Leadership in Nursing Loud Roommate Action Plan HW

You are a nursing student and share an apartment with a friend who dropped out of school several months ago. Your roommate works as a bartender at a local restaurant four evenings per week and often doesn’t get home until the wee hours of the morning. When she was in school, her general routine would be to come in quietly and go to bed so that she could be up early for classes the next day. Since she dropped out of school, however, she often brings home her coworkers who party all night and then sleep on the sofa or floor in your apartment. This has made it very difficult for you to get the sleep you need to be clear-headed for your early morning clinical courses, and you resent the loss of privacy in your apartment. When the situation first began, you attempted to talk to your roommate about the problem. She became very angry and accused you of being jealous that she “gets to have fun and you don’t.” She refused to discuss the situation further. Since then, she has been cold and aloof, and the situation in the apartment has become worse, not better. When you come out at night and ask her to turn the music down, it is often turned up even louder as soon as you go back to your room. You can hear her and her friends mocking you. Today, you discovered toothpaste squirted inside your shoes and your stethoscope was hung on the toilet. When you attempt to confront your roommate about the latest incidents, she states she does not have time to talk and that “this is your problem, not mine.” Your lease does not end for 6 months, and you do not have the financial resources to simply walk away and find a new place to live. • Develop a plan for how you will deal with the passive–aggressive and aggressive behavior of your roommate. • How do you communicate with someone who doesn’t want to or won’t communicate with you? • Reference Chapter 19 2 3 4 5 Senior Acquisitions Editor: Christina C. Burns Director of Product Development: Jennifer K. Forestieri Senior Development Editor: Roxanne Halpine Ward Editorial Assistant: Hilari Bowman Production Project Manager: Marian Bellus Design Coordinator: Steven Druding Illustration Coordinator: Jennifer Clements Manufacturing Coordinator: Karin Duffield Prepress Vendor: Absolute Service, Inc. 9th edition Copyright © 2017 Wolters Kluwer.. Copyright © 2015 and 2012 by Wolters Kluwer Health | Lippincott Williams & Wilkins. Copyright © 2009, 2006, 2003, and 2000 by Lippincott Williams & Wilkins. Copyright © 1996 by Lippincott-Raven Publishers. Copyright © 1992 by J. B. Lippincott Company. All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their offi cial duties as U.S. government employees are not covered by the above-mentioned copyright. To request permission, please contact Lippincott Williams & Wilkins at Two Commerce Square, 2001 Market Street, Philadelphia, PA 19103, via e-mail at permissions@lww.com, or via our website at lww.com (products and services). 987654321 Printed in China Library of Congress Cataloging-in-Publication Data Names: Marquis, Bessie L., author. Leadership in Nursing Loud Roommate Action Plan HW

| Huston, Carol Jorgensen, author. Title: Leadership roles and management functions in nursing : theory and application / Bessie L. Marquis, Carol J. Huston. Description: Ninth edition. | Philadelphia : Wolters Kluwer Health, [2017] | Includes bibliographical references and index. Identifi ers: LCCN 2016046163 | ISBN 9781496349798 Subjects: | MESH: Nursing, Supervisory | Leadership | Nurse Administrators | Nursing—organization & administration Classifi cation: LCC RT89 | NLM WY 105 | DDC 362.17/3068—dc23 LC record available at https://lccn.loc.gov/2016046163 Care has been taken to confirm the accuracy of the information presented and to describe generally accepted practices. However, the author(s), editors, and publisher are not responsible for errors or omissions or for any consequences from application of the information in this book and make no warranty, expressed or implied, with respect to the currency, completeness, or accuracy of the contents of the publication. Application of this information in a particular situation remains the professional responsibility of the practitioner; the clinical treatments described and recommended may not be considered absolute and universal recommendations. The author(s), editors, and publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accordance with the current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any change in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new or infrequently employed drug. 6 Some drugs and medical devices presented in this publication have Food and Drug Administration (FDA) clearance for limited use in restricted research settings. It is the responsibility of the health-care provider to ascertain the FDA status of each drug or device planned for use in his or her clinical practice. LWW.com 7 I dedicate this book to the two most important partnerships in my life: my husband, Don Marquis, and my colleague, Carol Huston. Bessie L. Marquis I dedicate this book to my husband Tom, who has stood by my side for almost 45 years. I love you. Carol Jorgensen Huston 8 REVIEWERS Carol Amann, PhD, RN-BC, FNGNA Nursing Instructor Villa Maria School of Nursing Gannon University Erie, Pennsylvania Andrea Archer, EdD, ARNP Undergraduate Nursing Department Florida International University Miami, Florida Cynthia Banks, PhD Program Director, RN to BSN Department of Nursing Sentara College of Health Sciences Chesapeake, Virginia Dana Botz, MSN Faculty, Department of Nursing North Hennepin Community College Brooklyn Park, Minnesota Sharon Bradley, DNP Clinical Assistant Professor Director of Student Success College of Nursing University of Florida Gainesville, Florida Carolyn Brose, EdD, MSN Associate Professor MSN Program Director Missouri Western State University St. Joseph, Missouri Beryl Broughton, MSN, CRNP, CS, CNE Nursing Instructor, Nursing Education Aria Health School of Nursing Trevose, Pennsylvania Suzette Cardin, PhD Adjunct Associate Professor School of Nursing 9 University of California, Los Angeles Los Angeles, California Fran Cherkis, DHSc Associate Professor Department of Nursing Farmingdale State College Farmingdale, New York Alice Colwell, MSN Assistant Professor Department of Nursing Kent State University Trumbull Campus Warren, Ohio Laura Crouch, EdD, MSN Associate Clinical Professor School of Nursing Northern Arizona University Flagstaff, Arizona Karen Davis, DNP Assistant Professor College of Nursing University of Arkansas for Medical Sciences Little Rock, Arkansas Karen Estridge, DNP, RN Assistant Professor Department of Nursing Ashland University Mansfield, Ohio James Fell, MSN, MBA, BSN, BS Associate Professor Director Department of Nursing Baldwin Wallace University Berea, Ohio Rick García Leadership in Nursing Loud Roommate Action Plan HW

PhD Associate Professor Faculty Fellow Rory Meyers College of Nursing New York University New York, New York Evalyn Gossett, MSN Clinical Assistant Professor School of Nursing Indiana University Northwest Gary, Indiana Debra Grosskurth, PhD(c) Assistant Chair 10 Department of Nursing Salve Regina University Newport, Rhode Island Patricia Hanson, PhD Professor Department of Nursing Madonna University Livonia, Michigan Tammy Henderson, MSN Associate Director Conemaugh School of Nursing Conemaugh Memorial Medical Center Johnstown, Pennsylvania Barbara Hoerst, PhD, RN Assistant Professor Department of Nursing La Salle University Philadelphia, Pennsylvania Brenda Kucirka, PhD, RN, PMHCNS-BC, CNE Assistant Professor Department of Nursing Widener University Chester, Pennsylvania Coleen Kumar, PhD College of Nursing State University of New York Downstate Medical Center Brooklyn, New York Kathleen Lamaute, EdD Professor Department of Nursing Molloy College Rockville Centre, New York Pamela Lapinski, MSN Professor Department of Nursing Valencia College Orlando, Florida Jamie Lee, MSN, RN, CNL Assistant Professor Department of Nursing James Madison University Harrisonburg, Virginia Carolyn Lewis, PhD Assistant Professor Department of Nursing Angelo State University 11 San Angelo, Texas Bette Mariani, PhD, RN Assistant Professor College of Nursing Villanova University Villanova, Pennsylvania David Martin, MSN Director RN-BSN & Shared Curriculum Programs School of Nursing University of Kansas Kansas City, Kansas Donna McCabe, DNP, APRN-BC, GNP Clinical Assistant Professor Department of Nursing Rory Meyers College of Nursing New York University New York, New York Theresa Miller, PhD Associate Professor, Nursing Education OSF Saint Francis Medical Center College of Nursing Peoria, Illinois Donna Molyneaux, PhD Associate Professor Department of Nursing Gwynedd Mercy University Gwynedd Valley, Pennsylvania LaDonna Northington, DNS Professor, Traditional Undergraduate Nursing Program University of Mississippi School of Nursing Jackson, Mississippi Sally Rappold, MSN, BSN Assistant Teaching Professor Department of Nursing Montana State University Missoula, Montana Karen Ringl, MSN Faculty Department of Nursing California State University, Fullerton Fullerton, California Joyce Shanty, PhD, RN Associate Professor Nursing and Allied Health Professions Indiana University of Pennsylvania Indiana, Pennsylvania 12 Jean Short, MSN Assistant Professor Division of Post-Licensure Nursing School of Nursing Indiana Wesleyan University Marion, Indiana Jennifer Sipe, MSN, CRNP Assistant Professor School of Nursing and Health Sciences La Salle University Philadelphia, Pennsylvania Ana Stoehr, PhD, MSN Faculty Department of Nursing George Mason University Fairfax, Virginia Patricia Thielemann, PhD Professor College of Nursing St. Petersburg College Pinellas Park, Florida Charlene Thomas, PhD, MSN, BSN Associate Professor School of Nursing and Allied Health Aurora University Aurora, Illinois Nina Trocky, DNP, RN Assistant Professor Department of Organizational Systems and Adult Health School of Nursing University of Maryland Baltimore, Maryland Brenda Tyczkowski, DNP, RN, RHIA Assistant Professor Professional Program in Nursing University of Wisconsin Green Bay Green Bay, Wisconsin Dannielle White, MSN Associate Professor School of Nursing Austin Peay State University Clarksville, Tennessee Mary Williams, MS Associate Professor School of Nursing and Health Science Gordon State College 13 Barnesville, Georgia Connie Wilson, EdD Professor Emeritus School of Nursing University of Indianapolis Indianapolis, Indiana Kelly Wolgast, DNP School of Nursing Vanderbilt University Nashville, Tennessee Renee Wright, EdD Assistant Professor Department of Nursing York College, City University of New York New York, New York Judith Young, DNP Clinical Assistant Professor, Community and Health Systems School of Nursing Indiana University Indianapolis, Indiana 14 PREFACE Legacy of Leadership Roles and Management Functions in Nursing This book’s philosophy has evolved over 35 years of teaching leadership and management. We entered academe from the acute care sector of the health-care industry, where we held nursing management positions. In our first effort as authors, Management Decision Making for Nurses: 101 Case Studies, published in 1987, we used an experiential approach and emphasized management functions appropriate for first-and middlelevel managers. The primary audience for this text was undergraduate nursing students. Our second book, Retention and Productivity Strategies for Nurse Managers, focused on leadership skills necessary for managers to decrease attrition and increase productivity. This book was directed at the nursemanager rather than the student. The experience of completing research for the second book, coupled with our clinical observations, compelled us to incorporate more leadership content in our teaching and to write this book. Leadership Roles and Management Functions in Nursing was also influenced by national events in business and finance that led many to believe that a lack of leadership in management was widespread. It became apparent that if managers are to function effectively in the rapidly changing health-care industry, enhanced leadership and management skills are needed. What we attempted to do, then, was to combine these two very necessary elements: leadership and management. We do not see leadership as merely one role of management nor management as only one role of leadership. We view the two as equally important and necessarily integrated. We have attempted to show this interdependence by defining the leadership components and management functions inherent in all phases of the management process. Undoubtedly, a few readers will find fault with our divisions of management functions and leadership roles; however, we felt it was necessary first to artificially separate the two components for the reader, and then to integrate the roles and functions. Leadership in Nursing Loud Roommate Action Plan HW

We do believe strongly that adoption of this integrated role is critical for success in management. The second concept that shaped this book was our commitment to developing critical thinking skills through the use of experiential learning exercises. We propose that integrating leadership and management can be accomplished through the use of learning exercises. The majority of academic instruction continues to be conducted in a teacher-lecturer–student-listener format, which is one of the least effective teaching strategies. Few individuals learn best using this style. Instead, most people learn best by methods that utilize concrete, experiential, self-initiated, and real-world learning experiences. In nursing, theoretical teaching is almost always accompanied by concurrent clinical practice that allows concrete and real-world learning experience. However, the exploration of leadership and management theory may have only limited practicum experience, so learners often have little first-hand opportunity to observe middle-and top-level managers in nursing practice. As a result, novice managers frequently have little chance to practice their skills before assuming their first management position, and their decision making thus often reflects trial-and-error methodologies. For us, then, there is little question that vicarious learning, or learning through mock experience, provides students the opportunity to make significant leadership and management decisions in a safe environment and to learn from the decisions they make. Having moved away from the lecturer–listener format in our classes, we lecture for only a small portion of class time. A Socratic approach, case study debate, and small and large group problem solving are emphasized. Our students, once resistant to the experiential approach, are now enthusiastic supporters. We 15 also find this enthusiasm for experiential learning apparent in the workshops and seminars we provide for registered nurses. Experiential learning enables management and leadership theory to be fun and exciting, but most important, it facilitates retention of didactic material. The research we have completed on this teaching approach supports these findings. Although many leadership and management texts are available, our book meets the need for an emphasis on both leadership and management and the use of an experiential approach. More than 280 learning exercises, representing various health-care settings and a wide variety of learning modes, are included to give readers many opportunities to apply theory, resulting in internalized learning. In Chapter 1, we provide guidelines for using the experiential learning exercises. We strongly urge readers to use them to supplement the text. New to This Edition The first edition of Leadership Roles and Management Functions in Nursing presented the symbiotic elements of leadership and management, with an emphasis on problem solving and critical thinking. This ninth edition maintains this precedent with a balanced presentation of a strong theory component along with a variety of real-world scenarios in the experiential learning exercises. Responding to reviewer recommendations, we have added and deleted content. In particular, we have attempted to strengthen the leadership component of the book while maintaining a balance of management content. We have also attempted to increase the focus on quality and safety as well as health-care finance, and used outpatient/community settings as the location for more learning exercises. We have also retained the strengths of earlier editions, reflecting content and application exercises appropriate to the issues faced by nurse leader-managers as they practice in an era increasingly characterized by limited resources and emerging technologies. The ninth edition also includes contemporary research and theory to ensure accuracy of the didactic material. Additional content that has been added or expanded in this edition includes the following: 26 new learning exercises, further strengthening the problem-based element of this text. Over 200 displays, figures, and tables (17 of which are new) help readers visualize important concepts, whereas photographs of nurses in leadership and management situations help students relate concepts to real-world practice. An expanded focus on evidence-driven leadership and management decision making Time management and productivity apps Newer care delivery models focused on ambulatory care and outpatient settings (primary care nurse coordinator in medical homes, nurse navigators, clinical nurse leaders [CNLs], leaders in patient-centered care) Impact of the 2010 Patient Protection and Affordable Care Act (PPACA) on quality and health-care finance in this country The shifting in health-care reimbursement from volume to value Personality testing as an employment selection tool Electronic health records and meaningful use Reflective practice and the assessment of continuing competency Civility, healthy workplaces, and bullying Interprofessional collaboration and workgroups Working with diverse workforces and patient populations Social media and organizational communication New quality Initiatives put forth by the Centers for Medicare & Medicaid Services, The Joint Commission, and other regulatory bodies Sentinel events Lean Six Sigma methodologies Medication reconciliation Self-appraisal, peer review, and 360-degree evaluation as performance appraisal tools 16 The Text Unit I provides a foundation for the decision-making, problem-solving, and critical-thinking skills as well as management and leadership skills needed to address the management–leadership problems presented in the text. Unit II covers ethics, legal concepts, and advocacy, which we see as core components of leadership and management decision making. Units III–VII are organized using the management processes of planning, organizing, staffing, directing, and controlling. Features of the Text The ninth edition contains many pedagogical features designed to benefit both the student and the instructor: Examining the Evidence, appearing in each chapter, depicts new research findings, evidence-based practice, and best practices in leadership and management. Learning Exercises interspersed throughout each cha .