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AH- P&P Ch. 21
Managing Client Care
| Question | Answer |
|---|---|
| A strong nursing team works together? | to achieve the best outcomes for clients |
| What does the philosophy of care include? | the professional nursing staff's values and concers for the way they view and care the pt's |
| A philosophy is a vision for how? | to practice nursing |
| What is the magnet recognition program? | recongnized excellance in nursing service and quality |
| A magnet hospiral empowers the nursing teams to make? | changes and be innovative |
| What are nursing care delivery models? | methods nurses use to provide care for pt's |
| What are some important factors contributing to success? | are decision making authority for nurses who provide direct care, autonomy, collaborative practice, and effective methods of communicating with collegures, physicians and other health care providers |
| In team nursing who leads a team made up of RNS? | an RN |
| Team nursing developed why? | severe nursing shortage after WWII |
| The team members provide? | direct client care to groups of clients under the direction of the RN team leader |
| What does the team leader do? | develops client care plans, coordinates care delivered by the nursing team, and provides care requireing complex nursing skills |
| One disadvantage is the team leader does not? | spend a lot of time with pt's |
| Total pt care delivery was the? | original care delivery model |
| What does the total pt care delivery consist of? | RN is responsible for all aspects of care for one or more clients |
| why was the primary nursing model developed? | to place RNs at the bedside and to improve nursing's accoutability for client outcomes and the professional relationships amount staff members |
| Primary nursing is a model of care delivery in which the? | primary nurse assumes responsibility for a caseload of clients over time |
| What is case management? | an approach that coordinates and links health care services to clients and their families while streamlining costs and maintaining quality |
| Case managers do not always provide direct care but? | instead they work with and supervise the care delievered by other staff members and actively coordinate client discharge planning |
| What do case managers use to manage care? | critical pathways or caremaps |
| What is decentralized management? | where decision making is moved down to the level of staff |
| to make decentralized management work case managers must know how to? | move decision making down to the lowest level possible |
| What is respnsibility? | refers to the duties and activites that an individual is employed to perform |
| responsibility reflects? | ownership |
| The primary nurse is responsible for? | completeing a nursing assessment of all clients for development of care, evaluating whether the plan was successful |
| What is autonomy? | freedom of choice and responsibility for the choices |
| With autonomy, a professional nurse makes? | independent decisions about client care |
| What does authority refer to? | legitimate power to give commands and make final decisions specific to a given position |
| The primary nurse has the authority to? | consult other nurses to learn why the team did not follow recommendations of the plan of care |
| The primary nurse has the final? | authority in selecting the best corse of action |
| What is accountability? | refers to individuals being answerable for their actions |
| What are the four elements of decision making? | autonomy, authority, accountability, and responsiblity |
| When decentralized decision making exists on a nursing unit, all staff members are? | actively participate in unit activities |
| The nursing manager supports staff involvement through what approaches? | establishment of nursing practice committees, nurse/physician collaborative practice, interdisciplinary collaboration, staff communication, and staff education |
| Collaberative is a process whereby? | different perspectives are synthesized to better understood complex problems and outcome that is a shared solution |
| Interdiscipliary collaboration is necessary because? | most health care processes involve more that one disipline |
| Important leadership skills to learn include? | clinical care coordination, team communication, delegation, and knowledge building |
| An important lesson in organization skills is to be? | thorough |
| What is high priority? | an immediate threat to a client's survival or safely, ABC |
| What is intermediate priority? | nonemergency, non life threatening actual or potential needs that the pt and family members are experiencing (teaching in hospital) |
| What is low priority? | actual or potential problems they may not be directly related to the pt's illness or disease. these problems are often related to the pt's developmental needs and long term health care needs. (teaching in home) |
| Working closely with the pt and showing a caring attitude is? | IMPORTANT |
| One useful time management skil involves keeping? | a to do list |
| Good time management also involves completing? | one task before starting another |
| One way of fostering good team communication is by setting? | expectation of one another |
| What is delegation? | transferring resonsibility for the performance of an activity or task while retaining accoutability for the outcome |
| delegation results in? | improved efficiency, increased productivity, and development of others |
| The RN is the one in most settings who decides when delegation is? | appropriate |
| Appropriate delegation begins with? | knowing what skills you are able to delegate |
| Efficient delegation requires constant? | communication |
| what are tops on appropriate delegation? | assess the knowledge and skills of the delegate, match tasks to the delegate's skills, communicate clearly, listen attentively, provide feedback |
| Consideration communicates? | trust, respect, and rapport between the manager and staff members |
| When done correctly delegation improves? | job, efficiency, productivity, and job enrichment |
| An important responsibliity for the nurse who delegates nursing care is evaluation of? | the staff member's performance and client outcomes |
Created by:
alicia.rennaker
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