Exam 1 part 2 Flashcards

1
Q

Two types of decisions

A

satisficing and optimizing

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2
Q

Managers decide what is best for their team

A

Paternalistic

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3
Q

Offers the staff the ability to make a decision after information has been shared

A

informative

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4
Q

Decisions are made through an interactive, deliberate process where the staff may express and discuss options and preferences

A

shared decision making

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5
Q

Controlled by voluntary boards or trustees
Provide care to a mix of paying and nonpaying patients
Excess revenue over expenses is redirected into the organization for maintenance and growth

A

not-for-profit healthcare organizations

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6
Q

Operate with the specific intent of earning a profit by providing healthcare services to individuals who can afford to pay
Usually includes mission to provide high-quality healthcare

A

for profit healthcare organization

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7
Q

interacting with internal and external forces

Continual process of adaptation

A

open system

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8
Q

self contained

A

closed system

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9
Q

universe filled with unpredictable and random events

A

chaos theory

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10
Q

Written statement that articulates the values and beliefs of members of the organization about the nature of their work
Important for nurses to be involved in developing an organization’s philosophy about patient care, nursing, health and wellness

A

philosophy/ values statement

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11
Q

Reflection of the organizational norms or traditions as exemplified through behaviors that illustrate the values and beliefs of the organization

A

organizational culture

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12
Q

Amount of structure in terms of rules or policies

A

Formalization

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13
Q

organized around specialties

A

functional structures

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14
Q

focus on the various functions to produce a specific service or product

A

Service line structures

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15
Q

are complex and integrate both functional and service considerations

A

matrix structures

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16
Q

focus on delegation of decision making to professionals doing the work

A

Flat structures

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17
Q

is focused on allowing professional nurses to manage their practice. It involves the responsibility for making decisions at the patient, unit, and organizational level.

A

shared governance

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18
Q

Groups of people who are characterized by common racial, tribal, national, religious, linguistic, or cultural backgrounds

A

Ethnicity

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19
Q

in the margin between two cultures without a sense of belongingness to either

A

cultural marginality

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20
Q

belief that ones own belief is superior to others

A

ethnocentrism

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21
Q

tendency to impose ones beliefs, practices, values on others

A

cultural imposition

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22
Q

refers to maintaing several different cultures

A

multiculturalism

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23
Q

mediating between/ among cultures

A

cross-cultrualism

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24
Q

bridging significant differences in cultural practices

A

transculturalism

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25
Q

ability to influence

A

power

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26
Q

capacity to have an effect on the character, development, or behavior of someone or something, or the effect itself

A

influence

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27
Q

process of sharing power with others so that they are able to exercise their own power or influence

A

empowerment

28
Q

focus was on improving care through IT and Quality and Safety Education for Nurses (QSEN) project

A

Tiger initiative (technology informatics guiding education reform 2004)

29
Q

a science that combines hard science with computer science, information science, and cognitive sciences

A

Informatics

30
Q

is the most common measure of the health of the US economy

A

Gross Domestic Product (GDP)

31
Q

how is health care financed

A

Government
Commercial or private insurance
Out of pocket
Other

32
Q

medicare part that involves hospital, home health, hospice, skilled nursing (Not nursing home/custodial)

A

medicare part A

33
Q

medicare part that involves physicians, equipment, diagnostics

A

medicare part B

34
Q

medicare part that involves medication

A

medicare part D

35
Q

state administered for poor, blind, disabled, and children with disabilities or no insurance in poverty

A

Medicaid

36
Q

A plan that uses numerical data to predict the activities of an organization over a period of time
Provides a mechanism for planning and control, as well as for promoting each unit’s needs and contributions

A

Budget

37
Q

For each Cost Center - Covers day-to-day activities: patient care supplies, office supplies, books, training, travel, catering (EXPENSES)

A

Operating budget

38
Q

large ticket equipment purchase, building expansion, new programs; often $15K or greater; some minimums are greater than $1K

A

Capital budget

39
Q

managed by finance department

A

Cash budget

40
Q

small amounts – may be called VP Pool for unanticipated needs

A

Petty cash

41
Q

fiscal year

A

September 1 to August 31

42
Q

Do not change with patient volume

A

Fixed expensses

43
Q

Vary directly with patient volume

A

variable expenses

44
Q

producing good results for the amount of money spent

A

Cost-effective

45
Q

Nurses assume total responsibility of assigned patients while on duty; oldest form; still widely used

A

Total patient care (AKA case method)

46
Q

The needs of a group of patients are broken down into tasks that are assigned RNs, LPNs, and UAPs to deliver nursing care. Based on scope of practice for each caregiver. Much like an assembly line – fine for building engines. Potential for fragmentation. CN may be only one with full knowledge of patient needs.

A

Functional nursing

47
Q

Team of nursing personnel provides total care to a small group of patients. Modified functional
Uses nurse leader who coordinates personnel; CN, Team Leaders each with designated nursing staff

A

Team nursing

48
Q

RN designs, implements, and is responsible for nursing care for duration of the patient’s stay on the unit (24 hour responsibility)

A

Primary nursing

49
Q

Manager coordinates collaborative care to those with complex needs.
Supervises the care provided by licensed and unlicensed nursing personnel

A

Case management

50
Q

Facilitates transition from one level of care to another – screening, treatment, follow-up including psychological and educational support

A

Patient navigator

51
Q

Involves matching patient needs with nurse competencies so synergy is reached and patient care and outcomes can be improved

A

synergy model

52
Q

Used to determine how well employees are performing their job. Therefore, appraisals measure actual behavior and not intent
Goal is employee growth

A

Performance appraisal

53
Q

rates an individual against some standard (knowledge, judgment, attitudes) attendance, medication safety

A

Trait rating scales

54
Q

rates the performance on job requirements (Nursing Process elements plus teaching, collaboration, coordination, etc. Industrial nurse – That he/she promotes fitness, health, annual physicals, and record-keeping)

A

Job dimension scales

55
Q

rates desired job expectations on a scale of importance to the position – Chest Pain treated per protocol

A

behaviorally anchored rating scale

56
Q

rates the performance against a set of desirable behaviors

A

Checklists

57
Q

a written appraisal of job performance; may refer to “critical incidents” positive and negative

A

essays/narrative

58
Q

an appraisal of performance by the employee

A

self-appraisals

59
Q

employee and management agree upon goals of performance to be reached.

A

management by objectives

60
Q

assessment of work performance carried out by peers – required by Magnet – why? Attribute of a profession

A

peer review

61
Q

occurs when recent issues are weighed more heavily than past performance. Take notes on behavior THROUGHOUT the year

A

The recency effect

62
Q

occurs when the appraiser lets one or two positive aspects of the behavior of the employee unduly influence all others

A

the halo effect

63
Q

occurs when the appraiser allows some negative aspects of the employee’s performance to influence the assessment to such an extent that other levels of job performance are not accurately recorded

A

the horns effect

64
Q

is often the result of a manager hesitant to offer true assessments and so defaults to rating all employees as average

A

central tendency

65
Q

a bias wherein employees receive the same appraisal results year after year

A

matthew effect

66
Q

A method of rating a person against a set standard, which may be the job description, desired behaviors, or personal traits

A

trait rating scale

67
Q

includes an assessment by all individuals within the sphere of influence of the individual being appraised

A

360 degree evaluation