____________________________________ Chapter 4 The Leadership Role of the Licensed Practical Nurse 13
Introduction to Medical-Surgical Nursing, 6th ed.
LESSON 4.1
Slide 31
Four Stages of Conflict
• Stage 1: Frustration
• Stage 2: Conceptualization
• Stage 3: Action
• Stage 4: Outcomes
TALKING POINTS:
• What is the definition of each of these stages?
Slide 32
Modes of Conflict Resolution
• Accommodation
• Collaboration
• Compromise
• Avoidance
• Competition
• Table 4-5 shows the positive and negative outcomes of each mode
TALKING POINTS:
• What is the key to making conflict resolution work effectively?
6
Slide 33
Tips for Effective Management
• Managing health care workers is a complex task
• Strategies to improve your management skills
• Take active approach to planning; avoid conflict before it occurs
• Have a clear vision, communicate it well, listen, and stay focused
TALKING POINTS:
• LVN/LPNs often are asked to assume responsibilities for the care that other staff
members give to patients.
• Who may the LVN/LPN be responsible for managing?
7
Slide 34
The Licensed Practical Nurse as a Leader
• Team nursing
• Introduced during the 1950s
• The team functions by using the skills and knowledge of the professional nurse to
TALKING POINTS:
• What are some ways each member can have input into the nursing process?
14 Chapter 4 The Leadership Role of the Licensed Practical Nurse ____________________________________
LESSON 4.1
Slide 35
The Role of the Team Leader
• Plan, set priorities, supervise, and evaluate patient care
• Responsible for ongoing collection of data about each patient and assistance in
determining nursing interventions
TALKING POINTS:
• The role of the team leader traditionally was carried out by a registered nurse; however,
an LVN/LPN may be assigned to the position of team leader, especially in long-term care
settings.
The Role of the Team Leader (cont.)
• Responsible for keeping care plans current and documenting the nursing care provided
Slide 37
Making Assignments
• The LPN must be able to assign tasks and ensure completion
• Delegation allows nurses to accomplish nursing care for more patients than one individual
could provide alone
TALKING POINTS:
• What are some tasks that can be delegated?
• What are some that cannot?
Making Assignments (cont.)
• Based on patient needs, available staff, job descriptions, scope of practice for licensed
TALKING POINTS:
• Among nurses working in clinical settings, delegation involves “working through others”
and assignment describes “what a person is directed to do”
• How many state boards of nursing authorize delegation by RNs? By LVN/LPNs?
• What constitutes effective delegation?
Slide 39
Making Assignments (cont.)
• Essential elements of effective delegation
• Know your state nurse practice act statements on delegation and your institution’s
policy and procedures manual
TALKING POINTS:
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Introduction to Medical-Surgical Nursing, 6th ed.
LESSON 4.1
Accident Prevention and Safety
• Every health care facility must meet minimal safety regulations established by law in
addition to those adopted by the agency to meet its unique needs
TALKING POINTS:
• What are some specific emergencies for which employees should be prepared?
Slide 41
Accountability
• Team leaders demonstrate accountability for their own actions, as well as those of their
staff
• Individuals are answerable for their actions and may be called on to explain or justify them
Accountability (cont.)
• Guidelines for clear and complete reporting
• Organize the report before beginning
TALKING POINTS:
• The LVN/LPN is usually responsible for reporting to the RN in charge but may be only
indirectly responsible for the report.
• What is the key to good communication?
Slide 43
Accountability (cont.)
• Guidelines
• For patients receiving pain medication, note the drug name, dosage, prescribed
frequency, time of last administration, and effectiveness
Slide 44
Accountability (cont.)
• Guidelines
• Give information about postoperative patients, including the time of arrival from the
operating or recovery room, general condition, vital signs, intravenous fluids required
16 Chapter 4 The Leadership Role of the Licensed Practical Nurse ____________________________________
Introduction to Medical-Surgical Nursing, 6th ed.
LESSON 4.1
Characteristics of an Effective Team Leader
• Has skills in leadership, management, and supervisory techniques
TALKING POINTS:
• The leader’s possession of these qualities leads to greater satisfaction among the staff
and a higher quality of patient care.
Slide 46
Characteristics of an Effective Team Leader (cont.)
• Strategies to build an effective team
• Establish a clear purpose
• Listen actively
TALKING POINTS:
• What must you understand to be a good team leader?
• A team is a group of people who need to work together to achieve a goal or task; for
nursing, it is delivery of care to patients.
The LVN/LPN as Charge Nurse
• Depends on LVN/LPN’s state nurse practice act
TALKING POINTS:
• The LVN/LPN who is placed in a charge position is expected to have adequate
preparation to perform competently.
• What should the LVN/LPN be able to do to function as a charge nurse?
The LVN/LPN as Charge Nurse (cont.)
• LVN/LPN must have adequate preparation to perform competently
Introduction to Medical-Surgical Nursing, 6th ed.
Slide 49
Question 1
• Which of the following statements is true about “chaos”?
A. It is the apparently irregular, predictable behavior of deterministic, nonlinear systems.
B. Chaos provides the opportunity to find new and more effective ways to provide care.
C. It is not necessary to learn more and act on the reason for the chaos.
D. Health care systems are stagnant as they are trying to provide quality care.
Slide 50
Question 2
• Which of the following is a true statement about leadership and management?
A. Leadership and management refer to the same concepts.
B. Managers inspire people to strive to accomplish particular goals by doing the right
thing.
C. Managers and leaders understand that only a few motivators are required to model
desired value-driven behaviors.
D. A leader creates a vision that energizes others to follow, whereas a manager is
assigned or appointed to the role and focuses on the day–to-day required work.
18 Chapter 4 The Leadership Role of the Licensed Practical Nurse ____________________________________
Introduction to Medical-Surgical Nursing, 6th ed.
LESSON 4.1
Activities
Classroom Choose from below to make 30 minutes
1
ASSESS BASELINE
• Have the class complete the Pretest. Collect
their work and use the results to guide how
you teach the class.
DISCUSS
• Discuss the terms leadership and
management. Describe how leadership and
management are different.
• Discuss characteristics of good leaders and
managers. How might someone be a good
manager but not a good leader?
• Divide the class into small groups and have
students discuss and identify similarities and
differences in how leaders or managers
would view and solve the following staff
problems:
• Two staff members always take an extra
2
DISCUSS
• Discuss the four styles of leadership and
offer an example of a circumstance for which
each style would be most effective.
• Discuss the benefits and potential
weaknesses of each leadership style.
• Divide the class into four groups and assign
each group one of the following leadership
styles: laissez-faire, democratic, autocratic,
and participative. Present the following
scenarios to the groups and ask each group
to identify how each conflict would be
resolved based on its assigned leadership
style.
• Urinary catheter drainage bags are not
attached to the bed but are always
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Introduction to Medical-Surgical Nursing, 6th ed.
LESSON 4.1
3
DISCUSS
• List tasks on the board that may or may not
be delegated. Lead students in categorizing
them appropriately.
4
DISCUSS
• Discuss how belief in each management
theory can affect leadership style.
• Divide the class into three groups and
assign each group one of the following
management theories: theory X, theory Y, or
theory Z. Next, assign each group one of the
following scenarios and have the group
discuss and identify how employees would
be managed based on its assigned theory.
• An in-service for new IV pumps needs to
5
DISCUSS
• Discuss five functions in the management
process. Describe the importance of each of
these functions and why decision-making
needs to be an ongoing activity.
20 Chapter 4 The Leadership Role of the Licensed Practical Nurse ____________________________________
Introduction to Medical-Surgical Nursing, 6th ed.
LESSON 4.1
6
DISCUSS
• Discuss tips for effective management to
help students improve their management
skills.
• As a class, identify the behaviors and
7
DISCUSS
• Discuss the role of the licensed practical
nurse as team leader.
• Discuss the essential elements of
delegation.
• Discuss guidelines for clear and complete
reporting and how reporting emphasizes
accountability among the nursing staff.
• Discuss characteristics of an effective team
Critical Thinking Question
A seasoned certified nursing assistant (CNA) is not having a good day. He is cranky, sullen,
and reluctant to help other team members with patient care tasks. The patients love him and
staff members respect his experience. However, he either ignores the team leader or
responds with a rude remark when asked for assistance. Luckily, he does not have many
bad days. His perfect attendance and devotion to the patients make his nurse manager
hesitant to discipline him. Should the CNA be allowed to have his bad days even when he is
abusive to the staff?
Discussion Guidelines: Conflict and confrontation are always difficult to deal with. While he
____________________________________ Chapter 4 The Leadership Role of the Licensed Practical Nurse 21
Introduction to Medical-Surgical Nursing, 6th ed.
LESSON 4.1
Instructor Notes/Student Feedback
22 Chapter 4 The Leadership Role of the Licensed Practical Nurse ____________________________________
Introduction to Medical-Surgical Nursing, 6th ed.
4
Assessments for
The Leadership Role of the Licensed Practical
Nurse
CHAPTER OBJECTIVES
Lesson 4.1:
2. Describe leadership styles and theories.
4. Discuss management theories and processes.
6. List effective management tips to achieve quality outcomes.
7. Describe the role of the licensed vocational nurse as a team leader.
Assessments by Lesson & Objective
Lesson 4.1
1
Study Guide
• Part IIF: 15 (p. 20)
• Part IIIG: 7 (p. 21)
Evolve Instructor Resources
2
Study Guide
• Part IA: 1-7 (p. 17)
• Part IC: 1, 2, 4 (p. 18)
• Part IIF: 17 (p. 20)
Evolve Student Resources
• NCLEX Review: 1, 8
• Prioritization: 3
3
Study Guide
• Part IB: 1-4 (p. 17)
4
Study Guide
• Part IC: 3 (p. 18)
• Part IE: 1 (p. 18)
Evolve Instructor Resources
• Test Bank: 5, 13, 25
____________________________________ Chapter 4 The Leadership Role of the Licensed Practical Nurse 23
Introduction to Medical-Surgical Nursing, 6th ed.
Assessments by Lesson & Objective
5
Study Guide
• Part IIF: 6-8, 12, 16 (pp. 19–20)
• Part IIIG: 6 (p. 21)
• Part IIIH: 1 (p. 22)
• Test Bank: 9, 21-23
Evolve Student Resources
6
Study Guide
• Part IIF: 13, 14, 19-22 (p. 20)
• Part IIIG: 1, 8 (p. 21)
Evolve Student Resources
• NCLEX Review: 9
7
Study Guide
• Part I C: 5 (p. 18)
• Part IIIG: 2-4, 10 (p. 21)
Instructor’s Notes/Student Feedback