Exam 2 Flashcards
Describe nursing staffing education
Refers to nurse involvement in orientation,socialization,education,and training of fellow healthcare workers.
What is the importance of orientation for new nurses?
It helps newly licensed nurses translate the knowledge, skills, and attitudes learned in nursing school into practice
What is the difference between and preceptor and a mentor?
Preceptorship assist in orientating newly licensed nurses to a unit and supervise their acquisition of skills. Mentors relationships usually last longer and focuses more on the transition to the professional role.
When using just in time training, what is the nurse doing?
Using technology and references to refresh or teach right before procedure.
What are the educational training steps?
- Identify and respond
- Analyze
- Research
- Plan
- Implement
- Evaluate
What is the goal of staff education?
Competence and establishing a level of performance that meets standards.
Describe a novice nurse
Newly licensed with minimal clinical experience. Have a theoretical approach and rely on context free facts where rules govern practice.
Describe an advanced beginner nurse
Most new nurses
Can make some clinical judgement
Begin to rely on prior experience
Describe a competent nurse
2-3 years practice
Demonstrate an increasing level of skills and proficiency and clinical judgement
Abstract and analytical thinking and can anticipate long-term outcomes
Describe a proficient nurse
Nurses with significant amount of experience
Well developed critical thinking and decision making skills allow nurses to recognize and respond to unexpected changes.
Describe an expert nurse
In an area for a long time. Make decisions using advanced level of intuition and analytical ability
Don’t always rely of rules
What are the 5 components of the patient workforce management
- Establish patient delivery model
- Needs and nurses interventions
- Create core staffing schedule to support patient needs
- Daily staffing process to match available staff with ID patient care needs
- Evaluate
What care model has work that is assigned by tasks
Functional
What care delivery model that assigns a nurse as the lead care giver that plans and coordinates care
Primary= most common
Which care delivery model functions with a group of people providing care based on tasks and skill levels and competence
Team
This care delivery model consists of a two person team to provide care. Ex) RN/ AP
Modular
When a nurse coordinates care using clinical pathways and quality criteria they are suing what care delivery model.
Case management nursing
Commonly used in trauma units, this delivery model utilizes practice partnerships and primary care partnerships
Interdisciplinary model
What is the difference between central and decentralized scheduling
Central scheduling is where decisions are made in a staffing center.
Decentralized scheduling has a unit manager that makes staffing decisions
What are some variance management interventions when it comes to staffing
Reevaluate patient acuity ratings Call in additional staff Float existing staff Sending people home early Mandatory overtime
What are the ANAs 3 approaches to staffing
- Require hospitals to have a nurse driven staffing committee
- ,legislators to mandate specific nurse to patient ratios
- Require facilities to disclose staffing levels
Full time equivalents measure what?
Measure of work commitment of full time employee
Measures productive and nonproductive hours
Describe difference between direct and indirect care
Direct care is time spent providing hands on care to patients
Indirect care is activities related to patient care
Measurement tool used to determine nursing workload for specific patient/s over period of time
Patient classification system
A measurement of patient acuity
A measure of value used in Medicare calculations for physician reimbursement
Relative value units- RVUs
Utilization of classification system data
Acuity data used to plan nursing staffing during next day 24-hr period
Can be used to cost out nursing services for specific patient populations
What are the limitations of the patient classification system
Low validity Misuse of tool Failure to use the data generated Lack of tool simplicity Can't capture how much time a pt needs
Describe the nursing care hours per patient day
Reflects only productive nursing time available based on the following: Midnight census Past unit needs Expected practice trends National benchmarks Budget negotiations
What are the top three healthcare issues
Access to care
Quality of care
Lack of healthcare frugality
