Final/HESI Flashcards
Leadership styles - Authentic
Honest relationships, truth, and trust
Leadership styles - Autocratic
Centralized decision making
Leadership styles - Assertive
Clear goals and expectations
Leadership styles - Transformational
Inspiring and motivating change
Leadership styles - Shared Governance
Collaborative decision making
Lewin’s Change Theory
Unfreezing, moving, refreezing
Voluntary admission
Client admits themselves for Tx, retaining civil rights
Involuntary admission
Initiated by someone else, requires certification that the person is a danger to themselves and others.
Emergency Admission
Any adult can apply for emergency detention, requiring medical/judicial approval beyond 24hrs.
Legal & Civil Rights of Hospitalized Clients
- right to personal items
- daily visitors
- private phone use
- unopened mail
- right to refuse shock Tx/lobotomy
Competency Hearing
Determines ability to make responsible decisions. Guardian is appointed for an incompetent person
Insanity
Legal term indicating the accused is NOT responsible for unlawful acts d/t mental illness
Inability to Stand Trial
Accused cannot understand the charges and must be treated until competent for trial.
Written Consent
The law DOES NOT require WRITTEN consent to perform medical Tx.
- client must be fully informed about the procedure
- client voluntarily consents to procedure
- emergency laws applied if consent cannot be obtained for an emergent situation
Consent of Minors
- minors age 14 and older must agree to Tx along with their parents or guardian!
Two factory theory
- Hygiene factors (working conditions, salary, security) motivate workers by addressing SAFETY needs and preventing job dissatisfaction
- Motivator factors (achievement/recognition) enhances job SATISFACTION and promotes enrichment
Leader vs. Manager vs. Follower
Leader = adapting during times of unknown, visionary, sees big picture
Manager = deal with day to day OPERATIONS
Follower = know when to step back and flow with the team
Problem Solving Steps
- Defining the problem clearly
- Prioritizing and identifying problems
- Gather and analyze data
- Developing solution
- Selecting solutions
- Implementing and evaluating results
Strategic Planning Phases
- Conduct environmental scan (SWOT analysis = Strengths, Weaknesses , Opportunities, Threats)
- Establish and revise the vision and mission as appropriate
- Develop strategic plan
- Implement strategy
- Monitor and revise strategy
Nurse Leader role in Delegation
Employer must assign a nurse leader to oversee delegation.
Leader assess facility needs, ensures pt safety, evaluates staff skills!!
Delegation Committee
Formed by nurse leader and a committee.
They determine which tasks can be delegated and to whom.
Ensures practices comply w/ laws and regulations
Modes of Conflict Resolution - Avoidant
Unassertive, uncooperative
Useful for minor issues but risk unresolved tensions
Modes of Conflict Resolution - Accommodating
Unassertive, cooperative
Prioritizes other’s needs over one’s own
Potentially leads to resentment
Modes of Conflict Resolution - Competing
Assertive, uncooperative
Focus on “winning” and personal gain at expense of others. Suitable for urgent decisions but may harm relationships
Modes of Conflict Resolution - Compromising
Assertive, cooperative
Uses negotiation
Each party willing to give up something, effective for quick solutions
Modes of Conflict Resolution - Collaborating
Assertive, cooperative
Solution most fully satisfies all important concerns and goals, can be time consuming!b
Incivility
Rude, disrespectful behavior among staff
Creates hostile work environment
Immature behavior
defiance/hostility towards workplace guidelines
Disrupts team cohesion and productivity
Bullying
Real/perceived power differential between instigator and recipient
Overt bullying
Direct and obvious acts of intimidation or harassment
Covert Bullying
Less direct actions intended to undermine or harm someone
Subtle bullying
Indirect or passive-aggressive behaviors that target an individual
Quality Management
Umbrella term, philosophy that defines a healthcare culture emphasizing customer satisfaction, innovation, employee involvement
Quality Assurance
Ensure conformity to a standard
Quality Improvement
Ongoing process of innovative improvements, prevention of error, and development of staff used by institutions that adopt the QM philosophy
QI Steps
- ID consumer needs
- Assemble Interprofessional team
- Collect and Analyze data
- Establish measurable outcomes
- Implement improvement plan
- Evaluate plan effectiveness
Sentinel event
Serious, unexpected occurrence involving death or severe physical/psychological harm (inpatient SI, infant abduction, fall, fire, assault)
Never Events
Events that should NEVER happen
(Blood mismatch, surgery on wrong body part)
Adverse events
Hospital-acquired conditions that can be prevented by nurses
(CAUTI, CLABSI, falls, pressure injuries, VAP, VAE)
Near miss
Unplanned event that did NOT result in injury, illness, or damage but had the potential to do so
Negligence
Failure to exercise the care toward others which a reasonable person would
Medical Malpractice - 4 elements
Civil action resulting from professional misconduct (you get sued)
1. Causation - injury MUST be PHYSICAL , actions or lack thereof directly caused pt’s harm
2. Duty owed to pt - RN is obligated to provide safe care
3. Breach of duty/standard of care - RN breached duty to provide safe care
4. Damage - economic and non-economic hardship that resulted from injury
Vicarious Liability
Holds employer INDIRECTLY responsible for employee negligence so long as employee acted within their scope of practice!
Tort
Act involving injury or damage to another resulting in civil liability
Unintentional tort
Accidental
Negligence and malpractice
Intentional Tort
Willful/calculated
Assault, battery, invasion of privacy, fraud
Quasi-intentional Tort
Voluntary act that causes injury or distress without intent to injure or cause distress
