1. Copyright © 2007 by Mosby, Inc., an affiliate of Elsevier Inc.Slide 1 Developing the Role of Manager Chapter 3

2. Copyright © 2007 by Mosby, Inc., an affiliate of Elsevier Inc.Slide 2 What You Need To Know  The underpinnings of role theory  The role and functions of a nurse manager  The culture of the organization and how to manage within it

3. Copyright © 2007 by Mosby, Inc., an affiliate of Elsevier Inc.Slide 3 Role Theory Theories include the following: Theories include the following:  Participative, humanistic approaches  Quantum theory

4. Copyright © 2007 by Mosby, Inc., an affiliate of Elsevier Inc.Slide 4 Role and Functions of Management  Focus on the person to develop strengths and abilities that lead to excellence  Help the person develop realistic goals  Foster an environment that promotes goal attainment

5. Copyright © 2007 by Mosby, Inc., an affiliate of Elsevier Inc.Slide 5 Drucker’s Five Management Functions  Establish objectives and goals  Organize and analyze  Foster teamwork  Evaluate performance of workers  Develop self and people

6. Copyright © 2007 by Mosby, Inc., an affiliate of Elsevier Inc.Slide 6 Organizational Culture Organizational culture is based on the literature of health care environments.

7. Copyright © 2007 by Mosby, Inc., an affiliate of Elsevier Inc.Slide 7 Managing Health Care Settings This remains a challenge.

8. Copyright © 2007 by Mosby, Inc., an affiliate of Elsevier Inc.Slide 8 Quality of Care and Professionalism  Vigilance: quality of care  Role modeling behavior  Humanistic philosophy

9. Copyright © 2007 by Mosby, Inc., an affiliate of Elsevier Inc.Slide 9 The Nurse Manager and Organizational Culture  Read the study reported by Laschinger, H.K.P. (2004). Journal of Nursing Administration, 34(7/8), 354-363.  Discuss examples based on your clinical experiences and observations and findings by Laschinger: Interactional justice Interactional justice

10. Copyright © 2007 by Mosby, Inc., an affiliate of Elsevier Inc.Slide 10 Laschinger’s Study Structural empowerment Structural empowerment Respect Respect Work pressures Work pressures Emotional exhaustion Emotional exhaustion Work effectiveness Work effectiveness

11. Copyright © 2007 by Mosby, Inc., an affiliate of Elsevier Inc.Slide 11 Case Study Using Laschinger’s findings, discuss the following case study: You have been promoted recently to your first position as nurse manager and are very pleased because you were chosen from four internal and external candidates.

12. Copyright © 2007 by Mosby, Inc., an affiliate of Elsevier Inc.Slide 12 Case Study (cont.) Your best friend Candace, an RN who works on this unit, also applied for the nurse manager position. Candace seems sincerely pleased for you; however, you have concerns about how your promotion might affect your friendship.

13. Copyright © 2007 by Mosby, Inc., an affiliate of Elsevier Inc.Slide 13 Case Study (cont.) As nurse manager, you have direct authority over all unit staff; this includes responsibility for the following: Hiring and firing Hiring and firing Performance appraisal Performance appraisal Disciplinary action Disciplinary action

14. Copyright © 2007 by Mosby, Inc., an affiliate of Elsevier Inc.Slide 14 Case Study (cont.) Soon after you assume your position, Candace has initiated special requests: For days off For days off For top priority for low census coverage For top priority for low census coverage She has also taken extended coffee breaks.

15. Copyright © 2007 by Mosby, Inc., an affiliate of Elsevier Inc.Slide 15 Case Study (cont.) In an effort to maintain friendship, you have responded to her requests with a smile, lightheartedly saying, “It wouldn’t be fair to the other staff, would it?” Candace has replied with a smile, “It pays to have friends in high places.”

16. Copyright © 2007 by Mosby, Inc., an affiliate of Elsevier Inc.Slide 16 Case Study (cont.) Candace’s behavior becomes increasingly disruptive for you. You believe she is taking advantage of the friendship. You wonder if she is making statements to other staff implying approval of her special privileges.

17. Copyright © 2007 by Mosby, Inc., an affiliate of Elsevier Inc.Slide 17 Case Study (cont.) You have attempted to confront Candace with your concerns and she has dismissed the interaction by saying, “You know you are my best friend. I wouldn’t do anything to hurt you.”

18. Copyright © 2007 by Mosby, Inc., an affiliate of Elsevier Inc.Slide 18 Case Study (cont.) However, you continue to believe that Candace is being destructive. Your anxiety is beginning to bother you. As a new nurse manager, you know the problem needs to be resolved.

19. Copyright © 2007 by Mosby, Inc., an affiliate of Elsevier Inc.Slide 19 Case Study (cont.) What might be some of the issues for each person involved in this interpersonal relationship (friendship)? If you were the nurse manager, what would you do to resolve the problem?

20. Copyright © 2007 by Mosby, Inc., an affiliate of Elsevier Inc.Slide 20 Evaluation Write a brief evaluation on what you learned from this presentation about the following: Drucker’s basic functions of managers Drucker’s basic functions of managers Role and functions of nurse managers Role and functions of nurse managers Organizational culture and its impact on the nursing unit’s workforce and on the delivery of patient care Organizational culture and its impact on the nursing unit’s workforce and on the delivery of patient care