Card Set Information
2nd part of Nur 125
4 Health Care Delivery Systems
Case (Total Patient Care)
Common for students and private duty nurses
Patient recvds holsitc nofragmented care by one RN er shift
: respondsible for all planning, organizing, performing all care, including personal hygiene, mediactions, treatment, educational and emotional support
Staff members are assigned to complete certain tasks for a grp of patients rather than care for specific patients.
: RN= assessment LPN= oral medications CNA= performs hygiene tasks and vital signs
Care fragmented, skill oriented and less expensive
RN functions as a team leader and coordinates a small grp of ancillary personnel to provide care to small grp of patients.
Heart of the system
Involves all memebrs in the nursing process
Fragmented care and costly
24 respondsibility for planning and directing and evaluate patients care from admission to discharge.
May delegate some patient care to LPN's
Fundamental resp. model to maintain clear communication among all HCT including patient, family, nurses.
Home health, hospice, long term care.
RN coordinates care throughout course of an illness
Bothe Team and Primary Nursing
Manages treatment plans and length of stay of hospital for patients.
Focus attention on the quality, outcomes and coordinates care.
: assessment, planning, implemenation, Evaluation and Interaction.
Home health agencies, Rehab, Long term
Process of influencing others in the provisions of care for one or more patients
Function of a leader is to guide people and grps to accomplish a common goal.
Leaders behavior is crucial
(Necessary to achieve a goal)
The legitimate right to give commands as determined by postion the oraganization chart
(Necessary to achieve a goal)
Ability to influence another thru control of needed resources
Control of rewards to others
Power based on an offical position in the organization
Use of punishment for noncompliance
Based on knowledge skills and information
Connection to other powerful people in an organization
Who you know!
Legitimate, Reward and coercieve Power
Based on position
where are you in the hiearchy
Functions with a high sense of task accomplishment and low concern for people.
Makes all work decisions
Exercises corecieve powers
Sets standards and methods of performance
The go to person in emergency situation
Dont have to make decisions
Fear the leader
Approach this leader with caution
Leader defines limits but lets the grp make suggestions and decisions
Focuses on team building
Engages grp and everyone will buy into system
Is the most desirable work setting
Do not approach in emergency sitaution
Must be willing to work towards grp goals wven if the goal were not their personal choices.
Do what you want to do if you feel good about it!
Provides minimal or no direction
Don't work well- Not productive
Has to do everything themselves
Feels they provide care at a higher level than everyone else
Takes care of everyone and makes all decisions and knows whats best
Non Productive Followers
: only working to buy something not really committed to the team
: Everything is wrong
: Consciously or unconsciously undermind the leader
: Always try to please don't give real feedback.
Those learing exp intended to build upon the educational and experimental bases of the professional nurses for the enhancement of :
Or theory development
Uniform system of measuring & doucmenting participation in an organzied program.
As the possession of knowledge skills and attiudes necessary to meet a standard of practice.
an interdisciplanary approach of standarlized medical irders combined with a tracking tool.
Used as road maps for effective care
Also used to monitor progress
Rapid Response Team
Activated when nurse recognize a change in pt condition that can be life threatening.
Recovery Health status even life threathening
Involves the use of :
Reflection knowledge Instinct based on exp.
Dominant Thining Strategies:
Recognize a pattern
: id, data that fits together
: Order concepts in terms of importance
Search for info
: recall missing or concealed information
Generate a hypothesis
: develope tentative explanations
: Declaring in advance
: Connect info to further understanding
State a propostion
: State a ruel gverned by an if an statement
Assert a practice rule
: a truism about prior practice
: select alternatives
: reach decisions from opinion
Provide an explanation
: Offer reasons for actions beliefs or remarks
How to Improve Critical Thinking
Debriefing critical incidents
Patients chart reviews
New ideas & creativity
Knowing how to think