Health Care Delivery Flashcards

1
Q

What is the Baylor plan for scheduling pattern?

A

Two, 12 hour days weekend shifts for 36 hours of pay

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2
Q

Disease management?

A

Optimize quality of care provided

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3
Q

What are the two integrated models of care for nursing care delivery?

A

Case management and critical pathways

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4
Q

Originated around World War II, a pro is staff efficient at their assigned task, a con is impersonal.

A

Functional or task nursing

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5
Q

What are two evolving models of care for nursing care delivery?

A

Patient centered care, chronic care model

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6
Q

Works with community in mental health, diagnosis related groups (DRGs) for inpatient stays, team player, achieve patient outcomes in a specific period of time?

A

Case management

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7
Q

Who deals with high volume, high risk, or high cost diagnosis?

A

Case managers

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8
Q

What shift is the most common and why?

A

12 hour is the most common, less handoffs for 12 hour shift

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9
Q

What are these contributing factors to, healthcare reform, advances in technology, nursing school enrollment, insufficient staffing?

A

Shortage of nurses

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10
Q

How many models are out there?

A

45

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11
Q

Chronic care model is?

A

Proactive versus reactive care. Don’t wait until they come to the hospital be more proactive

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12
Q

Scheduling pattern that is eight hour five days a week?

A

Doctors office

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13
Q

The nursing industry has a good sick care system but does not have?

A

A good healthcare system.

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14
Q

What types of healthcare do case managers work in?

A

Acute care, subacute care, rehabilitation, psychiatric, substance-abuse, and various community service organizations

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15
Q

What type of nursing model of care originated in middle to late 1940s where “communication is key” and “our patients”?

A

Team nursing

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16
Q

Some pros and cons of this nursing care is increased satisfaction, RN knows the patient, improved continuous care. Down for communication between multiple people and change of locations.

A

Primary nursing

17
Q

Why would you have a strategy to address the nursing shortage?

A

To keep the new nurses in the field

18
Q

What has evidence-based practice and guides care, reduce costs and length of stay for a patient?

A

Critical pathways

19
Q

Regular nursing assessments, pick up on subtle changes, prevents the need for extensive medical intervention, benefit for the patient, and uses evidence-based practice?

A

Disease management

20
Q

These people are very skilled communicators, critical thinkers, collaborators, and try to find the most value for the patient?

A

Case managers

21
Q

What is more friendly any more homelike setting, and has originated within the last 15 years?

A

Patient centered or patient focused care

22
Q

Practice in 1920, 1930, and 1980s. One on one care, continuous and holistic nursing care. One con is that it’s costly?

A

Total patient care nursing

23
Q

What are patient safety indicators?

A

In-hospital complications such as patient falls in a nursing home or medication errors

24
Q

Healthy work areas, you will need what to establish and sustain healthy work environments?

A

Skilled communication, true collaboration, effective decision-making, team oriented and leadership

25
Q

Originated in the 1960 and 1970s. One are in has direct care over 24 hours.

A

Primary nursing

26
Q

What are the four patterns of nursing care delivery traditional models?

A

Functional, team, total client, primary

27
Q

10 hour shift or four hour shift?

A

Emergency room

28
Q

What is another word for functional nursing?

A

Task nursing

29
Q

Addresses the needs of patients with multiple health issues?

A

Case management

30
Q

A pro is service time and wait time decreased, holistic, recommended for chronic conditions, and more human interactions. Downfall is cost with fewer RNs with more responsibilities.

A

Patient centered or patient focused care

31
Q

A pro is easier to prioritize and organized. Akon is a lack of resources and more complex problems create complex pathways?

A

Critical pathways

32
Q

Who is the nurse called that isn’t the primary nurse?

A

Associate nurse

33
Q

Some pros and cons of this traditional model of care includes trust and cooperation, promotes continuous care, self-motivated, downfall is time-consuming, when the team falls apart, and role confusion?

A

Team nursing

34
Q

What is another word for patient focused or patient centered care?

A

Relationship based care

35
Q

Shortage of nurses, what is the number that we can reach by 2025?

A

260,000, but the projected need for 525,000 replacement nurses.

36
Q

What is a plan in place to decide how many nurses you need?

A

Matrix

37
Q

What are all of the common elements of the nursing care models?

A

Elevate are in roll, sharpened focus on client, nurse managed to book client directed so nurse and client decide together, electronic medical record’s, computerized nursing stations, bar code scanning