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PAD.DR.D Y PATIL COLLEGE OF NURSING
ON
SUBMITTED TO: SUBMITTED BY:
Mrs. Nisha Naik Mrs. Priyanka Pathak
Lecturer 2ND
Year M. Sc. Nursing
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LEADERSHIP
INTRODUCTION
Leadership is that leadership is the art of motivating a group of people to act
towards achieving a common goal. Put even more simply; the leader is the inspiration
and director of the action. He or she is the person in the group that possesses the
combination of personality and skills that makes others want to follow his or her
direction. In business, leadership is welded to performance. Effective leaders are those
who increase their companies' bottom lines.
To further confuse the issue, we tend to use the terms "leadership" and
"management" interchangeably, referring to a company's management structure as its
leadership, or to individuals who are actually managers as the "leaders" of various
management teams.
leadership involves more. To be effective, a leader certainly has to manage the
resources at her disposal. But leadership also involves communicating, inspiring and
supervising - just to name three more of the main skills a leader has to have to be
successful.
CONCEPT OF LEADERSHIP
Leaders typically are the ones who go first. They have vision and influence
other by their actions and their comments. This ability is the essence of leadership like
the word lead another word manage comes from meaning. Hand managing them
means handling things . In essence managers get other people to do, but leaders get
other people to want to do.
Leaders are most often associated with times of turbulence innovation social
transformation and change, whereas manager are more often assist anted with
improving productivity, establishing order and stability and making thing run to
smoothly management is the proceed of v getting work done through others . Nurse
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Managers at agree hierarchical level are expected to lead subordinates towards
institutional. Objectives as efficiently as possible.
DEFINITION OF LEADERSHIP
Although the term leader has been in use since the 1300s, the word leadership
was not known in the English language until the first half of the 19th century.
Leadership is the process of influencing people to accomplish goals, i.e. it is the
ability to influence behaviors o f others, towards the achievements of a mutually
establishes goal. The leader and follower roles are determined by peoples interaction
within groups, in contrast, the role of managers or administrator are jobs within
organization the role of manager is to coordinate the efforts of lower level employees
i.e. subordinates to advance the goals of the organization.
Leadership is a force that creates a capacity among a group of people to dosomething that is different or better
Leadership what leaders do; the process of influencing a group to achievegoals
An effective leader is a catalyst who facilitates effective interaction among
manpower, material and time. A skilful leader is synergist, who co-ordinates the efforts
of multiple workers with diverse skill. Leadership is social relationship in which one
party has a greater ability to influenced b him or her. Thus, leadership is based on a
powerful differential between interacting persons. Leadership is needed in cooperative
enterprise to align employees in support of goals, to spark group interaction, to blend
efforts of specialties. Thus nurse managers at every organizational level select
leadership style and methods that suit work force requirements.
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HISTORY OF LEADERSHIP PRACTICE IN NURSING
NNIIGGHHTTIINNGGAALLEESS SSCCHHOOOOLL OOFF NNUURRSSIINNGG
She considered first nurse executive. She integrated the functions of modern
nursing as care provider, management interdisciplinary education and scientific
research.
EEAARRLLYY UUSS HHOOSSPPIITTAALL
The better nursing school wanted superintendents, teachers and head nurse who
were cultivated women and educators as well as practioners.
11993300--11994400 TTHHEE BBUURREEAACCAACCYY
Nurse experienced difficulty in returning bureaucrat hospital setting after
functioning independently head nurses made in charges over staff nurses.
11994400--11995500 TTEEAAMM NNUURRSSIINNGG
As a mechanism for other nurses to share the supervision responsibility team
leader was senior nurse.
11996600 PPRRIIMMAARRYY NNUURRSSIINNGG
Primary nursing delegates decision making to bed side nurses.
11997700 DDEECCEENNTTRRAALLIIZZAATTIIOONN
To move a way from vertical organization with authority and decision making
task a t the top level.
11998800 SSHHAARREEDD GGOOVVEERRNNAANNCCEE
It recognizes the interdependence of every department in achieving quality
product.
1990 PATIENT CENTERED CARE.
It recognizes the interdependence of every department in achieving quality
product.
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PRINCIPLES OF LEADERSHIP
11.. VViissiioonn: (leadership begins with a vision.)A vision is a clear picture of what the
leader sees his group being or doing. If followers grasp the vision, become cohesive
and will be able to work towards common goal. A commitment to act on a vision a
mission.
22.. GGooaall setting: goals are a set of specific measurable steps designed to achieve the
vision and the mission.
Goals must be S-M-A-R-T; specific, measurable, attainable, realistic and tangible.
Goal setting is an ongoing process.
3. Love: An act of the will on which the leader works towards the highest good of
others.
44..HHuummiilliittyy: A humble person is free from pride and arrogance, helpful and courteous.
55.. SSeellff ccoonnttrrooll:: essential attitude and characteristic of a leader.It brings freedom,
confidence , joy , stability and strong sense of leadership.
66..CCoommmmuunniiccaattiioonn: the ability to communicate effectively through speech and writing.
77.. IInnvveessttmmeenntt:: to maximize its benefit to the group.
8. Opportunity: obstacles as the key to opportunities, attitude to handle mistakes.
99..EEnneerrggyy:: attracts attention and followers .A leader with energy and enthusiasm gains
acceptance and confidence of others.
1100.. SSttaayyiinngg ppoowweerr:: essential to overcome problems and discouragement. Indicates
strong awareness to a commitment.
1111.. AAuutthhoorriittyy:: - Internal authority- the charisma, self esteem, the personality that
causes a person to command respect of others.
1122.. AAwwaarreenneessss:: the leader must be aware of her leadership, constantly monitoring the
performance against a standard that she has set for herself to achieve excellence.
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TYPES OF LEADERSHIP
TRANSACTIONAL VERSUS TRANSFORMATIONAL LEADERSHIP
Outhwaite (2003) cites definitions of transactional and transformational
leadership as posited by bass in 1990. Transactional leadership involves how an
integrated team works together and the innovativeness of their approach to the work
Outhwaite (2003). For example, a leader can empower team member by allowing
individual to lead certain aspect of a project based on their areas of expertise. This will
encourage to development of individual leadership skill. In addition, leaders should
explore barriers and identify conflicts when they arise, and then work collaboratively
with team, sharing in the work, thus remaining close to perspective (Outhwaite, 2003)
Transactional leadership focuses on providing day to day care, while
transformational leadership is more focused on processes that motivate followers to
perform to their full potentential influencing change and providing a sense of
direction (Cook2001). The ability of a leader to articulate a shared vision is an
important aspect of transformational leadership (Faugier & Woolnough, 2002).
Transactional leadership is most concerned with managing predictability and order,
while transformational leaders recognize the importance of challenging the status quo
(Faugier & Woolnough, 2002) .
One group of authors described the use of transformational leadership by
Magnet hospital (De Geest, Clsaessens, Longerich, & Schubert, 2003). This leadership
style allows for solving, transmission of values and ethical principles, and ethical
principles, and provision of challenging goals while communicating a vision for thefuture (De Geest, Clsaessens, Longerich, & Schubert, 2003). Transformational
leadership is extremely important.
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LEADERSHIP STYLES: THEORIES
The wordstyle is the way in which the leader influences followers. Style is
distinctive or characteristics manner of performance. Style is defined as the exclusive
privilege of the expert. With style, the end is attained without side issues. Style
implies an elegance and economy of effort to be sought by every professional manager.
Style in general involves the way in which something is said or done, including
particular behaviors associated with an individual. Leadership style specifically is the
way that the leaders influence the group to accomplish goals. Let us have a look at the
various studies that help us to understand the leadership styles..
LEADERSHIP THEORIES
1. Scientific leaders? Manager, style theory2. Human relation theory3. Henri fayol theory of managerial style4. Mcgregor theory5. Theory z6. Trait theory of leadership7. Behavioral theory of leadership style8. Situational theory
TRANSACTIONAL AND TRANSFORMATIONAL LEADERS
Transactional Leaders
focuses in management tasks
Is care taker
Uses trade- offs to meet goals
Shared values not indentified
Examines causes
Uses reward contingency
Transformational Leaders
Identifies common values
Is committed
Inspires- others within vision
Has long-term vision
Looks at effects
Empowers others
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1. SCIENTIFIC LEADERS? MANAGER, STYLE THEORYThis theory was developed by Fredrick Winslow Taylor (1856-1915). In
1911, he emphasized technology as the basis of increasing productivity. He introduced
time-and-motion studies to analyses tasks based on belief that improving the
performance would improve the efficiency of the organization. He relied on scientific
study of time and movement spent and used for a job to improve the performance of
the worker and recommended careful selection and training of workers, who could
meet the established work standard. The leaders utilize this Taylors principle.
2. HUMAN RELATION THEORYThis theory was developed by Elton Mayo and Fritz Roethlisberger after
conducting series of studies from 1924 to 1932 at Howthorne Western Electric plan,
Chicago, to test several assumption of scientific management. They believe that real
power centers within the organization are the interpersonal relationship established
within the work organization.
These studies aimed at finding out if changes in illumination, rest period
and lunch breaks can affect the productivity of workers. It was found that less light,
shorter and fewer rest periods and shorter lunch breaks resulted in increase in
productivity. Increase in productivity was attributed to the attitude to the workers by
researchers made them feel important which resulted in improvement in their work
performance. It suggests that employees. The finding of this study concludes that a
leader not only should plan, decide, organize, lead and control but also consider the
human element.
3. HENRI FAYOL THEORY OF MANAGERIAL STYLEHenry Fayol (1841-1925 defined functions of manager in they that has
come to be known as the management process, which includes planning, organizing,directing and controlling. These functions are similar in many ways to the Nursing
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process Manger/ Leader; assess the type and amount of work needed and capabilities
of the employees to perform it. Manager also plan to organizes work duties ,direct staff
and customers and finally control the quality work by evaluating and revising plans.
This management function constitutes a set of behaviors expected of managers/leader.
When it can be applied to nursing unit, where about nurses assess their clients needs,
plans and organize client care, direct staff and clients, and control the quality of client
care by evaluating and revising care plans.
Fayol defines the essential activities needed to maintain of functioning
organization and his experience led him to develop following management principles.
1) There should be such a division of work and task specialization that differentworkers consistently carry out different job responsibilities.
2) Each worker should be given authority commensurate with the amount of hisresponsibility.
3) Each employee should receive orders from only one supervisor.4) One person should direct all activities that support simple activities.5) The interest of individual worker should be subordinated to interest of the total
work group.
6) There should be an unbroken scalar chain of authority extending from the topexecutive to the lowest level worker.
7) All employees should be treated with equity and justice.8) Manager should help workers to develop team work and esprit De corps .
4. McGREGOR THEORYDouglas McGregor (1960) categorized leadership style into two brand categories
in his management theories, i.e. theory X and theory Y, having two different beliefs
and assumption about subordinates.
Manager, who believes in theory X and assumes that people inherently dislike work,
will and avoid it when possible and the average individual prefers to be directed, wants
to avoid responsibility and is more interested in financial incentives than personal
achievement. Therefore, the style of leadership exercises strong controls and direction
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s and wherever necessary punish people if they do not do the work of people do the
work as desired, they may even get monetary or other rewards.
In contrast to theory X, the theory Y provide a more accurate assessment of
human nature, one that encourages workers to develop their full potential. This theory
Y, assumes that employees can enjoy physical and mental work justly as they enjoy
play and rest. Employees are capable of self motivation and job satisfaction if they are
happy in the organization and committed to its goals. Under proper conditions, the
average person learns both to seek and accept responsibility. The capacity to apply
creativity to solving organizational problem is widely, not narrowly distributed among
the workers. Theory Y leaders assume that people will work hard and assume
responsibility if they can satisfy their personal needs, and the objectives or goals of
their organization.
It suggested that theory Y organization will satisfy higher human needs,
resulting in greater employee responsibility and in turn, higher productivity
5. THEORY ZJapanese have adapted the principle of human relation theory, is commonly
known as theory Z the trust of this theory is participation in management
involvement of the employees in decisions that affect them. This theory emphasizes
group decision making, lifetime job security, and strong commitment to the goals of
the organization. The desire results are a greater sense of a job commitment, higher
productivity and lower turnover. Here as stressed in human relations theory, the
importance of employee morale on productivity is reflected in the value placed group
decision making.
6. TRAIT THEORY OF LEADERSHIPThe great man theory trait theories were basis for most leadership research until
the mid 1940s. The great man theory, from Aristotelian Philosophy, asserts tat some
people are born to lead, whereas other is born to be led. Trait theories assume thatsome people have certain characteristics or personality traits the distinguish great
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leaders; researchers studied the lives of prominent people through out history. The
effect of followers and the impact of the situation were ignored.
Although trait theories has obvious short coming (i.e. they neglect they impact
of others or the situations on the leadership roles) they are worth examine many of the
characteristics identified in trait theory are still used to describe successful leaders
today.
CHARACTERSTICS OF A LEADER
7. BEHAVIORAL THEORY OF LEADERSHIP STYLEAccording to the theory, a leader behaves according to the role expectations of
the group. This theorist believes that leadership style like other behaviors can be
learned regulated and developed. There is no one best leadership style. The
effectiveness of each leadership style depends upon the situation. As the situation
changes, the effectiveness manager adapt by changing leader behaviour research has
identified four styles of leadership in mangers from various fields; autocratic,democratic participative and laissez- faire.
Intelligence Personality Ability
Knowledge
Judgment
Decisiveness
Oral fluency
Adaptability
Creativity
Cooperativeness
Alertness
Self confidence
Personal integrity
Emotional balance &
control
Nonconformity
independence
Able to enlist
cooperation
Interpersonal skills
Tact, diplomacy
Prestige
Social participation
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AAuuttooccrraattiicc ssttyyllee::--
In this autocratic style of leadership task oriented. Leader uses positional and
personal power in authoritys manner, retaining responsibility for all goal setting and
incision making. A leader of this type makes decision without the participation of
people concerned.
Autocratic style leader characterized by the following behaviors;
1. Strong control is maintained over the group2. Others are motivated by the concerned3. Communication flow downward4. Decision making does not involve others5. Emphasis on difference and status6. Criticism is punitive.
Democratic Style:-
In the democratic style of leadership, the leader values the individual
characteristics and abilities and subordinates
Democratic style leader characterized by the following behaviors;
1. Less control is maintained2. Economic and ego awards are used to motivate3. Others are directive through suggestion and guidance4. Communication flows up to down5. Decision making involve others6. Emphasis in We rather than I and you7. Criticism is constructive
The Participative Leadership Style:-
In this style, the manger presents her or his analysis of problems and proposal of
action o employees, inviting their criticism and comments. Having weighed the
subordinates response the manager makes final decisions about the group future
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activities. Here the leader allows subordinates to participate in decision making;
consequently the subordinates have the feeling of satisfaction and freedom.
Laissez faire style/ abdicratic:-
In this let alone style of leadership, the appointed manager abdicates
leadership responsibility, leaving workers without direction, supervision or co-
ordination and allows them to plan, execute, and evaluate the work in any way they
like.
Abdicratic style leader characterized by the following behaviors;
1. He or she is permissive with little or no controle2. Motivate by support when requested by the group or individual3. Little or no direction provided4. Decision making is dispersed throughout the group5. Emphasis on the group6. Criticism not given
8. SITUATIONAL THEORYIn this approach, a leader is the product of given situation and the behiour may
infact, vary from one situation to another. This theory includes the traits of mani.e.
qualities and motivcations, that bring forth and shape the leadership potential.
According to this theory, we can find five kinds of leader as follows
1. Natural leader:-Here person becomes a leader in spite of himself. He does not seek
the role, it is thurstwed upon him byb the group and by the tide of events, e,g, Abraham
Lincoline, Mahatma Gandhi, JP Naryan.
2. Charismatic leader:-Here person is in authentic hero in the eyes of his followers for he can do no
wrong. He/she inspire people to make any sacrifice even their lives for the cause e.g.
Ashok, Akbar, Netaji Subhashchandr bose etc.3. Rational leader:-
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Here the person is consistent and persistent, e.g. Karl Marx, Lenin, Mao, GK
Gokhle.
4. Consensus leader:-This leader is perceived as acceptable to all. He or she in the absence of
the above three and this leader is in tenous position of walking atight rope for existence
E.g. president of india, spekers of the assembly of parliament.
5. Leader by the force:-Here the leaders power speaks through the nozzle of gun. She/he dominates
others through fear. He is ruthless in suppressing opposition. He does not reign long as
thus type of leadership contains within itself the seeds of its own destruction. E.g.
Napoleon, Hitler, Staline Idi Amin etc.
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LEADERSHIP SKILLS
To be effective Leader the nurses need the primary leader shipskills that as foolws:
1. Skills of personalI. Is sensitive to feelings of the groups.
II. Identifies self with thee needs of the group.III. Does not ridicule or critcise another suggestionIV. Helps others feel important and needed.V. Does not argue
2. Skills of communication.I. Listen attentively
II. Make sure everyone understand what is needed and the reason why?III. Establishes positive communication with group as routine part of the jobIV. Recognizes that everyones contributions important
3. Skills of organization: the effective leader helps the group to;I. Developing long and short range objectives
II. Break big problem into small onesIII. Share responsibilities and opportunitiesIV. Plan act follow up and evaluativeV. Be attentive details
4. Skills of self examinationI. Is aware of personal motivations
II. Is aware of the group members; level of hospitals for taking appropriatecountermeasures
III. Helps the group to be their attitudes and values.
S=self reliantE=enthusiastic
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L=loyal
F=factual
LEADERSHIP ACTIVTIES
1. DIRECTING: - it is the process by which actual performances of staff and people,is guided towards common goals. A leader uses assignments, order, policies,
procedure, rules. Regulations, standard, opinions, suggestions and questions to
direct subordinates behaviour.
2. SUPERVISING: - supervision is continuous administrative and educative processwhich enables the supervisor through the medium of his relationship with
supervisors to contributes towards the continuous growth of the supervision which
includes inspecting anothers work, evaluating her or his performance, and
approving or correcting performances.
3. CO- ORDINATING: - Co-coordinating includes all the activities that enable workgroup members to work together harmoniously.
QUALITIES OF A NURSE LEADER
1. KNOWLEDGE OF SELF2. PERSONAL QUALITIES3. INITIATIVE QUALITIES4. TECHNICAL QUALITIES5. TEACHING QUALITIES6. ADMINISTRATIVE QUALITIES7. INTELLECTUAL SKILLS8. ENTHUSIASM9. TACTFUL10.EMOTIONAL CONTROL11.
AWARENESS OF RESPONSIBILITIES
12.QUALITY OF BUILDING HUMAN RELATIONS
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CHARACTERISTICS OF EFFECTIVE LEADERSHIP:
1. Initiates action- Leader is a person who starts the work by communicating thepolicies and plans to the subordinates from where the work actually starts.
2. Motivation- A leader proves to be playing an incentive role in the concernsworking. He motivates the employees with economic and non-economic rewards
and thereby gets the work from the subordinates.
3. Providing guidance- A leader has to not only supervise but also play a guiding rolefor the subordinates. Guidance here means instructing the subordinates the way they
have to perform their work effectively and efficiently.
4. Creating confidence- Confidence is an important factor which can be achievedthrough expressing the work efforts to the subordinates, explaining them clearly
their role and giving them guidelines to achieve the goals effectively. It is also
important to hear the employees with regards to their complaints and problems.
5. Building morale- Morale denotes willing co-operation of the employees towardstheir work and getting them into confidence and winning their trust. A leader can be
a morale booster by achieving full co-operation so that they perform with best of
their abilities as they work to achieve goals.
6. Builds work environment- Management is getting things done from people. Anefficient work environment helps in sound and stable growth. Therefore, human
relations should be kept into mind by a leader. He should have personal contacts
with employees and should listen to their problems and solve them. He should treat
employees on humanitarian terms.
7. Co-ordination- Co-ordination can be achieved through reconciling personalinterests with organizational goals. This synchronization can be achieved through
proper and effective co-ordination which should be primary motive of a leader.
Critical thinking & decision making in leadership
Application of critical thinking to nursing practice:
Nurse leader function effectively some part of every day without thinkingcritically. Many small decisions are based primarily on habits with minimal thinking
involved; example include selecting what cloths to wear, choosing which route to take
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work, and deciding what to eat for lunch. The nurse clinician and nurse manager seeks
to be aware of their thinking while they are thinking, as they apply standards forthinking, and as thinking progresses.
A.Problem solving:Nurse leader use critical thinking to rationally resolve problems related to
direct client care. Nurse Manager use critical thinking to resolve problemsrelated to overall client care, unit administration, and staff interpersonal issues.Strader 1992 defines problem solving as the process used when a gap is
perceived between an existing state and a desired state.
- Trial and error: One way to solve problems is trial and error, in which anumber of approaches are tried until a solution is found.
- Intuition: Intuition as a problem solving method has not been consideredeither sound or legitimate. Rather, it has been viewed as a form of guessing
and as such an inappropriate basis for nursing decisions.
B.Decision making:Tschikota 1993 states that, effective clinical decision making is critical
to the future of professional nursing practice. Nurses make decisions in the
course of solving problems, for example, in each step of nursing process.
Decision making, however, is also used in situations that do not involveproblem solving. Nurses make value decisions; time management decision;
scheduling decisions and priority decisions.
Strader 1992 describes seven steps of decision making process:
1. Identify the purpose.2. Set the criteria.3. Weight the criteria.4. Seek alternatives.5. Test alternatives.6. Troubleshoot.7. Evaluate the action.
The decision making process and the nursing process share similarities. The
nurse use decision making in all steps of the nursing process.C.Clinical decision making:
When a nurse approaches a clinical problem, such as a client who has
developed a pressure ulcer or who is anxious about having surgery; the nurse
collaborates with the client to make a decision that identifies the problem andthen chooses those nursing interventions that will meet the mutually established
goals of care. Nurses make clinical decision all the time in an attempt to
improve a clients health or to maintain ongoing wellness. This may mean
resolving the problem completely. The clinical decision making processrequires careful reasoning so that the options for the best client outcomes are
chosen on the basis of the clients condition and the priority of the problem.
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D.Scientific method:The scientific method is one approach to reasoning that is used in
nursing, and a variety of other disciplines. It is approach to seeking the truth or
verifying that a set of facts agrees with reality. Nurse researcher uses the
scientific method when testing research questions in nursing practice situations.For example, a nurse researcher might observe that clients in a hospice programoften have difficulty communicating their feelings to family members. The
nurse learns more about what cause this problem and consider this possibility
that family members might have ineffective communication skills. The nurse
might design a study that involves formal instruction in communication skills
and use a support group to help family members practice and apply the skill.
E.Diagnostic reasoning:As soon as a nurse receives information about a client in a particular clinicalsituation, diagnostic reasoning begins. It is a process of determining a clients
health status after the nurse assigns meaning to the behaviors, physical signs,
and symptoms presented by the client. Part of diagnostic reasoning is inference,that is, the process of drawing conclusions fro drawing conclusions from related
pieces of evidence. For example, when a client presents symptoms of
restlessness, guarded posturing and abnormal discomfort, the nurse must
retrieve knowledge regarding pain in the abdomen and the reason in a direct and
precise way to determine the specific nature of clients pain.
F. Nursing process:Nurses apply the nursing process as a competency when delivering client care.
The nursing process consists of five steps: assessment, diagnosis, planning,
implementation and evaluation. The purpose of the nursing process is to
diagnose and treat human responses to actual and potential health problems.
Nursing process: Critical thinking and decision
making process:
Assessment
Diagnosis
Plan
Implement
Evaluation
Identify the Purpose.
Set a criteria
Weigh the criteria
Seek alternatives
Test alternatives
Evaluate the action
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Leader As A Critical Thinking
1. Leadership provides progressive environment.2. Leader should encourage.3. Leader should believe in compassion4. Leader should be sensitive5. Leader should possess energy more than member6. Leader should consider suggestion and criticism.7. Leader should believe in justice .
Stress Management In Leadership
1. Take a Deep BreathWhen you feel uptight try taking a minute to slow down and breathe deeply.
Breathe in through your nose and out through your mouth. Try to inhale enough
so that your lower abdomen rises and falls. Count as you exhaleslowly.
2. Practice Specific Relaxation TechniquesRelaxation techniques are extremely valuable tools in stress management. Most
of the techniques like meditation, self hypnosis, and deep muscle relaxation
work in a similar fashion. In this state both the body and the mind are at rest and
the outside world is screened out for a time period. The practice of one of these
techniques on a regular basis can provide a wonderfully calming and relaxing
feeling that seems to have a lasting effect for many people.
3. Manage TimeOne of the greatest sources of stress is poor time management. Give priority to
the most important ones and so those first. If a particularly unpleasant task faces
you, tackle it early in the day and get over with it; the rest of your day will
include much less anxiety.
Most importantly, do not overwork yourself, schedule time for both work and
recreation.
4. Connect with OthersA good way to combat sadness, boredom and loneliness is to see out activities
involving others.
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5. Talk it OutWhen you feel something, try to express it. Share your feelings. Bottled Up
emotions increase frustration and stress. Talking with someone else can help
clear you mind of confusion so that you can focus on problem solving. Also
consider writing down thoughts and feelings. Putting problems on paper can
assist you in clarifying the situation and allow you a new perspective.
6. Take a Minute Vacationmagining a quiet country scene can take you out of the turmoil of a stressful
situation. When you have the opportunity, take a moment to close your eyes and
imagine a place where you feel relaxed and comfortable. Notice all the details
of your chosen place, including pleasant sounds, smells and temperature or
change your mental channel by reading a god book or playing relaxing music
to create a sense of peace and tranquility.
7. Monitor Your Physical ComfortWear comfortable clothing. If its too hot, go somewhere where its not. If your
chair is uncomfortable, change it. If your computer screen causes eye-strain or
backaches, change that, too. Dont wait until your discomfort turns into a real
problem. Taking five minutes to arrange back support can save you several days
of back pain.
8. Get PhysicalWhen you feel nervous, angry or upset, release the pressure through exercise or
physical activity. Running, walking or swimming are good options for some
people, while others prefer dance or martial arts. Working in the garden,
washing your car, or playing with children can relieve that uptight feeling,
relax you and often will actually energize you. Remember, your body and mind
work together. Most experts recommend doing 20 minutes of aerobic activity
daily will reduce stress.
9. Take Care of Your BodyHealthy eating and adequate sleep fuels you mind as well as your body. Avoidconsuming too much caffeine and sugar. Take time to eat breakfast in the
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morning, it really will help keep going through the day. Well nourished bodies
are better prepared to cope with stress. If you are irritable and tense from lack of
sleep or not eating right, you will be less able to go the distance in dealing with
stressful situations. Increase the amount of fruits and vegetables in daily diet.
Take time for personal interests and hobbies. Listen to ones body.
10.LaughMaintain your sense of humor, including the ability to laugh at yourself.
11.Know Your LimitsThere are many circumstances in life beyond your control, consider the fact that
we live in an imperfect world. Know your limits. If a problem is beyond your
control and cannot be changed at the moment, dont fight the situation. Learn to
accept what is, for now, until such time when you can change things.
12.Think PositivelyRefocus the negative to be positive. Make an effort to stop negative thoughts.
13.Have a Good CryA good cry during periods of stress can be a healthy way to bring relief to your
anxiety, and it might prevent a headache or other physical consequences of
bottling things up.
14.Avoid Self MedicationAlcohol and other drugs do not remove the conditions that cause stress.
Although they may seem to offer temporary relief, these substances only mask
or disguise problems. In the long run, alcohol use increases rather than
decreases stress, by changing the way you think and solve problems and by
impairing your judgment and other cognitive capacities. Medications should be
taken only on the advice of a doctor.
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Group dynamic in leadership
Individual Role Of Group Members
1. Aggressor: expresses disapproval of others values2. Blocker: expressing negative points of view3. Recognition seeker:works to focus positive attention4. Self confessor: uses the group setting as a forum for personal expression5. Dominator:attempts to control and manipulate the group6. Help seeker:uses expressions of personal insecurity, confusion7. Special interest pleader:cloaks personal prejudices or biases
Conclusion:-
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REFERENCES
Basawanthappa BT, Nursing administration, Jaypee brothers medical publishers (p)
ltd 2004, edition 1st , Pp:43- 49, 258-259
Bernhard LA, Walsh M: Leadership the key to the professionalization of nursing.
3rd edition. Missouri: Mosby publishers 1995, Pp:36- 47
Marquis L.Bessiel, Leadership roles and management functions in Nursing theory
and application, Lippincott Williams and Wilkins publications 2000, edition 3rd,
Pp:67-73
Marriner Ann, Guide to nursing management, Mosby publishers 1988, edition 4th
Pp: 29-31, 273- 274, 287.
Swansburg. C. Russell, Swansburg J. Richard, Introduction to management and
leadership for nurse managers, Jones and Barlett publishers 2002, edition 3rd ,
Pp:68- 70
Journal of Clinical Nursing2000,9(4) Pp: 545-548
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Journal of Holistic Nursing1999, 30(6),Pp: 1375-82
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