Author Index Anderson, R., 77 Giannelli, P, 126 Salyer, N., 119 Gulbranson, D., 119 Schuster, J., 228 Bertholf, L., 169 Serdans, B., 196 Bodensteiner, L., 182 Hanold, K., 40 Shaffer, F.A., 233 Branowicki, PA., 110 Hardy, D., 98 Shermont, H., 110 Cantrell, M., 119 Jones, K.R., 6, 73, 142, 200 Simpson, R.L., 206 Caramanica, L., 77 Juman-James, H., 68 Smeltzer, C., 57 Cavouras, C.A., 48 Spinella, J.L., 10 Keegan, A., 206 Child, R., 102 Spitzer, R., 1, 67, 137, 195 Clement, J.A., 211 Kerfoot, K.M., 31 Spivack, L.B., 126 Kinnaird, L., 164 Curtin, L.L., 62, 132, 188, 203, 218, 238 Koerner, J|.G., 145 lachibana, C., 98 Lagerstrom, D., 119 fahan, H.A., 2, 68, 138, 196 Davis, S.K., 161 lornabeni, J., 11 Lee, S., 119 Drenkard, K.N., 90 Dumpe, M.L., 85 Lehmann, D.M., 8, 75, 144 Ullery, J., 119 Lin, S., 57 Ulreich, S., 85 Elberth, W., 121 Lingle, G., 102 Ulrich, B.T., 147 Loveless, S., 169 Falter, E., 2 Venturanza, M.S., 13?8 Felgen, J.A., 164 Melchiono, M., 110 Verdejo, T., 115 Preara, C.. 121 Morrison, M., 126 Fields, M., 154 Watson, P., 102 O’Rourke, M.W., 16 Formella, N., 36 Weaver, D., 79 Frank, K.M., 53 Pulce, R., 202 Weston, M.J., 157 Gerke, M.L., 173 Rogers, J., 110 Zwisler, S., 154 Subject Index Age diversity, see Generations Business planning (Continued) Aging workforce applying entrepreneurial skills, 50-51 using older nurses as solution to nursing shortage, 188-194 areel po! tfolio Alternative therapies professional mandate for, 233-23 ] healing the spirit in a sick system, 228-232 documenting competency with, 234 Attrition rates elements of, 237 decreasing, by values alignment between individ- guidelines for development and use of, 234-235 ual and subspecialty, 182-187 Case Studies in Nursing Management critical care nurses, 184-187 differences between leadership in the 20th and home health care nurses, 184-187 21st centuries, 138-141 dystonia, personal story of nurse with, 196-199 Baby boomers leadership positions for nurses in private sector, and generation X, strategies to bridge the gap, OF 270 169-172 building a skills base, 2-3 generational values and strengths of, 151-152 corporate culture, 3 growing up environment of, 148, 149 salary negotiation, 3 understanding and leading, 175-177, 177-178, setting and other perks, 3-4 179-180 primary nurse as integral health care team mem- Business Concepts for Frontline Managers ber, 68-72 opportunity for change in management, 8-9 Census, hospital using all your skills, 75-76 system-wide action team to deal with problems in, what’s changed, what’s changing?, 144 98-101 Business ownership Change agent nursing management skills as asset in, 53-56 in journey from nurse to chief operating officer, customer service, 55-56 12-13 getting started, 54 manager as, in team-based work redesign, 94 people as asset in, 55 moving from parallel play to team play, 87 profit in, 56 Chief nursing officer simplify, 54-55 roles of, in corporate system, 31-35 Business Performance Improvement model, 20-22 competencies, 32-34 Business planning models for, 31-32 Seminars for Nurse Managers, Vol 9, No 4 (December), 2001: pp 241-246 Subject Index Chief operating officer Corporate world, opportunities for nurse managers journey from nurse to, 11-15 in (Continued) Chronic disorders business ownership, nursing management skills as dystonia, personal story of (Case Studies column), asset in, 53-56 196-199 customer service, 55-56 Coaches getting started, 54 managers as, on transdisciplinary teams, 86-87 people as asset in, 55 Collaboration profit in, 56 by system-wide action team, 98-101 simplify, 54-55 on transdisciplinary teams, 86 consultant, transition from nurse executive to, 57- Communication 61 as entrepreneurial skill, 50 comparing a day in the life of nurse executives as principle in guiding, 155 versus, 59-61 in transdisciplinary teams, 85-86 comparing successful and unsuccessful consul- Competence tants, 61 organizational, in Patient Care Model, 27-28 transition readiness self-questionnaire, 57-58, Competencies 59 diversity in, management of, 102-107 entrepreneurial skills, applying inside and outside for service line management, 44 the organization, 48-52 for transdisciplinary teams, 85-89 building relationships, 49-50 of chief nursing officers, 32-34 business planning, 50-51 of successful nurse executives, 38-39 closure, 52 Competitive fitness combining vision and action, 48-49 as entrepreneurial skill, 51-52 communication, 50 Conflict continuous learning, 49 management of, and resolving disputes creatively, creating teams, 50 211-217 customer service orientation, 48 conflict understood and made visible, 211-212 energy for competitive fitness, 51-52 contexts for dispute resolution, 214-215 financial savvy, 51 interest-based dispute resolution, 215-216 hands-on involvement, 51 leadership challenge, 211 guest editorial, 10 mediation, 216 journey from nurse to chief operating officer, 11- negotiation, 215-216 15 what you need to know, 212-214 change agent, 12-13 Consciousness guiding principles, 11 seven levels of, in decreasing attrition rates, 182- mentorship, 13-14 187 networking, 14 in critical care nurses, 184-187 outcomes, 15 in home health care nurses, 184-187 relationship building, 11-12 Consultants teams, 12 transition from nurse executive to, 57-61 trust, 14-15 comparing a day in the life of nurse executives leadership positions for nurses in (Case Studies col- versus, 58, 60-61 umn), 2-5 comparing successful and unsuccessful, 61 nurse executive role, new definition of success in, readiness self-assessment questionnaire, 57-58 36-39 Convictions competencies, 38-39 in building organizations to succeed beyond 2000, framework for evaluation success, 39 17-19 roles, 37 Corporate culture traits, 37-38 definition of, 219-220 role of the corporate nurse, 31-35 elements of, 220-222 competencies, 32-34 nursing leaders in (Case Studies column), 3 future of nursing at corporate level, 34-35 see also Organizational Culture three models, 31-32 Corporate world, opportunities for nurse managers service line management, 40-47 in, 10-66 alignment mechanisms, 42 building organizations to succeed beyond 2000, challenges, 45 16-30 corporate sponsorship, 42 broadening concept of health and its determi- issues and opportunities affecting, 41 nants, 28-29 key competencies, 44 convictions, 17-18 organizational structure, 41-42 new models, new lessons, 20-22 political environment and culture, 44-45 patient care model, 22-28 stakeholder involvement/support, 42-43 ? Subject Index Cost identification, 6 Emotional quotient (EQ), in leadership (Continued) ‘ost minimization analysis, 6, 73-74 managing conflict and resolving disputes cre- ost-benefit analysis, 6-7, 142-143 atively, 211-217 ‘ost-effectiveness analysis, 7, 200-201 conflict understood and made visible, 211-212 ‘ost-utility analysis, 7 contexts for dispute resolution, 214-215 ‘ritical care nurses interest-based dispute resolution, 215-216 personal and professional values of, 184-187 leadership challenge, 211 sulture mediation, 216 corporate, see Corporate culture negotiation, 215-216 integral, in a diverse workplace (Guest Editorial), what you need to know, 212-214 145-146 Employees organizational, see Organizational culture nursing management skills and business owner- ‘ustomer service ship, 55 and business ownership, 55-56 optimizing your greatest capital—human _re- justomer service orientation sources, 202 applying entrepreneurial skills, 48 End-of-life care, 62-66 defining clinical futility, 64 Decision making developing policies for, 64-65 economic tools for, 6-7, 73-74, 142-143, 200-201 physician-assisted suicide and the law, 63 Dialogue, see Dynamic dialogue preparing nurses for providing, 65-66 Discovery rational and humane, 63-64 as principle of guiding, 155 Entrepreneurial skills Dispute resolution application of, inside and outside the organization, managing conflict and, 211-217 48-52 contexts for, 214-215 building relationships, 49-50 interest-based, 215 business planning, 50-51 mediation, 216 closure, 52 negotiation, 215-216 combining vision and action, 48-49 power-based, 214-215 communication, 50 rights-based, 215 continuous learning, 49 Diversity creating teams, 50 and generation X, 161-163 customer service orientation, 48 generational, see Generations energy for competitive fitness, 51-52 management of, in environment of care, 102-109 financial savvy, 51 weaving an integral culture in diverse workplace hands-on involvement, 51 (Guest Editorial), 145-146 Ethical issues Dystonia end-of-life care, 62-66 personal story of (Case Studies column), 196-199 Executive, nurse, see Nurse executive E quotient, see Emotional quotient Finance for Nurse Managers Emotional intelligence (EI) economic tools for decision making, 6-7 dystonia patient as example of (Case Studies col- cost identification, 6 umn), 198-199 cost minimization analysis, 6, 73-74 in group situations, 206-210 cost-benefit analysis, 6-7, 142-143 are you emotionally intelligent?, 207-208 cost-effectiveness analysis, 7, 200-20] individual EI versus group EI, 207 cost-utility analysis, 7 putting EI to work, 209 Finances, understanding of simple model of meetings, 208-209 as entrepreneurial skill, 51] rising recognition of, 206-207 Franciscan Spiritual Care Center see also Emotional quotient holistic health care for healing as well as curing, Emotional quotient (EQ), in leadership, 195-240 228-232 dystonia patient as example of (Case Studies col- umn), 198-199 Generation, new, of nurses, leadership skills for healing health care’s organizational culture, 218-227 guiding, 137-194 holistic health care, healing the spirit in a sick sys- bridging the gap between baby boomers and gen- tem, 228-232 eration Xers, 169-172 in dealing with terrorist attacks (Guest Editorial), coaching and mentoring generation X employees, 203-205 157-160 in group situations, 206-210 early work experiences of, 157 in nurse with dystonia (Case Studies column), 196- strategies for leading, 158-160 199 decreasing attrition rates across generations by val- leadership in perspective (Editorial), 195 ues alignment, 182-18< 7> Subject Index Generation, new, of nurses, leadership skills for Health care guiding (Continued) healing the organizational culture of, 218-227 diversity and generation X, 161-163 Holistic health care dynamic dialogue, application to generational di- healing the spirit in a sick system, 228-232 versity, 164-168 Home health care nurses features of, 164-165 personal and professional values of, 184-187 how it works, 165-166 Hospitals reflection, 166-168 healing health care’s organizational culture, 218- Editorial, 137 994 guiding across the generations, 154-156 see also Organizations integral culture in diverse workplace (Guest Edito- Human resources rial), 145-146 optimizing your greatest capital, 202 multigenerational workforces, management of, 147-153 Institute of Medicine (IOM) baby boomers, 149, 152 report on medical errors, recommendations for defining moments and first job environments, hospitals from, 218 148-151 Integrity generation X, 149-150, 152 as principle of guiding, 155 millennial generation, 150-151, 152 Intention overview of, 148-151 as principle in guiding, 155 values, generational, 147-148 Interdisciplinary teams, see Transdisciplinary teams veterans (GI/silent generation), 148, 152 Inventiveness working with each generation, 152-153 as principle in guiding, 155-156 understanding og and leading the quad matrix, 173- 18] 1g Law school Baby Boomers, 177-178 whether and when to get a JD, 2-3 background, 173-174 Leadership definitions of, 174-179 challenges of, in transdisciplinary teams, 115-118 embracing the future, 180-181 differences in 20th and 21st centuries (Case Stud- Generation X, 178 ies column), 138-141 motivating, 179-180 finance, 139 Nexters, 178-179 job expectations, 140 orientation, 179 organization, 138 recruiting, 179 strategy, 139 Iraditional generation, 174-176 style, 138-139 Generation X teamwork, 140 baby boomers and, strategies to bridge the gap, emotional quotient in, 195-240 169-172 “gold” collar workers, 238-240 coaching and mentoring employees from, 157- character versus behavior, 238-239 160 characteristics of transforming leaders, 239-240 early work experiences of, 157 transactional versus transforming leaders, 239 strategies for leading, 158-160 needed for healing health care’s organizational diversity and, 161-163 culture, 222-227 generational strengths and values, 151-152 stages of development, 222, 224 growing up environment of, 148, 149-150 strategic vision of, 227 understanding and leading, 175-177, 178, 179- styles and types of, 224-225 180 values-based, 225-227 Generation Y, see Millennium generation and Nex- nurse executives, new definition of successful, 36- ters 39 GI generation, see Veterans generation of transdisciplinary teams, 79-84 Gray ceiling positions for nurses in private sector, 2-5 discrimination against older workers, 190 Legal issues Group situations end-of-life care, 62-66 emotional intelligence and emotional quotient in, 206-209 Managers, see Nurse managers and Nurse executives Guiding Master’s in Business Administration (MBA) degree across the generations, and rediscovering nurs- whether and when nurse leaders should get, 2-3 ing’s promise, 154-156 Mature generation, see Traditional and Veterans gen- eration Healing Mediation as well as curing, in holistic health care, 228-232 conflict resolution via, 216 the organizational culture of health care, 218-227 Meetings Subject Index Meetings (Continued) Organizational culture (Continued) emotional intelligence and emotional quotient in, elements of corporate culture, 220-222 206-209 Institute of Medicine’s recommendations for, 218 putting EI to work in, 209 leadership for, 222-227 simple model of meetings, 208-209 treatment regimen, 222 Mentoring understanding organizational behavior, 222 of generation X employees, 157-160 Organizational structure Mentorship of service lines, corporate role in, 40-47 in journey from nurse to chief operating officer, Organizations 13-14 building to succeed beyond 2000, 16-30 Millennial generation convictions and, 17-19 generational values and strengths of, 151-152 integrated value-based learning and develop- Millennial generation ment model, 17, 18 growing up environment of, 150-151 integrated value-based model for organizational see also Nexters development, 18, 19 Motivating new models, new lessons, 20-22 generational differences in, 179-180 patient care model, 22-28 Multidisciplinary teams, see Transdisciplinary teams culture of, see Organizational culture Multigenerational workforce Orientation, of new nurses successful management of, 147-153 generational differences in, 179 understanding and leading the quad matrix, 173- Ownership, see Business ownership 18] Patient care model Navigation for building organizations, 22-28 as principle in guiding, 156 clinical standard component, 22-25 Negotiation organizational competence component, 27-28 conflict resolution via, 215-216 performance standard component, 26-27 Networking Performance standards in journey from nurse to chief operating officer, in Patient Care Model, 26-27 14 Personal accountability profile, see Career portfolio Nexters Physician-assisted suicide, 63 understanding and leading, 175-177, 178-179, Portfolio, see Career portfolio 179-180 Post-traumatic stress syndrome see also Millennium generation coping with terrorist attacks, 203-205 Nurse executives Preparation new definition of success for, 36-39 as principle in guiding, 156 competencies, 38-39 Primary nurses framework for evaluating success, 39 as integral health care team member, 68-72 roles, 37 Private sector, see Corporate world traits, 37-38 transition to consultant, 57-61 Quad matrix Nurse managers understanding and leading four generations in the developing competencies of, for transdisciplinary workplace, 173-181 team leadership, 87-88 role in interdisciplinary patient care planning Recruitment, of nurses process, 126-13 generational differences in, 179 role in team-based work redesign, 90-97 Redeployed services managing diversity in environment of care, 102-109 O’Rourke Patient Care Model, see Patient care model Redesign, work Older nurses continuous quality improvement initiative, nurse as solution to the nursing shortage, 188-194 manager’s role in, 126-131 aging, work performance, and learning, 189- decade of interdisciplinary care after, 119-120 190 team-based, role of manager in, 90-97 attitudes and beliefs toward, 188-189 Reengineering, of patient care considerations for managers, 192-193 multidisciplinary approach to (interview), 121-125 preparing for the aging workforce, 191-192 Relationship building the ‘gray’ ceiling, 190 applying entrepreneurial skills, 49-50 what employers believe about, 190-191 in journey from nurse to chief operating officer, what older employees want, 192 11-12 Organizational culture Role Delineation Model healing health care’s, 218-227 in Business Performance improvement model, 21- definition of, 219-220 99 Subject Index Rounds Traditional generation (Continued) health care team walking, in performance im- see also Mature, Silent, or Veterans Generation provement plan, 128-131 ‘Transdisicplinary teams, 77-135 a decade of, 119-120 Safety challenges facing nursing leaders today, 115-118 as principle of guiding, 155 Editorial, 67 Salary Guest Editorial, 77-78 negotiation of, in corporate setting, : improving systems related to clinical practice, 1 10- Seeing 114 as principle in guiding, 155 leadership skills for, 79-84 Service line management managing diversity in environment of care, 102- corporate role, 40-47 109 alignment mechanisms, 42 challenges and opportunities, 107-109 challenges, 45 skills, knowledge, and competencies, 102-107 corporate sponsorship, 42 moving from parallel play to team play, 85-89 issues and opportunities affecting, 41 competencies for, 85-87 key competencies, 44 developing nurse manager competencies, 87-88 organizational structure, 41-42 nurse manager’s role in evolution of, 126-13 political environment and culture, 44-45 reengineering patient care using (interview), 121- stakeholder involvement/support, 42-43 125 Shortage, of nurses system-wide action team, collaboration by, 98-101 decreasing attrition rates through values align- team-based work redesign, 90-97 ment, 182-187 case study of, 91-93 older nurses as solution to, 188-194 lessons learned, 95-96 Silent generation, see Veterans generation role of manager who is not on, the team, 93-95 Spiritual needs trouble with, 132-135 and holistic health care, 228-232 discipline of deadlines, 13! Subspecialties, of nursing how to help teams work, 133 decreasing attrition rates through values align- meetings that work, 133-134 ment in, 182-187 problem participants, 134-135 Suicide what makes teams work, 132-13: physician-assisted, 63 ‘Transforming leaders System-wide action team characteristics of, 239-240 collaboration to improve hospital operations, 98- versus transactional leaders, 239 101 Values ‘Teams decreasing attrition rates across generations by creation of, as entrepreneurial skill, 50 alignment of, 182-187 in journey from nurse to chief operating officer, generational, 147-148, 151 i? Veterans generation primary nurse as integral member of (Case Studies generational values and strengths, 151-152 column), 68-72 growing up environment of, 148-149 transdisciplinary, see Transdisciplinary teams see also Traditional generation Traditional generation definition of, 174-177 Work redesign managing and leading, 179-180 team-based, role of manager in, 90-97