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(Download PDF) Essentials of Nursing Leadership Management 7Th Edition Sally A Weiss Online Ebook All Chapter PDF
(Download PDF) Essentials of Nursing Leadership Management 7Th Edition Sally A Weiss Online Ebook All Chapter PDF
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s F.A.DAVIS
ESSENTIALS OF
Nursing Leadership
& Management
SEVENTH EDITION
Sally A. Weiss, EdD, APRN, FNP-C,
CNE, ANEF
Professor, Lead Faculty Graduate Program
Herzing University
Menominee Falls, Wisconsin
Names: Weiss, Sally A., 1950- author. | Tappen, Ruth M., author. | Grimley, Karen A., author.
Title: Essentials of nursing leadership & management / Sally A. Weiss, Ruth M. Tappen, Karen A.
Grimley.
Description: Seventh edition. | Philadelphia : F. A. Davis Company, [2019] | Includes bibliographical
references and index.
Identifiers: LCCN 2019000397 (print) | LCCN 2019001079 (ebook) | ISBN 9780803699045 | ISBN
9780803669536 (pbk. : alk. paper)
Subjects: | MESH: Leadership | Nursing, Supervisory | Nursing Services—organization & administra-
tion | United States
Classification: LCC RT89 (ebook) | LCC RT89 (print) | NLM WY 105 | DDC 362.17/3068—dc23
LC record available at https://lccn.loc.gov/2019000397
Authorization to photocopy items for internal or personal use, or the internal or personal use of specific
clients, is granted by F. A. Davis Company for users registered with the Copyright Clearance Center
(CCC) Transactional Reporting Service, provided that the fee of $.25 per copy is paid directly to CCC,
222 Rosewood Drive, Danvers, MA 01923. For those organizations that have been granted a photocopy
license by CCC, a separate system of payment has been arranged. The fee code for users of the Transac-
tional Reporting Service is: 978-0-8036-6953-6/19 0 + $.25.
Dedication
v
Preface
We are pleased to bring our readers this seventh edition of Essentials of Nursing Leadership &
Management. This new edition has been updated to reflect the dynamic health-care environment,
new safety and quality initiatives, and changes in the nursing practice environment. As in our previ-
ous editions, the content, examples, and diagrams were designed with the goal of assisting the new
graduate to make the transition to professional nursing practice.
Our readers may have noticed that we have added a new author to our team: Dr. Karen A.
Grimley, Chief Nurse Executive at UCLA Health Center and Vice Dean of the School of Nursing
at UCLA. We are delighted to have her join us, bringing a fresh perspective to this new edition.
The seventh edition of Essentials of Nursing Leadership & Management focuses on essential lead-
ership and management skills and the knowledge needed by the staff nurse as a key member of the
interprofessional health-care team and manager of patient care. Issues related to setting priorities,
delegation, quality improvement, legal parameters of nursing practice, and ethical issues were also
updated for this edition.
This edition discusses current quality and safety issues and the high demands placed on nurses in
the current health-care environment. In addition, we continue to bring you comprehensive, practical
information on developing a nursing career and addressing the many workplace issues that may arise
in practice.
This new edition of Essentials of Nursing Leadership & Management will provide a strong foun-
dation for the beginning nurse leader. We want to thank all of the people at F. A. Davis for their
continued support and assistance in bringing this edition to fruition. We also want to thank our
contributors, reviewers, colleagues, and students for their enthusiastic support. Thank you all.
—SALLY A. WEISS
RUTH M. TAPPEN
KAREN A. GRIMLEY
vii
Reviewers
JENNA L. BOOTHE, DNP, APRN, FNP-C CANDACE JONES, BSN, MSN, RN
Assistant Professor Professor of Nursing
Hazard Community and Technical College Greenville Technical College
Hazard, Kentucky Greenville, South Carolina
ix
Table of Contents
unit 1 Professionalism 1
xi
xii Table of Contents
Bibliography 263
Appendices
appendix 1 Standards Published by the American Nurses Association 285
Index 321
unit 1
Professionalism
chapter 1 Characteristics of a Profession
3
4 unit 1 ■ Professionalism
Introduction Professionalism
It is often said that you do not know where you Definition of a Profession
are going until you know where you have been. A vocation or calling defines “meaningful work”
More than 40 years ago, Beletz (1974) wrote depending on an individual’s point of view (Dik
that most people thought of nurses in gender- & Duffy, 2009). Nursing started as a vocation or
linked, task-oriented terms: “a female who per- “calling.” Until Nightingale, most nursing occurred
forms unpleasant technical jobs and functions as through religious orders. To care for the ill and
an assistant to the physician” (p. 432). Interest- infirmed was a duty (Kalisch & Kalisch, 2004). In
ingly, physicians in the 1800s viewed nursing as early years, despite the education required, nursing
a complement to medicine. According to War- was considered a job or vocation (Cardillo, 2013).
rington (1839), “. . . the prescriptions of the best Providing a definition for a “profession” or “pro-
physician are useless unless they be timely and fessional” is not as easy as it appears. The term is
properly administered and attended to by the used all the time; however, what characteristics
nurse” (p. iv). define a professional? According to Saks (2012),
In its earliest years, most nursing care occurred several theoretical approaches have been applied
at home. Even in 1791 when the first hospital to creating a definition of a profession, the older
opened in Philadelphia, nurses continued to care of these looking only at knowledge and expertise,
for patients in their own home settings. It took whereas later ones include a code of ethics, prac-
almost another century before nursing moved into tice standards, licensure, and certification, as well
hospitals. These institutions, mostly dominated by as expected behaviors (Post, 2014).
male physicians, promoted the idea that nurses Nurses engage in specialized education
acted as the “handmaidens” to the better-educated, and training confirmed by successfully passing
more capable men in the medical field. the National Council Licensure Examination
The level of care differed greatly in these early (NCLEX®) and receiving a license to practice
health-care institutions. Those operated by the in each state. Nurses follow a code of ethics and
religious nursing orders gave high-quality care to recognized practice standards and a body of con-
patients. In others, care varied greatly from good to tinuous research that forms and directs our practice.
almost none at all. Although the image of nurses Nurses function autonomously within the desig-
and nursing has advanced considerably since then, nated scope of practice, formulating and delivering
some still think of nurses as helpers who carry out a plan of care for clients, applying judgments, and
the physician’s orders. utilizing critical thinking skills in decision making
It comes as no surprise that nursing and health (Cardillo, 2013).
care have converged and reached a crossing point.
Nurses face a new age for human experience; the
very foundations of health practices and thera- Professional Behaviors
peutic interventions continue to be dramatically According to Post (2014), professional characteris-
altered by significantly transformed scientific, tics or behaviors include:
technological, cultural, political, and social realities
■ Consideration
(Porter-O’Grady, 2003). The global environment
■ Empathy
needs nurses more than ever to meet the health-
■ Respect
care needs of all.
■ Ethical and moral values
Nursing sees itself as a profession rather than a
■ Accountability
job or vocation and continues with this quest for its
■ Commitment to lifelong learning
place among the health-care disciplines. However,
■ Honesty
what defines a profession? What behaviors are
expected from the members of the profession? Professionalism denotes a commitment to carry
Chapter 1 discusses nursing as a profession with out specialized responsibilities and observe ethical
its own identity and place within this new and principles while remaining responsive to diverse
ever-changing health-care system. recipients (Al-Rubaish, 2010). Communicating
16 unit 1 ■ Professionalism
OF
Ear Suckers
Ebrington, Lord, i., 194; iii., 54
Education, iii., 137
Elliott, Mr., ii., 376
Emir Beshyr, i., 55, 59, 104, 219; iii., 67, 100, 146, 274
Eugenia Meryon, i., 380; ii., 247
European taste for beauty, i., 192
Ewelly, the river, iii., 22
Eyes, ii., 69