Implementation and evaluation Flashcards
What are some examples of research variables that can affect care?
Professional conferences, journals
What are some examples of resources that can affect outcome of care
staff equipment and supplies
what are some examples of nurse variables that can affect care?
level of expertise, creativity, willingness to provide care, available time
What are the classic elements of evaluation?
Identify evaluative criteria and standards
collect data to determine if criteria and standards are met
interpreting and summarizing findings (outcomes and time criteria)
document judgement
terminating, continuing, or modifying the plan
What is criteria
What is criteria used for?
measurable qualities, skills, attributes or characteristics, knowledge, or health status
Describes acceptable levels of performance by stating expected behaviors of nurse or patient
What are standards?
Levels of performance accepted and excepted by the nursing staff
How are standards established?
By authority, custom, or consent
When would you want to start patient evaluations?
As soon as possible before discharge.
If you wait till after discharge then there will be no time to modify the plan of intervention
how should you handle a situation where a coworker breaks a rule?
confront the coworker
How should you handle a situation where a mistake is made?
help colleague identify what went wrong, but make sure that the policies for documentation or facility rules are followed
How should you handle a lack of support in the workplace?
Explain to the nurse that teamwork is required and develop a zero tolerance policy for selfish behavior
How should you handle incompetence in the workplace?
Notify the nurse manager
How do you handle poor teamwork in an environment?
Identify the devisive behavior and get the team back on track
How do you should you handle disrespect in the workplace?
Tell the opposing party that their response is unacceptable and report them
How do you handle micromanagement in the workplace?
explain that you need to do the skills to get the experience
What is quality assurance?
externally driven programs that are designed to enable nursing to be accountable to the public
they ensure fidelity, survival of the profession, and moral and ethical responsibilities, and assist nursing to comply with other respnsibilities
What are the two different approaches to ensuring quality ?
Quality by inspection - finding deficient workers and removing them.
Quality as opportunity - finds opportunities for improvement and fosters and environment that thrives on teamwork. Mistakes are viewed as a problem with the system
what is a structure, a process, and an outcome evaluation?
structure is an audit that focuses on the environment care is taking place in
process - nature and sequence of activities that are carried out by nurses
outcome evaluation - measurable changes in the health status of the patient or end results of nursing care
what organizations do patient surveys ?
Hospital consumer assessment of healthcare providers and systems
Centers for medicare and medicaid
what is a nursing audit?
reviewing patient records to assess the outcomes of nursing care
What is a concurrent and retrospective evaluation?
What is the most common retrospective evaluation?
They are both done while the patient is receiving care.
Concurrent is direct observation of nursing care, patient interviews, and chart to determine whether the specified evaluative criteria are met
Retrospective evaluation may use post discharge questionnaires, patient interviews after discharge,
The Joint Commission retrospective chart interview
