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NURS 420
Exam 3 aka Final
| Term | Definition |
|---|---|
| QA/QI? discover/correct errors | QA |
| QA/QI? prevent errors | QI |
| QA/QI? inspection of nurse activities & chart audits | QA |
| QA/QI? review nurse activities, innovation, & staff development | QI |
| QA/QI? QA or department personnel | QA |
| QA/QI? multidisciplinary team | QI |
| QA/QI? set by a team with input from staff | QA |
| QA/QI? set by a team with input from staff & patients | QI |
| QI process steps | 1. ID needs 2. Assemble multidisciplinary team 3. Collect data 4. Establish outcomes & quality indicators 5. Select & implement plan 6. Evaluate |
| In ID Nee what is #1 importance? | improved patient outcome |
| outcomes | improve the greater quality or quantity |
| process | nursing care, assessments, nursing interventions |
| structure | number of nurses |
| Risk Management Process steps | 1. Define a high-risk situation 2. Determine frequency 3. Intervene & investigate 4. Identify opportunities to improve care |
| near misses | no injury but highlights need of action |
| failure mode & effects analysis (FEMA) | method to analyze reliability problems proactively to avoid negative outcomes |
| Malpractice elements | duty, dereliction, damage, direct cause |
| duty | nurse has responsibility to patient |
| dereliction | nurse did not carry out duty |
| damage | patient was injured |
| direct cause | injury secondary to the nurse's failure to carry out duties |
| consumer relationships | encounters between the consumer and healthcare system representatives |
| the multiple parts of healthcare make it difficult to do what? | develop trust |
| nurses responsibilities in consumer relationships | service, advocacy, teaching, leadership |
| service orientation | focuses on the needs of the customer. also includes nursing care quality, nurse-patient relationships, and caring atmosphere |
| advocate | empowers and promotes self-determination, promotes autonomy, ensures respect, equality, and dignity for others, defends & promotes rights of others |
| 3 P's for consumer education | philosophy, priority, performance |
| keys to successful nurse advocate | - developing networking systems - being involved in associations - acquiring knowledge needed to access systems - learning about community resources & support networks - developing skill in referring & engaging patients |
| conflict | disagreement in values or beliefs within oneself or between people that causes harm or the potential to cause harm |
| types of conflict | intrapersonal or organizational or interpersonal |
| intrapersonal conflict | confronted with something that you wouldn't see yourself doing ie. grad school or changing schedule |
| organizational conflict | don't agree with code of conduct or policies & procedures |
| stress = | poor patient outcomes |
| compromise is used to | avoid dealing with the conflict |
| interpersonal conflict | differing opinion ie. family, nurse, doctor |
| conflict process | 1. frustration 2. conceptualization 3. action 4. outcomes |
| frustration | perception that your goals may be blocked resulting in emotions |
| conceptualization | what's important to people and what should happen next |
| action | seek clarification about about others view point, collect additional info that informs the issue, engage in dialog about issu then take actions to resolve conflict |
| successful resolution | identifying a common goal that unites the two |
| outcomes | assess what happened & whether anything happened with the relationship |
| constructive conflict results in resolution leading to | growth, problems resolved, groups unified, productivity increased, and commitment increased |
| bullying | real or perceived power differential between the instigator and recipient must be present in bullying |
| lateral voilence | aggressive and destructive behavior or psychological harassment of nurses against each other |
| STAMP assessment | Staring Tone & volume of voice Anxiety Mumbling Pacing |
| delegation | achieving performance of care outcomes for which you are accountable & responsible for by sharing activities with other individuals who have the appropriate authority to accomplish the work |
| key in delegation | communication |
| why delegate | cost-effective |
| Rights in delegation | task, circumstances, person, direction/communication, supervision |
| absenteeism is linked to | role stress & strain thus need to clarify role |
| recognition of chemical dependency | absent a lot, changed good nurse to making lots of mistakes, nurse wants to take of patient with pain meds |
| priority if chemical dependency is suspected | intervene to ensure patient safety |
| emotional problems manifestations | poor judgement, increased errors, increased absenteeism, decreased productivity, and negative attitude |
| steps to clarify role | 1. oral reminder 2. written & oral reminders 3. day of decision(day off without pay) 4. termination |
| steps in progressive discipline | 1. counsel 2. reprimand 3. suspend 4. work with stipulations 5. termination |
| who plays a key role in role transitions? | organizations |
| ROLES | Responsibilities Opportunities Lines of communication Expectations Support |
| what is the heart of leadership? | communication |
| mentor benefits | stimulate new ideas, development, self-awareness, enlarging colleague pool, new relationships |
| mentee benefits | one-to-one relationship, advice on career development, enlarged network, self-confidence, insight into organization |
| phases of role transistion | 1. preview 2. acceptance 3. exploration 4. discrepancy 5. development 6. internalization |
| preview phase | dating |
| acceptance phase | commitment to decision |
| exploration phase | honeymoon |
| discrepancy phase | honeymoon phase over |
| development phase | comes from expectation s and performance |
| internalization phase | know role and expectation & it becomes 2nd nature |
| resume or CV? quality | resume |
| resume or CV? quanitity | CV |
| resume or CV? doesn't list everything | resume |
| resume or CV? used for a specific position or role | resume |
| resume or CV? everything you have ever done | CV |
| addiction signs | irritable, restless, discontent |
| impaired professionals look at | attendance, performance, behavior, physical sings, & narcotics discrepancies |
| reporting avenues for impaired nursing | Board of Nursing or TPAP |
| Board of nursing process for impaired nursing | formal investigation, findings reviewed, sanctions may occur |
| TPAP process for impaired nursing | confidential reporting or referral by Board of nursing, evaluation, contract if treatment required, avoids sanctions |
| Key to chapter 20 on Quality Management | practice more efficiently and decrease malpractice |
| who defines quality? | customers |
| risk management | looks to decrease losses after something happnens |
| losses | length of stay, negative public opinion, employee dissatisfaction |
| some examples of a sentinel events | wrong site surgery, suicide, med error, fire, abduction, transfusion error, uninteded retention of foreign body |
Created by:
midnight1854
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