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
Q

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

A

Followership guidelines

26
Q

What is trait theory? (Leadership)

A
  • 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
Q

What is style theory? (Leadership)

A
  • Consider how leaders behave
  • Based on 2 types of behaviours: task and relationship
28
Q

What is situational-contingency theory? (Leadership)

A
  • Leadership successfulness depends on situational factors
  • Nursing leaders must assess each situation – determine unique approach
29
Q

What is transformational theory? (Leadership)

A
  • Leaders/followers set higher goals – work together to achieve them
30
Q

What is authentic theory? (Leadership)

A

Leaders are aware of their own values and moral convictions and are constantly realigning their actions to match their values

31
Q

What is complexity science?

A
  • 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
Q

The 3 competency domains for leadership and management are:

A

o Managing the business (of working with people)
o Leading within
o Leading people

33
Q

What is imposter phenomenon?

A
  • 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
Q

Health informatics competencies allow nurses to:

A

o Address new health challenges by using technology to retrieve the best available evidence
o Communicate findings
o Understand information management

35
Q

What is LEADS? What does it stand for?

A

A caring environment framework.
L-ead self
E-ngage others
A-chieve results
D-evelop coalition
S-ystem transformation

36
Q

what is strategic planning?

A

Envisioning the future and developing procedures and operations to actualize the future

37
Q

What are the five phases of strategic planning?

A
  1. Assessment of internal/external environment
  2. review of mission statement, philosophy, goals & objectives
  3. identification of strategies
  4. implementation
  5. evaluation
38
Q

What are the four types of workplace violence?

A

o Worker-worker
o Person and family
o Personal relationships
o Criminal intent

39
Q

Employees become empowered when they gain access to:

A

o Opportunity
o Information
o Resources
o Support
o Formal and informal power

40
Q

What are the sources of law?

A
  • Legislated and common law
  • Supremacy of Parliament
  • Canada Health Act
  • Natural laws
  • Federal statutes
41
Q

How are healthcare workers regulated?

A
  • Licensure
    o By colleges, associations, or professional regulatory bodies
  • Certification
  • Registration
  • Scope of practice
42
Q

external forces that influence healthcare

Legal & political forces influence…

A

How money is allocated/how much funding healthcare receives

43
Q

external forces that influence healthcare

Economic forces encompass

A

Rising cost of living, supply chain issues, labour resources

44
Q

external forces that influence healthcare

sociocultural forces include

A

the social determiants of health

45
Q

external forces that influence healthcare

Accreditation means

A

All hopsitals/schools must meet accreditation standards to operate

46
Q

What is organizational culture?

A

Norms/traditions of the organization

influences how people are able to do their job

47
Q

characteristis of organizational structures

What does complexity mean?

A

The number of “levels” an organization has

48
Q

characteristics of organizational structures

What does divison of labour mean?

A

Who the workers are, what their designation is, who is responsible for what

can alter the care provided

49
Q

characteristics of organizational structures

what does hiearchy mean?

A

lines of authority and responsibility

who is the superior?

50
Q

characteristics of organizational structures

what is the chain of command?

A

each unit has a span of control

responsibility is passed through the organization (ex. hiring staff)

51
Q

characteristics of organizational structure

what does centralization mean?

A

where the decisions are made

52
Q

What is a functional organizational structure?

A

Departments are organized based upon their function.

Nursing, human resources, finance, professional services ex.

53
Q

What is a service line organizational structure?

A

All people are involved in the same service

cardiology services, trauma services, surgical services ex.

54
Q

What is a matrix organizational structure?

A

Division into service and function

vice president of pediatric services & manager of pediatric nursing

55
Q

What is a flat organizational structure?

A

Shared governance

staff self schedule etc.

56
Q

What is case method nursing?

A

One nurse assumes responsibility for care of a group of patients for the entire shift

57
Q

What is functional method nursing?

A

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
Q

What is the team nursing method?

A

Groups of nurses work together to identify, plan, implement and evaluate care

team leader must be skilled, with adequate staffing mix

59
Q

What is primary care nursing?

A

One nurse is created the individiual care provider for one patient for their entire hospital stay

very expensive but very effective