Question

Subject: Nursing Leadership and Management
-Organizing
modalities of nursing care
A.)Kindly answer the following questions comprehensively and cite examples if needed. 1. List down situations where each modalities discussed are used. 2. Enumerate institutions which uses the different modalities of care. 3. Which among the various modalities of care do you think is the best? Why? Do not use the advantages and advantages enumerated during the lecture.-

-Management in Nursing
Theories of Management
Answer the following Questions based on our lecture and review on the different theories of Management. 1. Identify a poor decision that you have recently made because of poor data gathering? This can be an experience in the school, work or in your community? (minimum of 150 words) 2. Describe the 2 best decisions you've made in your life and identify 5 factors which assisted you in arriving to that wise decision? (minimum of 200 words) 3. What made you decide to become a nurse? (minimum of 100 words) 4. What is your predominant leadership style (a) authoritarian, (b) democratic or (c) laissez-faire. Defend your answer (minimum of 150 words) 5. Interview via phone call/messenger a Nurse leader (Charge Nurse, Head Nurse, CI, etc) Ask them what they perceive to be the top 5 leadership challenges encountered by them today.

C.)Power in Nursing Leadership and Management
-Learning Exercise: Give your opinion and a supporting statement from a reliable source for the following questions: 1. Research studies suggest differences in how men and women view power and how others view men and women in positions of authority. Do you think that there are gender differences on how people viewed as being powerful? 2. Who did you feel was most powerful in your family while growing up and what leadership style does that person uses? 3. Do you think that cultural diversity might be a challenge when empowering nurses? Think of ways that various cultures may view power and empowerment differently? 4. List down 1 person you have encountered in your life who possesses the qualities found in the various levels of leadership. (Juan Dela Cruz-Uncle- I placed him under level 1 (Position Level) because...)

D.)PLANNING
-Planning in Nursing
1.Think of yourself as an owner of a certain medical-related business and formulate a Vision, Mission, Philosophy (3), Goals (3) and Objectives. 2. In that company that you own, make an Organizational Structure together with their roles and functions. 3. As you plan for the best of the company, answer all the questions enumerated by KRON as you develop and schedule the programs? 4. Apply the 4 generations of management in your plan of action?

Answer 1

1. List down situations where each modalities discussed are used.---modalities of nursing care

§ Case Method/Total Patient Care : In case method, the nurse cares for one patient whom the nurse cares for exclusively. One nurse is assigned to one client and provides all care. The one-to-one pattern is common in critical care, with student nurses, and with private duty nurses. The advantage is that the client needs to work with only one nurse and that one nurse can focus on meeting all the biopsychosocial1 needs of the client and the family.

§ Functional Nursing : It is a task-oriented method wherein a particular nursing function is assigned to each staff member. The medication nurse, treatment nurse and bedside nurse are all products of this system. The RN coordinates care for an entire unit or team. Other nurses are assigned to pass medications and perform treatments. Personnel with less training are assigned to provide more basic care such as bed bath and bed making

§ Primary Nursing : The goal is for each client’s care to be comprehensive and coordinated, from the admission to discharge. Each client is assigned to a primary nurse, who is a RN, and that the nurse provides care for that client when he or she is working. a Primary Nurse (PN) cares for her primary patients every time she works and for as long as the patient remains on her unit.

§ Team Nursing : This is the most commonly used model and is still in use today. In the ideal team, an RN is assigned as a Team Leader for a group of patients. The Team Leader has a core of staff reporting to her, and together they work to disseminate the care activities. The team member possessing the skill needed by the individual patient is assigned to that patient, but the Team Leader still has accountability for all of the care.

§ Modular Nursing (District Nursing) : This is a modification of team and primary nursing. It is a geographical assignment of patient that encourages continuity of care by organizing a group of staff to work with a group of patients in the same locale.

§ Case management : It is a care delivery model that incorporates concepts of continuity and efficiency in addressing both long and short-term physical needs, psychological and social needs of clients. The primary goals are promoting self-care, upgrading the quality of life and using resources efficiently. Case managers are nurses who coordinate care of a group of clients, monitor the implementation of interdisciplinary care plans, and maintain communication with third party payers and referral sources. The nurse follows the client through the entire stay in the health care system and back into the community.

Enumerate institutions which uses the different modalities of care.

· Hospitals

· Care centers

· Palliative care hospitals

· Day care centers

· Alternative systems of care

Which among the various modalities of care do you think is the best? Why?

Total patient care

§ Consistency in carrying out the nursing care plan

§ Patient needs are quickly met as high number of RN hours are spent on the patient

§ Relationship based on trust is developed between the RN and the patient’s family