4.1 Effective Followers Within Healthcare Organizations

Question 1

Followership

Answer 1

• Being a willing and supporting member and working with a leader and manager to accomplish goals and objectives

Being Effective
- Accountable and able to accept responsibility for patient care and safety
- “Upward Influence” - They have crucial influence on staff performance and patient outcomes.
- Followers have the ability to initiate change and challenge leaders when concerned about patient safety and outcomes

Question 2

Primary Care

Answer 2

Purpose
- Early detection and prevention of disease
- Maintenance of health and wellness
- Management of common health problems and chronic illness

Examples
- Healthcare provider practices
- Community/Neighborhood Clinics
- School and Occupational Health Offices

Specialties
- OBGYN
- Pediatrician
- Geriatricians

Question 3

Secondary Care

Answer 3

Purpose
- Acute Care
- Diagnosis and treatment of disease and injury
- Primary care doctor has transferred your case to someone with a more specific expertise for your health issue

Examples
- Cardiologist
- Oncologist
- Long-Term Care Facilities
- Acute-Care Hospitals

Question 4

Tertiary Care

Answer 4

Purpose
- Diagnosis/Treatment of complex diseases/injuries

Examples
- Hospital specialty units (coronary care or transplants)
- Specialty hospitals like psychiatric/rehab
- Dialysis
- Neurosurgery
- Severe burn treatment

Question 5

Respite Care

Answer 5

• Provide caregivers of chronic care a short term period of relief
• Care can be provided at home, healthcare facility, or adult day center

Question 6

Restorative Care

Answer 6

• Provides routine follow-up for acute conditions or conditions such as drug rehabilitation.
• Its for patients who need to restore, stabilize, or improve their level of independence to attain highest level of functioning.

Examples
- Rehabilitation or when discharged from rehabilitation therapy

Question 7

Continuing Care

Answer 7

• Provides ongoing care for those who need assistance with ADL’s

Examples
- Geriatric Care Centers

Question 8

Types of Care

Answer 8

Primary Care
- Blood Pressure Screening

Secondary Care
- Blood Work
- Surgery

Tertiary Care
- Dialysis

Question 9

Organizational Structure

Answer 9

• The structure of how individuals and teams work together to achieve goals and objectives

Provides
- Who reports to who

Question 10

Complexity

Answer 10

• Division of Labor
• How specialized the work is
• The number of hierarchy levels
• Geographical dispersion of the units
• Organizational Chart (graphic representation of the work units and reporting relationships)

Question 11

Centralization

Answer 11

• The degree in which decision-making is focused at a single point
• For example when upper management makes all the decisions

Question 12

Formalization

Answer 12

• The degree to which jobs within an organization are standardized
• In highly formalized jobs employees have little input into how or when that job is done.

Question 13

Shared Governance

Answer 13

Professional Practice Model
- Ensures that the person closest to an issue is the one addressing that issue
- Nurses are held responsible for EBP and making informed decisions that impact patients outcomes.

Focuses
- Allows nurses to manage their practice
- Responsibility for making decisions at patient, unit and organizational level
- Front-line nurses are responsible for making decisions that impact their patients.

“Magnet Status”