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3 Types of management: Centralized management •A single administrator leads the organization, and directors oversee departments or programs •Decisions are made by the leader and directors, with little staff input •Managers have minimal responsibility or accountability for operation of nursing unit •Staff do not feel involved in care processes, and collaborative practice is not supported. Decentralized/participatory management •Staff members with the most knowledge about an issue participate in decision making. •Structures such as professional practice councils exist to promote collaboration and decision making. •Managers responsible for nursing care units or community programs often have accountability and responsibility for staffing decisions, budget, and day-to-day management of work unit. Matrix •Traditional units are reorganized into business units. •Staff may report to several managers—such as one with responsibility for professional practice (e.g., nursing) and another with responsibility for a specific program (e.g., child and family health)—who may be from a variety of professional practice backgrounds. The five practices of transformational leaders 1.Building relationships and trust is a critical leadership practice, the foundation on which the other practices rest. Relationships include those formed between individual nurses, on teams and in internal and external partnerships. 2.Creating an empowering work environment depends on respectful, trusting relationships among people in a work setting. An empowered work environment has access to information, support, resources, and opportunities to learn and grow, in a setting that supports professional autonomy and strong networks of collegial support. 3.Creating a culture that supports knowledge development and integration involves fostering both the development and dissemination of new knowledge and instilling a continuous-inquiry approach to practice, where knowledge is used to continuously improve clinical and organizational processes and outcomes. 4.Leading and sustaining change involves the active and participative implementation of change, resulting in improved clinical and organizational processes and outcomes 5.Balancing the complexities of the system, managing competing values and priorities entails advocating for the nursing resources necessary for high-quality patient care, while recognizing the multiple demands and complex issues that shape organizational decisions. Proper use of evidence is the key. TASK: Different forms of management type have different outcomes when it pertains to employee satisfaction or employee engagement. Discuss the different types of management using ideas from the 5 practices of transformational leaders and the outcomes that you would expect to see from the followership specially in healthcare environment.
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