Final Flashcards
Traditional problem solving process
Know the steps
ID problem
Gather data
Explore alternatives
Evaluate alternatives
Select solution
Implement
Evaluate
Most critical part of decision making
Think logically
NOT from point of view
How to make an evidence based decision
Use evidence that support clinical practice
PICOT ?
Patient population problem
Intervention
Comparison
Outcome
Time
Licensure requires
Go through an accredited RN program
Pass NCLEX
Renewal of license requirements
Every 2 years
20 CEUs every 2 years
Declaratory order
You must be upfront with your criminal History
With school and board of nursing.
Courtesy to employer to let then know you reported yourself to the BON
Inactive license
After not actively engaging in nursing after 6m to a year
With an inactive license you still have to do _
or
CEUs
License can get suspended indefinitely
When to take nursing jurisprudence exam
once before getting license
Then every 6 years
Unfreeze
Movement
Refreeze
lewin’s change theory
Staff becomes aware of need to change due to change agent
Change agent IDs, implements, ensures new plan
Change agent assist in stabilizing plan
During movement phase, change should be implemented
Gradually
During refreeze phase, change agent must be
Patient
Open to opportunities
Steps of the change MODEL, not theory
Precontemplation - no intent
Contemplation - intent appear
Preparation - intent sets time frame
Action - behavior is modified
Maintenance - change is maintained with NO relapse
Rational empirical strategy of change
Research based change agent
Best for situations with little resistance
Normative reeducative strategy
Through group norms and peer pressure as change agent
Influence by other, not facts
Power-coercive strategies
Use of authority as change agent
Chaos theory
Even small changes in conditions = monumental changes in outcome
Every pattern has unanticipated elements that make linear results
This is know as
Impossible
Complexity theory
Relationship between elements and agents in any system is
Non linear
Key of psychosocial integrity
Don’t be judgmental
Accept and respect differences
Transcultural nursing is
invented by
care planned around others cultures
Dr. Leininger
Cultural assimilation
A minority group, loses culture to majority group
Culture shock
Negative feelings when being in a different culture
Process audit
Measures how care is provided
assumes CONNECTION between process and quality
Outcome audit
results = results
things are results of specific interventions
Main patient safety goals
Patient safety
Staff communication
Better outcomes
******
on test
Med reconciliation
Current meds
Meds prescribed
Compare 2 lists
Make clinical decision based on comparison
Communicate new list
What dr orders require a readback
Verbal
Telephone
Root cause analysis
Determine factors that caused the event to happen
Develop plan for corrections based on previous errors
Criminal law
Beyond a reasonable doubt
Civil law
Preponderance of evidence
Administrative law
Clear and convincing standard
Can higher level of care meds be transferred to lower levels
NOT always
Utilitarian
Greater good
