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    DIRECTING

    NCM 107A

    Nursing Leadership & Management

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    NURSING MANAGEMENT

    Is the process of working through staffmembers to be able to providecomprehensive care to the patient

    The task of the nurse manager is to plan,organize, direct and control available

    financial, material, and human resources inorder to provide effective, economic care togroups of patients

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    ORGANIZING

    STAFFING

    DIRECTING/

    LEADING

    CONTROLLING

    PLANNING

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    DIRECTING

    a physical act or an action element ofnursing management, the interpersonalprocess by which nursing personnelaccomplish the objectives of nursing.(Swansburg)

    Supervidere = to oversee and to viewdirectly. (Hersey)

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    DIRECTING

    requires that the leader talks directly withthe followers about the plans andexpectations of their work, observes themwhile the task is being done, and inspectsthe product or service upon completion ofthe task.

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    DIRECTING

    Getting the work done through others. Giving orders and directions to others to

    attain quality patient care. It is the issuance of orders, assignments

    and instructions that enable the nursingpersonnel to understand what areexpected of them. (Douglas)

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    Directing includes the followingactivities: Giving orders Supervision Leading Motivating Communicating

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    EFFECTIVE DIRECTING

    when subordinates have

    superiors who provide directpersonal contact = MOSTEFFECTIVE

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    EFFECTIVE DIRECTING

    encourages leadership,motivation and communication

    techniques = MOSTDESIRABLE

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    Seven Habits of Highlyffective People

    http://en.wikipedia.org/wiki/File:The_7_Habits_of_Highly_Effective_People.jpg
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    OV RVI W

    AUTHOR STEPHEN R. COVEY

    SUBJECT SELF HELP

    PUBLISHED DATE 1989

    SOLD More than 15 millionscopies in 38 languages

    FOLLOWED BY: The 8th Habit: FromEffectiveness toGreatness

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    Knowledge(what to, why to )

    HabitsInternalized principles& patterns of behavior

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    Knowledge(what to, why to)

    HabitsInternalized principles& patterns of behavior

    Desire(want to)

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    Knowledge(what to, why to)

    Skills(how to)

    HabitsInternalized principles& patterns of behavior

    Desire(want to)

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    Knowledge(what to, why to)

    Skills(how to)

    HabitsInternalized principles& patterns of behavior

    Habits

    Desire(want to)

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    Examples of Defective Habits:

    1. React2. Begin with No End in Mind3. Put First Things Last

    4. Think Win-Lose5. Seek First to Talk, Then Pretend to Listen6. Dont Cooperate

    7. Wear Yourself Out

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    Differentiate EFFECTIVEMANAGEMENT AND

    EFFECTIVE LEADERSHIP.

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    According to COVEY

    Effective management is puttingfirst things first.

    Effective leadership is decides

    what first things are.

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    STAGES

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    Habit #1Be ProactiveBased on the work of Stephen Covey

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    Proactivity is the habit of Personal Vision

    Habit 1 Be Proactive

    Be responsible for your life

    Best way to predict your future is to CREATEIT!

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    Proactive vs. ReactiveWhen we are PROACTIVE, we make good choicesabout how we respond to something happening. weare always ready with a calm attitude. we do thingsto make sure that the right things will happen. weare prepared for anything that might happen. Whenthings dont go our way, we arent happy, BUT westay calm.

    When we are REACTIVE, we could explode at anyminute. Things happen and they catch we offguard . we arent ready for things that mighthappen. we deal with things when they happeninstead of being prepared.

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    Habit #2Begin with theEnd in Mind

    Based on the work Stephen Covey

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    Beginning with the End in Mind is the habitof Personal Leadership

    Habit 2

    Beginning with the End in Mind. Discover a personal mission.

    Visualize and create a mental image ofwhat you want to create physically.

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    Habit #3Put First

    Things FirstBased on the work of Stephen Covey

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    Putting First Things First is the habit ofPersonal Management

    Habit 3i. Put First Things First

    ii. Operate every day from priorities established inyour mission, roles, and goals

    iii. Create optimal value from your time

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    Habit #4Think Win-Win Based on the work of Stephen Covey

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    Think Win Win is the habit ofInterpersonal Leadership

    Habit 4 Think Win-Win

    Wanting other people to win as well asyourself Unites people in helpful, supportive ways

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    Habit #5 Seek First to Understand,Then to Be Understood

    Based on the work Stephen Covey.

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    Seek First to Understand is the habit ofCommunication

    Habit 5 Seek First to Understand Attitude of openness Skill of empathetic listening

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    Listen With Your Eyes :

    Sometimes we have to listen

    with our eyes as much as welisten with our ears. Peoplesay a lot with their body

    language and facialexpressions.

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    Habit #6Synergize

    Based on the work of Stephen Covey.

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    Synergy is the habit of Creative Cooperation

    Habit 6 Synergize

    Seeing and appreciating differences in arelationship as a source of information andcreativity

    Others points of view can increase theeffectiveness of an interaction

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    Habit #7Sharpen theSaw

    Based on the work ofStephen Covey

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    Self Renewal

    The Last Habit relates to self-rejuvenation:

    Habit 7: Sharpen the Saw

    Balance and renew your resources, energy, andhealth to create a sustainable, long-term,effective lifestyle.

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    conclusion

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    BLAKE AND MOUTONS MANAGERIALGRID

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    HOW IT BEGAN

    Built from the work of researchers at these University ofMichigan and Ohio State University.Robert Blake and Jane Mouton (1960s) proposed a graphicportrayal of leadership styles through a managerial grid. The grid depicts two dimensions of leader behavior, concernfor people on y-axis and concern for production on x-axis,each dimension ranging from low (1) to high (9), creates 81different positions in which the leaders style may fall.

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    5 RESULTING LEADERSHIP STYLES

    Impoverished Management (1, 1)

    Exercise minimum effort

    low concern for employee satisfaction. disorganized.Ineffective leaders

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    5 RESULTING LEADERSHIP STYLES

    Task management (9, 1):

    more concern for production than for people

    efficiency can result through organization of worksystems and the elimination of people whereverpossible Increases the output of organization in short run

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    81 DIFFERENT POSITIONS ONE COULDLAND ON

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    5 RESULTING LEADERSHIP STYLES

    Middle-of-the-Road (5, 5):

    maintain a balance between goals ofcompany and the needs of peopleaverage performanceNeither employee nor production needsare fully met.

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    81 DIFFERENT POSITIONS ONE COULDLAND ON

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    5 RESULTING LEADERSHIP STYLES

    Country Club (1, 9):

    low task and high people orientationthoughtful attention to the needs ofif employees are supported it will lead to self-motivation

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    81 DIFFERENT POSITIONS ONE COULDLAND ON

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    5 RESULTING LEADERSHIP STYLES

    Team Management (9, 9):

    high people and task focus

    Most effective style according to Blake andMouton.empowerment, commitment, trust, and respect =result in high employee satisfaction and production.

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    ADVANTAGES & DISADVANTAGES

    Advantages of Blake and Moutons Managerial GridGrid is used to help managers analyze their own leadership styles throughgrid training. Questionnaires help managers identify how they stand withrespect to their concern for production and people. The goal is to reach theteam management status.

    Limitations of Blake and Moutons Managerial GridModel ignores importance of internal and external factors.

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    WHO COULD BE A LEADER?

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    Or You can be!

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    To lead you must first be able to follow: for without followers,

    there can be no leaders.

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