Evaluating. (ch 16)

Question 0

Criteria

Answer 0

Measurable qualities, attributes, or characteristics that specify skill, knowledge, or health status.

Question 1

Evaluating

Answer 1

Nurse and patient together measure how well the patient has achieved the outcomes specified in the plan of care.

Purpose: patients achievement directs future nurse patient interactions

Question 2

Standards

Answer 2

Levels of performance accepted and expected by the nursing staff or other health team members.

Question 3

Four Types of outcomes

Answer 3

Cognitive
Psychomotor
Affective
Physiological

Pg 308-309

Question 4

Four steps to improving performance

Answer 4

1. Discover a problem
2. Plan a strategy using indicators
3. Implement a change
4. Assess the change. If outcome is not met plan a new strategy.

Question 5

Peer review

Answer 5

The evaluation of one staff member by another staff member on the same level of hierarchy of the organization.

Question 6

Quality-assurance programs

Answer 6

Specially designed programs that promote excellence in nursing.

Developed for a small unit or entire institution.

Enable nursing to be accountable for quality of nursing care.

Question 7

Structure evaluation

Answer 7

Focus on the care environment. Physical facilities and equipment, organizational characteristics, policies and procedures, fiscal resources, and personnel resources

Question 8

Process evaluation

Answer 8

The nature and sequence of activities carried out by nurses implementing the nursing process. Make explicit acceptable levels of performance.

Question 9

Outcome evaluation

Answer 9

Focuses on measurable changes in the health status of the patient or the end results of nursing care.

Question 10

Quality improvement

Answer 10

The commitment and approach used to continuously improve every process in every part of an organization with the intent of meeting and exceeding customer expectations and outcomes

Question 11

Nursing audit

Answer 11

Method of evaluating nursing care that involves reviewing patient records to assess the outcomes of nursing care or the process by which these outcomes were achieved

Question 12

Concurrent evaluation

Answer 12

Nursing care and patient outcomes are evaluated while the patient is receiving care.

Uses direct observation of nursing care, patient interviews, and chart review to determine if specific evaluative criteria are met

Question 13

Retrospective evaluation

Answer 13

Nursing care and patient outcomes are evaluated after the patient has been discharged.

Uses post discharge questions, patient interviews, or chart review