Course: Leadership and Management in Nursing

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Leadership and Management in Nursing

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Leadership and Management in Nursing Homepage
DISCLAIMER: This content is designed to enhance the study of nursing. This content is generic and is not designed to take into account the specific objectives, needs, and/or circumstances of any particular region or country. To become a nurse, learners must successfully complete a program of study approved by the government or state-regulatory agency in their place of residence. We cannot guarantee that the successful completion of these materials will enable you to practice in your place of residence. Make sure that you are in compliance with the scope of practice of your regulatory body before attempting to put into use or practice any of the knowledge gained.

Course Overview
Welcome to the Leadership and Management in Nursing course. This course is designed to equip nursing students with the knowledge to excel as leaders and managers in diverse healthcare settings. We explore foundational theories and principles of leadership and management, focusing on personal leadership styles, effective system cultures, and global regulations in professional nursing practice. The course is an integral component of the BSN Curriculum, empowering students to differentiate between leadership and management, prioritize nursing care, and engage in ethical and legal practices. By fostering interprofessional collaboration and evidence-based practice, students will be prepared to lead effectively and advocate for quality and safety in healthcare.

Course Development
The Leadership and Management in Nursing course is a competency-based course developed in partnership with Nurses International (N.I.) and NextGenU.org (NGU). Competencies were developed in collaboration with leading experts in nursing education and practice. The course objectives are aligned with The Essentials: Core Competencies for Professional Nursing Education. It utilizes resources from accredited organizations such as the World Health Organization (WHO), the U.S. National Institutes of Mental Health (NIMH), universities, international guidelines, OpenStax.org, Pressbooks, and peer-reviewed open access peer reviewed nursing textbooks and journals. The Moodle Learning Management System (LMS) supports a flexible and interactive learning environment.
The course was written by the Nurses International faculty and designed in conjunction with the NextGenU.org design team.
The Nurses International core faculty writers and reviewers: Kathleen Capone MS, RN, CNE, EdD; Stephanie Marfurt RN, PhD; Beth Hutchason RN, MN; Emily Parker RN, MSN, FNP-BC; and Vanessa Teed MSN, RN, CEN, CGNC.
Course Structure
The course includes ten comprehensive units:
Leadership and Management in Professional Nursing
Quality and Safety in Health Care
Prioritization
Delegation and Supervision
Leadership and Change
Ethical and Legal Practice
Interprofessional Teams
Health Care Economics
Quality and Evidence-Based Practice
Advocacy
Each unit comprises:
Individual lessons with accompanying reading materials
PowerPoint presentations
Learner self-assessment quizzes
Critical thinking questions
Flashcard learning material
Case study activities
Unit exams
Assessment
A grade of 80% is required on quizzes and unit exams. Submission of required activities for all case studies and reflection exercises is necessary to progress to the next lesson or section.
The estimated completion time is 79.4 hours.
A non-graded practice exam is provided at the end of the course material so that learners can use this to help them prepare for the final exam.
A comprehensive final exam consisting of 50 multiple-choice questions is administered at the end of the course.
A grade of 80% is required to pass the final exam. If not achieved, learners may self-remediate and attempt a second exam of comparable content.
If unsuccessful on the second exam, the course must be retaken in full and passed to achieve a certificate of completion.
A certificate of completion is available for download upon successful course completion.
To PASS and Obtain a Certificate, learners must complete:
All reading requirements
All quizzes and unit exams with a passing grade of 80%
All activities and case studies
The final exam with a minimum of 80% (maximum 2 attempts)
Self and course evaluation forms
Unit 1 Leadership and Management in Professional Nursing
Unit Learning Outcomes:

Explore the theories and principles of effective leadership related to personal leadership styles.
Explore the essential differences between leadership and management
Consider a leadership model for effective system cultures
Review the global regulations in professional nursing practice
Unit 1: Lesson 1: Leadership
Student Learning Outcomes:
Upon completion of this lesson, you will be able to:

Define the styles of leadership styles and their characteristics

Identify and discuss personal leadership style

Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour and 30 minutes.

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Unit 1: Lesson 2: Management vs Leadership
Student Learning Outcomes:
Upon completion of this lesson, you will be able to:

Define the differences between the roles of leadership and management

Define the elements of effective followership

Explain the benefits of emotional and social intelligence

Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour and 28 minutes.

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Unit 1: Lesson 3: Culture of Safety
Student Learning Outcomes:
Upon completion of this lesson, you will be able to:

Define systems theory

Define the key elements of a culture of safety

Explain the Just Culture model

Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour and 28 minutes.

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Unit 1: Lesson 4: Global Regulations for Professional Nursing Practice
Student Learning Outcomes:
Upon completion of this lesson, you will be able to:

Explain the ANA standards for professional practice

Explain the role of the nursing process in professional nursing practice

Outline the ICN code of ethics and how it relates to professional nursing

Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour and 30 minutes.

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Unit 2 Quality and Safety in Health Care
Unit Learning Outcomes:

Explore the practices within healthcare organizations that support quality and safety in healthcare
Discuss the the role of clinical governance in patient safety
Explore quality improvement as a managerial means to safe patient outcomes
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Unit 2: Lesson 1: Clinical Governance (CG)
Student Learning Outcomes:
Upon completion of this lesson, you will be able to:

Define clinical governance

Explain the benefits of CG

Describe the supporting principles of CG

Describe the implementation challenges of effective CG

Define the key elements of a CG framework

Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour and 46 minutes.

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Unit 2: Lesson 2a: Quality Improvement (QA) Health Care
Student Learning Outcomes:
Upon completion of this lesson, you will be able to:

Define QA

Explain the QI model: “Plan, Do, Study, Act.”

Discuss the six dimensions of healthcare

Outline human factor barriers related to QI

Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour and 9 minutes.

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Unit 2: Lesson 2b: Quality Improvement Root Cause Analysis (RCA)
Student Learning Outcomes:
Upon completion of this lesson, you will be able to:

Define RCA

Describe how RCA is used to ensure quality

Explain the various methods used in RCA

Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour and 39 minutes.

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Unit 3 Prioritization
Unit Learning Outcomes:

Prioritize nursing care based on client acuity
Use principles of time management to organize work
Analyze the effectiveness of time management strategies
Incorporate clinical judgment to prioritize nursing care
Apply a framework for prioritization
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Unit 3: Lesson 1: Prioritization in Nursing Care
Student Learning Outcomes:
Upon completion of this lesson, you will be able to:

Describe the principles of patient acuity

Describe how Maslow’s theory impacts prioritization of patient care

Explain the frameworks ABC and CURE in prioritization

Outline the significance of prioritization related to staffing considerations

Approximate time required for the readings for this lesson (at 144 words/minute): 2 hours and 19 minutes.

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Unit 3: Lesson 2: Principles of Time Management
Student Learning Outcomes:
Upon completion of this lesson, you will be able to:

Describe the significance of time management in nursing practice

Detail examples of various time management tools

Provide examples of time management strategies

Discuss the elements for managing teams

Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour and 49 minutes.

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Unit 3: Lesson 3: Clinical Judgment
Student Learning Outcomes:
Upon completion of this lesson, you will be able to:

Define critical thinking (CT)

Define clinical reasoning (CR)

Explain why CT and CR are necessary in nursing practice

Explain how data cues are used in priority setting

Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour and 24 minutes.

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Unit 4 Delegation and Supervision
Unit Learning Outcomes:
Explain principles of delegation
Evaluate the criteria used for delegation
Apply effective communication techniques when delegating care
Determine specific barriers to delegation
Evaluate team members’ performance based on delegation and supervision principles
Incorporate principles of supervision and evaluation in the delegation process
Identify scope of practice of the RN, LPN/VN, and unlicensed assistive personnel roles
Identify tasks that can and cannot be delegated to members of the nursing team
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Unit 4: Lesson 1: Delegation
Student Learning Outcomes:
Upon completion of this lesson, you will be able to:

Define delegation

Define the terms related to delegation

Define assignment

Explain the 5 rights of delegation

Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour and 51 minutes.

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Unit 4: Lesson 2: Responsibilities of Team Members
Student Learning Outcomes:
Upon completion of this lesson, you will be able to:

Explain the roles of each team member with rationales

Describe the tasks appropriate for each team member role

Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour and 43 minutes.

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Unit 4: Lesson 3: Supervision
Student Learning Outcomes:
Upon completion of this lesson, you will be able to:

Describe the essential elements of supervision

Explain the key points of constructive feedback

Provide example of constructive feedback with a nurse team member

Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour and 14 minutes.

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Unit 5 Leadership and Change
Unit Learning Outcomes:

Differentiate between leadership and management
Explore organizational culture and its role in creating an positive work culture
Explore the different leadership and management styles
Explain the key changes theory models
Discuss the role of a manager in implementing change
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Unit 5: Lesson 1: Leadership and Management
Student Learning Outcomes:
Upon completion of this lesson, you will be able to:

Explain the role of the nurse as leader

Explain the difference between leadership and management

Describe the characteristics of a leader and a manager

Detail the nurse’s leadership professional standards of practice competencies

Outline the various leadership styles

Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour and 45 minutes.

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Unit 5: Lesson 2: Organizational Culture
Student Learning Outcomes:
Upon completion of this lesson, you will be able to:

Outline the role of the follower in an organization

Define Systems Theory and its relationship to organizations

Explain the Culture of Safety

Explain the elements and significance of a Just Culture model

Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour and 39 minutes.

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Unit 5: Lesson 3: Implementing Change
Student Learning Outcomes:
Upon completion of this lesson, you will be able to:

Define change as it relates to organizations

Describe the process of following change theories as they relate to nursing management:
Lewin's change model
Lippett’s Seven Step Change Theory

Define key elements in change management

Outline the effective strategies for change management

Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour and 28 minutes.

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Unit 6 Ethical and Legal Practice
Unit Learning Outcomes:

Examine global law and workplace guidelines related to law and nursing
Explore the Regulatory concepts related to the nursing profession
Examine special Issues related to ethics and legal practice
Identify common ethical concepts encountered in nursing practice
Explore the Frameworks involved in dealing with ethical dilemmas
Unit 6: Lesson 1: Global Workplace Law: Issues
Student Learning Outcomes:
Upon completion of this lesson, you will be able to:

Identify how nursing is regulated globally

Discuss the special issues related to nursing

Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour and 20 minutes.

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Unit 6: Lesson 2: United States Law Issues - Public and Private Law
Student Learning Outcomes:
Upon completion of this lesson, you will be able to:

Provide examples of public law and their implications for nurses

Provide examples of private law and their implications for nurses

Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour and 43 minutes.

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Unit 6: Lesson 3: Nursing Practice Regulatory Bodies
Student Learning Outcomes:
Upon completion of this lesson, you will be able to:

Discuss the relationship between the Boards of Nursing, the Nurse Practice Act and the Civil Justice System in regulating nursing

Explain the process of allegation with an example

Explain disciplinary and non-disciplinary actions

Define the types of liability

Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour and 18 minutes.

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Unit 6: Lesson 4: Professional Conduct
Student Learning Outcomes:
Upon completion of this lesson, you will be able to:

Outline professional conduct allegations and provide examples

Outline allegations related to Scope of practice and provide examples

Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour and 52 minutes.

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Unit 6: Lesson 5: Other Legal Concepts
Student Learning Outcomes:
Upon completion of this lesson, you will be able to:

Explain the following concepts:
Informed consent
Power of attorney
Advance Directives
Living will
Durable paper of attorney
Capacity for decision making

Identify the nurse's role in these legal concepts

Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour and 22 minutes.

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Unit 6: Lesson 6: Ethical Dilemmas
Student Learning Outcomes:
Upon completion of this lesson, you will be able to:

Define ethical dilemmas

Explain the frameworks used to address ethical dilemmas in nursing and provide examples:
Nursing process model
Four quadrant approach
Moral model
PLUS Ethical Decision Making model

Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour and 51 minutes.

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Unit 7 The Interprofessional Teams
Unit Learning Outcomes:

Discuss the core competencies for interprofessional practice
Explore the values and ethics for interprofessional practice
Address conflict resolution as it relates to teams and nursing practice
Discuss the roles of teams and how they collaborate to ensure patient safety
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Unit 7: Lesson 1: Interprofessional Collaboration (IPC)
Student Learning Outcomes:
Upon completion of this lesson, you will be able to:

Define interprofessional collaboration

Define the benefits of interprofessional collaboration

Define the common concept definitions related to interprofessional collaboration

Provide examples of interprofessional collaboration

Discuss the barriers to effective interprofessional collaboration

Discuss strategies to overcome barriers to effective interprofessional collaboration

Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour and 12 minutes.

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Unit 7: Lesson 2: Competencies of Interprofessional Collaboration (IPC)
Student Learning Outcomes:
Upon completion of this lesson, you will be able to:

Explain how the IPCs align with the ANA code of ethics

Define the 4 IPC Core Competencies and include examples of how they may be applied to nursing practice

Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour and 27 minutes.

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Unit 7: Lesson 3: Interprofessional Collaboration (IPC) Behaviors
Student Learning Outcomes:
Upon completion of this lesson, you will be able to:

Define the 6 core behaviors of IPC

Provide examples of IPC behaviors in nursing practice

Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour and 12 minutes.

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Unit 7: Lesson 4: Elements of Teamwork and Collaboration
Student Learning Outcomes:
Upon completion of this lesson, you will be able to:

Identify the barriers and promoters of communication in healthcare teams

Identify the 14 C’s of teamwork

Recognize the various communication roles within interprofessional team

Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour and 15 minutes.

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Unit 8 Health Care Ecoomics
Unit Learning Outcomes:

Explore the factors that influence the cost of healthcare
Contrast the types of healthcare reimbursement
Discuss the elements of budgets and staffing and how they impact to patient care and nursing practice
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Unit 8: Lesson 1: Health Care Cost
Student Learning Outcomes:
Upon completion of this lesson, you will be able to:

Describe the types of economics and provide an example of each

Explain the trends that impact healthcare costs

Outline the Affordable Care Act (ACA)

Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour and 45 minutes.

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Unit 8: Lesson 2: Health Care Reimbursement
Student Learning Outcomes:
Upon completion of this lesson, you will be able to:

Outline the types of healthcare reimbursements

Explain in detail the types of healthcare insurance

Identify nursing considerations related to insurance coverage

Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour and 23 minutes.

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Unit 8: Lesson 3: Budgets and Staffing
Student Learning Outcomes:
Upon completion of this lesson, you will be able to:

Define and describe the types of budgets

Describe how nursing services are applied to nursing care

Outline the nurses considerations when accepting a patient assignment

Explain the criteria for “call”

Explain the benefits of appropriate staffing

Outline the nurse's role in cost effective care

Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour and 28 minutes.

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Unit 8: Lesson 4: Resource Stewardship and Case Management
Student Learning Outcomes:
Upon completion of this lesson, you will be able to:

Define resource management

Explain the competencies of ANA’s Resource Stewardship

Define case management and levels of care

Explain how nurses can address economic pressure in the healthcare system

Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour and 32 minutes.

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Unit 9 Quality and Evidence-Based Practice
Unit Learning Outcomes:

Explore the role of quality as it relates to patient care
Analyze the role of research and evidence-based practice as it relates to quality patient care
Discuss the roles of organizations in developing standards of nursing practice
Examine how informatics systems contribute to quality nursing practice
Explore the role of the nurse in workplace quality improvement
Unit 9: Lesson 1: Quality Care
Student Learning Outcomes:
Upon completion of this lesson, you will be able to:

Define quality care

Outline the Competencies of ANA’s Quality of Practice Standards of Professional Performance and provide examples within the nursing domain

Explain the Quality and Safety Education for Nurses (QSEN)

Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour and 18 minutes.

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Unit 9: Lesson 2: Measuring Quality in Healthcare
Student Learning Outcomes:
Upon completion of this lesson, you will be able to:

Define Magnet Recognition qualifications

Explain Centers for Medicare & Medicaid Services (CMS) quality measurements

Outline the functions of the accreditation organizations for health care

Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour and 12 minutes.

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Unit 9: Lesson 3: Quality Standards in Healthcare
Student Learning Outcomes:
Upon completion of this lesson, you will be able to:

Define core measures and provide examples

Outline the 4 accountability measurements

Explain the National Patient Safety goals for healthcare organizations and provide an example of the Hospital Safety Goals

Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour and 15 minutes.

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Unit 9: Lesson 4: Quality Improvement in Healthcare
Student Learning Outcomes:
Upon completion of this lesson, you will be able to:

Explain the role of quality utilization review

Outline the benefits of informatics in quality care

Explain the National Database of Nursing Quality indicators and provide examples of how it is applied to nursing care

Outline the elements of Quality Improvement including PDSA with an example

Compare PSDA with the Nursing process

Indicate measures to address barriers to quality improvement

Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour and 20 minutes.

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Unit 9: Lesson 5: Evidence-based Practice
Student Learning Outcomes:
Upon completion of this lesson, you will be able to:

Define evidence-based practice

Outline the Competencies of ANAs Scholarly Inquiry Standard of Professional Performance

Outline the knowledge, skills and attitudes associated with evidence-based practice

Provide an example of a clinical support, nursing journal, and conference

Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour and 22 minutes.

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Unit 9: Lesson 6: Research
Student Learning Outcomes:
Upon completion of this lesson, you will be able to:

Define research as it relates to nursing

Define how PICOT is used in nursing research

Explain how patients' rights are protected in nursing research

Describe the types of research including examples

Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour and 20 minutes.

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Unit 10 Advocacy
Unit Learning Outcomes:

Explore the effect of the current healthcare policies on healthcare consumers and nursing practice
Explore how professional organizations and positions on collective bargaining impact nursing practice
Examine how government policy and legislation affect nursing practice
Discuss the types of advocacy models
Consider the significance of lifelong learning for nurse leaders
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Unit 10: Lesson 1: Advocacy Concepts
Student Learning Outcomes:
Upon completion of this lesson, you will be able to:

Outline the basic advocacy concepts

Detail the ANA Competencies of advocacy standard of professional practice and provide examples of each

Identify the ways nurses act as advocates in daily practice

Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour and 18 minutes.

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Unit 10: Lesson 2: Community and Organizational Advocacy
Student Learning Outcomes:
Upon completion of this lesson, you will be able to:

Describe how nurses advocate for communities

Describe the pros and cons of nursing unions

Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour and 18 minutes.

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Unit 10: Lesson 3: Advocacy Models
Student Learning Outcomes:
Upon completion of this lesson, you will be able to:

Provide examples of Nurses involvement in various advocacy models

Describe the nurses involvement in legislative policy

Explain the concept of Whistleblowing

Detail the ANA’s information regarding Whistleblowing

Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour and 15 minutes.

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Unit 10: Lesson 4: Advocating for Self and Others
Student Learning Outcomes:
Upon completion of this lesson, you will be able to:

Recommend the steps for becoming a nurse advocate

Identify the risk of compassion fatigue

Describe how organizational stress relates to retention cycles

Describe how nurses can mitigate stress with self care

Identify strategies used by nurse leaders to promote resilience in the workplace

Approximate time required for the readings for this lesson (at 144 words/minute): 2 hour and 3 minutes.

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Unit 10: Lesson 5: Lifelong Learning
Student Learning Outcomes:
Upon completion of this lesson, you will be able to:

Describe possible methods to maintain professional life long learning

List the key elements in creating a culture of lifelong learning in the healthcare workplace

Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour and 12 minutes.

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Pactice Exam

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Final Exam

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