lead final 3 Flashcards
Five Key Elements of Evidence-Based Practice
Ask a clinical question. Acquire the evidence. Appraise the evidence. Apply the evidence. Assess the outcomes.
3 Types of Technologies
Biomedical
Informational
Knowledge
Biomedical technology includes 4 things
Equipment for monitoring
dx testing
drug admin
tx technology
Informational technology has to do with
how data is managed
Knowledge technology has to do with
computerized support system that helps you make decisions (i.e., are you sure you want to give this med?)
4 broad Issues within Information Technology
Patient safety
Ethics
Information security
Privacy
The 4 major responsibilities of the nurse in promoting consumer relationships
Service
Advocacy
Teahcing
Leadership
The 1st component of health literacy is
the ability to obtain information
Medical home
a patient centered, multi-faceted source of personal Primary care
consumer relationships: The service aspect: overall description of what this means
patient centered, serving the customer not the organization
consumer relationships: The service aspect: Having the customer interact with
50 different people is not service oriented. Also service should be as least disruptive as possible
consumer relationships: The service aspect: Service isn’t just following
a set of rules; it’s about customizing care
consumer relationships: The service aspect: High tech-High touch means
using technology while maintaining the human touch
consumer relationships: The service aspect: When errors happen it can be helpful if the provider
themself explains the error, rather than an administrator
consumer relationships: The service aspect: if a nurse makes a med error, who should give the apology
if there’s no harm done, it should be the nurse. But if it’s a complicated situation it should be the manager
consumer relationships: The service aspect: In some situations, like a delayed ED, apologizing can be helped by using a
script
consumer relationships: The advocacy aspect: It requires you to be comfortable with
conflict
consumer relationships: The advocacy aspect: Giving quality care regardless of
whether or not the person can pay
consumer relationships: The teaching aspect: What does teaching do for the patient
Empowers
consumer relationships: The teaching aspect: Philosophy
Means that you should have the belief that teaching is a good, solid investment
consumer relationships: The teaching aspect: Priority
Means the education is important because informed consumers want to participate
consumer relationships: The teaching aspect: Performance
means that the nurse must be SKILLED in teaching
Care Delivery Model: Case method is aka
total care method
Care Delivery Model: describe the Case Method/Total Care Method
Its the most basic model, it just means a nurse provides all the care for a patient
Care Delivery Model: Currently, the Case Method is used in what setting
ICU
Care Delivery Model: The Functional Model is especially good in ___ situations
emergency situations
Care Delivery Model: Describe the Team nursing model
Within a unit there are teams, complete with team leaders.
In some ways it’s similar to functional nursing because one person on the team might provide a specific service
Care Delivery Model: Describe the Primary Nursing Model
You stay with the patient for their whole hospital stay.
When you’re not working, an associate nurse covers for you.
You don’t need a UAP
Care Delivery Model: Partnership Model
The RN is paired with a technical assistant
Clinical Pathways
The tool you use to reach a patient outcome (like a POC)
Clinical Pathways: Variance
anything that changes the progress of the path. It can be positive or negative
Conflict: the FIRST thing about addressing conflicts is
self-awareness, knowing what your style is
a Behavioral Profile asks questions like,
how comfortable are you with pointing out that something is wrong?
Accommodating Style
you admit there’s a conflict and you can see both sides, but you let the other side dominate
Compromise Style
Both sides give up something
1 example of a strategy against bullying is
Educating the staff
Conflict resolution: Keep the focus on
the issues, not on individuals
Don’t fear that little conflicts will
get in the way of productive debates
Conflict Resolution Program: You need a ___ in place and you need management to
You need a system in place and you need management to be committed
Conflict Resolution Program: The 1st step is
to develop a conflict education program
Conflict Resolution Program: Education about conflict should be
ongoing
a conflict education program should include: A lesson on how the organization
handles conflict
Outcomes of a good conflict management program include: less
stress
Outcomes of a good conflict management program include: positive
atmosphere
conflict management Processes are important, but you also need
a structure to support them
conflict management: The HR dept should establish
the policies
conflict management: The HR dept should make sure managers are
committed
conflict management: The HR dept should make sure that policies are
communicated to everyone
conflict management: executives should show they are committed by
issuing mandates to support the policies
Sometimes conflict management programs can come in conflict with hierarchies; it’s important for
executives to encourage the lower staff to be empowered to use the conflict strategies independently (so it’s a shift from the traditional hierarchy)
conflict management program should have: a model that pertains to
all levels of staff
conflict management program should have: An approved list of
topics that are handled by the program
conflict management program should have: A list of conflict management ____s needed
skills
conflict management program should have: ___ of conflict resolution
stages
conflict management program should have: ___/___/___
legality/appeals/documentation
Financial implications of a conflict management program
at first you might need a big investment, but it’ll pay off
where do 90% of conflicts happen
at the POS, so you need mediators at the POS
