NURS 4067 Test 1 Flashcards

1
Q

What are the five components of the Canada Health Act?

A

Universality, Portability, Accessibility, Public Administration and Comprehensiveness

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2
Q

What is the term used for money being moved from the federal government to the provinces and territories?

A

transferability

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3
Q

What are primary healthcare services?

A

First point of contact in healthcare

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4
Q

Physicians and NPs are….

A

Primary healthcare providers

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5
Q

What are secondary healthcare services?

A

timing/referrals made after primary care

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6
Q

Specialists are…

A

Secondary healthcare providers

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7
Q

What are some examples of additional healthcare services?

A

Optometry, dental and pharmaceuticals

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8
Q

What are the three service classifications?

A

Public health/prevention, community services and hospital services

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9
Q

What are the five responsibilities of hospital care services?

A

Bed allocation, nursing services, diagnostic services, pharmacy and use of surgical suites

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10
Q

What external forces influence healthcare?

A

legal/political (how money is allocated), economic forces (rising cost of living, labour shortages), sociocultural (social determinants of health), accreditation, and technology

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11
Q

What are some examples of professional regulatory bodies?

A

CNO, RNAO, and Patient safety institute

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12
Q

What is a mission statement?

A

Articulates an organizations distinct and enduring purpose. Define’s services offered, human resources and kinds of technologies

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13
Q

‘This unit’s purpose is to provide high-quality nursing care for neurosurgical patients during the acute phase of their illness to facilitate their progression to the rehabilitation phase. We strive to cultivate a multidisciplinary approach to the care of neurosurgical patients and provide multiple educational opportunities for the professional development of neurosurgical nurses’ is an example of what?

A

A mission statement

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14
Q

What is a vision statement?

A

future oriented and purposeful statements that identify the future of an organization. Stresses the need for goals.

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15
Q

‘To be the number one neurosurgical unit in the province for nursing research in patient care’ is an example of what?

A

A vision statement

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16
Q

What is a philosophy?

A

Written statement that articulates the values and beliefs held about the nature of the work required to accomplish the mission

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17
Q

What is chaos theory?

A

An organizational theory that explains how organizations complete their work. Lives and organizations are web-like: pulling on one small segment changes the web pattern but the whole remains.

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18
Q

What are the 5 characteristics of organizational structures?

A

complexity. division of labour, hiearchy, chain of command and centralization

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19
Q

What is a bureaucracy?

A

Administrative concept embedded in how organizations are structured

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20
Q

What is the synergy model?

A

The model is based on patient characteristic and nurse competencies

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21
Q

What is leadership?

A

Using individual traits and personal power to interact constructively to resolve problems. The process of engaging/influencing others.

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22
Q

What is management?

A

About ensuring that people have the resources to get the job done

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23
Q

o Human resource management: allocating resources
o Financial accountability
o Critical thinking
o Clinical practice knowledge
o Performance management: performance appraisals, solving personnel issues
o Strategic planning
o Technology: being able to navigate technology/problem solving

A

Key management competencies

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24
Q

What is followership?

A

Engaging with others who are leading or managing, by contributing to the work that needs to be done

25
o Collaboration (with other staff!) o Direction (what needed to be done) o Initiative to manage problems o Appreciation and respect to those providing leadership to you o Challenging flawed thinking
Followership guidelines
26
What is trait theory? (Leadership)
- The ‘Great Man Theory’: born with leadership traits – roots in Aristotle - Leaders have a certain set of physical and emotional characteristics that are crucial to inspiring others - Self-awareness of traits is useful for assessing personal strengths
27
What is style theory? (Leadership)
- Consider how leaders behave - Based on 2 types of behaviours: task and relationship
28
What is situational-contingency theory? (Leadership)
- Leadership successfulness depends on situational factors - Nursing leaders must assess each situation – determine unique approach
29
What is transformational theory? (Leadership)
- Leaders/followers set higher goals – work together to achieve them
30
What is authentic theory? (Leadership)
Leaders are aware of their own values and moral convictions and are constantly realigning their actions to match their values
31
What is complexity science?
- The study of complex systems: the patterns of relationships within them, how they are sustained, how they self-organize, and how outcomes emerge - Nurses must be flexible and dynamic to keep up with changing systems of people, healthcare, public policy, and human relationships
32
The 3 competency domains for leadership and management are:
o Managing the business (of working with people) o Leading within o Leading people
33
What is imposter phenomenon?
- Self-doubt in one’s ability to function adequately in one’s role - Common in novice nurses and novice leaders - May prevent nurses from taking advantage of leadership opportunities – because of feelings of inadequacy
34
Health informatics competencies allow nurses to:
o Address new health challenges by using technology to retrieve the best available evidence o Communicate findings o Understand information management
35
What is LEADS? What does it stand for?
A caring environment framework. L-ead self E-ngage others A-chieve results D-evelop coalition S-ystem transformation
36
what is strategic planning?
Envisioning the future and developing procedures and operations to actualize the future
37
What are the five phases of strategic planning?
1. Assessment of internal/external environment 2. review of mission statement, philosophy, goals & objectives 3. identification of strategies 4. implementation 5. evaluation
38
What are the four types of workplace violence?
o Worker-worker o Person and family o Personal relationships o Criminal intent
39
Employees become empowered when they gain access to:
o Opportunity o Information o Resources o Support o Formal and informal power
40
What are the sources of law?
- Legislated and common law - Supremacy of Parliament - Canada Health Act - Natural laws - Federal statutes
41
How are healthcare workers regulated?
- Licensure o By colleges, associations, or professional regulatory bodies - Certification - Registration - Scope of practice
42
# external forces that influence healthcare Legal & political forces influence...
How money is allocated/how much funding healthcare receives
43
# external forces that influence healthcare Economic forces encompass
Rising cost of living, supply chain issues, labour resources
44
# external forces that influence healthcare sociocultural forces include
the social determiants of health
45
# external forces that influence healthcare Accreditation means
All hopsitals/schools must meet accreditation standards to operate
46
What is organizational culture?
Norms/traditions of the organization | influences how people are able to do their job
47
# characteristis of organizational structures What does complexity mean?
The number of "levels" an organization has
48
# characteristics of organizational structures What does divison of labour mean?
Who the workers are, what their designation is, who is responsible for what | can alter the care provided
49
# characteristics of organizational structures what does hiearchy mean?
lines of authority and responsibility | who is the superior?
50
# characteristics of organizational structures what is the chain of command?
each unit has a span of control | responsibility is passed through the organization (ex. hiring staff)
51
# characteristics of organizational structure what does centralization mean?
where the decisions are made
52
What is a functional organizational structure?
Departments are organized based upon their function. | Nursing, human resources, finance, professional services ex.
53
What is a service line organizational structure?
All people are involved in the same service | cardiology services, trauma services, surgical services ex.
54
What is a matrix organizational structure?
Division into service and function | vice president of pediatric services & manager of pediatric nursing
55
What is a flat organizational structure?
Shared governance | staff self schedule etc.
56
What is case method nursing?
**One nurse** assumes responsibility for care of a **group** of patients for the entire shift
57
What is functional method nursing?
Each nurse has one particular function they repeat over and over on different patients | Popularized during WW2, easy to miss changes in patient status
58
What is the team nursing method?
Groups of nurses work together to identify, plan, implement and evaluate care | team leader must be skilled, with adequate staffing mix
59
What is primary care nursing?
One nurse is created the individiual care provider for one patient for their entire hospital stay | very expensive but very effective