Conflict Resolution Example

I worked in an assisted living facility as a CNA where I was in charge of caring for 16 residents, cooking for those residents, and cleaning the facility with the help of one other person. There was one day that I was working with a newer employee. She was Hispanic and didn't speak much English. It was difficult for us to understand each other because I don't speak Spanish. When we first started working I thought that we had discussed what each of us was supposed to do during the shift and which patients we were each taking care of. After a couple hours I noticed that she hadn't taken care of any of her patients and all she was doing was cooking and cleaning in the kitchen. I went to talk to her about taking care of her 8 patients and she got upset at me. I sat down with her and talked with her the best that I could to figure out what was wrong and what we could do to fix it. It turns out that we both had thought different things of what the other person was supposed to be doing. She thought that she was going to do the cooking and cleaning while I took care of the 16 residents. I felt that that was very unequal and that we had decided to split it equally. We worked everything out and I helped her with her 8 residents and we helped each other for the rest of the shift.

I feel that I handled the situation very well and that we resolved the issue quickly.

Conflict Resolution

Conflict is a natural part of life. It happens everyday. The difficult part is resolving the conflict effectively. If conflict is resolved effectively it can help to increase understanding, increase cohesion, and improve self. Conflict resolution is neccesary to have a good relationship with any one, whether it is at home, in the work place, or at school. It is important to acknowledge the situation and gather information to better understand the different points of conflict. Agree on the problem and brainstorm for possible solutions. Then work together to negotiate a solution and work everything out. Communication is key when it comes to conflict resolution. You can't solve a problem with someone if you aren't on the same page and the way to get on the same page is to talk to each other.

Quality Control

Quality control is interesting. Everyone wants to be happy and for that to occur there needs to be a good quality product. The healthcare providers need to provide a high quality of care for their patients to be happy.

If problems occur they need to be fixed and the cause needs to be resolved so that it doesn't happen again.

After class:

We had a guest lecturer today from Intermountain Health Care to talk about quality control. It was interesting, definitely not something that I want to do. A lot goes into quality control. There are a lot of people that you need to work worth and make happy such as: patients/families, professional organizations, payers, employees, coworkers, community, suppliers, and regulatory agencies. That is a lot more than I would have thought. Quality control has a lot more to it than I thought. wow.

Quality Control Question Contemplation

What do you consider elements of quality care when receiving healthcare services?

• Timely Care
• Friendly healthcare workers
• Be informed - included in care
• Considerate of needs and preferences
• Compassionate care provided
• Privacy retained
• Competent care provided
• Continuity of care

What do you consider elements of quality care as a professional nurse?

• Effective
• Patient centered
• Timely
• Efficient
• Safe
• Compassionate

Are the two similar or different?

They are both very similar. The healthcare providers want their patients to be satisfied with their care. They also want the quality of care that is given to be high. The same goes with the patients. They go places to be cared for that they feel they will receive the best care. You can't have satisfied patients without good quality of care from the providers.

Motivation and Communication

In class tomorrow we will be discussing motivation and communication. After reading multiple things from multiple websites I realized that there are a lot of different ways to motivate people to work. I don't work right now and haven't for a while so I haven't seen motivation in the workplace recently. I see motivation in school all the time. I am motivated to do my school work this semester only because I need a good grade. I am highly motivated in school by grades. I am easily motivated by food, as well as money. Sometimes I am motivated simply because I want something and I am going to work for that. Other times I am motivated because I want to look good or simply just complete something.

This summer I am signed up to run in the Wasatch Ragnar Relay, a crazy long race spread between 12 people. I have some of the shortest runs in the entire race, but those will still be hard for me and I don't want to be the slowest, worst, most retarded runner in my group so I am starting to train so that I can run most, if not all of the miles that I have to run. I am also trying to lose weight and become more healthy and running is helping to meet those goals.

Motivation is a big part of getting things done. If people weren't motivated, either by their own drive or out of fear, then things wouldn't get done.

After class:

In class we talked about different ways that managers can show their appreciation to their employees. Making it personal is the most important part, it needs to seem sincere. We talked about validating the needs of the employees. Being consistent is the most important part of validation and appreciation. If the unit you oversee has done something incredible you don't want to reward them with a small bowl of chex mix. They should be rewarded with something of equal value to what they did like catered lunch.

Get to know your employees so that you can personalize thank yous. Get to know their "love language" so that you can reward them in a way that they will most appreciate. Just telling someone thank you when they love to receive gifts won't seem like much. But getting them a candy bar (their favorite) and telling them that they did a great job and you really appreciated it would be more motivating to them. :)

Personal Career Development Plan

In one year I want to be working in a hospital gaining experience as a nurse.

In two years I want to continue working in the hospital, possibly a different unit. I would love to work with women and children. If I can get a job in mother/baby or labor and delivery in the next two years I would love that.

In three years I would like to be working toward preparing to go to grad school to become a nurse practitioner. I would start looking into schools and programs. I would prepare to take the GRE.

In four years I would finish preparing for grad school so that by year five I can be in grad school and becoming a nurse practitioner.

Motivation

Motivation is kind of a hard subject. Everyone is motivated in a different way and sometimes it is hard to find out what that motivation is. I have had many times in my life where I have been motivated to do things and other times when I have not been motivated at all.

I had a manager once that would constantly tell everyone that if they didn't do their job well that he had a pile of applications on his desk to replace us. This didn't really motivate me to work hard and be a good employee. I am usually self motivated, especially when I'm doing things that I like to do. When I'm working I want to do a good job, I want to take good care of my patients. A manager telling us that we are easily replaced didn't bother me because not doing my job well was never an option for me. Also, I believed him to not be telling the full truth. We weren't fully staffed, and we never were the entire time I worked there. In my mind that meant that he didn't have people to hire, so his "motivation" didn't work.

Interview

This class period couldn't have come at a more opportune time. I was just scheduled for an interview on Tuesday. I felt that the information that I read about interviews has/will help me for this interview. I want to have the best interview that I can and I feel that the websites that we looked at had some really good information on them for both the interviewer and interviewee.

After Class:

We discussed the process that the interviewer goes through before they can hire someone. I was surprised with the whole process and how long it can take to hire someone. I found it interesting to learn more about the perspective of the interviewer, because I have always been the one that gets interviewed. It will definitely be interesting when I get to be in the other position.

My interview with the ICU went well, I did not get the job. :( I did have another interview over the break. I interviewed for a position in the mother/baby of Timp hospital. This is my dream job. The interview went well. I have yet to hear back from them yet. :) I have my fingers crossed.

Budgeting

I have always been really goo at budgeting and saving money. I have always spent less than I made and been able to put money aside for savings. My husband and I discussed money and budgeting before we got married. Neither of us were in debt or ever wanted to be, except for maybe a house. We sat down and figured out how much income we had and what our monthly expenses would be. We were both surprised at the expenses since both of us were living at home and didn't really have any expenses outside of paying for gas.

Lately its been somewhat difficult for us to stick to a budget, but we don't make very much every month and it is important to us that we don't go into debt or dip into our savings account if we don't have to. Right now only my husband is working. I am trying to find a job, but the search has yet to be successful. We want to buy a house in the next couple years and are hoping to both get jobs soon, my husband is looking for a better paying job. We hope that when we have the increase in income that we won't raise our budget too much and be able to put a lot of money into savings to buy a house soon.

It was interesting to read about hospital budgets and the things that hospitals have to do to make a budget and to stay on their budget. I am looking forward to class tomorrow and learning more about budgeting and such.

After Class:

I thought class was interesting today. It was fun to go through an actual budget from a hospital to see the expenses that a hospital has. After trying to cut $11,200.00 it would have been nice to know more information initially.

I think it's interesting that so many people believe that you spend what you make. I know plenty of people that do that, but I also know people that spend less much than they make and save a lot of money. I am an avid Dave Ramsey fan and I believe that you can save money and spend less than you make so that you can save for retirement and for the bigger items that you want to buy. I don't believe that everyone spends what they make.

Managing Change

I really liked reading the story "Who Moved My Cheese?" It gave such a good perspective on change while showing different perspectives that people have on change and how different people deal with change.

After reading it and thinking about it I have come to think that I am a mix between Sniff and Haw. I think that I stay aware of small differences that may lead to change, that I can somewhat sniff out the situation. But when it comes to the actual change occurring, I see it, understand it, but like Haw, I may be a little more slow at accepting that change. It really depends on the situation and what that change might be. I am prepared for multiple changes that will hopefully occur soon in my life, but there may be other changes that I may not be so accepting.

Today in class my teacher, Sean, told us that he had changed the syllabus and our grades are going to be calculated differently with the majority of the points coming from participation/attendance. He then walked out of class.

I personally like the change. I have been doing the readings and writing my blog posts and I participate in class when I feel that I have something to share.

This is not really something that I saw coming, I have never had a teacher change a syllabus to this extent in the middle of the semester, but I am not opposed to this change. It made me think back to the reading that we had to do of "Who Moved my Cheese?" In the case of this change I feel like I am Scurry. I quickly ran to the new cheese and I appreciate it. I think it is really good cheese and at this point I am really hoping that it is not a temporary change to make a point on the week we are to discuss change. Although, if that were to happen I would go find the new new cheese and adapt quickly. :)

It has been interesting today as Sean left the classroom and students didn't know what to do. That had never happened before. Some wanted to stay, in case he came back, and others quickly packed their things and left. Now people have been posting things on Facebook about grade changes and how they are not sure if they like this change and how they don't know what is going on. I know that things will work out. Sean told us on the first day of class that this is "a no stress class" and that we will all get A's if we do what we need to do. I feel like I'm doing what I need to do and I don't have anything to worry about.

Change

What is your attitude toward change?

I think that I have a good attitude about change. I look at change as a good thing that will bring new experiences to my life.

Currently I am looking forward to many different changes in my life. I am looking forward to the change of getting a job, although I am having a hard time with the finding a job part. It is getting very frustrating and discouraging. I am looking forward to the change of being done with school. And in the future I am looking forward to the change of starting a family. All of these are big things, but I have a positive attitude about them.

Patient Care Model

Discuss the patient care models used in the organization where you are employed. What works well in the model? What doesn't work so well?

I do not currently have a job, but I am working on finding a patient care model to discuss.

I have found Mayo Clinics Model of Care (MCMC) and would like to discuss that. The "MCMC is a prescription for providing patient care in concert with our mission - Mayo Clinic will provide the best care to every patient every day through integrated clinical practice, education and research. It is the set of objectives that addresses our core principle for practice - Practice medicine as an integrated team of compassionate, multi-disciplinary physicians, scientists and allied-health professionals who are focused on the needs of patients from our communities, regions, the nation and the world."

Currently, I still have more to read through and will add more to this post shortly.

Power

Differentiate among the different types of power and identify strategies to increase your personal power base.

I searched online for different types of power and found that there are 5 types of power. John French and Bertram Raven identified these five bases of power in the 1960's. There are two different categories of power: Formal Power and Personal Power.

Formal Power:

Coercive

Coercive power is conveyed through fear of losing one’s job, being demoted, receiving a poor performance review, having prime projects taken away, etc. This power is gotten through threatening others. For example, the VP of Sales who threatens sales folks to meet their goals or get replaced.

I had a supervisor like this. He kept telling the employees that they needed to work hard, do the job right, and follow all of the rules or we would be replaced by people in "the tall pile of resumes that he has on his desk."

Reward

Reward power is conveyed through rewarding individuals for compliance with one’s wishes. This may be done through [giving] bonuses, raises, a promotion, extra time off from work, etc. For example, the supervisor who provides employees comp time when they meet an objective she sets for a project.

I think that everyone uses this type of power, almost everyday. Parents use it to make their kids eat their vegetables, or to act correctly at the grocery store. I use it to have my nieces and nephews do what I want them to while I am watching them.

Legitimate

Legitimate power comes from having a position of power in an organization, such as being the boss or a key member of a leadership team. This power comes when employees in the organization recognize the authority of the individual. For example, the CEO who determines the overall direction of the company and the resource needs of the company.

Personal Power

Expert

Expert power comes from ones’ experiences, skills or knowledge. As we gain experience in particular areas, and become thought leaders in those areas, we begin to gather expert power that can be utilized to get others to help us meet our goals. For example, the Project Manager who is an expert at solving particularly challenging problems to ensure a project stays on track.

My husband builds cabinets, furniture, and picture frames. He has become the "expert" in both his and my families when it comes to having something built or fixed.

Now that I am a nurse my family calls me with all of their health questions because they believe that I am an "expert" in that now.

Referent

Referent power comes from being trusted and respected. We can gain referent power when others trust what we do and respect us for how we handle situations. For example, the Human Resource Associate who is known for ensuring employees are treated fairly and coming to the rescue of those who are not.

I have been doing interior design work for my family and I am now the person that they come to when they have design questions, whether it be furniture or clothing. They trust that I have a good eye for those things and that I will give them my honest opinion.

Out of these 5 types of power I believe that I have most (if not all) of them in some way or another. I'm sure that I am coercive in some circumstances, there are many circumstances where I am driven by fear. I definitely have reward power, especially when it comes to motivating people to do what I want them to do. I have legitimate power in my home, but not else were. That is something that will come if/when I get a job and if/when I climb up that ladder. As explained above I also have expert and referent power.

I think for me to increase my power base that I need to use the power that I have and add to it. I think that as my life goes on and when I get a job, become a mother, and so on that my power base will expand. I will have more people/things that I have power over.

What are your thoughts about power and how it is used?

I think that power can be used for good or bad. Some people use the power that they have to help others, lift others up, and to help people grow. Others use their power to tear people down and to hurt people. Hitler had great power over Germany, but he used it to do horrible things and killed many people. Bill Gates is a very powerful person, but he uses his money and power to help others.

I think that power can be a great thing and it can drive people to do incredible things if used well. An example would be if I were driven by power and I really wanted to work high up in healthcare. That power could push me to be a manager and continue up that ladder. It could help me grow and learn. Right now that is not something I want and I am not really driven by power, but that's not the point. If people use power for good it can be a great thing.

Reference: http://quickbase.intuit.com/blog/2011/08/26/the-5-types-of-power-in-leadership/

Organizational Structure and Power

In the readings for class tomorrow they mostly talked about the difference between men and women in leadership positions. What I got from the reading was that women are the upcoming leaders in the workplace. In the survey of public leadership traits women scored higher than men on having more of the traits necessary for being a good leader.

I liked when I read that "most new jobs being created today are being filled by women." It gives me hope as I am looking for a job. I know that nursing is one of the professions that is women heavy anyway, but it still gives me hope. Although, I am not really interested in becoming a manager or a higher up postition. I want to work on the floor as a nurse and care for people.

Strategic Planning

Strategic planning is a process in which a company, or departments in a company, define their strategy in accomplishing the things that they want to accomplish. Strategic planning has changed over the past couple years for the better. Before, a group of people would get together and chose one plan to accomplish of a couple years time. Now, a group of people get together and come up with multiple plans to accomplish the goals that they want accomplished in the next 12-18 months.

I liked this image because it shows a simple visual for the planning process. Strategic planning is more than just a plan that gets put on the shelf and forgotten when you are done writing it up. It is a plan than needs to be looked at often, assessed, and modified depending on how things are going.

After Class:

We talked a lot about the patient satisfaction scores that the congressmen have set up. Medicare is planning to start using these scores in October to base the funding/reimbursements they will give the the hospitals. 5 is "excellent" and anything else is pretty much a fail. The problem with 5 being excellent is that not many people use the word excellent in their vocabulary. As nurses if we use the word excellent while giving care the patients may be more prone to mark "excellent" on the satisfaction surveys.

With strategic planning there needs to be goals, short term and long term. If you don't have the short term goals to lead up to your long term goals then you may not make it to your long term goals.

Ethical and Legal Responsibilities

Getting ready for class I have learned a lot about ethics committees. One of the websites that we had to read through for class talked about ethics committees. I didn't realize that there was such a thing, I guess I never really thought about it, because as soon as I thought about ethics committees it made complete sense to me to have such things in hospitals, etc. Ethics committees can be very helpful in different situations.

The underlying goals of ethics committees are:

• to promote the rights of patients;
• to promote shared decision making between patients (or their surrogates if decisionally incapacitated) and their clinicians;
• to promote fair policies and procedures that maximize the likelihood of achieving good, patient-centered outcomes; and
• to enhance the ethical tenor of health care professionals and health care institutions. (http://depts.washington.edu/bioethx/topics/ethics.html)

In the discussion for "My Sister's Keeper" I talked about the importance of being a patient advocate. That seems to be what the ethics committee is. The are leaders that advocate for the patients best interest.

After Class:

I liked what we discussed in class. We talked about how ethical issues are different to different people because everybody has a different point of view on things. Ethics have to due with your personal values, and sometimes your personal values can put you into a sticky position.

One of the questions that was brought up in class was: How do we take our personal values and bring them into the job?

It made me think that there would be some things that I would not wish to participate in, such as abortions. (Hopefully I wouldn't get a job that I ever have to deal with that.) And there are some things that I will have to leave up for the patient and act as the patient advocate whether I agree with them or not. Sometimes, I will have to make sure that the patient has the knowledge that they need to make an educated decision and that will be all that I can do.Other times I may need to get involved with an ethics committee and see what happens with that.

Leadership is about...

1. Leadership requires personal mastery: Nurses demonstrate leadership when they show competence ad mastery in tasks they perform. Nurses are deemed competent by means of license to practice nursing (NLN 2010).

2. Leadership is about values: "Leaders know what they value. They also recognize the importance of ethical behavior. The best leaders exhibit both their values and their ethics in their leadership style and actions" (About.com, Leadership Values and Ethics). "Nurse leaders use the hospital vision and values as guiding principles on which to act" (http://www.oumedicine.com).

3. Leadership is about service:

"The true leader serves. Serves people. Serves their best interests, and in doing so will not always be popular, may not always impress. But because true leaders are motivated by loving concern than a desire for personal glory, they are willing to pay the price."

— Eugene B. Habecker
in The Other Side of Leadership

"Good leaders must first become good servants."

— Robert Greenleaf

4. Leadership is about people and relationships: "The deeper your relationship, the stronger your leadership."

"For example, 24 studies reported that leadership styles focused on people and relationships (transformational, resonant, supportive, and consideration) were associated with higher nurse job satisfaction" (Leadership styles and outcome patterns for the nursing workforce and work environment: a systematic review).

5. Leadership is contextual: "Because the current workforce is made up of individuals from a wide variety of backgrounds, ages, education, ethnicity, experience, and culture; and because leadership is often faced with a rapidly changing business environment, a single leadership style cannot be expected to be effective with every person, or in every situation. The best leadership style is "the style that works". The leadership style that works is a result of taking into account all the components or forces in the situation or "the context"' (http://www.jsri.com/jsri-contextual-leadership.html).

"Contextual leadership implies both a capability to discern trends in the face of complexity and uncertainty as well as adaptability while still trying to shape events. It allows leaders to adjust their style to the situation and to their followers’ needs" (http://www.business-leadership-qualities.com/contextual-leadership.html).

6. Leadership is about the management of meaning: "Leadership is about the 'management of meaning,' and that leaders emerge because of their role in framing experience in a way that provides the basis for action; that is, by mobilizing meaning, articulating and defining what has previously remained implicit or unsaid, by inventing images and meanings that provide a focus for new attention and by consolidating, confronting or changing prevailing wisdom" (Robert Birnbaum, How Colleges Work, 1998).

I also found good information in the book “Management and Leadership for Nurse Administrators” that talked about management of meaning being the second competency of leadership. It states that, “Nursing leaders transform the social architecture or culture of health care organizations by using group discussion, agreement, and consensus building, and they support individual creativity and innovation.”

7. Leadership is about balance: In the book “Nursing Leadership” it states that, “leadership requires balance within and between the nexus of industrial and professional concerns to manage and drive in order to facilitate practice and better health outcomes for communities and individuals.”

8. Leadership is about continuous learning and improvement: “Continuous learning is essential at all levels of nursing” (Leadership Competencies: Knowledge, Skills, and Aptitudes Nurses Need to Lead Organizations Effectively). I think that as healthcare continues to improve and new things are discovered that it is very important that nurse leaders keep up to date with what they can and continuously learn and improve their skills.

9. Leadership is about effective decision making: “Educating leaders and team members about different decision-making strategies cultivates critical-thinking skills. These tools encourage teams to remain focused as the teams evaluate possible solutions. Tools should be easy to use so that staff members do not spend more time learning the tool than evaluating the solutions” (Leadership Competencies: Knowledge, Skills, and Aptitudes Nurses Need to Lead Organizations Effectively).

10. Leadership is a political process: “Nurse leaders require skills and expertise in political competence and knowledge of the policymaking process” (Deschaine, J. E, & Schaffer, M. A. (2003)Strengthening the Role of Public Health Nurse Leaders in Policy Development, Policy Politics Nursing Practice, 4, 266-274. doi: 10.1177/1527154403258308)

11. Leadership is about modeling: I really liked this whole quote: “A clinical nursing leader is one who is involved in direct patient care and who continuously improves care by influencing others (Cook, 2001). Leadership is not merely a series of skills or tasks; rather, it is an attitude that informs behavior (Cook, 2001). Several important functions of a nurse leader are: acting as a role model, collaboration to provide optimum care, provision of information and support, providing care based on theory and research, and being an advocate for patients and the health care organization (Mahoney, 2001). In addition, nurse leaders should have knowledge of management, communication, and teamwork skills, as well as some background in health economics, finance, and evidence-based outcomes (Mahoney, 2001). Personal qualities desirable in a nurse leader include competence, confidence, courage, collaboration, and creativity. Nurse leaders should be aware of the changing environment and make changes proactively. Leaders who show concern for the needs and objectives of staff members and are cognizant of the conditions affecting the work environment will encourage productivity (Moiden, 2003). In doing this, it is important that a philosophy of productivity is established.” (http://www.ukessays.com/essays/nursing/leadership-in-nursing.php)

12. Leadership is about integrity: integrity is defined as the quality of being honest and having strong moral principles; moral uprightness. “In my interventions in troubled workplaces, the healing process depends on individuals of integrity who can model appropriate behaviours and help lead the group out of trouble. Through their actions, they demonstrate to others that integrity is a worthy virtue. They help others to understand that honesty in dealing with each other, knowing the difference between right and wrong, having courage to do what is right, and caring about relationships can improve outcomes for individuals and for the organisation.” (http://www.aim.com.au/publications/bkchapters/seven_ch3.html)

Leadership and Management

Think about how theories of leadership and management impact nursing leadership and management roles.

Through the articles that I read and the power points that I read for class I learned a lot. I learned that nursing management is control. Managers control their environment and manipulate things to get the outcomes that they desire. Leadership on the other hand is to release control. Leaders are guided by group process. They collect information, receive feedback, and empower others. In the article "A nursing theory for leadership" Laurent (2000) uses a theory developed by Ida J. Orlando for patient care and nursing leadership. Laurent (2000) states that leadership is releasing the control to the employees. Laurent (2000) shared an example of management versus leadership. Management would be taking a patient, gathering the needed information, formulating a hypothesis, and implementing that hypothesis. Leadership would be taking a patient, gathering the needed information, formulating multiple hypothesis, validation (from the patient to meet the patients concerns, from information gathered, and/or from other nurses), and then implementing the best hypothesis. "Leadership equals direction, management involves logistics, speed and tools to go in that direction. Managers do things right whereas leaders do the right thing" (Laurent, 2000, 86).

I liked Orlando's theory and feel that it is a great theory to live by as a nurse. Patients need to be involved in their care and validating information with your patients will help to keep care patient centered as well as focused on their immediate needs. Leaders don't just jump to conclusions but seek validation from other sources before implementing care. It involves verbal interactions.

This also applies to nurse/nurse interactions. If there were a problem with a nurse on the floor a leader would talk to them, discuss the problem, and discuss the different solutions to the problem. Validating each solution to find the right solution(s) to fix that problem. Leaders are much more helpful and better inclined to fix things the right way. They see a whole picture.

I really liked what Laurent (2000) closed the article with, "Through providing direction and vision, as employees are involved in validating hypothesis about their performances and actively involved in the plans and decisions that affect them, leadership occurs. More importantly, if RNs provide that direction and help cast that vision, they become nursing leaders" (87).

I want to strive to be a nurse leader and to use Orlando's theory in my life and work as a nurse to give direction and do the right things.

Reference

Laurent, C. L. (2000). A nursing theory for nursing leadership. Journal of Nursing Management, 8, 83-87. Retrieved from web.ebscohost.com.

After class on January 17 there were a few more things that I wanted to add to my post. In class we discussed that leadership is influence and motivation to achieve a goal. We talked about how every individual is just as important as the next, but sometimes they need motivation to get to where they need to be. (something like that. to the point that some people may need more motivation than others) I also liked when we talked about how leadership is consistent.

Management is coordinated actions and processes. There are three different styles of management:

Autocratic: "My way or the highway" (Corporate policy, codes, God, and military)

Democratic: People get together and work things out

Laissez-faire: Anything goes

A good manager is well rounded in all three styles.