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