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Professional Development > Organizations > Flashcards

Organizations Flashcards

1
Q

What is functional nursing?

A

each nurse takes one role (pass meds, procedures, assessments) and completes that for each patient, and that is their only responsibility for that day

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2
Q

What are the advantages of functional nursing?

A

cost-effective, efficient

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3
Q

What are the disadvantages of functional nursing?

A

patient satisfaction is decreased, nurses do not get a holistic view of the patient, very fragmented

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4
Q

what is team nursing?

A

Groups of nurses and staff are headed by a team leader

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5
Q

Advantages of team nursing?

A

good communication, more formalized structure, cost-effective, pt satisfaction, group decision making

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6
Q

disadvantages of team nursing?

A

have to be very skilled, need adequate staffing

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7
Q

What is modular nursing?

A

modification of team and primary nursing, similar to team nursing but with smaller teams.

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8
Q

What is formal structure?

A

the emphasis is on organizational positions and formal power

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9
Q

What is informal structure?

A

the focus is on employees, their relationships, and the informal power that is adherent within those relationships

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10
Q

What are the 7 organizational components?

A
  • values
  • mission statements
  • vision statements
  • philosophy
  • strategic planning
  • goals and objectives
  • policies and procedures
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11
Q

Define the organizational component: values

A

gives meaning to why they exist

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12
Q

Define the organizational component: Mission statement

A

intent and goals of an institution and pulls together values

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13
Q

Define the organizational component: Vision Statement

A

wish list, the vision of future

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14
Q

Define the organizational component: Philosophy

A

framework for making decisions

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15
Q

Define the organizational component: strategic planning

A

plan every 3-5 years

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16
Q

Define the organizational component: goals and objectives

A

how the company acts r/t mission and values

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17
Q

Define the organizational component: policies and procedures

A

has to fit the mission, written plan

18
Q

Primary nursing

A

very uncommon, may work in a rehab setting, not acute care oriented. Nurse plans and directs the care of patients over a 24 hour period

19
Q

What does the organizational chart establish?

A
  • Formal lines of authority - [power to act on decisions]
  • responsibility
  • accountability
  • communication
20
Q

Why does primary nursing not work in an acute care setting?

A

too quick of turnover, could not get to know patients

21
Q

advantages of primary nursing

A

continuity of care, nurse and patient satisfaction

22
Q

disadvantages of primary nursing

A

need experience, need to have RN

23
Q

What does Case management involve? (3)

A

Collaboration- in order to better the patient
Coordination- through the episode of illness the patient is having, what is the next step? (SNU, Rehab, LTC)
Focus- use critical pathway or MAP (multidisciplinary action plan)- which shows the timeline of the patient’s stay and goals on a daily basis. Very specific to the case manager; what needs to be done each day to get pt discharged on time

24
Q

The main goal of case management?

A
  • Save the hospital money
  • beneficial to patient outcome
  • watch out for the best plan of care for the patient (discharge date, and medication and treatment pathway)
25
Q

How is the mode of care chosen?

A
  • patient acuity- not just economics
  • knowledge and skill required for patient care
  • geographic- are these skills available in this location? (rural)
  • do the nurses want autonomy?
26
Q

Define Accountability

A

the moral responsibility that accompanies a position

27
Q

Define responsibility

A

related to a job assignment and must be accompanied by enough authority to accomplish the assigned task

28
Q

Define authority

A

the official power to act and direct the work of others

29
Q

Advantages of the organizational chart?

A

visual, maps lines of desicion making and authority, helps understand assignments, shows the place in organization, shows formal lines of communication

30
Q

Disadvantages of organization chart?

A

Does not show the informal structure of the organization (relationships)
does not indicate the degree of authority held by each line position
may show things as they are supposed to be rather than as they are
possibility of confusion exists

31
Q

Types of organizational structures?

A
  • Line structures
  • Ad hoc design (temporary)
  • Matrix
  • Service line
  • flat design
32
Q

What is centralized decision-making?

A

top levels - highest power makes decisions

33
Q

What is decentralized decision-making?

A

better in flattened structures, at the lowest level possible -authority is given to the person closest to the problem

34
Q

What is a nurse navigator?

A

Works in a very specialized area, help the patient navigate the system, and provide continuity of care- Ex: Oncology, cardiology, rehab

35
Q

What is a clinical nurse leader?

A

clinical experts who lead other team members (expert bedside nurses)

36
Q

Primary methods of nurse organization

A 
Total patient care
Functional nursing
Team or modular nursing 
Primary nursing 
Case management
37
Q

What is total patient care nursing?

A

the oldest mode of nursing, nurses assume responsibility of all assigned patients for the time on duty
MOST OFTEN USED

38
Q

Newer healthcare models and roles include?

A

Nurse navigators
Clinical nurse leaders
Nurses who embrace patient and family-centered care

39
Q

Disease management

A
  • population-based health care and continuous health improvement
  • chronic illness regulation because it strains healthcare the most (CHF, DM, COPD)
  • New models to streamline and improve health promotion, disease management, and treatment
  • may used case managers
40
Q

Model Selection considerations

A
  • Organizational mission and purpose
  • unit objectives
  • patients populations
  • staff availability
  • economic feasibility

Professional Development (5 decks)

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