Shared Flashcard Set

Details

Test 1
Unit 1 and 2 (Ch. 1-4, & Ch. 8-12)
104
Nursing
Undergraduate 2
08/20/2013

Additional Nursing Flashcards

 


 

Cards

Term
Gross Domestic Product (GDP)
Definition
Economic measure of a country’s national income and output within a year; reflects the market value of goods and services produced within the country.
Term
HIPAA Privacy Rule
Definition
Rule which protects all individually identifiable health information held or transmitted by a covered entity or its business associate, in any form or media, whether electronic, paper, or oral.
Term
Hawthorne effect
Definition
Term coined to reflect the findings of a research study that demonstrated that change in employee behavior occurs as a result of being observed.
Term
SBARR Technique
Definition
(Situation, Background, Assessment, Recommendation, Response) Approach designed to improve communication among health care personnel and improve patient safety.
Term
SWOT analysis
Definition
A tool that is frequently used to conduct environmental assessments. SWOT stands for Strengths, Weaknesses, Opportunities, and Threats.
Term
Theory X
Definition
View that in bureaucratic organizations, employees prefer security, direction, and minimal responsibility; coercion, threats, or punishment are necessary because people do not like the work to be done.
Term
Theory Y
Definition
View that in the context of the right conditions, people enjoy their work, they can show self-control and discipline, are able to contribute creatively and are motivated by ties to the group, the organization, and the work itself; belief that people are intrinsically motivated by their work.
Term
Theory Z
Definition
View of collective decision making and a focus on long-term employment that involves less direct supervision.
Term
absenteeism
Definition
The rate of employee absences from work.
Term
autocratic leadership
Definition
Centralized decision-making style with the leader making decisions and using power to command and control others.
Term
balanced scorecards
Definition
Device used to monitor customer perspectives; financial perspectives; internal processes and human resources; and learning and growth (Kaplan & Norton, 2004) for strategic management and as a way to examine performance throughout the organization.
Term
break-even point
Definition
Point at which income and expenses are equal.
Term
budget
Definition
A plan that provides formal quantitative expression for acquiring and distributing funds over the ensuing time period (generally one year)
Term
bureaucratic organization
Definition
Hierarchy with clear superior-subordinate communication and relationships, based on positional authority, in which orders from the top are transmitted down through the organization via a clear chain of command.
Term
co-payments
Definition
Fixed health care fee paid by the patient to the health care provider at the time of service; this amount is paid in addition to the money the health care provider will receive from the insurance company.
Term
coercive power
Definition
Influence in the form of ability to administer punishment or take disciplinary actions against others to influence them to change their behaviors.
Term
communication
Definition
An interactive process that occurs when a person (the sender) sends a verbal or nonverbal message to another person (the receiver) and receives feedback.
Term
connection power
Definition
Extent to which nurses are connected with others having power.
Term
consideration
Definition
Activities that focus on the employee and emphasize relating and getting along with people.
Term
contingency theory
Definition
Style that acknowledges that other factors in the environment influence outcomes as much as leadership style and that leader effectiveness is contingent upon or depends upon something other than the leader's behavior.
Term
cost shifting
Definition
Process of assigning financial charges from one cost center to another cost center.
Term
culture of safety
Definition
Within highly reliable systems in a unique teamwork culture. Is the result of shared values and behaviors that demonstrate communications based on mutual trust, agreement on importance of safety, and confidence in the ability to prevent errors through the use of known safety practices (Kemper & Boyle, 2009)
Term
deductibles
Definition
A predetermined out-of-pocket fee paid by a patient for health care services before reimbursement through health insurance begins to be paid.
Term
democratic leadership
Definition
Style in which participation is encouraged and authority is delegated to others.
Term
direct cost
Definition
Is directly related to patient care within a manager’s unit, such as the cost of nurses’ wages and the cost of patient care supplies.
Term
disease management
Definition
System of coordinated health care interventions and communications for populations with conditions in which patient self-care is significant.
Term
economics
Definition
Is based on three general premises: (1) scarcity—resources exist in finite quantities, and consumption demand is typically greater than resource supply; (2) choice—decisions are made about which resources to produce and consume among many options; and (3) preference—individual and societal values and preferences influence the decisions that are made.
Term
emotional intelligence
Definition
Is a component of leadership and refers to the capacity for recognizing your own feelings and those of others, for motivating yourself, and for managing emotions well in yourself and in your relationships.
Term
employee-centered leadership
Definition
Style with a focus on the human needs of subordinates.
Term
enterprise
Definition
An organization of any size, established as a business venture.
Term
expert power
Definition
Power derived from the knowledge and skills nurses possess.
Term
external forces
Definition
Influences originating outside the organization, for example, the labor force and the economy.
Term
failure to rescue
Definition
Describes the clinician’s inability to save a patient’s life when the patient experiences complications.
Term
fixed cost
Definition
Expenses that are constant and are not related to productivity or volume.
Term
focus groups
Definition
Small groups of individuals selected because of a common characteristic (for example, a specific patient population, patients in day surgery, new diabetics, and so on) who are invited to meet in a group and respond to questions about a topic in which they are expected to have interest or expertise.
Term
formal leadership
Definition
When a person is in a position of authority or in a sanctioned role within an organization that connotes influence.
Term
gap
Definition
The space between where the organization is and where it wants to be.
Term
gap analysis
Definition
An assessment of the differences between expected magnet requirements and the organization’s current performance on those requirements.
Term
grapevine
Definition
An informal communication channel where information moves quickly and is often inaccurate.
Term
groupthink
Definition
Phenomonon that occurs when the desire for harmony and consensus overrides members’ rational efforts to appraise the situation.
Term
healthcare transparency
Definition
Ability to discover information about health care costs, medical errors, or practice preferences, preferably before receiving the service; also known as truth in reporting.
Term
high quality-of-work-life environments
Definition
A type of work environment in which the quality of the human experience in the workplace meets and surpasses employee expectations.
Term
high-performance organization
Definition
An organization that operates in a way that brings out the best in people and produces sustainable high performance over time.
Term
indirect cost
Definition
Is not explicitly related to care within a manager’s unit but is necessary to support care. The costs of electricity, heat, air conditioning, and maintenance of the facility are all considered indirect.
Term
informal leader
Definition
Individual who demonstrates leadership outside the scope of a formal leadership role or as a member of a group, rather than as the head or leader of the group.
Term
information power
Definition
Nurses who influence others with the information they provide to the group are using information power.
Term
initiating structure
Definition
Style that involves an emphasis on the work to be done, a focus on the task and production.
Term
intellectual capital
Definition
An individual’s knowledge, skills, and abilities that have value and portability in a knowledge economy.
Term
interpersonal communication
Definition
Concerned with communication between individuals.
Term
intrapersonal communication
Definition
Self-talk.
Term
job satisfaction
Definition
How organizational members feel about their job.
Term
job-centered leaders
Definition
Style that focuses on schedules, cost, and efficiency with less attention to developing work groups and high-performance goals.
Term
knowledge workers
Definition
Health care professionals who are well educated and technologically savvy and see themself as owning their intellectual capital.
Term
laissez-faire leadership
Definition
Passive and permissive style in which the leader defers decision making.
Term
leader-member relations
Definition
Feelings and attitudes of followers regarding acceptance, trust, and credibility of the leader.
Term
leadership
Definition
Process of influence whereby the leader influences others toward goal achievement.
Term
legitimate power
Definition
Power derived from the position a nurse holds in a group; it indicates the nurse’s degree of authority.
Term
magnet hospitals
Definition
High-quality health care organizations that have met the rigorous nursing excellence requirements as determined by the American Nurses Credentialing Center (ANCC) and that are a supportive and collegial practice setting that incorporates principles of organizational behavior to achieve positive individual, group, and organizational outcomes.
Term
maintenance or hygiene factors
Definition
Elements such as salary, job security, working conditions, status, quality of supervision, and relationships with others that prevent job dissatisfaction (Herzberg, 1968).
Term
management
Definition
Process of coordinating actions and allocating resources to achieve organizational goals.
Term
management process
Definition
Function of planning, organizing, coordinating, and controlling.
Term
margin
Definition
Profit.
Term
marketing
Definition
Process of creating a product or health care service for patients which uses the four Ps of marketing: Patient, Product, Price, and Placement, to place desirable health care services or products in desirable locations at a price that benefits both patients and the health care facility.
Term
mission statement
Definition
A formal expression of the purpose or reason for existence of the organization.
Term
motivation
Definition
Whatever influences our choices and creates direction, intensity, and persistence in our behavior.
Term
motivation factors
Definition
Elements such as achievement, recognition, responsibility, advancement, and the opportunity for development that contribute to job satisfaction (Herzberg, 1968).
Term
nursing-sensitive indicators
Definition
Measures that reflect the outcome of nursing action.
Term
open systems
Definition
Entities that must interact with the environment to survive.
Term
organization
Definition
A coordinated and deliberately structured social entity consisting of two or more individuals functioning on a relatively continuous basis to achieve a predetermined set of goals.
Term
organizational behavior
Definition
The study of human behavior in organizations.
Term
organizational commitment
Definition
How committed or loyal employees feel to the goals of the organization.
Term
organizational culture
Definition
Mix of deep underlying assumptions, beliefs, and values that are shared by members of an organization and typically operate unconsciously.
Term
organizational effectiveness
Definition
An organization’s sustainable high performance in accomplishing its mission and objectives.
Term
outcome
Definition
The end result or care or experimentation.
Term
patient classification system (PCS)
Definition
System for distinguishing among different patients based on their acuity, functional ability, or need for nursing care in order to predict staffing needs and the cost of nursing care.
Term
payer
Definition
The provider (nurse or physician) is not the payer, nor is the patient (buyer) who is using the hospital or treatment the payer. The actual payer is the third-party reimburser (insurance company or government).
Term
philosophy of an organization
Definition
A value statement of the principles and beliefs that direct an organization’s behavior.
Term
political voice
Definition
An increase in the number of voices supporting or opposing an issue.
Term
politics
Definition
Process by which people use a variety of methods to achieve their goals.
Term
position power
Definition
Degree of formal authority and influence associated with the leader.
Term
power
Definition
Ability to create, get, and use resources to achieve one’s goals.
Term
preferred provider organization (PPO)
Definition
A PPO generally consists of a hospital and a number of practitioner providers. The PPO contracts with health care providers (both practitioners and hospitals) and payers (self-insured employers, insurance companies, or managed care organizations) to provide health care services to a defined population for predetermined fixed fees. Discount rates may be negotiated with the providers in return for expedited claims payment and a somewhat predictable market share. In the PPO model, patients have a choice of using PPO or non-PPO providers; however, financial incentives are built in to encourage utilization of PPO providers.
Term
primary care
Definition
Which provides integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community.
Term
process
Definition
Set of causes and conditions that repeatedly come together in a series of steps to transfer inputs into outcomes.
Term
productivity
Definition
Quantity and quality of output an employee generates for an organization.
Term
reengineering
Definition
Simply tweak the existing health care structure and processes (despite the latter’s claim to turn organizations upside down and inside out through fundamental rethinking and radical redesign of processes to achieve dramatic improvements in critical performance).
Term
referent power
Definition
Power derived from how much others respect and like any individual, group, or organization.
Term
relative valve unit (RVU)
Definition
Is an index number assigned to various health care services based on the relative amount of resources (labor and capital) used to produce the service.
Term
resources
Definition
People, money, facilities, technology, and rights to properties, services, and technologies.
Term
reward power
Definition
The ability to reward others to influence them to change their behavior.
Term
sources of power
Definition
Combination of conscious and unconscious factors that allow an individual to influence others to do as the individual wants.
Term
stakeholder
Definition
Provider, employer, customer, patient, or payer who may have an interest in, and seek to influence, the decisions and actions of an organization, for example, competitors, suppliers, government, and regulatory agencies.
Term
stakeholder assessment
Definition
A systematic consideration of all potential stakeholders to ensure that the needs of each of these stakeholders are incorporated in the planning phase.
Term
strategic plan
Definition
The sum total or outcome of the processes by which an organization engages in environmental analysis, goal formulation, and strategy development with the purpose of organizational growth and renewal.
Term
substitutes for leadership
Definition
Variables that may influence or have an effect on followers to the same extent as the leader’s behavior.
Term
task structure
Definition
Involves the degree that work is defined, with specific procedures, explicit directions and goals.
Term
taxonomy
Definition
System that orders principles into a grouping or classification.
Term
team
Definition
Small number of people with complementary skills who are committed to a common purpose, performance goals, and approach for which they are mutually accountable.
Term
transactional leader
Definition
Focus on organizational operations and short-term goals. They use exchange and making trades as a way of accomplishing work.
Term
transformational leader
Definition
Leader who is committed to a vision that empowers others.
Term
turnover
Definition
Number of employees who resign divided by the total number of employees during the same time period.
Term
variable cost
Definition
Costs that vary with volume and that will increase or decrease depending on the number of patients.
Term
vision
Definition
How to achieve a goal.
Term
voting block
Definition
Group that represents the same political position or perspective.
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