final

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amarble
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250264
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final
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2013-12-08 21:47:37
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final
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  1. misuse
    complications that prevent a patient from receiving the full benefit of a service
  2. adverse event
    injury resulting from a medical intervention
  3. underuse
    failure to provide services that could have produced favorable outcomes for the patient
  4. overuse
    potential for harm from services that could exceed the possible benefit
  5. sentinel event
    an event that had a negative patient outcome  ie. death, serious psychological or physical injury
  6. near miss
    recognition that an event occurred that might have led to an adverse event
  7. IRB
    institute review board
  8. nazi medical experiments during wwii
    • led to publication of the first international recognized code of reseach ethics
    •      right to:
    • self determination
    • privacy
    • anonymity and confidentiality
    • fair treatment 
    • protection from discomfort/harm
  9. 5 steps of PICO
    • 1. identify a burning clinical issue or question
    • 2. collect best evidence relevent to the question
    • 3. critically appraise that evidence before it is used
    • 4. intigrate that evidence with other parts of EBP
    • 5. evaluate the practice decision or change
  10. PICO
    process to find best evidence to answer a question

    • patient/ population
    • intervention
    • comparison
    • outcome
  11. error
    failure of a planned action or use of the wrong plan
  12. safty
    freedom from accidental injury
  13. discrimination
    differences in care that result from bias prejudices stereotyping and uncertainty in clinical communication and decision making
  14. disparities in health care
    racial or ethical differences in the quality of health care that are not due to access related factors or clinical needs
  15. collaberation
    all people involved are listened to and decisions are developed together
  16. ethnocentrisism
    belief that ones group or culture is superior to others
  17. delegation
    giving another staff member the responsibility to complete a task or activity
  18. coordination
    working together to see if the pieces and activities fit together and flow
  19. continuum of care
    matching individual ongoing needs with appropriate level and type of care
  20. acute care
    treatment of severe condition of short duration at crisis level
  21. tertiary care
    maintain or improve function of disability
  22. continuity of care
    care over time on an individual

    • informational
    • management
    • relational
  23. information care
    link care from one provider and setting to another
  24. management care
    managing several providers sharing info, flexibility to ensure safe quality care
  25. for profit hospital
    some profit goes to stockholders, shareholders or to owner
  26. tertiary care
    • prevention of complications or increase functioning with disease 
    •  rehab, patient education
  27. secondary disease prevention
    • early detection and treatment
    •      mammography, blood pressure clinics
  28. primary disease prevention
    education about healthy lifestyle
  29. healthy people 2010
    promoting healthy and preventing illness, disability and premature death
  30. relational care
    providers need relationship with a patient
  31. professional sexual misconduct
    seductive, sexually demeaning, harassing or interpreted as sexual by the patient
  32. boundary crossing
    brief excursions across boundaries
  33. boundary violations
    confusion between the needs of the nurse and those of the client
  34. professional boundaries
    spaces between nurses power and the clients vulnerability
  35. genetics and genomics
    will lead to customized patient care and medication targeted to individual responses to medication
  36. five rights of delegation
    • task
    • circumstances
    • person
    • direction/communication
    • supervision
  37. therapeutic touch
    redirecting the human energy system to relax,reduce pain and accelerate healing
  38. stages of human spirituality
    • 1. chaotic(antisocial)
    • -superficial beliefs
    • 2.formal(institutional)
    • -adherence to law
    • 3. skeptic(individual)
    • -rationality,materialism 
    • 4. mystical(communal)
    • - unseen order
  39. % of minority nurses

    % of minority nursing students
    10%

    15%
  40. spirituality
    integrative energy capable of producing internal human harmony or holism
  41. nurse spirituality theorists
    florence mightingale
  42. prayer
    • communication with god
    • positive thoughts and afirmations
  43. evidence based practice
    integrate best research with clinical expertise and patient values for optimum care and participation in learning and research activities to the extent feasible
  44. deductible
    part of the bill that patient must pay before the insurer will pay the bill for the services
  45. third party payer system
    • healthcare services paid by someone other than the patient
    • ex. blue cross, humana, medicare,medicaid
  46. departments in a hospital
    • administration
    • nursing
    • medical staff
    • admission and discharge
    • medical records
    • information management
    • quality improvement
    • infection control
    • evidence based practice
    • research
    • in service or staff development
    • environmental services(housekeeping)
  47. copayment
    fixed amount that a patient may be required to pay per service(MD visit, lab test, etc.)
  48. fee for service
    third party payer pays the bills but enrollee pays deductible and copayment
  49. interdisciplinary
    refers to people with distinct disciplinary training working together for a common purpose as they make different complementary contributions to patient focused care
  50. Multidisciplinary
    refers to a team or collaborative process where members of different disciplines assess or treat patients independently and then share information with each other
  51. HIPAA
    • health insurance portability and accountability act
    • patient privacy and confidentiality
  52. transformational leaders
    create visio and mission statements with the staff tp guide the work of the organization
  53. autocratic leader
    the formal leader makes decisions for the staff; model assumes staff are not able to make decisions
  54. meditation
    focusing the mind in a state of relaxed awareness

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