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Leadership and Management
Exam 1
166
Nursing
Undergraduate 4
09/20/2015

Additional Nursing Flashcards

 


 

Cards

Term
Leadership
Definition
is the use of individual traits and abilities in realtionships with others and the ability to inturprit the environment/contects where a situation is emerging, and enter the situation in the absence of a script or defined plan that could have been projected.
Term
Leader
Definition
an individual who works with others to develope a clear vision of the prefered future and to make that vison happen.
Term
Trait Theories
Definition

 

The idea that leaders have a certain set of characteristics that are crucial for inspiring others toward a common goal.

 

Term

Style Theories


 

Definition
Focus on what the leaders do in relational & contextual terms. Performance requires supervisors to pursue effective relationships with subordinates.
Term
Situational Contingency Theories
Definition
Leaders assess the situation/challenge and adapts leadership style to compliment the issue being faced.
Term
Servant Leadership
Definition

 

A desire to serve first. focuses on the growth and well-being of people and the communities to which they belong. The servant-leader shares power, puts the needs of others first and helps people develop and perform as highly as possible.

 

 

 

Term
Transactional Theory
Definition

Relies on the power of organizational position & formal authority to reward & punish performance. The superior makes the decision with little or no input from subordinates.

 

Term
Complexity Theory
Definition

 

Organizations are often thought of as silos (i.e. pharmacy, radiology, nursing, etc). These areas all interact and have relationships with each so you have to view from the bigger picture rather than each individual silo.

 


Ex: Surgery department silo but you have many things that make up the surgery floor (different types of nurses, surgeon, anesthesiologist, etc)

 

Term
Transformational Theory
Definition
Inspire & motivate change; communication is key. Not concerned with status quo.
Term
Avanced practice registered nurse (APRN)
Definition
A group of nurses, prepared at the graduate level, with defined roles and scopes who function in expanded nursing roles. Those roles are: certified registered nurse anesthetists, certified nurse-midwives, clinical nurse specialists, and certified nurse practitioners.
Term
Clinical Process
Definition
A defined sequence of steps needed to ensure that basic functions are fulfilled in a standardized manner, ensuring safety and quality, such as medication procurement and administration
Term
Emotional Intelligence
Definition
Monitoring emotions in a situation to guide actions and inform thought processes.
Term
Evidence-based Organizational practice
Definition
Scientifically derived approaches to delivering care that optimizes professional roles, practices, and coordination of activities.
Term
followership
Definition
Those with whom a leader interacts; involves assertive use of personal behaviors in contributing toward organizational outcomes while still acquiescing certain tasks to the leader or other team members
Term
Magnet Recognition Program
Definition
The only national designation built on and evolving through nursing research that is designed to recognize nursing excellence of healthcare organizations through a self-nominating, appraisal process.
Term
Management
Definition
The activities needed to plan, organize, motivate, and control the human and material resources needed to achieve outcomes consistent with the organization’s mission and purpose
Term
Management Theory
Definition
The theory related to the activities described in Management.
Term
Motivation
Definition
The instigation of action based on various factors, both intrinsic and extrinsic.
Term
Patient Protection and Affordable Care Act
Definition
Legislation aimed at increasing access to uninsured Americans to quality, affordable care while reducing costs of unnecessary services. The PPACA was upheld as constitutional by the Supreme Court in 2012.
Term
Process of Care
Definition
The desired sequence of steps that have been designed to achieve clinical standardization.
Term
Social Networking
Definition
The use of technology and other mechanisms to create a web of relationships with common involvement in an area of focus or concern.
Term
Triple Aim
Definition
A shortcut for describing contemporary healthcare reform: to improve access, improve quality, and decrease or control healthcare costs.
Term
Values
Definition
Inner forces that influence decision making and priority setting
Term
Vision
Definition
The desired future state.
Term
Agency for Healthcare Research and Quality (AHRQ)
Definition
The primary federal agency devoted to improving quality, safety, efficiency, and effectiveness of health care
Term
American Board of Quality Assurance and Utilization Review Physicians (ABQAURP)
Definition
A multidisciplinary professional organization that focuses on those providers in roles related to quality assurance and utilization review
Term
Det Norske Veritas (DNV)
Definition
Diagnostic related group (DRG)
Term
Institute for Healthcare Improvement (IHI)
Definition
An independent organization devoted to improving patient safety and health care globally.
Term
Institute of Medicine (IOM)
Definition
An organization that works outside of the federal government to provide independent, scientific advice
Term
National Integrated Accreditation for Healthcare Organizations (NIAHO)
Definition
Formerly Det Norske Veritas. An internationally based organization that accredits many fields, including health care.
Term
National Quality Forum (NQF)
Definition
A membership-based organization that sets priorities and goals for performance improvement and endorses standards for measurement.
Term
Quality and Safety Education for Nurses (QSEN)
Definition
This acronym refers to the Quality and Safety Education for Nurses, which is an institute devoted to providing resources related to the QSEN Competencies for both undergraduate and graduate practitioners. The knowledge, skills, and attitudes are defined to reflect the necessary abilities one must have to practice safely and to strive for quality. The six competencies are patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics.
Term
TeamSTEPPS (an AHRQ strategy to promote patient safety)
Definition
A teamwork system designed to increase patient safety.
Term
The Joint Commission
Definition
An organization that accredits healthcare organizations and is deemed by the Center for Medicare & Medicaid Services (CMS) as holding healthcare facilities to CMS standards
Term
Emerging Workforce
Definition
The so-called 20-something generation, who were born between the years of 1965 and 1985.
Term
Entrenched workforce
Definition
Employed persons older than 35 years who are thought of as the Baby Boomer generation.
Term
mentor
Definition
An experienced person who helps a less experienced person navigate into expertise.
Term
Transactional leadership
Definition
The act of using rewards and punishments as part of daily oversight of employees in seeking to get the group to accomplish a task.
Term
Transformational Leadership
Definition
An act of encouraging followers to follow the leader’s style and change their interests into a group interest with concern for a broader goal.
Term
Case Management
Definition
A person-oriented service that reflects multidisciplinary cooperation and coordination.
Term
Change Agent
Definition
Individuals with formal or informal legitimate power whose purpose is to initiate, champion, and direct or guide change.
Term
Follower
Definition
Person who contributes to a group’s outcomes by implementing activities and providing appropriate feedback
Term
Leader
Definition
Person who demonstrates and exercises influence and power over others.
Term
Managed Care
Definition
Care purchased through a public or private healthcare organization whose goal is to promote quality healthcare outcomes for patients at the lowest cost possible through planning, directing, and coordinating care delivered by healthcare organizations that it may own, have contractual agreements with, or have authority over by virtue of the fact that it reimburses the organization for services provided its patients. This model rewards providers for low utilization of care that is relatively low in cost; also, a system of care in which a designated person determines the services the patient uses.
Term
Organizational Culture
Definition
The attitudes, behaviors, and policies evident in an organization that create the ambiance and operation of the workplace.
Term
Quality Indicators
Definition
Measurable elements of quality that specify the focus of evaluation and documentation.
Term
Quantum Theory
Definition
A physics theory stating that energy is not a smooth flowing continuum but, rather, bursts of energy that are related
Term
Role
Definition
Expected or actual behavior, determined by a person’s position or status in a group.
Term
Role Theory
Definition
A framework used to understand how individuals perform within organizations.
Term
Apparent Agency
Definition
Doctrine whereby a principal becomes accountable for the actions of his or her agent; created when a person holds himself or herself out as acting on behalf of the principal; also known as apparent authority.
Term
Autonomy
Definition
Personal freedom and the right to choose what will happen to one’s own person.
Term
Beneficence
Definition
Principle that states that the actions one takes should promote good.
Term
Collective Bargaining
Definition
Mechanism for settling labor disputes by negotiation between the employer and representatives of the employees.
Term
Confidentiality
Definition
Right of privacy to the medical record of a patient; also, a respect for the privacy of information and the ethical use of information for its original purpose.
Term
Corporate Liability
Definition
The condition of being responsible for corporate loss related to acts performed and not performed in meeting obligations to operate legally and judiciously.
Term
Emancipated Minor
Definition
Person younger than adulthood who is no longer under the control and regulation of parents and who may give valid consent for medical procedures; examples include married teens, underage parents, and teens in the armed services.
Term
Ethics
Definition
Science relating to moral actions and moral values; rules of conduct recognized in respect to a particular class of human actions.
Term
Ethics Committee
Definition
Group of persons who provide structure and guidelines for potential healthcare problems, serve as an open forum for discussion, and function as patient advocates.
Term
Failure to Warn
Definition
Newer area of potential liability for nurse managers that involves the responsibility to warn subsequent or potential employers of nurses’ incompetence or impairment.
Term
Fidelity
Definition
Keeping one’s promises or commitments.
Term
Foreseeability
Definition
Concept that certain events may reasonably be expected to cause specific consequences; third element of negligence/malpractice.
Term
Health Care and Education Reconciliation Act
Definition
Federal legislation that amended the Patient Protection and Affordable Care Act to clarify budget resolutions.
Term
Health Literacy
Definition
An individual’s capacity to obtain, process, and understand health information needed to make appropriate health decisions.
Term
Autocratic
Definition
An authoritarian style that places control within one person’s position.
Term
Creativity
Definition
Conceptualizing new and innovative approaches to solving problems or making decisions
Term
Critical Thinking
Definition
A composite of knowledge, attitudes, and skills; an intellectually disciplined process. Also, the ability to assess a situation by asking open-ended questions about the facts and assumptions that underlie it and to use personal judgment and problem-solving ability in deciding how to deal with it.
Term
Decision Making
Definition
Purposeful and goal-directed effort using a systematic process to choose among options.
Term
Optimizing
Definition
A specific decision process that is designed to produce the best (optimal) results.
Term
Optimizing Decision
Definition
Selecting the ideal solution or option to achieve goals.
Term
Problem Solving
Definition
Using a systematic process to solve a problem.
Term
Satisficing
Definition
A decision process where the solution is acceptable (rather than best).
Term
Satisficing Decision
Definition
Selecting an option that is acceptable but not necessarily the best option. (Satisfy+suffice=satisfice.)
Term
Accountable Care Organization
Definition
Groups of providers and healthcare organizations that agree to work together to provide coordinated high quality care to patients who receive Medicare.
Term
Accreditation
Definition
Process by which an authoritative body determines that an organization meets certain standards to such a degree that the organization is able to meet the standards as a whole and without ongoing monitoring of each aspect of performance.
Term
Consolidated Systems
Definition
A group of healthcare organizations that are united based on common characteristics of ownership, regional location, or mutual performance objectives for the purpose of optimizing utilization of their resources in achieving their missions.
Term
Deeming Authority
Definition
A power granted by one with power so that the recipient acts in his or her place.
Term
Fee-For-Service
Definition
A system in which patients have the option of consulting any healthcare provider, subject to reasonable requirements that may include utilization review and prior approval for certain services but does not include a requirement to seek approval through a gatekeeper.
Term
For-Profit Organization
Definition
An organization, such as a hospital, that is operated to create excess income (profit) for the benefit of owners or stockholders
Term
Horizontal Integration
Definition
The condition that results when two (or more) organizations with similar services come together
Term
Networks
Definition
Resources of colleagues upon whom you can draw for advice; formal systems to provide services
Term
Preferred Provider Organization
Definition
Contracts are developed between hospitals and physicians with discounted rates and prompt payment.
Term
Primary Care
Definition
First access to care.
Term
Private Non-Profit(or not-for-profit) Organization
Definition
Organization that has funds redirected to maintenance and growth rather than as dividends to stockholders.
Term
Public Institution
Definition
Providing health services under the support and direction of local, state, or federal government.
Term
Secondary Care
Definition
Disease restorative care.
Term
Teaching Institution
Definition
An academic health center and affiliated hospital.
Term
Tertiary Care
Definition
Rehabilitative or long-term care.
Term
Third-Party Payers
Definition
Private and public agencies that contract with an individual to assume responsibility to pay under defined conditions for specified healthcare services.
Term
Vertical Integration
Definition
Alignment of organizations to provide a full array or continuum of services.
Term
Bureaucracy
Definition
Characterized by formality, low autonomy, a hierarchy of authority, an environment of rules, division of labor, specialization, centralization, and control.
Term
Chain of Command
Definition
The hierarchy depicted in vertical dimensions of organizational charts.
Term
Flat Organizational Structure
Definition
Characterized by decentralization of decision making to the level of personnel carrying out the work.
Term
Functional Structure
Definition
Arrangement of departments and services by specialties.
Term
Hierarchy
Definition
Chain of command that connotes authority and responsibility.
Term
Hybrid
Definition
Possessing characteristics from several types of organizational structures
Term
Line Function
Definition
A function that involves direct responsibility for accomplishing the objectives of a nursing department, service, or unit.
Term
Matrix Structure
Definition
An organizational structure influenced by dual authority, such as product line and discipline.
Term
Mission
Definition
The reason for the organization’s existence. The purpose it was designed to address.
Term
Organization
Definition
A business structure designed to support specific business goals and processes; or a group of individuals working together to achieve a common purpose.
Term
Organizational Chart
Definition
A chart that defines organizational positions’ responsibility for specific functions.
Term
Organizational Structure
Definition
A framework that divides work within an organization and delineates points of authority, responsibility, accountability, and non–decision-making support
Term
Organizational theory
Definition
The systematic analysis of how organizations and their component parts act and interact.
Term
Philosophy
Definition
Values and beliefs regarding nature of work derived from a mission and the rights/responsibilities of people involved.
Term
Redesign
Definition
Technique to analyze tasks to improve efficiency.
Term
Reengineering
Definition
A total reorganization of how an organization will function, with the goal of increased efficiency.
Term
Restructuring
Definition
Technique to enhance organizational productivity.
Term
Service-Line Structures
Definition
A type of structure in which the functions necessary to produce a specific service or product are brought together into an integrated organizational unit under the control of a single manager or executive.
Term
Shared Governance
Definition
A flat type of organizational structure with decision making decentralized
Term
Span of Control
Definition
The number of individuals a supervisor manages. For budgetary reasons, span of control is often a major focus for organizational restructuring.
Term
Staff Function
Definition
Function that assists those in frontline positions in accomplishing primary objectives.
Term
System
Definition
A group or organization working together as a unified whole.
Term
Systems Theory
Definition
An approach to consider how various independent parts interact to form a unified whole or to disrupt a unified whole; the construct related to the operation of the whole process or entity.
Term
Coalitions
Definition
Groups of individuals or organizations that join together temporarily around a common goal. This goal often focuses on an effort to effect change
Term
Empowerment
Definition
A sharing of power and control with the expectation that people are responsible for themselves; also, the process by which we facilitate the participation of others in decision making within an environment in which power is equally distributed.
Term
Influence
Definition
The process of using power; may range from the punitive power of coercion to the interactive power of collaboration.
Term
Negotiating
Definition
Conferring with others to bring about a settlement of differences.
Term
Policy
Definition
A specifically designated statement to guide decisions and actions.
Term
Politics
Definition
A process of human interaction within organizations.
Term
Power
Definition
The ability to influence others in the effort to achieve goals.
Term
Advanced Generalist
Definition
t

Clinical nurse leader, which is a protected title for those who successfully complete the CNL certification examination.
Term
Associate Nurse
Definition
A licensed nurse in the primary care model who provides care to the patient according to the primary nurse’s specification when the primary nurse is not working
Term
Case-Management Model
Definition
A model of delivering patient care based on patient outcomes and cost containment. Components of case management are a case manager, critical paths/critical pathways, and unit-based managed care
Term
Case Manager
Definition
A clinical nurse with a baccalaureate or master’s degree who coordinates patient care from preadmission through discharge.
Term
Case Method
Definition
A model of care delivery in which one nurse provides total care for a patient during an entire work period.
Term
Charge Nurse
Definition
A registered nurse responsible for delegating and coordinating patient care and staff on a specific unit. A resource person for all staff; there is usually one charge nurse each shift per unit.
Term
Clinical Nurse Leader
Definition
An evolving role of the professional nurse being developed by the American Association of Colleges of Nursing (AACN).
Term
Critical Pathway
Definition
A component of a care MAP that is specific to diagnosis-related group reimbursement. The purpose is to ensure patients are discharged before insurance reimbursement is eliminated.
Term
Differentiated Nursing Practice
Definition
A model of care that recognizes the difference in the level of education and competency of each registered nurse. The differentiation is based on education, position, and clinical expertise
Term
Expected Outcomes
Definition
The result of patient goals that are achieved through a combination of medical and nursing interventions with patient participation.
Term
Functional Model of Nursing
Definition
A method of providing patient care by which each licensed and unlicensed staff member performs specific tasks for a large group of patients.
Term
Nurse Navigator
Definition
A nurse who helps patients, often in a specific patient population, work through the healthcare system to secure quality, efficient care.
Term
Nursing Care Delivery Model
Definition
The method used to provide care to patients.
Term
Nursing Care Management
Definition
The process of a nurse coordinating health care by planning, facilitating, and evaluating interventions across levels of care to achieve measurable cost and quality outcomes.
Term
Outcome Criteria
Definition
The result of patient goals that are expected to be achieved through a combination of nursing and medical interventions.
Term
Patient-focused Care
Definition
A model in which staff functions become centralized on a unit to reduce the number of staff required; emphasizes quality, cost, and value.
Term
Practice Partnership Model
Definition
A form of primary nursing where an RN is paired with a technical assistant
Term
Primary Nurse
Definition
One who delivers autonomous care.
Term
Primary Nursing
Definition
A model of patient care delivery whereby one registered nurse functions autonomously as the patient’s main nurse throughout the entire hospital stay.
Term
Staff Mix
Definition
The proportion of RNs to LPNs/LVNs to UAPs in a specific setting
Term
Synergy Model
Definition
A model of care delivery adopted by the American Association of Critical-Care Nurses that matches the needs and characteristics of the patient with the competencies of the nurse. Seven characteristics are unique to every patient, and each nurse has varying levels of ability, which are categorized into eight competencies. When the knowledge, skills, and competencies of the nurse are used to meet the complex needs of the patient and family, the care is optimal.
Term
Team Nursing
Definition
A small group of licensed and unlicensed personnel, with a team leader, responsible for providing patient care to a group of patients.
Term
Transforming Care at the Bedside (TCAB)
Definition
A program of the Institute for Healthcare Improvement designed to improve care of patients.
Term
Transitional Care Models
Definition
An approach designed by Dr. Mary Naylor to help patients return successfully to their homes (or another facility) after hospitalization.
Term
Unlicensed Assistive Personal
Definition
Healthcare workers who are not licensed and who are prepared to provide certain elements of care under the supervision of a registered nurse (e.g., technicians, nurse aides, certified nursing assistants).
Term
Variances
Definition
Anything that alters a patient’s progress through a normal care path.
Term
Accountability
Definition
The expectation of explaining actions and results.
Term
Active Delegation
Definition
Proactively making a decision about tasks and people to accomplish effective work.
Term
Authority
Definition
The power to make decisions which often derives from policies, laws, and job descriptions
Term
Delegatee
Definition
The individual who becomes accountable for performing delegated activities
Term
Delegation
Definition
Achieving performance of care outcomes for which an individual is accountable and responsible by sharing activities with other individuals who have the appropriate authority to accomplish the work.
Term
Delegator
Definition
The individual with authority to share activities with another
Term
Individual Accountability
Definition
The individuals’ ability to explain their actions and results.
Term
Organizational Accountability
Definition
The accountability for the system of operations; the prime accountability of organizations is patient safety. Organizations are accountable for adequate resources to deliver safe care.
Term
Patient Care Associate (PCA)
Definition
A title given to individuals who are employed as unlicensed nursing personnel. Formerly nurse aide.
Term
Passive Delegation
Definition
Delegation that does not require a decision-making process. The decisions derive from job descriptions or policies and thus the tasks are not actively delegated, they are assumed by virtue of the policy or job description
Term
Responsibility
Definition
The condition of being reliable and dependable and being obligated to accomplish work.
Term
Supervision
Definition
Provision of guidance and oversight of delegated nursing task (ANA & NCSBN, 2006).
Term
Unlicensed Nursing Personal (UNP)
Definition
A term used to distinguish those for whom nurses are accountable as opposed to the numerous unlicensed assistive personnel providing aid in other clinical disciplines.
Term
Career
Definition
Progressive achievement throughout a person’s professional life.
Term
Certification
Definition
Designation of special knowledge beyond basic licensure
Term
Continuing Education
Definition
Learning that builds on prior knowledge and experience with the goal of being a more competent professional.
Term
Curriculum Vitae
Definition
A listing of professional life activities.
Term
Licensure
Definition
A right granted that gives the licensee permission to do something that he or she could not legally do absent such permission; the minimum form of credentialing, providing baseline expectations for those in a particular field without identifying or obligating the practitioner to function in a professional manner as defined by the profession itself.
Term
Portfolio
Definition
A professional assemblage of materials that represent the work of the professional. These materials include such elements as evaluations, letters of recommendation or appreciation, certificates of accomplishment, copies of articles, documentation of projects (e.g., research, clinical changes, management projects), and additional educational achievements (continuing education and degree achievement).
Term
Professional Association (Organization)
Definition
An alliance of practitioners within a profession that provides opportunities for its members to meet leaders in the field, hone their own leadership skills, participate in policy formation, continue specialized education, and shape the future of the profession.
Term
Résumé
Definition
A summary of professional abilities and facts designed for specific opportunities
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