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Title: Tutorial%201%20(topic%201%20


1
NBBS1104 MANAGEMENT AND MEDICO LEGAL STUDIES B
  • Tutorial 1 (topic 1 2)

2
  • Grouping .
  • What is management ?
  • What is administration ?
  • What is leadership ?
  • What is Motivation ?

3
Topic 1 Learning Outcomes
  • Distinguish between management and leadership in
    nursing
  • Discuss the principles and process of management
  • Describe the strategic planning and SWOT analysis
  • Describe different types of leadership styles
  • Discuss the motivation theories
  • Describe the role and responsibilities of a nurse
    as team leader, team member in ward or clinic

4
Content
  1. Introduction to management
  2. Process of management
  3. Management theories
  4. Motivational theories
  5. Leadership styles

5
(No Transcript)
6
a. Introduction to Management in Nursing
  • Dr Kithsiri Edirisinghe
  • MBBS, MSc, MD ( Medical Administration )
  • Master Trainer Australia

7
What is management
  • Getting things done through and with people by
    using resources effectively end efficiently to
    achieve organizational goals.
  • Peter Drucker -

8
Health Services Management
  • Managing Healthcare services effectively and
    efficiently with a view to achieve patient care
    standards, goals objectives.
  • Health services produced by Healthcare Process

9
Health care process
  • Input Healthcare process
    Output
  • Input - Resources
  • Healthcare process Hospitals , Public Health
  • Out put - Healthcare services

10
Healthcare Resources
  • Infrastructure - Space
  • Men - Human Resources
  • Machines - Equipments
  • Money - Finance
  • Material - Supplies
  • Methods - Policies , Procedures ,
    Protocols
  • Minutes - Schedule
  • Information - Health / hospital Information
    system (HIS)

11
Healthcare Services
  • Preventive - Public Health Services
  • Investigative services
  • Curative services
  • Rehabilitative services
  • Health sector Project management

12
Efficiency
  • More Output with the same input
  • Productivity

13
Effictiveness
  • Outcome of the production
  • Quality

14
Quality in Healthcare Services
  • Services quality
  • On stage players
  • Non medical staff services
  • Technical quality
  • Back stage players
  • Medical staff services

15
Goals and Objectives
  • Goals
  • Broad statement of achievement in future
  • Objectives
  • Milestones
  • SMART - Specific - Measureable - Achievable -
    Realistic - Timely

16
Administration
  • Making sure that the set of
  • rules and regulations
  • are adhered to by the people !
  • Rules regulations
  • Policies Circulars
  • Protocols Guidelines

17
Administration
  • Making sure that the set of
  • Rules and regulations
  • are adhered by the people !
  • Rules regulations
  • Policies Principles and Ethics
  • Protocols Guidelines

18
(No Transcript)
19
  • Activity 01
  • Critically analyze the following statement PP
    presentation for each group ( one topic for two
    groups 10 Munities )
  • Gr. 01 08 Hospitals in Sri Lanka is more
    efficient than effective
  • Gr. 02 07 Nurses are not suitable for
    managerial position in the hospitals in Sri Lanka
  • Gr. 03 05 Productivity is an essential
    component than quality in healthcare
  • Gr. 4 06 Medical administrators are not good
    administrators in Sri Lankan hospitals

20
b. Process of Management
21
  • Meaning and principles of management

22
Process of Management
  • Planning
  • Organizing
  • Staffing
  • Directing
  • Controlling
  • of the resources
    Efficiently Effectively, to achieve
    organizational goals and objectives

23
Planning
The greatest thing in the world is not so much
where we are, but in what direction we are
moving Oliver Wendell Homes
24
1. Planning
25
Planning
  • From here to there !
  • Preparation forecast
  • Two categories in planning
  • Operational planning
  • Strategic planning
  • It gives the direction

26
If you dont know where you are going, any road
will take you there.
  • The Koran

27
Planning
  • Strategic planning
  • Maximum consideration of the environment
  • Long term 03 10 years
  • Broader details
  • It gives the direction
  • Performed by top level managers CEO, COO
  • Operational planning
  • Minimal consideration of the environment
  • Short term 1-2 years
  • Detailed
  • Done by nursing managers

28
Strategic Management
  • Comprehensive management process ,
  • Performed by considering
  • the dynamic external environment ,
  • Internal environment
  • organizing a comprehensive plan
  • to achieve organizational goals
    objectives .

29
The trip
30
Strategic planning process
  • Developing a Vision
  • Developing a Mission
  • Situational analysis
  • Environmental assessment
  • External environment
  • Internal environment
  • SWOT analysis
  • Strengths , Weakness , Opportunities and Threats

31
Vision
  • A strategic vision concerns a organizations
    future path the road map!!
  • Where we are going

32
Vision examples
  • Wyeth
  • Our vision is to lead the way to a healthier
    world
  • Nike
  • To bring innovation inspiration to every
    athlete in the world
  • IIHS
  • To bring innovation to the training of
    healthcare professional

33
Developing Mission
  • The vehicle that drives the organization to the
    destination.

34
Canadian Red cross
  • The Canadian Red Cross mission is to improve the
    lives of vulnerable people by mobilizing the
    power of humanity in Canada and around the world

35
IIHS
  • We are a Healthcare training organization born
    to bring innovation to healthcare training at a
    green campus, infusing the traditional values of
    Healthcare professionalism, whilst adhering to
    international training standards to improve the
    quality of lives of healthcare professionals
    through developing their personalities, by
    partnering with international organizations, to
    provide a total solution to the global need of
    healthcare professional.

36
Key Steps in strategic planning
37
SWOT Analysis
  • Strengths
  • What are we good at?
  • Weaknesses
  • Where do we need improvement?
  • Opportunities
  • Where/What is the next big thing?
  • Threats
  • What can kill us?

38
External Environment Assessment


Opportunities Threats
Markets
Competition
Healthcare trends
Social factors
Economic factors
Educational factors
39
Internal Environment Assessment


Strengths Weakness
Patient care
Financial resources
Human resources
Information systems
Research Development
Educational systems
40
Steeps in strategic planning
41
2. Organizing
42
  • Meaning and principles of management

43
Organizing
  • Three sequential activities
  • Work specialization
  • Departmentalization
  • Planning Delegating authority

44
A. Work Specialization
45
Work specialization
  • Process analysis
  • Job design
  • Job analysis
  • Job description
  • Job specification

46
B. Departmentalization
47
Organizing structures
  • Establishing structures to carryout activity
    plans
  • Determining the most suitable method to deliver
    patient care
  • Reporting organizational and reporting structures

48
Organizational Structures for hospitals
49
Few words
  • Authority
  • The formal right to act as a manager
  • Responsibility
  • The duty to act on the authority delegated
  • Power
  • Capacity to influence the behaviour of others

50
Organizational Structure
  • How human beings are distributed in an
    organization
  • Where each person is competent in the particular
    field to hold their positions
  • To achieve organization goals and objectives

51
Top management
Middle management
Front line management
Levels of management
52
Organizational Chart
MANAGING DIRECTOR
OTHER DIRECTORS
MANAGERS
accountability
authority
SUPERVISORS/ TEAM LEADERS
Operational WORKERS
53
Few words in organizational structures
  • Tall structure
  • Long chains of command while organisations
  • Flat structure
  • Few layers or levels of hierarchy are
  • The chain of command
  • line of communication and authority existing
    within an organization
  • Employees prefer
  • The flat structure
  • Faster and effective communication

54
Levels of Hierarchy
  • Number of layers
  • within an organisation,
  • that is how many levels
  • exist between the chief
  • executive and a shop-
  • Operational employees

55
Features of a good OS
  • Alignment with the organizational functional
    units
  • Lean Agile
  • Leanness More productive, avoid red tapes
    bottle necks
  • Agility Agile, fast Mobile
  • Efficient effective work process
  • Minimizing cost Reduction of wastage
  • Reliable processes
  • Measurable outcomes
  • Efficient effective Information flow
  • Evidence based Quick decision making

56
Features of a good OS
  • Clear demarcation of authority
  • Decision making authority should be at
    operational level
  • Room for change
  • Minimize the cost of the structure
  • Relevant people should occupy key areas
  • Span of control - ideal 7 or less

57
Manager B
Manager A
Staff a
Staff b
Staff c
Staff a
Staff b
Staff c
Staff d
Narrow span of control
Staff e
Staff f
Wide span of control
58
C. Delegation
59
What is Delegation?
  • It is process
  • By which the Managers,
  • Assign tasks activities and responsibilities
  • Transfer authority accountability,
  • Set up monitoring control systems
  • To subordinates
  • with the intention of improve the organizational
    efficiency and effectiveness.

60
5- Golden rules in Delegation
  1. What to delegate ?
  2. What not to delegate?
  3. To whom delegate ?
  4. How much to delegate ?
  5. How to delegate?

61
1.What to Delegate
  • Activities that are
  • Repeated
  • Frequently
  • Takes more time
  • Causes least damage if make a mistake
  • Subordinate more equipped with
  • Enjoys frequently
  • Adds Varity
  • Relate to work
  • Improves skills
  • Needs minimum control

62
2.What not to Delegate
  • Making policies
  • Training
  • Discipline
  • Monitoring results
  • External Communication work
  • Upward delegation

63
3. Whom to Delegate
  • Most experienced person
  • One who has the best orientation of work
  • Maintain the chain of command
  • To a group than an individual

64
4. How much to delegate
  • Full responsibility
  • Partial responsibility

65
5. How to Delegate
  • Prior approval needed
  • Identify the right person
  • Specify the scope of activities
  • Determine the tasks
  • Specify the authority
  • Set Parameters guidelines
  • Expected level of performance
  • Set up control systems
  • Provide resources
  • Decide and inform
  • Minimum interference
  • Tolerate mistakes
  • Feed back
  • Minimum interference

66
  • Meaning and principles of management

67
3.Staffing
68
Human Resource management (HRM)
  • Getting things done through and with people to
    achieve organizational goals and objectives .
  • Human resource management activities

69
Scope of HRM
70
The Human Resource Management Activities
71
Turnover of the staff
  • Work related issues
  • Personnel reasons
  • Social reasons
  • Economic reasons
  • Professional reasons
  • Shortage of nurses
  • Malaysia 100,000 nurses needed
  • Nurse to patient ratio 1 200
  • Sri Lanka 30,000 State / Private 8000??

72
Activity
  • Find out the different Nursing staff needs
  • For a bed Ward, ICU, OT
  • Per patient visit Clinic, OPD
  • Per population

73
4. Directing
74
Directing
  • Human resource management responsibilities
  • Assigning responsibilities, authorities ,
    accountability holding

75
Directing functions
  1. Implement delegation
  2. Supervision
  3. Motivation
  4. Managing conflicts
  5. Counseling
  6. Decision making
  7. Training development

76
II. Superior Supervision
77
Who is a Supervisor ?
  • A Person
  • Who is always be there, at the workstation.
  • This is the best practice that should not be
    broken
  • No substitution for the supervisor
  • Myth
  • Super- Vision Seeing from above

78
Who is the Superior Supervisor ?
  • Who excel in upper 10 performance
  • - Greater impact on your carrier - Rise
    in the ladder
  • Rather than
  • - Doing middle 80 of the performance-

  • Normal activities every day
  • - Failing in bottom 10 performance- Free
    fall

79
How to be in the top 10 of performance?
  • Be a front line batsman.Forward
  • Be up to date Awareness
  • Set priorities correct. Focused
  • Have shorter span of controlFew bites
  • Get away from Grey area.Black or white

80
Basic Truth ?
  • Ensuring planned results are achieved
  • by
  • those who report directly to the supervisor

81
11 Habits to become a Superior Supervisor
  1. Planning ahead
  2. Delegating
  3. Giving instructions
  4. Developing team work
  5. Continuous Improvement
  6. Solving problems
  • Training staff
  • Motivating them
  • Counseling
  • Handling pressure
  • Give performance feed back

82
II. Motivation
  • Will be done later

83
Motivation
  • What is motivation?
  • Motivation is a process that occurs internally
    to influence and direct our behavior in order to
    satisfy needs (Lussier,1999)

84
III. Managing conflicts
  • Will be done in topic 06

85
Conflict Resolution- the methods
  • Smoothening calm things down
  • Avoidance minor
  • Authoritative command use rules regulation
  • Altering attitudes training
  • Compromise collective bargaining
  • Conciliation reunion
  • Third party mediation - Negotiation

86
IV. Counseling
  • Please read !!!!!

87
V. Decision making
  • Please read !!!!!

88
V. Training Development
89
Training Development
  • Increasing abilities of the employee to
    contribute to organizational effectiveness and
    efficiency
  • Training improving skills in the present job
  • Development prepare employee for promotion

90
Training Development
  • Training
  • Mainly for new recruits
  • Technical mechanical operations / more
    operational / Specific job related purpose
  • Mainly Non managerial
  • To improve current job performance
  • Short term
  • Development
  • Existing employees
  • Theoretical /conceptual ideas
  • Managerial ,supervisory
  • To upgrade to a next level
  • Long term

91
The process of organizing training programmes
  1. Training needs analysis - TNA Gap analysis
  2. Developing a programme
  3. Conduction the programme
  4. Evaluation of the programme
  5. Continuous improvement

92
5.Controlling
93
Controlling
  • Attempt to ensure that actual results come as
    closely to plan result as possible.

94
Four (4) steps in controlling responsibilities
95
Thank you !
96
(No Transcript)
97
c. Management theories
98
Management Theories
  1. Scientific Management
  2. Bureaucratic
  3. Administrative Principles
  4. Organizational Behavior

99
1. Scientific Management
100
  • Scientific
  • Productivity was the area of focus in this
    theory.
  • It can be achieved by preparing staffs with
    adequate skills and knowledge, and using advanced
    equipments to emphasize efficiency.
  • For example, in the ICU unit, all the nurses
    should be well-trained and cutting edge
    equipments should be used to provide maximum care
    for the patients.

101
2. Bureaucratic Theory
102
  • Bureaucratic
  • Weber believed efficiency is achieved through
    impersonal relations within a formal structure.
  • Such as from matron-sister-staff nurse.
    Competence was the basis for hiring and promoting
    an employee.
  • Decision was made in an orderly and rational way
    based on rules and regulations.
  • The bureaucraticorganisation was a hierachy
    with clear superiorsubordinate communication and
    relations. Based on positional authority, in
    which orders from the top such as matron and
    transmitted through the organisation via clear
    chain and command.

103
3. Administrative Theory
104
  • Administrative
  • Focusing on general principles of management
    such as in a management process eg planning,
    organising, directing, coordinating and
    controlling.
  • Another aspect of this theory attributed by
    Barnard who is emphasised on the concept of the
    informal organisation.
  • He believed the informal organisation consists
    of naturally forming social groups that can
    become strong and powerful contributors to an
    organisation.
  • This theory also identified people as having free
    will and they actually choose to comply with
    orders they are given.

105
4. Organisational Behaviour
106
  • Orgnizational
  • Focused on the effect individuals have on the
    success or failure of an organisation.
  • The chief concerns of the human relations
    movement are individuals, group process,
    interpersonal relations, leadership and
    communication.
  • Instead of concentrating on the organisations
    structure, nurse managers encourage staffs to
    develop their potential and help them meet their
    needs for recognition, accomplishment, and sense
    of belonging.

107
Thank you !
108
(No Transcript)
109
d. Motivational theories
110
Motivation ?
  • Stimulus
  • Incentive
  • Inspiration
  • Impulse
  • Drive
  • Enthusiasm

111
Motivation
  • What is motivation?
  • Motivation is a process that occurs internally
    to influence and direct our behavior in order to
    satisfy needs (Lussier,1999)

112
Definition of motivation
  • Motivation represents those psychological
    processes that cause arousal, direction and
    persistence of voluntary actions that are goal
    directed

113
  • Knowledge as the theoretical paradigm, the
    what to do and the why
  • Skills as the how to do
  • Desire as the motivation, the want to do
  • Steven Covey,1989

114
Motivation Theories
  • Hierachy of human needs
  • Two-factor Theory
  • Theory X and Y
  • Theory Z

115
Abraham Maslow
  • Peoples behaviors are guided by a sequence of
    needs
  • Humans possess unique qualities that enable them
    to make independent choices which control of
    their future

116
Maslows Hierarchy of Needs
117
Description of the Needs Theory
118
Two factor theory - Herzbergs Motivational and
Hygiene Factors
  • Motivational factors
  • Motivates people by if present
  • Achievement, recognition, the work itself,
    responsibility, advancement, and growth, which
    produce job satisfaction
  • Hygiene factors
  • Cause dissatisfaction if not present, but do not
    motivate workers to do more.
  • Examples include larger salaries, more
    supervision, and a more attractive work
    environments

119
  • Theory X and Y
  • Theory Z
  • Please read !

120
What cause success or failure of work process
  • More likely to succeed when managers influence
    with
  • expertise
  • work challenge
  • More likely to fail when managers rely too
    heavily on
  • authority
  • money
  • penalty

121
How to motivate employees
High
Needs Empowerment
Needs Skill Enhancement
Level of motivation
Problem Employees
Waiting for Motivation
High
Low
Level of Ability
122
Improving Effectiveness - Coveys 7 Habits
  • Anyone can apply Coveys 7 habits to improve
    effectiveness at work place
  • Be proactive ( Practical)
  • Begin with the end in mind
  • Put first things first
  • Think win/win
  • Seek first to understand, then to be understood
  • Synergize
  • Sharpen the saw

123
Thank you !
124
(No Transcript)
125
Topic 02
  • LEARNING OUTCOMES
  • By the end of this topic, you should be able to
  • 1. Describe different types of leadership styles
  • 2. Discuss the motivation theories
  • 3. Describe the role and responsibilities of a
    nurse as team leader and team member in ward or
    clinic.

126
1. Leadership
127
Management in Nursing
  • Managers are people who do things right ( WAY)
  • leaders are people who do the right things
    (Bennis Nanus, 1985)
  • Management is efficiency in climbing the ladder
    of success
  • leadership determines whether the ladder is
    leaning against the right wall (Stephen
    Covey, 2005)

128
Leadership
  • Leadership is the inspiration for desired
    responses and getting work done through others.
  • Leaders focus on purpose and doing the right
    thing.
  • Future oriented
  • Challenged by change
  • Plan strategies to facilitate human potential.
  • Use their power to motivate people to act
  • Manage conflict.
  • Go to unknown territories

129
Leadership
  • Inspirational and lead the way
  • Leaders have followers
  • Informal relationship
  • Leadership relies more on personality traits and
    people skills.
  • Leadership can be developed by gaining
    experience, having a mentor or attending classes.

130
  • EFFECTIVE LEADERSHIP IN HEALTHCARE
    ORGANIZATIONS

131
LEARNING OBJECTIVES
  • Define leadership.
  • Describe leadership approaches.
  • Discuss the most important leadership traits and
    skills as well as functions of effective
    leadership.
  • Determine sources of leaders power importance
    of influence.
  • Describe the different leadership styles.
  • 6. Explain leadership development.

132
Introduction
  • Effective leadership is essential if a health
    services organization (HSO) is to provide
    high-quality care and succeed financially.
  • All managers at all levels of the organization,
    who depend on other people for efficient and
    effective work performance, require leadership
    ability.
  • The quality of leadership is crucial to how work
    gets done.

133
Another important definition is that
  • Leaders are agents of change, persons whose acts
    affect other people more than other peoples acts
    affect them

134
Leadership Approach
  • Proactive approach take responsible initiatives
    to change situations and attitudes through
    people. This approach is the essence of modern
    leadership,
  • Reactive approach where a leader responds only
    to events and instructions from outside.

135
EXERCISE (1)
  • From your experience, try to describe a leader
    you worked with or had contact with whom you
    consider a role model of a successful leader
    why?
  • What in your opinion are the main traits ,skills
    behaviours of a successful leader?

136
Table1 Traits and skills found most successful
leaders
  • Traits
  • Adaptable to situations
  • Alert to social environment
  • Ambitious and achievement-oriented.
  • Assertive
  • Cooperative
  • Decisive
  • Dependable
  • Dominant(desire to influence others)
  • Energetic (high activity level)
  • Persistent
  • Self-confident
  • Tolerant of stress
  • Willing to assume responsibility
  • Skills
  • Clever(intelligent)
  • Conceptually skilled
  • Creative
  • Diplomatic and tactful
  • Fluent in speaking
  • Knowledgeable about group task
  • Organized (administrative ability)
  • Persuasive
  • Socially skilled

137
Leaders Power and Influence
  • Influence is important to the leadership process
    because it is the means by which leaders
    successfully persuade others to follow their
    advice, suggestion or order.
  • The essence of leadership is the ability to
    influence others.
  • To have influence, however, one also must have
    power.

138
Power Leadership
Power
Behavior I
Behavior II
139
  • Sources of Power
  • 1.Legitimate Power This is the power a leader
    has as a result of his / her position in the
    organization.
  • 2. Coercive Power Is the power to punish or
    control.
  • 3. Reward Power Is the power of giving positive
    benefits or rewards whether financial or
    otherwise.

140
  • 4. Expert Power Influence thats based on
    expertise, special skills or knowledge.
  • 5. Referent Power Arises because of a persons
    personal traits or desirable resources, e.g.
    admiration of another a desire to be like that
    person, in this case that person has referent
    power over you.
  • Most effective leaders rely on several different
    forms of power e.g. giving orders (legitimate),
    praising (reward), disciplining (coercive).

141
  • Also power must be used wisely to influence
    people e.g. abuse of coercive power may lead to
    weakening or loss of referent power.
  • Effective leaders understand the costs, risks,
    and benefits of using each kind of power and are
    able to recognize which to draw on in different
    situations and with different people.

142
Interpretation of leader decision-making authority
Use of authority by the manager
Area of freedom for subordinates
Manager sells decision.
Manager presents ideas and invites questions
Manager presents tentative decisions subject to
change
Manager defines limits, asks group to make
decisions.
Manager presents problem, gets suggestions, makes
decisions
Manager makes decision and announces it
Manager permits subordinates to function within
limits defined by superior.
(6) DEMOCRATIC
(7) LAISSEZ-FAIRE
(4) (5) PARTICIPATIVE
(1) AUTOCRATIC
(2) (3) CONSULTATIVE
143
Autocratic
  • Leader makes decisions without reference to
    anyone else
  • High degree of dependency on the leader
  • Can create de-motivation and alienation of staff
  • May be valuable in some types of business where
    decisions need to be made quickly and decisively

144
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145
Democratic
  • Encourages decision making from different
    perspectives leadership may be emphasised
    throughout the organisation
  • Consultative process of consultation before
    decisions are taken
  • Persuasive Leader takes decision and seeks to
    persuade others that the decision is correct

146
Democratic
  • May help motivation and involvement
  • Workers feel ownership of the firm and its ideas
  • Improves the sharing of ideas and experiences
    within the business
  • Can delay decision making

147
Laissez-Faire
  • Let it be the leadership responsibilities
    are shared by all
  • Can be very useful in businesses where creative
    ideas are important
  • Can be highly motivational, as people have
    control over their working life
  • Can make coordination and decision making
    time-consuming and lacking in overall direction
  • Relies on good team work
  • Relies on good interpersonal relations

148
Paternalistic
  • Leader acts as a father figure
  • Paternalistic leader makes decision but may
    consult
  • Believes in the need to support staff

149
Developing leadership in Nursing practice
150
  • Nurse leadership is vital.
  • Nurses depend on their leaders to set goals for
    the future and the pace for achieving them.
  • The leader, not the manager inspires others to
    work at their highest level.
  • The presence of strong Leadership sets the tone
    for achievement in the work environment.

151
  • Traditional View - Leader is in the position of
    authority, exerting command control and using
    power over subordinates. Nurses as professional
    they function as leaders when they influence
    others toward goal achievement.
  • Formal Leadership - A person is in position of
    authority or in assigned role within an
    organisation that connotes influence, such as
    Head Nurse or Nurse Manager.
  • Informal Leadership - A person is considered to
    have emerged as a leader when she is accepted by
    others and is perceived to have influence.

152
Coveys Eight Habits of the Effective Leader
Adapted for Nurses
153
  • Leadership Behaviour
  • In the 1950s, the study of leadership and
  • leaders shifted from traits to behaviour.
  • Trait theories maintained that leaders are born
    Either you have it or you dont. The behaviour
    theories believed that leaders are made!
  • Behavior theory leader behaviour explained
    leadership effectiveness,
  • Leadership could be taught
  • since behaviour can be learned
  • programs can be designed to develop effective
    leaders.

154
Leadership Development
  • Leadership development means the improvement
    and strengthening of abilities and effectiveness
    of both current and prospective leaders.
  • Functions to be developed for effective
    leadership ?

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  • Table 2 Functions of Effective Leadership
  • The provision of a vision that influences all
    who work in the organization.
  • Confidence in ones vision and oneself.
  • Projecting / communicating the vision.
  • Initiating / guiding change.
  • Mobilizing commitment and support for
    change.
  • Resolving conflict.
  • Building of trust.
  • Building sustainability
  • Developing others.

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Transformational Leadership Competencies
  1. Individual Consideration
  2. Charisma
  3. Intellectual Stimulation

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Nurse as leader
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Staff Nurse as Leader
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Nurse manager as a leader
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Tips for becoming a good leader
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  • I suppose that leadership at one time meant
    muscle but today it means getting along with
    people.
  • Indira Ghandi

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Think of This Statement
  • When we look through the lens of each others
    weaknesses, we make others strengths irrelevant
    and their weakness more evident.

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  • Activity 05
  • Debate 08 groups

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Presentations
  • Learning to be a better manager is easier than
    be a better leader? Group 01
  • People just born to be a leaders and they cannot
    be be taught and learned? Group 02
  • All Leaders will definitely get burning out?
    Group 03
  • There is no one best way to lead? Group 04
  • Autocratic leadership is ideal for hospitals
    Group 05
  • A nurse is an effective leader than doctors
    group 06

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EXERCISE (2)
  • Debate
  • 1. Group 01 02
  • 2. Group 03 04

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Topic 7 Introduction to Law
  • Learning Outcomes
  • 1. Define basic concepts and principles of law
  • 2. Describe the sources and types of law and
  • 3. Relate tort law with issues in nursing
    practice.

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The Role of professional nursing has expanded
rapidly within the past few years
  • increased expertise
  • specialization
  • autonomy
  • accountability,
  • legal and an ethical perspectives.
  • This has forced new concerns among
  • nurses and a heightened awareness of the
    interaction of legal and ethical issues.
  • Areas of concern include legal issues
  • professional acts
  • regulations,
  • employment rules
  • ethical principles.

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Introduction to Ethics
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  • Introduction to Ethics
  • 8.1 Standardisation of Professional Conduct
  • 8.1.1 Licensure
  • 8.1.2 Board of Nursing
  • 8.1.3 Contract of Employment
  • 8.2 What Kind of Law Apply to Nurses
  • 8.2.1 Intentional and Unintentional Tort
  • 8.3 Basic Ethical Concepts
  • 8.3.1 Ethical Theories
  • 8.3.2 Ethical Principles
  • 8.4 Ethical Dilemmas
  • 8.4.1 Ethical Decision Making Process

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What is Law
  • Humans ------ choice
  • Earliest notion of law - divine right.
  • A workable definition
  • rules of human conduct
  • established and enforced by authority
  • which prohibit extremes in behavior
  • so that one can live without fear for oneself or
    ones property.

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Law
  • Article 160 of the Federal Constitution provides
    a three-fold
  • classification of the different types and sources
    of Malaysian Law

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Sources of Law
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1. Written Law (Statutory Law/Public Law)
  • Federal Constitution which is the supreme law of
    the land and the Constitution of each State of
    the Federation.
  • The acts are passed by Parliament and various
    State Assemblies.
  • The subsidiary rules and regulations are made by
    Ministers and other persons by virtue of powers
    given to them by Acts of Parliament of State
    enactments.

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2. Common Law
  • A body of law developed from an accumulation of
    judgments arising from
  • particular cases.
  • The body of case law that developed from
    adjudication of kings and later of judges is
    known as Common Law.

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3.Customs or Practices
  • Customs or Practices deal with any custom or
    usage having the force of
  • law in the Federation. Usage derived from
    personal laws of different
  • communities e.g. adats of the Malays and the
    Hindu and Chinese
  • customary laws.

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Malaysian courts
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Courts
  • A court is a gathering, presiding over by a judge
    or other person invested with judicial power,
    which follows the rules of procedure prescribed
    for that court
  • some cases assisted by a jury. The judge, or
    where there is a jury, the
  • judge and jury, determines such matters as
    Whether certain facts have been established.
  • Where required, the legal obligations and rights
    of a party or parties.
  • The punishment appropriate for criminal or other
    offences.
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