419 Exam I
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example of primary care
first access care
ex: Dr's office
What is secondary care?
disease restorative care
What is tertiary care?
rehab or long-term care
What is primary care?
first access care
ex: Dr's office
acute care vs. chronic care
< 30 days; > 30 days
service directed by government
ex: health unit, VA, American Indian, prisons, UMC
reinvests money made for improvement of organization
money made is returned to stockholders
provides health care with health care insurance
third party payers
applied to academic health centers affiliated with school of medicine; more costly
- The National Committee for Quality Assurance (NCQA)
collection of individuals brought together in a definative environment to achieve a set of predetermined objectives
forces that influence healthcare organizations
- economic factors
- social factors (pts pay attn. to d/s prevention; > activity in care)
- demographic factors
- government factors
types of information technology nurses commonly manage:
EBP involves both application of ______ and building of the 5 key elements.
evidence to practice
5 key elements of EBP:
- Ask question.
- Acquire evidence.
- Appraise evidence.
- Apply evidence.
- Assess outcome.
Elements of case management model
case manager and critical pathway
What is the most effective way to facilitate change with a new behavior?
take risks/experience with new behavior
requires team producing results that could not have been achieved by 1 individual
compenents needed to create syngergy:
Aspects that help to direct and determine how nursing care is delivered in health care?
Reengineering (complete overhaul of an organizational structures) is driven by what force?
change in healthcare outcomes; reimbursement
2 of 4 bureauratic structures:
- service (product line)
- matrix (mixed)
(NOT flat --> only decentralized)
Discipline as a team characteristic:
don't want to do something but do it anyway
the creating of organizational structure that allows nursing more autonomy to be given to their practice
shared governane (flat structure)
nurses are accountable for meeting outcome criteria and communicate with all other healthcare providers about the patient; usually a BSN; cares from patient from admit to discharge
oldest nursing method
total patient care
each licensed and unlicensed does specific tasks
2 advantages to functional nursing:
- cost effective
- task efficiency
nursing manager responsible for achieving outcome criteria while nurses are responsible for their specific tasks
(4) quality nursing manager/charge nurse/leadership and management concepts he/she must possess for directing patient care:
- 1. motivation
- 2. competency
- 3. accountability
- 4. decision making
What process tool increases quality of care, decreases LOS, changes practice patterns, increases efficiency, facilitates outcome criteria, and decreases costs?
care MAP (multidisc. action plan)
development of MAP is usually determined by:
- value of dx
- volume of dx coming in unit by number of admissions with that dx
variance with a care MAP can be considered (+) or (-).
- (+) progress sooner than expected
- (-) fall over caremap; unexpected complications, etc.
Parts to a clinical question:
What type of form do computers process data?
Computers process data in a digital form. What are 2 advantages of computers:
- process faster; more accurate
- provide method of storage
- 1. must be useful to HCP and administrators
- 2. collected realidy with reasonable accuracy
- 3. NOT duplicate other data
- 4. confidentiality
- 1. establish the comparability of pt care data across clinical populations, setting, g.a., time
- 2. describe the care of patients and family in variout settings
- 3. provide means to mark the trends in care provided
- 4. stimulate nursing research
- 5. provide data about nursing care
Characteristics of an effective team:
- clarity of purpose
- informality and congeniality
- high level of participation
Key concepts of teams:
- conflict resolution
- singleness of mission
- wellingness to cooperate
when someone goes through their life hating their job..
..they are NOT committed to their work
Highly interdependent effective group:
- goals accomlishment of task
#1 most important confidence building strategy a leader can adopt:
"can do" attitude
A needed tool set forth that governs how members will interact with each other:
What would you like to do?
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