caring for older adults holistically, 4th edition chapter eleven the management role of the licensed...
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Caring for Older Adults Holistically, 4th EditionCaring for Older Adults Holistically, 4th Edition
Chapter ElevenChapter Eleven
The Management Role of the Licensed
Practical/Vocational Nurse
Caring for Older Adults Holistically, 4th EditionCaring for Older Adults Holistically, 4th Edition
Management RolesManagement Roles
Management role of LPNs changes constantly Work of LPN always involves leadership skills Always clarify the scope of responsibility and role
expected to be fulfilled
Caring for Older Adults Holistically, 4th EditionCaring for Older Adults Holistically, 4th Edition
Management StylesManagement Styles
Everyone has a personal management style Determine an effective but flexible leadership style Authoritarian
High concern for tasks done Low concern for the people who perform those tasks Make all decisions in work place
Caring for Older Adults Holistically, 4th EditionCaring for Older Adults Holistically, 4th Edition
Management StylesManagement Styles
Authoritarian Does not allow for creative thinking or new ideas This management style is good in emergency
situations Permissive or laissez-faire
Exact opposite of the authoritarian style Consists of an absence of leadership Does not require employee accountability
Caring for Older Adults Holistically, 4th EditionCaring for Older Adults Holistically, 4th Edition
Management StylesManagement Styles
Democratic or participative Strong valuing of the people on the team Gathers information from other team members Identifies individual responsibilities Takes more time than other management styles
Caring for Older Adults Holistically, 4th EditionCaring for Older Adults Holistically, 4th Edition
CommunicationCommunication
Important skill for a manager Verbal communication
Change of ideas and understanding through spoken words
Nonverbal communication Ability to share messages without using words Body posture, facial and hand expressions
Caring for Older Adults Holistically, 4th EditionCaring for Older Adults Holistically, 4th Edition
CommunicationCommunication
Communicating with clients Normal aging changes that affect communication
Slower speech, presbycusis, presbyopia, slower responses
Successful communication with older adults must be based on respect for them as people
Caring for Older Adults Holistically, 4th EditionCaring for Older Adults Holistically, 4th Edition
CommunicationCommunication
Communicating with clients (cont.) Strategies
Do not approach the person from the side Place yourself on eye level Reach out and touch the person if appropriate Speak at a normal rate Choose setting without disturbing or distracting
noises
Caring for Older Adults Holistically, 4th EditionCaring for Older Adults Holistically, 4th Edition
CommunicationCommunication
Strategies (cont.) Repeat questions or comments Listen carefully
Communicating with the families Recognize the emotional environment of the family Listen to them before you begin providing
information Spend time with family members
Caring for Older Adults Holistically, 4th EditionCaring for Older Adults Holistically, 4th Edition
CommunicationCommunication
Communicating with the families (cont.) Find a quiet place to talk Facilitate the sharing of information from other
health-care providers Families are as important as the person
Caring for Older Adults Holistically, 4th EditionCaring for Older Adults Holistically, 4th Edition
CommunicationCommunication
Interdisciplinary team communication Important to have effective communication between
team members Be prepared to discuss information with team Be ready to justify your concerns or requests Nurse is patient advocate
Caring for Older Adults Holistically, 4th EditionCaring for Older Adults Holistically, 4th Edition
Additional Communication SkillsAdditional Communication Skills
Assertive communication skills Assertive behavior is the most effective response Assertive response must not violate the rights of
another person Use statements “I feel,” “When you,” “We should”
Caring for Older Adults Holistically, 4th EditionCaring for Older Adults Holistically, 4th Edition
Additional Communication SkillsAdditional Communication Skills
Active listening Requires listening to what is being said Do not prepare a defense Show support for other person’s feelings Clarify the problem and negotiate a solution
Caring for Older Adults Holistically, 4th EditionCaring for Older Adults Holistically, 4th Edition
Planning HoopPlanning Hoop
Planning process never ends Planning is an intelligent process of thinking
based on facts and information Plan must always be re-evaluated Planning process consists of assessment, goal
setting, implementation, evaluation
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Planning HoopPlanning Hoop
Assessment Identify problem or potential problem that concerns
you Determine what knowledge is lacking
Goal setting Preparing a plan to resolve a management problem Goals should be meaningful and carefully
thought out
Caring for Older Adults Holistically, 4th EditionCaring for Older Adults Holistically, 4th Edition
Planning HoopPlanning Hoop
Implementation Performance of plan
Evaluation Plan must be evaluated for its effectiveness
Crisis management Occurs when manager does not take the time
to plan
Caring for Older Adults Holistically, 4th EditionCaring for Older Adults Holistically, 4th Edition
Priority SettingPriority Setting
Priority is determined after assessment of the situation Need to think of the entire organization when determining
priorities Two categories
Concerns that relate to patient or resident care Concerns that relate to the process of running the
business of the institution
Concerns need to be listed as a need or a want
Caring for Older Adults Holistically, 4th EditionCaring for Older Adults Holistically, 4th Edition
Managing PersonnelManaging Personnel
Nurse manager is responsible for hiring and evaluating employees
Interview Exchange of information Determine applicants
Dependability, skills, willingness to assume responsibilities, adaptability, willingness and ability to work with others
Caring for Older Adults Holistically, 4th EditionCaring for Older Adults Holistically, 4th Edition
Managing PersonnelManaging Personnel
Interview (cont.) Be specific and direct in your comments Develop interview guide
Employee evaluation All organizations have an established process for
evaluating employees First evaluation may come at 3 months, 6 months, or 12 months
Caring for Older Adults Holistically, 4th EditionCaring for Older Adults Holistically, 4th Edition
Managing PersonnelManaging Personnel
Employee evaluation (cont.) Based on the five basic assumptions
Assist employee to improve the management of
the workload Employee appraisal is a difficult process No one likes the current form; a perfect form does not exist Information must be gathered on day-to-day
basis Appraisal made by supervisor
Caring for Older Adults Holistically, 4th EditionCaring for Older Adults Holistically, 4th Edition
Managing PersonnelManaging Personnel
Employee evaluation (cont.) Should avoid
Leniency error Recency error Halo error
Evaluation process is critical to the growth and stability of the organization
Caring for Older Adults Holistically, 4th EditionCaring for Older Adults Holistically, 4th Edition
Making Care AssignmentsMaking Care Assignments
Making effective assignments is critical to any clinical area
Successful care assignments match the worker with the older person in a manner that allows for the best nursing care to be administered and received
When making assignments, consider skills of employees
Caring for Older Adults Holistically, 4th EditionCaring for Older Adults Holistically, 4th Edition
Making Care AssignmentsMaking Care Assignments
Use Benner’s From Novice to Expert theory to assess CNAs’ skills Novice Advanced beginner Competent Proficient Expert
Caring for Older Adults Holistically, 4th EditionCaring for Older Adults Holistically, 4th Edition
Making Care AssignmentsMaking Care Assignments
The novice CNA also should be assigned to an expert CNA who can assist with care when needed
Expert CNAs should be assigned to the most challenging older adults
More effective to assign the same employee to an older person for several days in succession
Caring for Older Adults Holistically, 4th EditionCaring for Older Adults Holistically, 4th Edition
Making Care AssignmentsMaking Care Assignments
Delegation Goal is to delegate tasks while maintaining quality
patient and resident care Familiarize yourself with the Nurse Practice Act for
the state where you work Become familiar with the policy and procedures
and job descriptions for your facility
Caring for Older Adults Holistically, 4th EditionCaring for Older Adults Holistically, 4th Edition
Making Care AssignmentsMaking Care Assignments
Delegation (cont.) Five rights of delegation
Right task Right circumstance Right person Right direction Right supervision
Delegate routine work that can be done by someone else
Caring for Older Adults Holistically, 4th EditionCaring for Older Adults Holistically, 4th Edition
Making Care AssignmentsMaking Care Assignments
Providing education to employees Assist with continuing education of employees Assist with increasing and maintaining the skills of
the employee Provide adequate orientation to new employees Provide mentoring program for new employees
Caring for Older Adults Holistically, 4th EditionCaring for Older Adults Holistically, 4th Edition
Managing Quality of CareManaging Quality of Care
Joint Commission on Accreditation of Hospitals (JCAH)
American Nurses Association National League of Nursing Total Quality Management (TQM)