Nursing Management: CONTROLLING

Question 1

Is the process by which managers assures that the actual expenditures & activities conform to plan.

It is assessing/regulating performance in accordance w/ the plans that have been adopted, the instructions issued & the principles established.

Answer 1

Controlling

Question 2

Characteristics of an evaluation tool
means that the evaluation tool is free from bias.

Answer 2

It should be objective
Objectivity

Question 3

Characteristics of an evaluation tool
refers to the accuracy or precision of the tool that if administered twice, it will produce the same results.

Answer 3

It should be reliable
Reliability

Question 4

Characteristics of an evaluation tool
refers to the relevancy of the measurement to the performance of the employee.

Answer 4

It should be valid
Validity

Question 5

Characteristics of an evaluation tool
means the ability of the measured fine line differences among the criteria being measured.

Answer 5

Its should be sensitive
Sensitivity

Question 6

It is a continuous flow between measuring, comparing and action

Answer 6

Control process

Question 7

TECHNIQUES FOR MONITORING AND MEASURING SERVICE

Answer 7

Nursing Rounds
Quality Assurance
Nursing Audit

Question 8

• is essentially the activities & techniques employed to achieve and maintain the quality of a product service or processes
• it includes monitoring activity but it is also concerned w/ finding & eliminating causes of quality problems so that the requirements of the costumer are continuously met.

Answer 8

Quality Control

Question 9

1. pt./client/family satisfaction of nursing care
2. facilities & climate
3. methods used to deliver nursing care
4. outcome of nursing care

Answer 9

Focus of Quality Control

Question 10

is an on-going repetitive process w/ the actual frequency dependent on the type of activity being measured.

Ex:
- Nursing care of pt. is monitored continuously
- Formal performance appraisal – done only twice a year

Answer 10

Measurement of Performance

Question 11

It is a control process in which employees’ performance are evaluated against standards.

It is the most valuable tool in controlling human resources & productivity.

Answer 11

Performance appraisal

Question 12

Methods of Measuring Performance
w/c consist of :

a. Incidental observation of work performance
b. Responses made workers during conferences

c. Noting the interaction of workers with the clients, their families, visitors & co-workers

Answer 12

Informal appraisal

Question 13

Methods of Measuring Performance
is accomplished regularly & methodically by collecting objective facts that can demonstrate the difference between what was expected & what was done.

Answer 13

Formal Appraisal

Question 14

Formal Appraisal
the Appraiser writes a paragraph or more covering the worker’s strengths, weaknesses & potentials

Answer 14

Essay

Question 15

Methods of Measuring Performance
- contains compilation of all nursing performance expected
of a worker.

The appraiser’s task is to place a checkmark in the appropriate column whether the worker does or does not show the desired behavior.

Answer 15

Checklist

Question 16

Methods of Measuring Performance
- In simple _______ the evaluator ranks the employees according to how he or she talked w/ respect to certain aspects of performance or qualifications.

Answer 16

Ranking

Question 17

Methods of Measuring Performance
- it includes a series of items representing the different tasks or activities in the nurse’s job description or the absence or presence of desired behavior & the extent to w/c these are possessed.

Answer 17

Rating Scales

Question 18

Methods of Measuring Performance
The Evaluator is asked to choose from the statements that best describe the nurse being evaluated.

The items are grouped that the evaluator is forced to choose from favorable as well as unfavorable statements & to counterpart the tendency towards leniency of some evaluators.

Answer 18

Force choice comparison

Question 19

Methods of Measuring Performance
- describes the nurses experience w/ a group or a person or in validating technical skills & interpersonal relationship.

It should include:

1. description of the particular occasion
2. delineation of the behavior noted including who, what, why, when, where, & how.
3. evaluator’s opinion or estimate of the incident or behavior.

Answer 19

Anecdotal Recording

Question 20

Assures patient of an acceptable standard of care provided for them.

-A problem solving process that systematically assesses the quality of care & corrects any defect that is observed.

-is the measurement of the actual level of service provided plus the efforts to modify when necessary. (by William Some)

Answer 20

Quality Assurance

Question 21

Methods of quality assurance
a. Concurrent, Open chart or Benedicter

• is one in w/c patient care is observed & evaluated
• a review of the patient charts while the patients are still confined in the hospital
• observation of the staff as patient care is given

Answer 21

Patient care audits

Question 22

-is one in w/c patient care is evaluated through:
1. A review of discharged patient’s charts

2. Questionnaire last or interviews conducted on discharged patient

Answer 22

Retrospective audits

Question 23

Methods of quality assurance
Peers (employees of the same profession, ranks & setting) may do patient care audits evaluating another’s job performance against accepted standard.

Answer 23

Peer review

Question 24

Methods of quality assurance
- A group of workers doing similar work meets regularly, voluntarily, in normal working time, under the leadership of their supervisor, to identify, analyze and solve work-related problems & so recommended should implement the solution themselves.

Answer 24

Quality Circles

Question 25

• is created & composed of a representative form all levels of the nursing staff

1. member of the training staff 3. Head/senior nurse
   
   2. supervising nurse 4. Staff nurse

In smaller Hospitals:
Chief nurse may be a member
Assistant of the committee

Answer 25

NURSING AUDIT COMMITTEE

Question 26

Control resources
of the utilization of materials & supplies in the various nursing units.

Answer 26

Periodic review

Question 27

Control of resources
should be proportionate to the number of patient (dressing, treatment done, injection given, etc.)

Answer 27

Consumption of supplies and materials

Question 28

should be avoided to prevent pilferage (steal), misuse or spoilage.

Answer 28

Requisition of/or stocking a large number of supplies & materials

Question 29

Part of controlling process in management is

Answer 29

Discipline

Question 30

• Any employee charged for break of the rules & regulations, policies, norms of conduct shall be given the corresponding due process.

Answer 30

Disciplinary action