Lecture Exam 2 Flashcards

Question

why does magnet matter?

Answer 1

* shared governance model * professional practice model * care delivery system

Answer 2

* novice and advanced beginner: use protocols for delegation * competent: focus on patient outcomes and how assistive personnel can help * proficient and expert: guide others to use assistive personnel and refine/articular decisions about using personnel in various situations

Answer 3

* competency is a legal thing * must be declared incompetent in court * patients can be lacking decision-making capacity * temporarily or not * need consent from next of kin or surrogate * emergency situations do not require designated decision-maker

Answer 4

* certified nursing assistant * nursing assistive personnel * unlicensed assistive personnel * patient care technician

Answer 5

* introduce self, ID badge * inform patient of role in caring for him/her * address patient by name * listen to patient, maintain eye contact * explain in lay person's terms * answer patient's questions and ask if they have additional questions * compassion and courtesy * behaviors leaving unfavorable impressions: rudeness, aloofness, acting superior, impatience, ignoring presence

Answer 6

* scope of practice - boundaries of practice determined at state level by NPA * institutional policies restrict further * malpractice insurance covers WITHIN scope of practice * standard of care - from professional standards, government agencies, literature, hospital polciies, manufacturer guidelines, precedent court decisions

Answer 7

* preferred order * highest earned degree * licensure * state designations/requirements * national certification * awards/honors * other * why? * education first since its permanent * licensure and state required for practice * followed by voluntary credentials

Answer 8

* statements re: health & safety of population * define professional nursing * define advanced practice nursing * licensure requirements * requirements/procedures for practice * requirements for licensure renewal * designation of regulatory board * guidelines for delegation of nursing care * define scope of practice

Answer 9

* formal recognition of specialized knowledge, skills, and experience demonstrated by the achievement of standards identified by a nursing specialty to promote optimal health outcomes * after meeting defined eligibility criteria, certification candidate achieves nationally recognized credential through successful completion of rigorous examination

Answer 10

multidisciplinary field of scientific investigation that studies how * social factors * financing systems * organizational structures and processes * health technologies * personal behaviors affect acces to health care, quality and cost, and ultimately our health and well-being

Answer 11

* Margretta "Gretta" Styles * leader in field of nursing certification * conducted 1st comprehensive study on nurse credentialing in 1970s * ANA offered certification in 1974 * pediatric NP, gerontology, psych-mental health * certified nurses day is celebrated on March 19 in honor of Styles' birthday * Mean Maganet Organization Certification Benchmark * direct care RNs certified by nationally recognized certifying organization = 33.77% * 345 National Nursing Certifiations recognized by ANCC Magnet Recognition Program

Answer 12

* applied - answer specific question * uses people * approaches: * cohort studies * observational vs interventional, randomized vs not * sample topics: * drug efficacy * clinical procedure efficacy

Answer 13

* pure - knowledge for knowledge's sake * animal models * wet lab * sample topics: * mechanisms of anesthesia * mapping out neural circuits

Answer 14

* clear * concise * correct * complete

Answer 15

* when a plaintiff submits a law * have to sign a document that they had their case reviwed by a "qualified" individual who is of merit to the case * ex: podiatrist not qualified

Answer 16

* biggest problem is the illusion it has been achieved * clear communication is proven deterrent to injury, dissatisfaction, litigation * patient more likely to sue if perceive health care professional did not care about him/her during treatment than if professional had good rapport

Answer 17

* handoffs and transitions in critical care * OR to ICU handoffs

Answer 18

* narrative statements * what content? * 5 pieces of evidence or documents to support story (exhibits)

Answer 19

* given by patient based on knowledge of nature of procedure/treatment to be performed * risks, benefits, alternatives * process, not just a form

Answer 20

relates to providing sufficient resources, including: * sufficient staffing w/ appropriate mix * documenting competencies for all staff providing direct patient care * ensuring RN has access to competence information for staff they are delegating to * organizational policies on delegation developed with active RN participation * policies acknowledge delegation is professional right and responsibility

Answer 21

* certification developed to reflect a professional body of knowledge and skills, which typically have been defined in scope and standards of practice * development of certification relies on: * national role delineation study or logical job analysis that is revised q7 years to reflect current knowledge and skills required of profession * generally accepted test development and psychometric principles * time-limited recert interval is defined * certification is national in scope

Answer 22

absent an emergency: * surgery, including anesthesia * radiation or chemo * blood transfusion * surgical device or appliance * experimental med, device, or approved med/device in experimental manner

Answer 23

* lack of understanding of expectations * lack of insight into parameters of acceptable performance * unmet educational needs * knowledge and attitudinal issues * needs for supervision and guidance * failure to address motivations * self-fulfillment, self-esteem, belonging, safety/security

Answer 24

* 2 years * discovery rule - when pt "discovers" they were injured

Answer 25

* p;ositive attitude * clarify who coordinates UAP * be careful of tone and way of presenting requests * use plain language * define what needs to be done, how, when * for complex tasks: reportable tasks and rationale * clearly indicate priorities * verify comprehension * give and receive feedback (also about patient responses)

Answer 26

* provide adequate staffing and othe resources for safe and effective patient care * follow up on every report of concern for safe staffing or safe practice * correct situations that prevent safe/effective care * provide education/orientation to all employees, including training in delegation

Answer 27

* description of procedures, facts, benefits, risks, alternatives * risks need to include most serious and most frequent * added risks based on hx or medical problems * good faith effort by provider to fill in appropriate risks relvant to procedure and patient

Answer 28

* what needs to be done * how to prioritize * how to match job to delegate * how to communicate * how to resolve conflict * evaluating and problem-solving

Answer 29

* departmental meetings * educational conferences * emails * website * flyers * implementation support team * mandatory web training

Answer 30

* ANA and National Counce of SOB jointly wrote statements on delegation in 2005 * essential nursing skill * developed to support practicing nurse in using delegation safetly and effectively

Answer 31

* to develop certification core curriculum * what to study * assigns percetn to test blueprint for specific areas of practice * informs specialty of focus of practice * guides certification review courses

Answer 32

* falls * falls with injury * hospital acquired pressure ulcers * unit acquired pressure ulcers * patients with physical restraints

Answer 33

* leverages strengths of different investigators, disciplines, approaches to research * teams should be defined by research question

Answer 34

* gives sense of purpose for long and short term * enhances ability to motivate co-workers along track to achieve outcomes * clarifies patient/family expectations when outcomes are discussed and planned * promotoes job satisfaction and collaboration for whole team

Answer 35

* licensed practical nurse * licensed vocational nurse

Answer 36

* secondary data analysis * qualitative and mixed methods * pseudo-randomization * natural experiments * adaptive study designs * advocacy

Answer 37

* signifies how or what is demonstrated * to support narrative * copies of actual completed documents * examples: * approved policies, procedures * meeting minutes/records of meetings * flyrs/agendas for programs * correspondence * screenshots of internet materials or resources * PP slides * rosters of attendance * newsletters or media publications * conference brochures * pt education brochures/teaching materials

Answer 38

* ANCC Magnet-recognized organizations serve as the fount of knowledge and expertise for delivery of nursing care globally * organizations are groudned in core Magnet principles * 49 standards in 4 Magnet Model Components that define excellence for organization * 446 with Magnet Designation

Answer 39

* Press Ganey vs. HCAHPS * transition to electronic data collection * Likert scale and open ended questions

Answer 40

* true essence of Magnet organization stems from exemplary professional practice within nursing * comprehensive understanding role of nursing * application of that role with patients, families, communities and interdisciplinary team * application of new knowledge and evidence * goal is more than establishment of strong professional practice - what professional practice can achieve * Forces of Magnetism represented: * professional models of care; consultation and resources; autonomy; nurses as teachers; interdisciplinary relationships

Answer 41

* Magnet organizations have ethical and professional responsibility to contribute to patient care, the org, and the profession in terms of new knowledge, innovations, and improvements * current systems and practices need to be redesigned and redefined * includes new models of care, application of existing evidence, new evidence, and visible contributions to science of nursing

Answer 42

* most important form of communication * primary communication medium * only mechanism to all providers * poor documentation: raises questions about facts and quality of care * if not documented, didn't happen * other purposes: * compliance, reimbursement, legal document

Answer 43

* licensed or registered? * within scope? * outside scope? * typical roles, skills, tasks * who supervises and delegates them? * who do they supervise and delegate to?

Answer 44

* competent adults * emancipated minors * appropriate surrogates

Lecture Exam 2 Flashcards

(73 cards)