Chapter 1

Leading, Managing, and Following

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Objectives

Relate leadership and other organizational theories to behaviors that serve the role and functions of professional nursing.

Link self-knowledge and emotional intelligence in the constructive use of power and influence, and the exercise of authority and responsibility needed for professional practice.

Develop strength in bringing a professional nursing lens to the interprofessional team while advocating for quality and safety.

Improve decision making when acting as a leader, manager, or follower by enlarging the view of the individual, family, or community being cared for to include the social network and organizational context for outcomes achievement.

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Triple Aim in Healthcare

Access Quality Cost of Care

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Leadership

The use of individual traits and abilities to interpret an emerging situation and to address the situation in the absence of a script or defined plan.

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Management

The act of any individual who guides others through a series of routines, procedures, or practice guidelines.

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Followership

The optimal use of personal attributes in a team situation, while acquiescing to a peer who is leading or managing, to ensure the best clinical decision making and actions are taken to achieve clinical or organizational outcomes.

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Emotional Intelligence

Possession of social skills, interpersonal competence, psychological maturity, and emotional awareness devoted to helping people work well together.

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The Five Domains of Emotional Intelligence

Having self-awareness Managing emotions Motivating self Being empathetic Handling relationships

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Effective Leaders and Managers

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Theoretical Basis

Leadership Motivation

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Leadership Theories

Trait Style Situational-contingency Transformational

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Leadership Theories (Cont.)

Trait theories

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Leadership Theories (Cont.)

Style theories

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Leadership Theories (Cont.)

Situational-contingency theories

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Leadership Theories (Cont.)

Transformational theories

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Motivational Theories

Hierarchy of needs Two-factor theory Expectancy theory OB modification

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Motivational Theories (Cont.)

Hierarchy of needs

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Motivational Theories (Cont.)

Two-factor theory

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Motivational Theories (Cont.)

Expectancy theory

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Motivational Theories (Cont.)

OB modification

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Complexity Theory

Complexity science promotes the idea that the world is full of systems that interact and adapt through relationships.

Nurses must be flexible and dynamic to be in tune with the everchanging systems of people, health care, public policy, and human relationships.

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Complexity Science Users:

Develop networks Encourage nonhierarchical interaction among

workers Become a leadership “Tag” Focus on emergence Think systematically

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Gardner’s Tasks of Leadership

Envisioning goals Affirming values Motivating Managing Achieving workable unity

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Gardner’s Tasks of Leadership (Cont.)

Developing trust Explaining Serving as a symbol Representing the group Renewing

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Bleich’s Tasks of Management

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Bleich’s Tasks of Followership

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Conclusion

Managing Leading Following

In complex organizations

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