ATI 461 Ch. 2 Flashcards
nurse qualities for effective collaboration
- good communication skills
- assertiveness
- conflict negotiation skills
- leadership skills
- professional presence
- decision-making and critical thinking
decentralized hierarchy
staff nurses who provide direct client care are involved in the decision-making process.
Large organizations benefit from this
Behavioral change strategies
- rational-empirical
- normative-reeducative
- power-coercive
rational-empirical
manager provides factual information to support the change.
used when resistance to change is minimal
normative-reeducative
manager focuses on interpersonal relationships to promote change
power-coercive
manager uses rewards to promote change
used when individuals are highly resistant to change
planned change
important in healthcare;
- enables the interprofessional team to replace unproven methods with evidence-based ones
- a proactive way to improve care quality.
- variables that affect if change can fully be made are individual and organizational willingness, competing demands, and whether change is meaningful
- technology change is more readily acceptable than social change
- include people who will be affected by the change in the planning process to decrease resistance
Lewin’s Change Theory
common model promoting planned change
3 stages;
1) unfreezing
2) change/ movement
3) refreezing
Lewin’s theory for individual change
(5 stages)
1) precontemplation: no intent to change is present or has been considered
2) contemplation: the individual considers adopting a change
3) preparation: the individual intends to implement the change in the near future
4) action: the individual implements the change
5) maintenance
Stages of Team Formation
Forming- get to know each other and tasks are defined
Storming- conflict arises. Rules are established and members take various roles
Norming- team establishes rules, members show respect and begin to accomplish some tasks
Performing- team focuses on accomplishing tasks
Generations
Veterans (silent gen., Transitionals)
1925-1942
Generations
Baby Boomers
1942 - early 1960s
Generations
Gen. X
mid 1960s - early 1980s
Generations
Gen. Y (millennials)
Gen. Z (homelanders)
millennials- mid 1980s - 2000
gen Z- after 2001
Magnet Recognition Program
magnet- facility’s power to draw nurses to the facility and to retain them.
- 14 foundational forces of magnetism
- model 5 key components
- facility must submit documentation to the ANCC that demonstrates adherence to ANA standards
- after standards have been met an on-site appraisal is conducted
5 key components
- empirical data showing quality care results
- development of innovation, improvements, or generation of new knowledge
- exemplary nursing practice
- culture of empowerment
- transformational leadership
case management
- focuses on managed care of client between acute and post-acute settings
- goal is to avoid fragmentation of care and control cost
- collabs with interprofessional hc ream (care planning, achievements fo desired outcomes within time parameters)
- can be a nurse, social worker, or other hc professional. Required to have advanced practice degrees or advanced training
- don’t usually provide direct client care
- usually oversee a caseload of clients
- in the community, coordinate resources and services for clients whose care is based in a residential setting
-
Critical Pathways
care map
support the implementation of clinical guidelines and protocols
usually based on cost and length of stay parameters (by medicare/ insurances)
often specific to diagnosis type
Variance
documented when client requires treatment other than what is typical in the critical pathway
Nurse’s role
Coordinator of care in continuity of care
responsible for;
-admission, transfer, discharge, and postdischarge Rx
- initiation, revision, and evaluation of the plan of care
- reporting the client’s status to other nurses and the provider
- coordinating the discharge plan
- facilitating referrals and the use of community resources
Comprehensive discharge plan includes;
> current health and prognosis
religious/ cultural beliefs
ability to perform ADLs
mobility status and goals
sensory, motor, physical, cognitive impairments
support systems and caregivers
financial resources and limitations
potential supports and resources
internal and external home environment
need for assistance with transportation or home maintenance
need for therapy, wound care, or other
need for medical equipment
Nurse’s role in discharge written summary
- type of discharge
- date and time, who accompanied client, and transportation
- discharge destination
- summary of client’s condition (gait, dietary intake, assistive devices, bg)
- description of any unresolved problems and plans for f/u
- disposition of valuables, meds. from home, prescriptions
- a copy of discharge instructions
