Exam #4 Flashcards

Question

What is Merle Mishel Theory?

Answer 1

- stress-producing and capable of contributing to negative physical and/ or psychological outcomes - uncertainty exists when client is unsure about diagnosed illness

Answer 2

- nurse helps with goal attainment - The nurse and patient mutually communicate, establish goals and take action to attain goals

Answer 3

Systematic inquiry or study conducted to generate new knowledge or to refine existing knowledge

Answer 4

- Identify area of inquiry - develop research question/hypothesis - determine how study will be conducted - conduct the study - analyze results of the study - address implications for nursing practice

Answer 5

Plans that tell a researcher how data are to be collected, from whom data are to be collected, and how data will be analyze to answer specific research questions

Answer 6

- Quantitative: quantity, has to be a #; deriving meaning from the statistical analysis of numbers - Qualitative: descriptors; a method of research designed for discovery rather than for verification

Answer 7

It is designed to provide an understanding of the patients “lived experience”

Answer 8

A method used to study phenomena from a cultural perspective

Answer 9

A method designed to explore a social process and develop a theory

Answer 10

- Read and critically appraise studies - Use best research evidence in practice with guidance - Assist with research problem identification and data collection

Answer 11

Evidence-based practice - used to deliver optimal healthcare through the integration of best current evidence, clinical expertise, and patient/family values *based on patient values and expectations

Answer 12

P: population, patient, problem I: intervention or exposure C: comparison O: outcome T: time

Answer 13

Understands power and empowerment

Answer 14

Emotional intelligence refers to the ability to use emotions effectively and is required by leaders/managers in order to enhance their success *starts with your moral values

Answer 15

Leaders: May not have or all authority but are still able to influence others Managers: Someone who has a title; have an appointed management position and a formal line or authority and accountability *managers are not always considered a leader

Answer 16

Transactional: focused on the day-to-day questions of the facility/unit Transformational: Committed to organizational goals and clearly communicate vision and direction; empowers the work group to accomplish goals

Answer 17

Putting others including employees, customers, and the community as the number one priority

Answer 18

1. Unfreezing stage: change agent promotes problem identification and encourages awareness of the need for change 2. Moving stage: change agent clarifies the need to change, explores alternatives, defines goals and objectives, plans the change and implements the change plan 3. Refreezing stage: change agent integrates the change into the organization

Answer 19

Transfer of responsibility for the performance of an activity from one individual to another while accountability for the outcome is retained - RN delegator is responsible for: — the act of delegation — supervising the performance of the delegated task — assessment and follow-up evaluation - Delegatee is accountable for: — his or her own actions — accepting delegation within the parameters of training — communicate information to the delegator

Answer 20

- Initial assessment or any assessment that requires nursing knowledge - determining a nursing diagnosis - establishing nursing care goals - development of a nursing care plan - evaluation of patients progress - health counseling or teaching - activities that require specialized nursing knowledge or judgement

Answer 21

- Quality: the degree to which health services for individuals and populations increase the likelihood of desired health outcomes - quality improvement: the use of data to monitor the outcomes of care processes, and uses improvement methods to design and test changes to continuously improve the quality

Answer 22

- Customer defines quality - Scientific approach: organizational support for all employees to develop knowledge and skills in the science of QI

Answer 23

STEEEP - Safe: Avoiding injuries to patients caused by the care intended to help them - Timely: reducing waits and sometimes harmful delays for those receiving care - Effective: providing services based on scientific knowledge to all who could benefit - Efficient: avoiding waste of equipment, supplies, ideas, and energy - Equitable: providing care that does not vary in quality because of personal characteristics such as gender, ethnicity, etc. - Patient-centered: providing care that is respectful of and responsive to individual patient preferences, needs, and values, ensuring that patient values guide all clinical decisions

Answer 24

TJC - one of the first accreditation agencies to embrace QI principles as an accreditation requirement in hospitals - TJC accreditation: demonstrates that they have achieved a “gold seal of approval” in quality and safety standards

Answer 25

Maps out what actually occurs in a work process - includes steps and substeps and who does the work

Answer 26

(Bar chart) Reflects frequency at which events occur, or the effect events have on a process

Answer 27

(Fishbone) - lists potential causes arranged by category to show their effect on a problem - helps determine potential causes of a problem

Answer 28

Graph of data points as they occur overtime *sometimes referred to as time plots

Answer 29

PDSA Plan: begin with planning the changes to a process that are to be implemented and tested Do: carry out the plan and make the desired changes to the process Study: review the impact and outcomes of the implemented changes Act: determine if the changes can be implemented as is or if further cycles are necessary refinement

Answer 30

Recognizes errors as a system failure rather than individual failures and at the same time does not shrink from holding individuals accountable for their actions

Exam #4 Flashcards

(54 cards)