NE-BS Section 5 Flashcards

1
Q

Name examples of nursing councils that could comprise a shared governance system.

A

1.) Professional practice
2.) Quality and Safety
3.) Satisfaction and engagement
4.)Magnet Champion
5.) Performance Excellence
6.) Education and Research
7.) Informatics
8.) Finance
9.) Advanced Practice Nursing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the key factors to employee satisfaction?

A

1.) Having friends at work
2.) Someone cares about the employee as a person
3.)Working for an organization whose values are compatible with yours
4.) Being given assignments based on your strengths

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How can a nurse manager improve employee satisfaction?

A

1.) Be positive, supportive, and fair
2.) Treat all with respect
3.) Empower Staff
4.) Provide Staff Recognition

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the difference between a policy and procedure?

A

A policy is a formal guideline typically broad and general approved by policy committee and reviewed every 3 years

A procedure (or unit-based guideline) is detailed and outlines the process step-by-step (change a central line dressing)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Describe lateral violence

A

1.) Behaviors include bullying/intimidation, humiliation.
2.) Creates hostile work environment.
3.) Causes harm to staff/patients
4.) Inhibits teamwork

Leaders must prevent lateral violence and intervene if identified.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the difference between equity and equality?

A

Equity is recognizing all individuals with different needs and challenges requiring different accommodations to reach the goal.

Equality is treating everyone the same without considering the differences.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How can a nurse leader honor diversity in their staff?

A

1.) Recognize that everyone is an individual and not everyone wants to share personal info at work.
2.) Recognize and empathize with what makes each staff member unique
3.) Avoid Judgement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

How can a nurse leader ensure inclusion on the unit?

A

1.) Judegment-Free Unit
2.) Everyone is welcome
3.) Empower Staff to speak up
4.)Be authentic and have humility
5.) Acknowledge individual diversity
6.) Create a sense of belonging to all

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is civility in nursing?

A

Treating others with respect

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How can nurse leaders encourage civility?

A

1.) Have a zero-tolerance policy for unfair treatment, rudeness, and insulting comments between nurses or nurses and other disciplines
2.) Address the problem, not ignore it.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What could occur if incivility is allowed to continue?

A

Will lead to a toxic work environment creating decreased quality of care and increased staff dissatisfaction and turnover

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

List the ANA Civility Best Practices for Nurses

A

1.) Clear Communication
2.) treating others with dignity, respect, colegiality, and kindness
3.) Consider how actions/words impact others
4.) avoid gossip/rumors
5.) rely on facts not conjecture
6.) Collaborate and share info
7.) Offer assistance but accept refusal gracefully
8.) Take personal responsibility
9.) Encourage, Support, and Mentor
10.) Listen with interest and respect
11.) recognize that abuse of power is never acceptable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are the key principles of active listening?

A

1.) observe for non-verbal actions-facial expressions, eye contact and posture
2.) Pay attention, stay engaged, provide feedback by nodding, asking questions, making comments
3.) Connect by listening with empathy
4.) Don’t be thinking about what your going to say next. Listen then respond.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the 7 C’s of communication?

A

1.) Clear
2.) Concise
3.) Concrete
4.) Correct
5.) Coherent
6.) Complete
7.) Courteous

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Why is communication in the workplace so important?

A

Good communication is important because 80% of patient errors are related to communication breakdowns. People often know there is a problem but don’t know how to communicate it to others who can resolve it.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Name five communication styles.

A

Persuasive
Assertive
Passive
Aggressive
Passive-Aggressive

17
Q

What is SBAR?

A

Situation: Who is involved, what’s going on?
Background: Briefly explain what lead up to situation
Assessment: what do you think is going on?
Recommendation: what do you think should be done and by when?

18
Q

What are the most important factors to consider in developing staffing guidelines?

A

1.) Acuity of patients and skill mix
2.) Part time vs Full Time staff
3.) 8hr vs 12hr shifts
4.) Nurse to patient ratios
5.) Flexibility and requests off
6.) Staffing Schedules in 4/6/8 week increments

19
Q

What are the 3 methods of scheduling?

A

1.) Self-Scheduling staff coordinate to balance schedule
2.) Decentralized- mgr develops schedule
centralized
3.) Centralized- schedule made by coordinator staff have no input, coordinator may not know unit specifics.

20
Q

List 9 staffing models

A

1.) Acuity
2.) Team Nursing
3.) Primary Nursing
4.) Nurse-patient ratio
5.) Modular nursing
6.) Total Patient Care
7.) Functional Nursing
8.) Skill Mix
9.) Patient Centered Care

21
Q

What is the acuity staffing model?

A

1.) The acuity of patient is determined by the point system
2.)Patient Classification Systems PCS are often utilized for acuity scoring
a.) Nursing Workload Management System
b.) Patient Intensity for Nursing Index (PINI)
c.) Acute to Intensive Care (ATIC)
3.) Variation from shift to shift causing the need for more flexibility in staffing.

22
Q

Describe team nursing staffing model

A

1.) Developed in the 1950s due to nursing shortages.
2.) RN is team lead and additional team members could be LPN/PCT
3.) The team lead is typically seen as the delegator.

23
Q

Explain the primary nurse staffing model

A

1.) Developed in the 1960s/70s
2.) One Primary nurse is assigned as the primary nurse who creates the plan of care and ensures it is carried out by additional nurses when the primary nurse isn’t present.
3.) Designed to provide holistic care

24
Q

What is the most popular nurse staffing model?

A

Nurse-Patient Ratio staffing model

Ratios depend on the acuity of the patients and department

25
Q

What is the most important factor in choosing a staffing model for your unit?

A

To implement the staffing model that best fits the unit and the needs of the patients and staff