Directing
Directing
DIRECTING
• 2. It Ingrates Efforts
• Through direction, the superiors are able to guide, inspire and instruct the
subordinates to work.
• 3. Means of Motivation
• Direction function helps in achievement of goals. A manager makes use of the
element of motivation here to improve the performances of subordinates. This
can be done by providing incentives or compensation, whether monetary or non
- monetary, which serves as a “Morale booster” to the subordinates
• 4. It Provides Stability
• Stability and balance in concern becomes very important for long term sun
survival in the market. This can be brought upon by the managers with the help
of four tools or elements of direction function - judicious blend of persuasive
leadership, effective communication, strict supervision and efficient motivation.
• 5. Coping up with the changes
• It is a human behaviour that human beings show resistance to change.
Adaptability with changing environment helps in sustaining planned growth and
becoming a market leader.
• 6. Efficient Utilization of Resources
• Direction finance helps in clarifying the role of every subordinate towards his
work. The resources can be utilized properly only when less of wastages,
duplication of efforts, overlapping of performances, etc. doesn’t take place.
FACTORS IN DIRECTING
1. Leadership
2. Delegation
3. Motivation
4. Supervision
5. Communication
I. LEADERSHIP
• interpersonal process of influencing the activities of an individual or group toward goal
attainment in a given situation. (Maloney, 2007)
• process of persuasion and example by which an individual (or leadership team) induces
a group to take action that is in accord with the leader’s purpose or the shared purposes
of all. (Gardner, 1995)
• the process of directing and influencing task-related activities of group members.
(Stoner, 2013)
• process of sustaining an initiated action; conception of a goal a method of achieving it;
the mobilization of the means necessary for attainment; and the adjustment of values
and environmental factors in the light of the desired level (Mitton, 2002)
Managers vs. Leaders
Managers Leaders
Do things right Do right things
Are interested in efficiency Are interested in
effectiveness
Administer Innovate
Maintain Develop
Focus on systems and Focus on people
procedures
Rely on control Rely on trust
Organize and staff Align people with direction
Emphasize tactics, Emphasize philosophy,
structures and systems core values and shared
goals
Have a short term view Have a long term view
Ask how and when Ask what and why
Accept the status quo Challenge the status quo
Focus on the present Focus on the future
Have their eyes on the Have their eyes on the
bottom line horizon
Develop steps and Develop visions and
timetables strategies
Seek predictability and Seek change
order
Avoid risks Take risks
Motivate people to comply Inspire people to change
with standards
Use position-to-position Use person-to-person
influence influence
Operate within Operate outside
organizational rules, organizational rules,
regulations, policies and regulations, policies and
procedures procedures
II. DELEGATION
• sharing responsibility and authority with subordinates and holding them
accountable for their performance.
• process that facilitates complex organizations to accomplish work through the
coordinated and differentiated efforts of others.
• a tool that the nurse manager uses to build morale among staff. It involves giving
assignments to subordinates and motivating them to perform their job efficiently
and effectively.
• PRINCIPLES OF DELEGATION
1. Select the right person to whom the job is to be delegated
2. Delegate both interesting and uninteresting tasks
3. Provide subordinates with enough time to learn
4. Delegate gradually
5. Delegate in advance
6. Consult before delegating
• 5 RIGHTS TO DELEGATION
• Right task
• Right circumstance
• Right person
• Right direction/communication
• Right supervision/evaluation
• DELEGATION PROCESS
• Define the task
• Decide on the delegate
• Determine the task
• Reach an agreement
• Monitor performance, and
• provide feedback
• STRATEGIES FOR EFFECTIVE DELEGATING
o Plan ahead
o Identify necessary skill and levels
o Select most capable person
o Communicate goal clearly
o Empower the delegate
o Set deadlines and monitor progress
o Model the role: provide guidance
o Evaluate performance
o Reward accomplishment
• BARRIERS TO DELEGATION
o The belief that “I can do it better myself”
o Lack of confidence and trust in workers
o Low self-confidence, insecurity
o Vague job description
o Inadequate training
o Lack of adequate recruitment and selection
o Time involved in explaining the task
o Reluctance to take the risks involved in depending on others.
o Fear of loss of power
o Subordinate resistance to delegation
o Failure of the delegator to see the subordinates’ perspectives
o Workload assigned are highly challenging both physically and mentally
o Belief of employees that they are incapable of completing the delegated task.
o Inherent resistance to authority
o Due to over delegation
o Delegating to a transcultural work team
III. MOTIVATION
• the force within the individual that influences or directs behavior.
• leadership function aimed to arouse, excite or influence another person to behave in
some role or perform some action the person would not ordinarily do.
• refers to some inner drive, impulse, or intention that causes one to act or believe in
certain way, or to seek a particular goal.
• is the effect of persuasive communication between a leader and follower.
• “individual's degree of willingness to exert and maintain an effort towards
organizational goals”
• Motivation is closely linked to job satisfaction, which retains workers at their jobs
over time
• MOTIVATIONAL THEORIES
Neutral Operants - responses from the environment that neither increase nor
decrease the probability of a behavior being repeated.
Achievement-oriented people actively focus on improving what is; they transform ideas
into action, judiciously and wisely, taking risks when necessary.
Power-oriented people are motivated by the power that can be gained as a result of a
specific action. They want to command attention, get recognition, and control others.
IV. SUPERVISION
• involves overseeing the activities of others; consists of inspecting the work of
another and either approving or correcting the adequacy of performance.
• ensures that the major goal of nursing, which is quality patient care, is achieved;
encourages the development of potentials of the workers for effective and efficient
performance.
• is direction, guidance and control of working force with a view to see that they are
working according to plan and are keeping time schedule.
A nurse supervisor is responsible for managing staff, overseeing patient care and
ensuring adherence to established policies and procedures. She is charged with
assigning staff and monitoring their activities, and with helping to recruit and train new
personnel. The nurse supervisor also acts as an interface between her staff, their
patients, and the patients' families, as well as between her staff and the hospital's
physicians.
1. Silence
2. Space
3. Environment
4. Appearance
5. Eye Contact
6. Postures
7. Gestures
8. Facial expression and timing
9. Vocal expression
Verbal communication is the use of words to share information with other people, both spoken
and written. It is all about the words that you choose, and how they are heard and interpreted.
2. Nonverbal Communication
Using elements of nonverbal communication—such as facial expressions, eye contact,
body language, gestures, posture, and tone of voice—is also essential in creating
rapport. Simply smiling can go a long way. You can also:
• Show interest in what the patient is saying by maintaining eye contact and nodding
your head.
• Smile, but don’t stare.
• Sit down when you can, and lean forward to show you’re engaged.
• Use nonthreatening body language that conveys openness.
3. Active Listening
“Active listening” means listening in order to understand the other person’s experience. The
highest and most effective form of listening, it requires complete attention and engagement.
This skill is important not only for clinical nurses, but also for nurse executives as a tool for
building trust and commitment with their staff. Active listening includes both verbal and
nonverbal communication skills. For example:
4. Written Communication
Written communication skills are also essential for effective nurse-to-nurse communication. As
a nurse, you will be responsible for creating and updating patient records. It is critical that
records are accurate and current so your patients can receive the best care possible. Also
remember to protect patient confidentiality. Some tips:
• Make notes immediately following patient care so you do not forget anything.
• Write legibly and clearly, using simple language.
• Be sure to note accurate dates and times.
5. Presentation Skills
Effective presentation skills are most applicable during “handover”—when you are transferring
patient care to another nurse. These skills will also help you demonstrate your knowledge and
expertise clearly in a variety of workplace settings, such as presenting at conferences,
participating in job interviews, giving case reports to physicians, and more. It’s a good idea to:
• “We’ve gone over a lot of information. Now I’d like you to repeat it back to me to make
sure you remember everything.”
• “Can you repeat the instructions for taking this medicine back to me?”
• “Let’s review what we just discussed. Can you explain it to me in your own words?”
• Spend a couple of extra minutes every day with each patient getting to know them.
• Find out a fun fact about each patient.
• Show interest in their lives and share stories of your own.
8. Trust
It’s important for healthcare professionals to inspire trust in patients by listening actively and
taking every complaint and concern seriously. Building trust takes time. Healthcare settings are
scary for some patients. It’s important to make them feel as comfortable as possible.
Trust is something that nurse educators and leaders should also cultivate as they work to
develop the next generation of nurses. To inspire trust, nurse leaders and educators should:
9. Cultural Awareness
You will likely work with people every day who come from a wide range of social, cultural, and
educational backgrounds. Every patient and coworker is unique, and it’s important to be aware
and sensitive. For example, gauge the patient’s fluency with English and grade your vocabulary
accordingly or bring in a translator if necessary and possible. With trans and gender nonbinary
patients, be sure to use their preferred name and pronoun.
10. Compassion
Conveying compassion is an essential communication skill in healthcare. According to the
Journal of Compassionate Healthcare, “studies show that compassion can assist in prompting
fast recovery from acute illness, enhancing the management of chronic illness, and relieving
anxiety.” You can deliver compassionate nursing care by putting yourself in the patient’s shoes
and understanding their needs and expectations.
• LINES OF COMMUNICATION
• Four-Dimensional Flow of Communication
• SOURCES OF CONFLICT
a. Competition
b. Domination and provocation
It arises from differences in knowledge, skills, values, interests; scarcity of resources;
inter-group rivalry for rewards; role ambiguity, unworkable organizational structure;
and shift in organizational power base and organizational climate; and unacceptable
leadership styles.
• LEVELS OF CONFLICT
• CONFLICT RESOLUTION
1. Avoidance
•creates a bad situation through unassertive and uncooperative measures since the
conflict is not addressed.
•Both parties are aware of the conflict, but choose not to acknowledge it and or
attempt to resolve the conflict.
2. Accommodation
•cooperative but unassertive; self-sacrificing since it neglects one’s own needs to
meet the goals of the other party
3. Collaboration
• assertive and cooperative; contributes to effective problem-solving because both
parties try to find mutually satisfying solutions
4. Compromise – both parties seek expedient, acceptable answers for short periods that
meets everyone’s needs.
7. Withdrawing – one party is removed thereby making it possible to resolve the issue. It
produces the same results as smoothing.
8. Forcing – method that yields an immediate end to the conflict but leaves the cause of
the conflict unresolved.
• BASIC RULES ON MEDIATING A CONFLICT BETWEEN TWO OR MORE PARTIES
• Establish clear guidelines and make them known to all.
• Do not postpone indefinitely. Select a time that is best for all purpose.
• Create an environment that makes people comfortable to make suggestion.
• Keep a two-way communication.
• Stress a peaceful resolution rather than confrontation.
• Emphasize shared interests. Examine all solutions and select the most acceptable
to both parties.
• Follow-up on the progress of the plan. Give feedback to participants regarding
their cooperation in resolving the conflict.
Powerful people in organizations are more likely to have decisions made (by
themselves or their subordinates) that are congruent with their own preferences
and values. On the other hand, people wielding little power in organizations
must always consider the preference of the powerful when they make
management decisions. In organizations, choice is constructed and constrained
by many factors, and therefore, choice is not equally available to all people. Not
only do the preferences of the powerful influence decisions of the less powerful
but the powerful also can inhibit the preferences of the less powerful
• Rational and Administrative Decision making
• Economic Man make rational decisions, much like the economic man. He
gathers as much information as possible and generate many alternatives
because they realize that restricted knowledge and limited alternatives
directly affect a decision’s quality.
• V. CHANGE MANAGEMENT
• CHANGE
• any alteration in status quo.
• a naturally occurring phenomenon, simply a part of living.
• occurs when there is imbalance in the forces working toward maintaining the
current situation and the forces working towards disrupting it.
• occurs when forces become out of balance.
• CHANGE MANAGEMENT
• CHANGE DRIVERS:
▪ technological evolution
▪ process reviews
▪ crisis
▪ consumer habit changes
▪ pressure from new business entrants
▪ acquisitions
▪ mergers
▪ organizational restructuring.
• CHANGE MODELS
1. John Kotter's 8-Step Process for Leading Change
▪ Create a Sense of Urgency
▪ Build a Guiding Coalition
▪ Form a Strategic Vision and Initiatives
▪ Enlist a Volunteer Army
▪ Enable Action by Removing Barriers
▪ Generate Short-Term Wins
▪ Sustain Acceleration
▪ Institute Change
2. Change Management Foundation and Model
▪ is shaped like a pyramid with project management managing technical
aspects and people implementing change at the base and leadership
setting the direction at the top.
▪ Four stages:
• Determine Need for Change
• Prepare & Plan for Change
• Implement the Change
• Sustain the Change