Chapter 21: Managing Patient Care Flashcards
Transformational leadership focuses on:
change and innovation through team development
motivates and empowers staff to function at a high level of performance
serves as a role model for nurses on that unit
TEEAMS approach:
Nurse spends TIME on the unit with staff sharing ideas
Nurse EMPOWERS staff
Nurse is ENTHUSIASTIC about seeking opportunities to enhance the team
Nurse shows APPRECIATION and recognizes team members for a job well done
Nurse MANAGES the team and holds the members accountable
Nurse provides SUPPORT in the stressful healthcare environment
2 traditional nursing care delivery models:
team nursing
primary nursing
most common models used today: (3)
patient-centered care
total patient care
case management
Patient and family centered care focuses on:
a model of nursing care that centers in on
mutual partnerships among the patient, family and healthcare team
center of patient-centered care is the PATIENT or FAMILY MEMBER as the source of control and full parter in providing
Total patient care focuses on:
the RN is responsible for ALL aspects of care for one or more patients during a shift of care, working directly with patients, families and healthcare team members
Case management care is:
designed to COORDINATE and LINK healthcare services across all levels of care for patients and their families while streamlining costs and maintaining quality
case managers do not:
provide direct care but instead work with and collaborate with direct care providers about the care delivered by other staff and healthcare team members and actively coordinate patient discharge planing
Important elements of decision making are:
responsibility (ownership)
autonomy (freedom and responsibility of choice)
authority (formal legitimate power to give commands)
accountability (being answerable for their actions)
Interprofessional collaboration involves:
bringing representatives of various disciplines together to work with patients and families to deliver quality care
Interprofessional rounding:
many institutions focused on patient and family centered care conduct this to involve a patient and family in planning care and improving patient care coordination and communication among the health care team
During inter professional rounding…
members of the team meet and share patient information
answer questions asked by other team members
discuss the patient’s clinical progress and plans for discharge
focus all team members on the same patient goals
High priority:
IMMEDIATE THREAT TO PATIENT’S SURVIVAL
physiological episode of obstructed airway
loss of consciousness
psychological episode of an anxiety attack
Intermediate priority:
NONEMERGENCY, NON-LIFE THREATENING ACTUAL or POTENTIAL NEEDS that a patient and family members are experiencing
Anticipating teaching needs of patients related to a new drug
taking measures to decrease post op complications
Low priority:
ACTUAL or POTENTIAL problems NOT DIRECTLY related to a patient’s illness or disease
These problems are often related to DEVELOPMENTAL NEEDS or LONG-TERM HEALTHCARE needs
example: patient at admission who will eventually be discharged and needs teaching for self-care in home
