Nursing Leadership & Management
NURS 4211
Course Information
Course Description:
This course examines managerial and leadership concepts, issues, roles, and functions
as applied to the role of the professional nurse in various healthcare settings.
Course Objectives:
At the end of this course the student will be able to:
Apply theories of effective leadership and management within selected health care
arenas.
1. Utilize the skills of nursing process, critical thinking, ethical decision-making,
communication, and therapeutic nursing intervention in managing culturally
competent, cost effective care of groups of clients across the wellness/illness
continuum.
2. Collaborate with interdisciplinary health care team members in prioritizing and
coordinating quality/cost effective healthcare.
3. Demonstrate leadership and management of a care-giving team comprised of
individuals with varied cultural and ethnic origins, and varied levels of clinical
knowledge and competencies.
4. Utilize skills of inquiry and research as a means to enhance knowledge base,
facilitate change, and improve quality of care.
5. Demonstrate professional accountability for effective leadership within nursing
practice and for advancement of the profession.
Prerequisites and Co-requisites:
Admission to MSN-RODP Program as a bridge student, or special permission
Current RN licensure
Completed bachelor’s degree
Course Topics
Module 1
What is Leadership and
Chapter1, 2, 3 Analyze
management and How
your personal leadership
does it apply to me?
style
(Theories of Effective Leadership,
Followership, and Management)
Organizational and
Personal Mission, Vision
and Goals (Planning
Hierarchy)
Module 2:
Critical Thinking,
Problem Solving and
Effective Decision
Making
Identify Personal Values
Develop Personal mission
statement and goals
Chapter 5
Institutional constraints and
change practice
Change Theory:
planned change vs.
chaos
Module 3
Managing Quality and
Risk
Module 4
Managing Costs and
Budgets, Care Delivery
and Staffing
Module 5
Organizational
Structure and Power
Motivation,
Communication and
Team Building (Interpersonal
Relationships, Collaboration and
Team Building)
Module 6
Delegation
Conflict Management
Module 7
Role Transition
Time and stress
management
Chapter 16
Discussion Board Question
re. Personal reaction to
change
Chapter 19
Quality Improvement paper
Discussion Board Question
Chapter 11.12.13
Case Study
Discussion Board Question
Chapter 7 ,9
Analyze an organizations
structure and culture
Chapters 17
Discussion Board
Questions
Communication Activity
Chapter 22
Delegation case study
Chapter 23
Conflict Management Case
Study and Discussion
Board
Chapter 25
Role assessment
Chapter26
Time management analysis
Textbooks, Supplemental Materials, Hardware and Software Requirements
Please visit the Virtual Bookstore to obtain textbook information for this course:
http://rodp.bkstr.com
Required Texts:
Yoder-wise, P, (2007) Leading and managing in nursing. Mosby InC
ISBN 13 978 0 323 03900 0
Supplementary Materials:
Assigned periodicals, documents, position statements, and Internet online articles.
The text below is used as a reference.
Covey, S. R. (1989). The Seven Habits of Highly Effective People
New York: Fireside.
Hardware Requirements:
http://www.tn.regentsdegrees.org/students/hardware_software.htm
Software Requirements:
http://www.tn.regentsdegrees.or/students/hardware_software.htm
Additional software requirements for this course include Microsoft Word and Power
Point, and Acrobat Reader.
Instructor Information:
Please see the separate page inside the course to find instructor contact information as
well as a statement of virtual office hours and other communication information.
Assessment and Grading:
Course assignments:
All course requirements are submitted online through the digital drop box or discussion
board.
Grading Procedures:
The grade in this course is based on successful completion of a contract. The C,
B and A contract activities are described below with further detail in the
corresponding module.
Essentially, you must complete all the C grade items, and then choose other
items to complete either a B or an A. Begin with the C Grade activities.
Many of the activities require use of a clinical facility. You may use any clinical
facility you are familiar with or have access to.
I expect students to complete all the C activities then the specific contract
activities for the desired B or A. However, if for some reason the activities are not
completed I do have a grading system.
o Contract items are graded on a pass/fail basis (2 = pass 1= redo 0 = fail)
If an activity is unsatisfactory it will be returned one time for improvement
(Student responses to discussion questions and contract activities must be
substantive, that is, thoughtful and analytical. An unsatisfactory assignment is
one that does not exhibit analysis of the issue, does not answer the question
completely, or shows sparse evidence of introspection or application.)
o There are a total of 56 points possible in assignments. A = 52.08 - 56 pts; B
= 47.6 - 52. 08 pts; C = 42.56 -47.5 pts. Below 42.56 pts is not
passing
o Some C grade contract items are time sensitive. Please check the due dates in
the calendar and in the module.
o If a student is unable to fulfill this requirement for any reason, he/she should
notify the instructor prior to the class and make alternative arrangements.
o Written assignments must meet APA grammatical standards and those
standards set in contract.
o These graded activities are to be turned in via Digital Drop box and discussion
board.
Basic requirements are listed below - Detailed information is in each module
Graded activities are under assignments in each module.
C Grade Activities - Students are required to complete all C Grade Activities.These
activities are considered basic skills for nurse leaders and managers.
Activities for a B and A - Each student comes to this course with a different bag of skills
therefore you can choose an activity that will increase or stretch your abilities.
Choose two extra activities for a B (in addition to the C grade activities)
Choose 4 extra activities for an A (in addition to the C grade activities)
Guidelines for participation in online class discussions
All students are expected to actively participate in online class discussions. Participation
in assigned online discussions of course content is expected as topics are introduced
and as applied to assigned readings. Each discussion question posted will be assigned
a date by which the student must respond. If a student is unable to fulfill this
requirement for any reason, he/she should notify the instructor prior to the class and
make alternative arrangements. The aim is to encourage interaction among students
and faculty, not simply to present information. Students are required to respond to all
discussion questions. Student responses to discussion questions must be
substantive, that is, thoughtful and analytical. Because the D2L system has its own way
of formatting material posted on the discussion feature, the student will not be expected
to strictly follow APA guidelines for online submissions. However, the student is held to
academic standards of writing style and the use of proper grammar, punctuation and
spelling.
Grade points for postings to the course discussion board are based on the student’s
depth of participation. All students must participate in the discussion forums in order to
meet the course requirements. The discussion board will be evaluated each week. The
final grade for class participation will be dependent on the level at which the student
generally participates throughout the semester.
Discussion Board points are assigned as follows (these items are included under
assignments)
o Pass - includes in depth response to discussion questions and additional
substantive responses to 1 or 2 postings from other students
o Not pass - Response to assigned discussion question only and/or does not meet
any of the criteria.
Grading Scale:
93-100 = A
85-92
=B
76-84
=C
70-76
=D
<70
=F
Learning Activities and Assignments
Details for learning activities and associated reading are in each Module.
C Grade Assignments (details are in each Module)
Module 1
Evaluate and Analyze personal leadership style according to a current leadership
theory
Develop personal mission statement and 5 year goals
Turn in your personal mission statement and 5 year goals
Module 2
Institutional constraints identified. Plan a change
Discussion Board Question re. Personal reaction to change
Module 3
Develop and analyze a quality improvement tool-(in depth explanation in the module)
Module 4
Discussion Board Questions related to staffing
Scheduling Case Study
Module 5
Analyze the organizational structure of a healthcare institution –
Motivation/tem building activity
Communication activity
Module 6
Delegation activities o
Learning Exercise using the ANA guidelines presented in Module 6 explain why
you would or would not delegate the following list of activities.
Conflict Management analysis
Module 7
Time and stress management activity
Role assessment
B and A Grade Activities - the B and A activities are designed to assist the
student to expand their knowledge. Choose activities in areas that you have little
experience or area that you want to learn more about.
Choose two of these activities to complete for a B (must also complete the C
grade activities)
Choose four of these activities to complete for an A (must also complete the C
grade activities)
Activities from the basic concepts
1. Compare and contrast two other people’s leadership style. Describe how they are
or are not effective. (Refer to the Attributes of Leaders and Managers Box 1.1, the
various theories of Leadership or Gardner's Tasks of Leadership Box 1.2) (Give
examples of how they exhibit the characteristics of theoretical leadership style).
2. Complete the cultural values checklist and family health illness inventory in back of
the text Activities 8 - 2 and 8 - 3 beginning page 638
Activities from Managing resources
3. Budgeting activity A. (to learn more about the budgeting process in your
organization) - complete exercise 11 - 14
4. Budgeting Activity B. (to assist one to become aware of profit and loss) - complete
Exercise 11- 15 page 234
5. Exploring overtime policies. Exercise 13 - 5 page 281
Activities from Changing the status Quo
6. Risk management activity First do activity 19.1 page 678 Yoder Wise,
Next - describe an error that occurred in the agency where you practice - one that
resulted in harm and one that did not. What would you suggest to avoid a
reoccurrence? Decide under what circumstances you would inform the family and
patient and under what circumstances you would withhold the information.
7. Strategic planning and goal setting - Using the guidelines for effective goals in the
text as examples, write some specific short term, medium term and long term goals for
a department or team you are involved with. If you wish, discuss them with a team
member.
Activities from Interpersonal and Personal Skills
8. Conflict resolution - A. Analyze your actions in a past conflict. Choose a conflict in
which you have been directly involved. Play 20 questions: Conflict analysis Activity 222 page 691
B. After analyzing the conflict with the questions, reflect on your knowledge about
yourself and the five different approaches to conflict, then write out a short scenario
(including all for stages of conflict resolution) describing how you could or should act to
resolve the conflict.
Turn in part B.
9. Stress management - Analyze a stressful situation and your coping strategies (some
are listed in Chapter 26 beginning page 537). Activity 26.2 page 706
Class Participation:
The student is expected to participate by responding to email and bulletin board chats
with classmates for interactive feedback on assignments as identified in modules.
It is especially important for students in an on-line course to maintain contact with their
instructor. The instructor must hear from every student at least once a week: if during a
given week, a student fails to make contact in some way (by submitting an assignment
or participating in a chat or discussion) he or she must email the instructor, even if the
student is sick or out of town. A student who fails to contact the instructor on a regular
basis may miss important updates or even fail the course.
Punctuality:
Students need to consult the course calendar for the readings, exam and other due
dates and is expected to meet stated deadlines.
Course Ground Rules
The following are recommendations for students taking this class:
Learn how to navigate in D2L.
Consult the course calendar for dates for readings, exams and extra-credit assignments
Check the discussion board 2-3 times a week to see if the instructor or another student
has introduced a new topic for discussion.
Manage your time wisely. Give yourself enough time to read the assigned text chapters
and lessons before an exam.
Keep abreast of course announcements.
Keep in contact with the instructor through course e-mail on a regular basis.
Address technical problems immediately.
Observe course netiquette at all times.
Guidelines for Communications
Email:
Always include a subject line.
Remember without facial expressions some comments may be taken the wrong way.
Be careful in wording your emails.
Use of emoticons might be helpful in some cases.
Use standard fonts.
Do not send large attachments without permission.
Special formatting such as centering, audio messages, tables, html, etc. should be
avoided unless necessary to complete an assignment or other communication.
Respect the privacy of other class members.
Discussion Groups:
Review the discussion threads thoroughly before entering the discussion.
Try to maintain threads by using the “reply” button rather than starting a new topic.
Do not make insulting or inflammatory statements to other members of the class. Be
respectful of other’s ideas.
Be patient and read the comments of other class members thoroughly before entering
your remarks.
Be positive and constructive in class discussions.
Respond in a thoughtful and timely manner.
Chat:
Introduce yourself to the other learners in the chat session.
Be polite. Choose your words carefully. Do not use derogatory statements.
Be concise in responding to others in the chat session.
Be prepared to open the chat session at the scheduled time.
Be constructive in your comments and suggestions.
Resources
Web Resources:
Columbia Guide to Online Style by Janice R. Walker and Todd Taylor
Citation Styles Online http://www.bedfordstmartins.com/online/cite6.html
Library
The Tennessee Board of Regents Virtual Library is available to all students enrolled in
the Regents Degree Program. Links to library materials (such as electronic journals,
databases, interlibrary loans, digital reserves, dictionaries, encyclopedias, maps and
librarian support) and Internet resources needed by learners to complete online
assignments and as background reading must be included in all courses.
Students With Disabilities
Qualified students with disabilities will be provided reasonable and necessary academic
accommodations if determined eligible by the appropriate disability staff at their home
institution. Prior to granting disability accommodations in this course, the instructor
must receive written verification of a student’s eligibility for specific accommodations
from the disability services staff at the home institution. It is the student’s responsibility
to initiate contact with their home institution’s disability services staff and to follow the
established procedures for having the accommodation notice sent to the instructor.
Syllabus Changes
The instructor reserves the right to make changes as necessary to this syllabus. If
changes are necessitated during the term of the course, the instructor will immediately
notify students of such changes both by individual email communication and posting
both notification and nature of change(s) on the course bulletin board.
Technical Support
Telephone Support:
If you are having problems logging into your course, timing out of your course web site
tools, or other technical problems, please contact the AskRODP Help Desk by
calling, 1-866-550-7637 (toll free)
or go to the AskRODP website at: http://askrodp.custhelp.com
Approved by RODP Curriculum Committee 10 27 04