Shared Flashcard Set

Details

management exam 1
units 3
97
Nursing
Undergraduate 4
02/12/2012

Additional Nursing Flashcards

 


 

Cards

Term
what is the purpose of organizational mission and philosophy?
Definition

- a focus on limited activites for quality and accountability

- target resources

- requires continual evaluations to stay the best

Term
mission:
Definition
 is the reason for existance (shorter than the philosophy- usually a one sentence statement)
Term
philosophy:
Definition
is the stated values, vision and mission
Term

true or false

 

registered nurses provide individualized, compassionate, holistic, optimal and culturally appropriate care for patients that protects their health, safety and legal rights

Definition
true
Term

true or false

 

registered nurses execute care that is based upon scientific and ethical principles and includes evidenced based practice

 

Definition
true
Term
registered nurses engage to participate in shared governance approaches which:
Definition
promote the involvement of the interdisciplinary team while advocating for the patient in all decision making
Term
nursing philosophy fosters a work climate that nurtures and supports :
Definition

* clinical expertise

* levels of education and the highest integrity

* competence and qualifications of all health care providers

Term
what is an example of a mission statement for nursing
Definition
give high quality comprehensive health care through excellence, compassion and competence and contributes to the physical, psychological social and spiritual well being ot the patients and community which we serve
Term
data about evidenced based practice research findings:
Definition

- risk management

- infection control data

- cost effective analysis

- society expectations

- patient preferences

- practitioner consensus

- international, national, and local standards

- medical record data

Term
why does evidenced based practice work?
Definition

* provides quality patient care and outcomes

* contributed to the science of nursing

* keeps practice current and relavent

* increases confidence in decision making

* increases JCAHO readiness

Term
what has been implemented successfully by the U.S. veteran's administration (VA)?
Definition
evidenced based practice
Term
what does a recognition status from the american nurses credentialing center ( ANCC) mean?
Definition

- excellence in quality nursing care

- successfullyrecruit and retain good nurses

- have participative management and shared governance

- reward system for nurses who are safe decision makers, ceative, independent and autonomus

Term
what are the forces and trends changing the health care system?
Definition

- quality control

- technology

- movement

 

Term
continuous quality improvement focuses on:
Definition
customer and empower employees to evaluate and increase quality in the workplace
Term
pressures from regulatory and government agencies state health care must :
Definition
continually improve their services to provide the highest quality at the best cost
Term
what is it that makes hospitals and health care providers accountable through an analytical decision making tool?
Definition
accountability with hard data, not fuzzy opinions
Term

 quality improvement systems looks at:

 

Definition
comparisons of quality, productivity, and efficiency with similar health care organizations
Term
quality improvement systems provides the ability to better:
Definition
examine inherent strengths and weaknesses
Term
quality improvement systems improve its own:
Definition
performance in the competitive market place
Term
quality improvement systems obtain a clearer understadning of:
Definition
customers requirements
Term
electronic health care records:
Definition

- assessed from multiple locations

- needs to be nationalized

- decreases errors, repitition, redundancy

- allows collective data analysis

- facilitates common medical language

- provides medical information to be updated

Term

(use of robotics)

 smart medical capsules:

Definition
takes picture of internal systems while traveling through the body( endoscopy)
Term

(use of robotics)

 robotized surgery:

Definition

precision that facilitates minimally invasive surgery

(CABG surgery)

Term

(use of robots)

intelligent prosthetics:

Definition
 intuitive control of arm and leg prostheses, with subconscious control as for natural limbs (amputation)
Term

( use of robots)

robotized motor coordination analysis and therapy:

Definition
able to identify and assess
Term
health care needs to continuously plan and prepare for mass injuries and emergencies in the community through:
Definition

- simulations

- disaster drills (CERT)

- evaluations of outcomes

- critical incident stress debriefing (CISD)

Term
what are the various ways nurses affect culture and climate in health care?
Definition

* generational- baby boomers, generation X, millennials (Y)- different values, experiences

* gender- female dominated profession

* cultural diversity of nurses- influx of immigrants or existing second generation minorities reflect cultural diversity in our population

Term
nursing caredelivery systems are driven by:
Definition

- effectiveness

- cost efficiency

- quality

- consumers preference

Term
most organizations use a combination of what to meet their own unique patient care needs:
Definition
a combination of systems or modification
Term
functional nursing basics:
Definition

1- breaks nursing care into series of tasks

2- assembly line approach

3- accountablility is not put on one person

Term
team nursing basics:
Definition

- group patients assigned to a team with a team leader- develops NCP

- determines work assignments based upon skill levels

Term
primary nursing:
Definition

1- plans/directs care > 24 hour period (develops care plan) for entire stay

2- accountable for all patient care

3- maintians close contact with patient and family/support systems

Term
case model (private duty):
Definition

1- care for one patient at a time

2- total patient care

3- does not delegate any thing associated with 24 hour care

4- continuous, holistic, total accountability

Term
patient centered care (instacares):
Definition

1- services brought to patient

2- cross training of personnel

3- RN coordinates and is accountable for a larger range of services rendered to patient

4- RN manager responsible for a more diverse staff

Term
 case management:
Definition

1- gatekeeper of confusing health care services

2- reduces costs and unnecessary hospital admissions and/or ER visits

3- uses resources in community

4- collaborates with medical and non-medical personnel

5- doesnt give bedside care

Term

critical pathways/care maps

( hospice care teams)

Definition

multidisciplinary plans- collaborative practice team

- time outlining specific care

- timeline outlining specific care

- prevents patient from being overwhelmed

- designated outcomes to be achieved

- variances call for revision of plan or care

Term

organizational structure

 grouping is generally done according to similarity of duties:

Definition

- administrative services

- informational services

- theraputic services

- diagnostic services

-support services

 

* large hospitals have complex organizational structures

Term
what is the purpose of organizational charts:
Definition

- and organizational chart represents the structure of an organization in terms of rank

- it is a diagram that depicts the structure of an organization in terms of relationships amoung personnel or departments

- an organizational chart also represents lines of authority and responsibility

Term
functional structures:
Definition

centralized decision making by the specialist who has authority to mandate the line manager to implement any of their instructions, groups are by specialty, poor coordination, outdated

 

--> [ each department is seperate, i.e. dietary, nursing, physical therapy, social work]

Term

traditional organizational structure

- hybrid-

Definition

self contained units and functional units occurs when organization grows, but can be top heavy with corporate staffs, conflicts with top administration and managers

 

(in addition to the nurse manager being a service line executive, the nurse is given organizational authority to set standards and enforce practices necessary for patient safety and consistency in practice)

Term

traditional organizational structures

- parallel-

Definition
-governing body and medical staff are seperate and autonomous
Term

parallel structures

the parallel design is appropriate for:

Definition
critical and complex problems
Term
parallel structure is useful when it is necessary to include:
Definition
a broad range of disciplines in the development of policies and procedures
Term
parallel srtuctures allows for:
Definition
a productive exchange of ideas and solutions that will result from them
Term
relationship oriented structures as seen in shared governance:
Definition

- participative management

- empowerment and partnership amoung staff

- control over major decisions about practice

- works best without highly structured or bureaucratic systems

- staff are all accountable as partners of a multidisciplinary team

Term
diversification has two sub parts, they consist of:
Definition
concentric and conglomerate
Term
concentric diversification
Definition

new service complements existing services

( day care center in pediatric hospital)

Term
what is conglomerate diversification:
Definition

new service that is differnt than the service line

(medical equipment store)

Term
joint venture:
Definition
each partner contributes- physician group and hospital
Term
integration:
Definition
formation of multihospital systems, i.e. comparable hospitals (horizontal)
Term
administration is concerned with:
Definition

costs and productivity

Term
employees are concerned with:
Definition
adequate support and time to do their job
Term
what do we mean by health care is now a competitive market?
Definition
it is predicted that by 2016 health care spending will double!!!
Term
what is said to be the focal point of the health care network systems?
Definition
primary care
Term
health care network systems emerged as part of the struggle to :
Definition
cut costs
Term
improved health care delivery systems can prevent errors through?
Definition
increased use of computers and robots
Term
quality management and benchmarking are used to improve:
Definition
the quality of care delivered
Term
describe the forces that are changing health care business:
Definition

- health care is not accessible to everyone

- costs are skyrocketing

- united states spends more money on health care than any other country

- health care is a competitive market

Term
describe the forces that are changing health care networks:
Definition

- emerged in the effort to cut costs

-focus on primary care

- deliver a continuum of care

Term
who were the leapfrog group:
Definition
a consortium of public and private purchasers that provide rewards to health care organizations demonstrating quality outcome measures in areas such as physician computer order systems, use of evidenced based hospital referrals and use of ICU intensivists
Term
quality management refers to:
Definition

a process that focuses on consumer needs as essential to success of the organization

 

a preventative approach to problem solving and employee empowerment to address front line issues is key in QM

 

continuous improvement, for example constant evaluation of consumer satisfaction by use of a survey, aids in the evaluation of individual quality measures

Term
benchmarking:
Definition

compares an organizations data with similar organizations

comparisions across disciplines or organizations can address strengthens and weaknesses to enhance outcomes

Term
describe cultural and generational differences that are changing health care systems:
Definition

- cultural diversity is increasing in the U.S. populations

- health care policy makers and organizations face challenges of serving a more diverse population

- nurses need a trans- cultural focus

- multiple generations working together is common

- nurse managers encourage mutual respect and team work

Term
describe how aging patients and aging nurses is changing health care systems:
Definition

- aging patients increase the demand for health care

- as aging nurses retire the nursing shortage will grow worse

- demand for nurses will continue to grow

Term
evidenced based practice (EBP) encourages nurses to use:
Definition
scientific evidnce as a basis for decision making
Term
opponents of evidenced based practice (EBP) criticize this method how?
Definition
the absence of theory to guide decision making and the lack of time, expertise, and resources for nurses to impliment EBP- (evidenced based practice)
Term
despite opposition and difficulty implimenting evidenced based practice:
Definition
it is expected to remain a constant in nursing practice
Term
evidenced based practice decision making process includes:
Definition

- identifying the clinical question

-finding evidence to answer the question

-evaluating the evidence

- applying the evidence

-evaluating the outcome

Term
evidenced based practice is criticized by opponents for:
Definition

- absence of theory to guide decision making

-lack of time, expertise, and resources to implement

- is expected to continue to be used in future

-has been implemented successfully by the US veteran's health administration (VHA)

Term
organizational structure integrates:
Definition

* organizational goals

*size ;)

*technology

*environment

Term
traditional organizational structures include:
Definition

>functional structure

> service-line structure

>hybrid structure

>matrix structure

>parallel structure

Term
relationship-oriented structures are suggested by:
Definition

-susyems

-contingency

-chaos

-complexity theories

Term
principles of shared governance reflect:
Definition

*partnership

*equity

* accountability

*ownership

Term
new relationship-oriented structures include:
Definition

-heterarchy structures

-self organizing structures

Term

Traditional Organizational Structures

-functional:

Definition
employees grouped in departments by specialty
Term

Traditional Organizational Structures

-service line:

Definition
all functions needed to produce a product or service grouped together in self-contained unti
Term

Traditional Organizational Structures

-hybrid:

Definition
contains both self-contained and functional units
Term

Traditional Organizational Structures

-matrix:

Definition
*integrates product and functional structures in one overlapping structure
Term

Traditional Organizational Structures

-parallel:

Definition
*unique to health care; involves two linesof authority- the authority of the organization and the authority of its medical staff
Term
traditional models of nursing care include:
Definition

functional nursing

team nursing

total patient care

primary nursing

Term
functional nursing examples include:
Definition

-RN's, LPN's, and UAPs are assigned differnt tasks

-RN assess patients

-other staff give baths, make beds, take vital signs, administer treatments

Term
team nursing examples include:
Definition

-team of nursing personnel provides total care to a group of patients

- RN leads team that may include other RN's, LPN's, and UAP's

-team leaders must be skilled in delegating, communicating, and problem solving

-all team members of effective teams are good communicators

Term
total patient care:
Definition
-Rn isresponsible for all aspects of care for one or more patients
Term
primary nursing:
Definition
RN designs, implements, and is accountable for nursing care for duration of the patients stay on the unit
Term
shared governance supports :
Definition

-decision making

-quality imperitives

- collaboration among disciplines

Term
intergrated models of care include:
Definition

practice partnerships

case management

differentiated practice

patient centered care

Term
heterachy structure is based on:
Definition
the concept of connections
Term
self-organizing structures are:
Definition
flexible and able to respond to change
Term
tools used in the refinement and attainment of organizational goals are :
Definition

*the mission statement states the "reason for being" for the organization and is the first step in creating an organizational plan

* the statement of philosophy is a written statement that reflects the organization' values, vision and mission

Term
what is the organizational environment:
Definition

> system-wide conditions that contribute to a positive or negative work setting

> a positive environment directly affects better patient outcomes

 > the nurse manager plays a key role in maintianing a positive envirnoment

Term
organizational culture encompasses:
Definition

basic assumptions and values held by members of the organization

- varies amonginstitutes, subcultures, and counter cultures

Term
consonance occurs when :
Definition
the subcultures norms and traditions agree with the organization's
Term
dissonance occurs when:
Definition
they are not in agreement
Term
define magnet hospital:
Definition

designate organizations that recognize excellence in providing nursing care

 

* magnet hospitals have successfully recruited and retained nurses despite the nursing shortage

Term
to qualify as a magnet hospital the organization must:
Definition
demonstrate that it meets specific criteria, including promoting quality; identifying excellence in delivery of nursing services, and disseminating best practices in nursing services
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