lead final 3 Flashcards

1
Q

Five Key Elements of Evidence-Based Practice

A
Ask a clinical question.
Acquire the evidence.
Appraise the evidence.
Apply the evidence.
Assess the outcomes.
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2
Q

3 Types of Technologies

A

Biomedical
Informational
Knowledge

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3
Q

Biomedical technology includes 4 things

A

Equipment for monitoring
dx testing
drug admin
tx technology

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4
Q

Informational technology has to do with

A

how data is managed

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5
Q

Knowledge technology has to do with

A

computerized support system that helps you make decisions (i.e., are you sure you want to give this med?)

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6
Q

4 broad Issues within Information Technology

A

Patient safety
Ethics
Information security
Privacy

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7
Q

The 4 major responsibilities of the nurse in promoting consumer relationships

A

Service
Advocacy
Teahcing
Leadership

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8
Q

The 1st component of health literacy is

A

the ability to obtain information

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9
Q

Medical home

A

a patient centered, multi-faceted source of personal Primary care

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10
Q

consumer relationships: The service aspect: overall description of what this means

A

patient centered, serving the customer not the organization

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11
Q

consumer relationships: The service aspect: Having the customer interact with

A

50 different people is not service oriented. Also service should be as least disruptive as possible

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12
Q

consumer relationships: The service aspect: Service isn’t just following

A

a set of rules; it’s about customizing care

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13
Q

consumer relationships: The service aspect: High tech-High touch means

A

using technology while maintaining the human touch

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14
Q

consumer relationships: The service aspect: When errors happen it can be helpful if the provider

A

themself explains the error, rather than an administrator

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15
Q

consumer relationships: The service aspect: if a nurse makes a med error, who should give the apology

A

if there’s no harm done, it should be the nurse. But if it’s a complicated situation it should be the manager

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16
Q

consumer relationships: The service aspect: In some situations, like a delayed ED, apologizing can be helped by using a

A

script

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17
Q

consumer relationships: The advocacy aspect: It requires you to be comfortable with

A

conflict

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18
Q

consumer relationships: The advocacy aspect: Giving quality care regardless of

A

whether or not the person can pay

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19
Q

consumer relationships: The teaching aspect: What does teaching do for the patient

A

Empowers

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20
Q

consumer relationships: The teaching aspect: Philosophy

A

Means that you should have the belief that teaching is a good, solid investment

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21
Q

consumer relationships: The teaching aspect: Priority

A

Means the education is important because informed consumers want to participate

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22
Q

consumer relationships: The teaching aspect: Performance

A

means that the nurse must be SKILLED in teaching

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23
Q

Care Delivery Model: Case method is aka

A

total care method

24
Q

Care Delivery Model: describe the Case Method/Total Care Method

A

Its the most basic model, it just means a nurse provides all the care for a patient

25
Q

Care Delivery Model: Currently, the Case Method is used in what setting

A

ICU

26
Q

Care Delivery Model: The Functional Model is especially good in ___ situations

A

emergency situations

27
Q

Care Delivery Model: Describe the Team nursing model

A

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

28
Q

Care Delivery Model: Describe the Primary Nursing Model

A

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

29
Q

Care Delivery Model: Partnership Model

A

The RN is paired with a technical assistant

30
Q

Clinical Pathways

A

The tool you use to reach a patient outcome (like a POC)

31
Q

Clinical Pathways: Variance

A

anything that changes the progress of the path. It can be positive or negative

32
Q

Conflict: the FIRST thing about addressing conflicts is

A

self-awareness, knowing what your style is

33
Q

a Behavioral Profile asks questions like,

A

how comfortable are you with pointing out that something is wrong?

34
Q

Accommodating Style

A

you admit there’s a conflict and you can see both sides, but you let the other side dominate

35
Q

Compromise Style

A

Both sides give up something

36
Q

1 example of a strategy against bullying is

A

Educating the staff

37
Q

Conflict resolution: Keep the focus on

A

the issues, not on individuals

38
Q

Don’t fear that little conflicts will

A

get in the way of productive debates

39
Q

Conflict Resolution Program: You need a ___ in place and you need management to

A

You need a system in place and you need management to be committed

40
Q

Conflict Resolution Program: The 1st step is

A

to develop a conflict education program

41
Q

Conflict Resolution Program: Education about conflict should be

A

ongoing

42
Q

a conflict education program should include: A lesson on how the organization

A

handles conflict

43
Q

Outcomes of a good conflict management program include: less

A

stress

44
Q

Outcomes of a good conflict management program include: positive

A

atmosphere

45
Q

conflict management Processes are important, but you also need

A

a structure to support them

46
Q

conflict management: The HR dept should establish

A

the policies

47
Q

conflict management: The HR dept should make sure managers are

A

committed

48
Q

conflict management: The HR dept should make sure that policies are

A

communicated to everyone

49
Q

conflict management: executives should show they are committed by

A

issuing mandates to support the policies

50
Q

Sometimes conflict management programs can come in conflict with hierarchies; it’s important for

A

executives to encourage the lower staff to be empowered to use the conflict strategies independently (so it’s a shift from the traditional hierarchy)

51
Q

conflict management program should have: a model that pertains to

A

all levels of staff

52
Q

conflict management program should have: An approved list of

A

topics that are handled by the program

53
Q

conflict management program should have: A list of conflict management ____s needed

A

skills

54
Q

conflict management program should have: ___ of conflict resolution

A

stages

55
Q

conflict management program should have: ___/___/___

A

legality/appeals/documentation

56
Q

Financial implications of a conflict management program

A

at first you might need a big investment, but it’ll pay off

57
Q

where do 90% of conflicts happen

A

at the POS, so you need mediators at the POS