Chapter 8 Flashcards
critical pathway
clinical management care plan for providing client centered care and for planning and monitoring the client’s progress within an established time fram; multidisciplinary collaboration and teamwork ensure shared decision making and quality client care
goal is to anticipate and recognize negative variance early so that appropriate action can be taken and positive client outcomes can result
quality improvement
also known as performance improvement, focuses on processes or systems that significantly contribute to client safety and effective client care outcomes
managed care
describes strategies use in the health care delivery system that reduce the costs of health care
includes: promotion of health, client education and responsible self care, early identification of disease, and the use of health care resources
case management
health care delivery strategy that supports managed care; it uses an interdisciplinary health care delivery approach that provides comprehensive client care throughout the client’s illness using available resources to promote high quality and cost effective care
CareMap
model for a critical pathway
incorporates day to day expected client outcomes, and outcomes anticipated at discharge / at the end of the tx phase
functional nursing
involves a task approach to client care, with tasks being delegated by the charge nurse to individual members of the team
results in fragmentation of care and lack of accountability by the team member
team nursing
team is led by an RN who is responsible for assessing, developing nursing dxs, planning, and evaluating each client’s plan of care
similar to modular nursing (modular nursing takes into account the structure of the unit; the unit is divided into modules allowing nurses to care for a group of clients who are geographically close by)
relationship based practice (primary nursing)
concerned with keeping a nurse at the bedside, actively involved in client care, while planning goal directed, individualized care
one nurse is responsible for managing and coordinating the client’s care while in the hospital and for discharge,a dn an associate nurse cares for the client when the primary nurse is off duty
client focused care
aka total care / case method
a RN assumes total responsibility for planning and delivering care to a client
the client may have different nurses assigned during a 24 hr period; however, the nurse provides all necessary care needed for the assigned time period.
autocratic leader
leader is focused and maintains strong control and dominates the group. commands.
democratic (participative) leader
every group member should have input into the goals and problem solving
leader ascts primarily as a facilitator and resource
laissez-faire leader
leader assumes a passive, nondirective, and inactive approach
decision making is left to the group
situational leader
leader uses a combo of styles based on current circumstances
bureaucratic leader
leader believes that individuals are motivated by external forces
relies on organizational policies and procedures for decision making
problem solving process
identify problem and collect data about it (assessment) determine the exact nature of the problem (analysis) decide on a plan of action (planning) carry out the plan (implementation) evaluate the plan (evaluation)
