Case Assignment: Nurse Residency Case Assignment: Nurse Residency
Case Assignment: Nurse Residency
Case Assignment: Nurse Residency
Case Assignment: Nurse Residency
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MANAGER AS LEADER 231 STAFF DEVELOPMENT 231
Orientation 231 On-the-Job Instruction 232 Preceptors 233 Mentoring 233 Coaching 234 Nurse Residency Programs 234 Career Advancement 234 Leadership Development 235
SUCCESSION PLANNING 235
CONTENTS xiii
CHAPTER 18 Evaluating Staff Performance 239 Learning Outcomes 239
THE PERFORMANCE APPRAISAL 240 Evaluation Systems 241 Evidence of Performance 244 Evaluating Skill Competency 247 Diagnosing Performance Problems 247 The Performance Appraisal Interview 248
POTENTIAL APPRAISAL PROBLEMS 251 Leniency Error 251 Recency Error 251 Halo Error 252 Ambiguous Evaluation Standards 252 Written Comments Problem 252
IMPROVING APPRAISAL ACCURACY 253 Appraiser Ability 253 Appraiser Motivation 253
RULES OF THUMB 255
CHAPTER 19 Coaching, Disciplining, and Terminating Staff 257 Learning Outcomes 257
DAY-TO-DAY COACHING 258 POSITIVE COACHING 259 DEALING WITH A POLICY VIOLATION 259 DISCIPLINING STAFF 260 TERMINATING EMPLOYEES 262
CHAPTER 20 Managing Absenteeism, Reducing Turnover, Retaining Staff 268 Learning Outcomes 268 ABSENTEEISM 269
A Model of Employee Attendance 269 Managing Employee Absenteeism 272 Absenteeism Policies 273 Selecting Employees and Monitoring Absenteeism 274 Family and Medical Leave 274
REDUCING TURNOVER 275 Cost of Nursing Turnover 275 Causes of Turnover 276 Understanding Voluntary Turnover 276
RETAINING STAFF 277 Employee Engagement 277 Healthy Work Environment 277 Improving Salaries 277 Recognizing Staff Performance 278 Additional Retention Strategies 279
CHAPTER 21 Dealing with Disruptive Staff Problems 283 Learning Outcomes 283
HARASSING BEHAVIORS 284 Bullying 284 Lack of Civility 284 Lateral Violence 285
HOW TO HANDLE PROBLEM BEHAVIORS 286 Marginal Employees 286 Disgruntled Employees 287
THE EMPLOYEE WITH A SUBSTANCE ABUSE PROBLEM 288
State Board of Nursing 289 Strategies for Intervention 289 Reentry 290 The Americans with Disabilities Act and Substance Abuse 291
CHAPTER 22 Preparing for Emergencies 294 Learning Outcomes 294
PREPARING FOR EMERGENCIES 295 TYPES OF EMERGENCIES 295
Natural Disasters 295 Man-Made Disasters 295 Levels of Disasters 295
NATIONAL RESPONSES TO EMERGENCY PREPAREDNESS 296 HOSPITAL PREPAREDNESS FOR EMERGENCIES 296
Emergency Operations Plan 296 Disaster Triage 297 Core Competencies for Nurses 297 Continuation of Services 297 Impact on Employees 298
CHAPTER 23 Preventing Workplace Violence 302 Learning Outcomes 302
VIOLENCE IN HEALTH CARE 303 Incidence of Workplace Violence 303 Consequences of Workplace Violence 303 Factors Contributing to Violence in Health Care 303
PREVENTING VIOLENCE 304 Zero-Tolerance Policies 304 Reporting and Education 304 Environmental Controls 304
DEALING WITH VIOLENCE 305 Verbal Intervention 305 A Violent Incident 305 Other Dangerous Incidents 306 Post-Incident Follow-Up 306
xiv CONTENTS
CHAPTER 24 Handling Collective Bargaining Issues 310 Learning Outcomes 310
LAWS GOVERNING UNIONS 311 PROCESS OF UNIONIZATION 311
The Grievance Process 312 The Nurse Manager’s Role 312
STATUS OF COLLECTIVE BARGAINING FOR NURSES 313
Legal Status of Nursing Unions 313 The Future of Collective Bargaining for Nurses 314
PART 4 Taking Care of Yourself 316
CHAPTER 25 Managing Stress 316 Learning Outcomes 316
THE NATURE OF STRESS 317 CAUSES OF STRESS 318
Organizational Factors 318 Interpersonal Factors 318 Individual Factors 319
CONSEQUENCES OF STRESS 320 MANAGING STRESS 320
Personal Methods 320 Organizational Methods 321
CHAPTER 26 Advancing Your Career 325 Learning Outcomes 325
ENVISIONING YOUR FUTURE 326 MANAGING YOUR CAREER 326 ACQUIRING YOUR FIRST POSITION 326
Applying for the Position 327 The Interview 328 Accepting the Position 331 Declining the Position 331
BUILDING A RÉSUMÉ 331 Tracking Your Progress 333 Identifying Your Learning Needs 334
FINDING AND USING MENTORS 336 CONSIDERING YOUR NEXT POSITION 336
Finding Your Next Position 337 Leaving Your Present Position 337
WHEN YOUR PLANS FAIL 337 Taking the Wrong Job 337 Adapting to Change 338
Glossary 340 Index 348
CHAPTER
Changes in Health Care
Paying for Health Care HOW AMERICA PAYS FOR HEALTH CARE
PAY FOR PERFORMANCE
Demand for Quality QUALITY INITIATIVES
THE LEAPFROG GROUP
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