measurement, staffing skills and competencies, acuity needs, and resource parameters in an ongoing dynamic application that can adjust to the reality of a highly
As the consultant to this process, your obligation is to help gather the information necessary to answer these questions and assist management and clinical staff in developing a partnership around an
Given your knowledge of accountability, what advice would you give Stephen to help him get started in building and expanding the notion of accountability for all of the staff?
How do you change the staff participation terms of engagement from invitation to expectation?
What might be one of the first arenas for building the expectation of accountability?
Based on principles of evidence-based practice, what should be the foundation for creating a measurement instrument to evaluate current nursing practices related to incisional care and dressing
In your learning team, how would you differentiate between the critical short-term objectives of addressing immediate challenges to infection control and the long-term obligation for developing a
Describe the nature of change and innovation in a complex environment.
Compare and contrast principles of innovation and performance improvement.
List techniques to assist in the development of change and innovation competence.
Define the essential competencies and behaviors for effective change and innovation.
Enumerate specific strategies to embrace change.
Develop an understanding of the processes for overcoming obstacles to change and innovation.
Identify the purpose and essential elements of a contemporary business case for advancing quality using change and innovation principles.
Understand the characteristics and components of membership in a profession.
Define the role of the professional nurse as a member of the profession with focus and emphasis on the rights, privileges, and obligations of professional membership.
Describe the professional and ethical foundations of membership in a profession and the obligation to demonstrate those ethics in practice behaviors.
Outline the unique characteristics of professional and knowledge workers and the environment in context necessary to support and advance professional work.
List at least five elements of evidentiary dynamics (evidence as a system)essential to validating the meaning and value of a profession and the work it does.
State the personal characteristics of the professional as an individual and explain how they align the person and the profession in a unitary expression of the life and work of the profession.
Identify specific characteristics and skills of the team leader in relationship to transdisciplinary collaboration, team dynamics, team decision making, managing conflict, and achieving team outcomes.
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