CH 11: Professional Practice Model & Care Delivery Flashcards
(43 cards)
The _________ of an organization shows how the mission, vision, and values of the organization align & integrate with the nursing department.
Professional Practice Model (PPM)
The PPM acts as a _________ for how nurses deliver care.
framework
A hospital is revising its Professional Practice Model (PPM) to enhance nursing autonomy and accountability. Which statement best describes the purpose of a PPM in nursing practice?
A. It mandates identical care plans for all patients to ensure consistency.
B. It establishes a framework for how nurses practice, collaborate, and deliver care.
C. It focuses solely on improving patient satisfaction scores.
D. It limits nurses’ decision-making to align with institutional policies.
B. It establishes a framework for how nurses practice, collaborate, and deliver care.
Rationale: A PPM serves as a structured approach to nursing practice, guiding how nurses work together and provide care while ensuring alignment with institutional expectations. It does not impose identical care plans, focus only on patient satisfaction, or restrict nurses’ decision-making.
A hospital is revising its Professional Practice Model (PPM) to enhance nursing autonomy and accountability. Which statement best describes the purpose of a PPM in nursing practice?
A. It mandates identical care plans for all patients to ensure consistency.
B. It establishes a framework for how nurses practice, collaborate, and deliver care.
C. It focuses solely on improving patient satisfaction scores.
D. It limits nurses’ decision-making to align with institutional policies
B. It establishes a framework for how nurses practice, collaborate, and deliver care.
Rationale: A PPM serves as a structured approach to nursing practice, guiding how nurses work together and provide care while ensuring alignment with institutional expectations. It does not impose identical care plans, focus only on patient satisfaction, or restrict nurses’ decision-making.
A nursing leader is educating a group of newly hired nurses about the benefits of the hospital’s Professional Practice Model (PPM). Which statements accurately describe the role of a PPM? (SATA)
A. It defines expectations for nursing practice within the institution.
B. It eliminates the need for interdisciplinary collaboration.
C. It provides nurses with opportunities for autonomy in decision-making.
D. It ensures that nurses have control over the care they provide.
E. It replaces the need for hospital policies and procedures.
A. It defines expectations for nursing practice within the institution.
C. It provides nurses with opportunities for autonomy in decision-making.
D. It ensures that nurses have control over the care they provide.
Rationale: A PPM establishes clear expectations for nursing practice, supports autonomy in decision-making, and allows nurses to have control over the care they provide. It does not eliminate interdisciplinary collaboration or replace hospital policies and procedures.
A nurse is working in a hospital that emphasizes its Professional Practice Model (PPM) to enhance nursing accountability. Which action by the nurse demonstrates adherence to the PPM principles?
A. Seeking input from the physician before making any patient care decisions
B. Avoiding independent clinical judgment to align with hospital policies
C. Taking responsibility for patient care decisions and collaborating with the healthcare team
D. Delegating all clinical decision-making to senior nurses to ensure compliance
C. Taking responsibility for patient care decisions and collaborating with the healthcare team
Rationale: A PPM promotes nursing accountability by encouraging nurses to take responsibility for patient care while collaborating with other healthcare professionals. It does not require complete dependence on physicians, avoidance of independent judgment, or delegation of all decision-making.
Which outcomes indicate that a hospital’s Professional Practice Model (PPM) is successfully supporting nursing autonomy and accountability? (SATA)
A. Nurses actively participate in decision-making about patient care.
B. Nurses report feeling empowered to make clinical judgments.
C. The hospital no longer requires interdisciplinary collaboration.
D. Nurses demonstrate ownership over patient outcomes.
E. Nursing staff defer all care decisions to hospital administrators.
A. Nurses actively participate in decision-making about patient care.
B. Nurses report feeling empowered to make clinical judgments.
D. Nurses demonstrate ownership over patient outcomes.
Rationale: A well-implemented PPM fosters an environment where nurses engage in decision-making, feel empowered in their clinical roles, and take ownership of patient outcomes. It does not eliminate interdisciplinary collaboration or shift all decision-making to administrators.
A hospital is reviewing its Care Delivery System as part of its Professional Practice Model. What is the primary function of the Care Delivery System in nursing practice?
A. To define a nurse’s authority and accountability for clinical decision-making
B. To standardize all nursing interventions regardless of patient population
C. To eliminate the need for interdisciplinary collaboration
D. To prioritize cost-saving measures over patient-centered care
A. To define a nurse’s authority and accountability for clinical decision-making
Rationale: The Care Delivery System establishes how nurses make clinical decisions within the Professional Practice Model, ensuring accountability and authority in patient care. It does not standardize interventions for all patients, eliminate collaboration, or solely focus on cost-saving.
Which elements must be considered when developing a hospital’s Care Delivery System to ensure it meets professional and regulatory standards? (SATA)
A. National Patient Safety Goals
B. Core Measures
C. The hospital’s financial profit margin
D. Emerging care models
E. Regulatory requirements
A. National Patient Safety Goals
B. Core Measures
D. Emerging care models
E. Regulatory requirements
Rationale: A Care Delivery System must integrate National Patient Safety Goals, Core Measures, emerging care models, and regulatory requirements to provide safe, evidence-based, and compliant care. Financial profit margins do not define a Care Delivery System.
A healthcare organization is implementing an emerging care model to improve patient outcomes. Which principle of the Care Delivery System supports this change?
A. The system is rigid and does not allow for modifications in care delivery.
B. Changes in care delivery can be adjusted to meet the needs of different populations or organizations.
C. The model prioritizes traditional care methods over new evidence-based practices.
D. Nurses have limited authority in making decisions about care delivery changes.
B. Changes in care delivery can be adjusted to meet the needs of different populations or organizations.
Rationale: A key component of the Care Delivery System is its adaptability to different patient populations and organizational needs, ensuring evidence-based and patient-centered care.
A hospital administrator is ensuring that the Care Delivery System aligns with National Patient Safety Goals. Which actions support this alignment? (SATA)
A. Implementing fall prevention protocols
B. Enhancing medication reconciliation processes
C. Eliminating all interdisciplinary collaboration
D. Improving infection control measures
E. Reducing staff education on regulatory requirements
A. Implementing fall prevention protocols
B. Enhancing medication reconciliation processes
D. Improving infection control measures
Rationale: Aligning with National Patient Safety Goals involves implementing safety measures like fall prevention, medication reconciliation, and infection control. Eliminating collaboration and reducing staff education contradict patient safety standards.
Which of the following best illustrates how a Care Delivery System incorporates Core Measures into nursing practice?
A. Nurses use evidence-based guidelines to provide care for specific conditions such as heart failure and pneumonia.
B. Nurses rely solely on their clinical judgment without considering standardized guidelines.
C. The healthcare team implements Core Measures only when a regulatory inspection is scheduled.
D. Core Measures apply only to physicians, not nursing practice.
A. Nurses use evidence-based guidelines to provide care for specific conditions such as heart failure and pneumonia.
Rationale: Core Measures are standardized, evidence-based guidelines that ensure quality care for specific conditions and must be integrated into nursing practice.
Which factors influence a hospital’s Care Delivery System? (SATA)
A. Current best evidence
B. Individual nurse preferences over standardized protocols
C. National Patient Safety Goals
D. Regulatory requirements
E. The hospital’s Professional Practice Model
A. Current best evidence
C. National Patient Safety Goals
D. Regulatory requirements
E. The hospital’s Professional Practice Model
Rationale: A hospital’s Care Delivery System is influenced by best evidence, National Patient Safety Goals, regulatory requirements, and the organization’s Professional Practice Model. Individual nurse preferences must align with established guidelines.
A nurse manager is evaluating how well the hospital’s Care Delivery System supports nursing authority and accountability. Which observation best indicates successful implementation?
A. Nurses consistently follow evidence-based protocols when making clinical decisions.
B. Nurses defer all decision-making to physicians.
C. The hospital updates its Care Delivery System only when mandated by external regulators.
D. The Care Delivery System does not change to accommodate emerging care models.
A. Nurses consistently follow evidence-based protocols when making clinical decisions.
Rationale: A successful Care Delivery System supports nursing authority by ensuring clinical decision-making is based on best evidence and professional accountability.
What are the disadvantages of total patient care nursing?
Expensive-all RN care
Some RN’s dislike this model
A nurse manager is implementing the Team Nursing model on a medical-surgical unit. Which of the following is a key characteristic of this model?
A. Each nurse is independently responsible for a group of patients without collaboration.
B. A team leader supervises and coordinates a group of staff to provide patient care.
C. All care is delivered exclusively by registered nurses without delegation.
D. Communication is not essential since roles are predefined.
B. A team leader supervises and coordinates a group of staff to provide patient care.
Rationale: In the Team Nursing model, a designated team leader organizes and directs a group of staff, ensuring that patient care is effectively coordinated.
Which are advantages of the Team Nursing model? (SATA)
A. It supports novice nurses by providing supervision and guidance.
B. It allows for improved quality of care compared to functional nursing.
C. It eliminates the need for strong communication among team members.
D. The team leader ensures coordinated care by understanding patient needs.
E. It requires minimal supervision and delegation.
A. It supports novice nurses by providing supervision and guidance.
B. It allows for improved quality of care compared to functional nursing.
D. The team leader ensures coordinated care by understanding patient needs.
Rationale: Team Nursing is beneficial for novice nurses, improves quality of care compared to functional nursing, and relies on the team leader’s knowledge to ensure proper coordination. However, strong communication and supervision are essential components.
Which of the following is a primary disadvantage of the Team Nursing model?
A. The absence of a designated leader leads to poor coordination.
B. Increased time is required for communication, delegation, and supervision.
C. The model does not allow for delegation to unlicensed personnel.
D. It is not suitable for healthcare settings with high patient acuity.
B. Increased time is required for communication, delegation, and supervision.
Rationale: One of the key challenges of Team Nursing is the time required for effective communication, coordination, and supervision, which can sometimes delay care.
A nurse is assigned as a team leader in a Team Nursing model. Which responsibilities are included in this role? (SATA)
A. Assigning tasks to team members based on their skills and scope of practice
B. Supervising and evaluating the care provided by the team
C. Providing all direct patient care independently
D. Ensuring effective communication among team members
E. Overseeing the coordination of patient care
A. Assigning tasks to team members based on their skills and scope of practice
B. Supervising and evaluating the care provided by the team
D. Ensuring effective communication among team members
E. Overseeing the coordination of patient care
Rationale: The team leader in Team Nursing is responsible for assigning tasks appropriately, supervising staff, ensuring communication, and coordinating patient care. However, the leader does not provide all direct patient care independently.
Which type of patient care model is best suited for a hospital unit with a high number of novice nurses who need supervision?
A. Functional Nursing
B. Team Nursing
C. Primary Nursing
D. Total Patient Care
B. Team Nursing
Rationale: Team Nursing is ideal for units with novice nurses because it allows for supervision and collaboration, ensuring they receive guidance while providing patient care.
Which factors can negatively impact the effectiveness of Team Nursing? (SATA)
A. Poor communication among team members
B. Lack of supervision and coordination
C. High levels of interdisciplinary collaboration
D. Excessive time spent on delegation and coordination
E. Team leaders who do not have strong leadership skills
A. Poor communication among team members
B. Lack of supervision and coordination
D. Excessive time spent on delegation and coordination
E. Team leaders who do not have strong leadership skills
Rationale: Effective communication, supervision, and leadership are crucial for the success of Team Nursing. Excessive delegation and coordination time can hinder efficiency.
A nurse leader is concerned that some team members are primarily acting as supervisors rather than participating in direct patient care. Which disadvantage of Team Nursing does this reflect?
A. The model does not allow for interdisciplinary collaboration.
B. It can result in omissions in care.
C. Nurses have excessive autonomy in patient care.
D. Patient satisfaction is lower than in other care models.
B. It can result in omissions in care.
Rationale: One disadvantage of Team Nursing is that excessive supervision and delegation can lead to gaps in patient care if direct care responsibilities are not clearly defined.
Which strategies can improve the effectiveness of the Team Nursing model? (SATA)
A. Ensuring strong communication among all team members
B. Assigning tasks based on each team member’s scope of practice and skill level
C. Encouraging team leaders to participate in direct patient care when needed
D. Limiting the number of team members to reduce complexity
E. Reducing the need for documentation to focus on patient care
A. Ensuring strong communication among all team members
B. Assigning tasks based on each team member’s scope of practice and skill level
C. Encouraging team leaders to participate in direct patient care when needed
D. Limiting the number of team members to reduce complexity
Rationale: Effective communication, proper task assignment, participation in direct care by team leaders, and managing team size improve Team Nursing. Documentation remains essential for patient safety.
Which characteristic differentiates Team Nursing from Functional Nursing?
A. Team Nursing focuses on task-based care delivery.
B. Functional Nursing provides a holistic approach to patient care.
C. Team Nursing ensures a team leader coordinates and supervises care delivery.
D. Functional Nursing reduces the need for communication among nurses.
C. Team Nursing ensures a team leader coordinates and supervises care delivery.
Rationale: Unlike Functional Nursing, which assigns specific tasks to each nurse, Team Nursing relies on a team leader to oversee and coordinate care for patients.
