-
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
public
ex: health unit, VA, American Indian, prisons, UMC
-
reinvests money made for improvement of organization
private non-profit
-
money made is returned to stockholders
profit (proprietary)
-
provides health care with health care insurance
third party payers
-
applied to academic health centers affiliated with school of medicine; more costly
teaching status
ex: UMC/LSU
-
Accrediation Status
- JCAHO;
- The National Committee for Quality Assurance (NCQA)
-
collection of individuals brought together in a definative environment to achieve a set of predetermined objectives
organization
-
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:
- biomedical
- informatics
- knowledge
-
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
synergy
-
compenents needed to create syngergy:
- collaboration
- commitment
- compassion
- honesty
-
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:
- functional
- 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
primary nursing
-
oldest nursing method
total patient care
-
each licensed and unlicensed does specific tasks
functional nursing
-
2 advantages to functional nursing:
- cost effective
- task efficiency
-
nursing manager responsible for achieving outcome criteria while nurses are responsible for their specific tasks
functional nursing
-
(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 (-).
Exs:
- (+) progress sooner than expected
- (-) fall over caremap; unexpected complications, etc.
-
Parts to a clinical question:
- P-population
- I-intervention
- C-comparison
- O-outcome
-
What type of form do computers process data?
digital form
-
Computers process data in a digital form. What are 2 advantages of computers:
- process faster; more accurate
- provide method of storage
-
NMDS criteria:
- 1. must be useful to HCP and administrators
- 2. collected realidy with reasonable accuracy
- 3. NOT duplicate other data
- 4. confidentiality
-
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
-
Characteristics of an effective team:
- clarity of purpose
- informality and congeniality
- commitment
- high level of participation
-
Key concepts of teams:
- conflict resolution
- singleness of mission
- wellingness to cooperate
- commitment
-
when someone goes through their life hating their job..
..they are NOT committed to their work
-
Highly interdependent effective group:
- communication
- objectives/goals
- 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:
TRUST
|
|
