419 Exam I

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419 Exam I
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2010-01-31 08:27:11
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exam I
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  1. example of primary care
    first access care

    ex: Dr's office
  2. What is secondary care?
    disease restorative care
  3. What is tertiary care?
    rehab or long-term care
  4. What is primary care?
    first access care

    ex: Dr's office
  5. acute care vs. chronic care
    < 30 days; > 30 days
  6. service directed by government
    public

    ex: health unit, VA, American Indian, prisons, UMC
  7. reinvests money made for improvement of organization
    private non-profit
  8. money made is returned to stockholders
    profit (proprietary)
  9. provides health care with health care insurance
    third party payers
  10. applied to academic health centers affiliated with school of medicine; more costly
    teaching status

    ex: UMC/LSU
  11. Accrediation Status
    • JCAHO;
    • The National Committee for Quality Assurance (NCQA)
  12. collection of individuals brought together in a definative environment to achieve a set of predetermined objectives
    organization
  13. forces that influence healthcare organizations
    • economic factors
    • social factors (pts pay attn. to d/s prevention; > activity in care)
    • demographic factors
    • government factors
  14. types of information technology nurses commonly manage:
    • biomedical
    • informatics
    • knowledge
  15. EBP involves both application of ______ and building of the 5 key elements.
    evidence to practice
  16. 5 key elements of EBP:
    • Ask question.
    • Acquire evidence.
    • Appraise evidence.
    • Apply evidence.
    • Assess outcome.
  17. Elements of case management model
    case manager and critical pathway
  18. What is the most effective way to facilitate change with a new behavior?
    take risks/experience with new behavior
  19. requires team producing results that could not have been achieved by 1 individual
    synergy
  20. compenents needed to create syngergy:
    • collaboration
    • commitment
    • compassion
    • honesty
  21. Aspects that help to direct and determine how nursing care is delivered in health care?
    • Mission
    • Vision
    • Philosophy
  22. Reengineering (complete overhaul of an organizational structures) is driven by what force?
    change in healthcare outcomes; reimbursement
  23. 2 of 4 bureauratic structures:
    • functional
    • service (product line)
    • matrix (mixed)

    (NOT flat --> only decentralized)
  24. Discipline as a team characteristic:
    don't want to do something but do it anyway
  25. the
  26. creating
  27. or
  28. f
  29. the
  30. the
  31. the creating of organizational structure that allows nursing more autonomy to be given to their practice
    shared governane (flat structure)
  32. 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
    primary nursing
  33. oldest nursing method
    total patient care
  34. each licensed and unlicensed does specific tasks
    functional nursing
  35. 2 advantages to functional nursing:
    • cost effective
    • task efficiency
  36. nursing manager responsible for achieving outcome criteria while nurses are responsible for their specific tasks
    functional nursing
  37. (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
  38. 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)
  39. development of MAP is usually determined by:
    • value of dx
    • volume of dx coming in unit by number of admissions with that dx
  40. variance with a care MAP can be considered (+) or (-).

    Exs:
    • (+) progress sooner than expected
    • (-) fall over caremap; unexpected complications, etc.
  41. Parts to a clinical question:
    • P-population
    • I-intervention
    • C-comparison
    • O-outcome
  42. What type of form do computers process data?
    digital form
  43. Computers process data in a digital form. What are 2 advantages of computers:
    • process faster; more accurate
    • provide method of storage
  44. NMDS criteria:
    • 1. must be useful to HCP and administrators
    • 2. collected realidy with reasonable accuracy
    • 3. NOT duplicate other data
    • 4. confidentiality
  45. NMDS purpose:
    • 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
  46. Characteristics of an effective team:
    • clarity of purpose
    • informality and congeniality
    • commitment
    • high level of participation
  47. Key concepts of teams:
    • conflict resolution
    • singleness of mission
    • wellingness to cooperate
    • commitment
  48. when someone goes through their life hating their job..
    ..they are NOT committed to their work
  49. Highly interdependent effective group:
    • communication
    • objectives/goals
    • goals accomlishment of task
  50. #1 most important confidence building strategy a leader can adopt:
    "can do" attitude
  51. A needed tool set forth that governs how members will interact with each other:
    TRUST

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