SP NC Week 1 Flashcards
Exam 1
Key Messages of the FON Report:
What must nurses be given the authority to do?
Nurses must be accorded the authority to practice to the maximum level of their training and education.
Who released the FON report?
On May 11, 2021, the National Academies of Sciences, Engineering and Medicine released their report
The Future of Nursing, 2020-2030: Charting a Path to Achieve Health Equity(the “FONReport”).
What does the FON report outline? What is a strong focus of nurses?
Thereport committee outlines the importance of nurses and how the role of nurses will be forced to adapt to the needs of society with a strong focus on social determinants of health.,The committee believes that health equity can be achieved through the strengthening of nursing, both in capacity and expertise.
Robert Wood Johnson Foundation builds upon the 2011 Institute of Medicine report,The Future of Nursing: Leading Change, Advancing Health.Thereport committeeoutlines the importance of nurses and how the role of nurses will be forced toadapt to the needs of society with a strong focus on social determinants of health.,
How does the committee believe health equity can be achieved?
The committee believes that health equity can be achieved through the strengthening of nursing, both in capacity and expertise.
Key Messages of the FON Report:
What must nurses do?
Nurses must seek to attain higher education and training levels.
An education structure that allows a continuous and smooth transition through academic levels would facilitate the attainment of higher education.
Key Messages of the FON Report:
What must nurses do- having to do with changes in the healthcare system?
Nurses should spearhead and lead the redesigning of the healthcare system.
Key Messages of the FON Report:
What would facilitate effective workforce planning and policy development?
Improved data collection procedures and infrastructures will facilitate effective workforce planning and policy development.
FON report:
- Nurses must be accorded the authority to practice to the maximum level of their training and education
What would this result in?
Allowing nurses to perform to the maximum level of their training and education would result in better health outcomes.
FON report:
- Nurses must be accorded the authority to practice to the maximum level of their training and education
What does this include?
Capacity
Expertise
Holistic approach
Advocacy
Interdisciplinary collaboration
FON report:
- Nurses must be accorded the authority to practice to the maximum level of their training and education
What does this have to do with capacity?
Nurses are the largest segment of the healthcare workforce, making up a significant portion of the healthcare workforce in many countries.
FON report:
- Nurses must be accorded the authority to practice to the maximum level of their training and education
Expertise:
Expertise: Nurses possess a wide range of expertise and knowledge in various areas of healthcare.
They are educated and trained to provide comprehensive, patient-centered care across the lifespan and in various settings.
FON report:
- Nurses must be accorded the authority to practice to the maximum level of their training and education
Holistic approach:
Nurses are trained to take a holistic approach to patient care, considering not only the physical health of individuals but also their emotional, social, and spiritual well-being.
FON report:
- Nurses must be accorded the authority to practice to the maximum level of their training and education
Advocacy:
Nurses are often advocates for their patients, ensuring that their voices are heard and their needs are met.
FON report:
- Nurses must be accorded the authority to practice to the maximum level of their training and education
Advocacy: Through advocacy, what do nurses play a crucial role in?
They play a crucial role in promoting patient rights, safety, and well-being.
FON report:
- Nurses must be accorded the authority to practice to the maximum level of their training and education
Interdisciplinary collaboration: What does this mean?
Nurses are skilled in working collaboratively with other healthcare professionals, such as physicians, pharmacists, and allied health professionals.
IOM report:
Nurses must seek to attain higher education and training levels. An education structure that allows a continuous and smooth transition through academic levels would facilitate the attainment of higher education
What would educating nurses do?
The IOM report highlighted the importance of nursing education in equipping nurses with the skills and competencies needed in meeting their professional obligations.
FON report:
What findings influenced the employment requirements of nursing that currently need at least a BSN or an associate degree to get an entry-level job (IOM committee, 2016).
The IOM report highlighted the importance of nursing education in equipping nurses with the skills and competencies needed in meeting their professional obligations.
What does the FON report recommend the nursing curriculum reflect?
The report recommended that the nursing curriculum reflect the healthcare system changes,
for instance, teaching concepts of primary care and disease prevention as opposed to acute care treatment.
Nurses should spearhead and lead the redesigning of the healthcare system
What were new roles for nurses that were made? Why were they made?
the clinical nurse leader and care coordinators were established after the enactment of the Affordable Care Act.
Fon report: Nurses should spearhead and lead the redesigning of the healthcare system
What does the ANA require of nurses?
The ANA code of ethics requires nurses to always advocate for their patients’ rights.
Fon report: Nurses should spearhead and lead the redesigning of the healthcare system
WHAT???
Therefore, the IOM report has also influenced the professional regulations related to the discipline.
FON report:
Improved data collection procedures and infrastructures will facilitate effective workforce planning and policy development
What is an example?
Statistics projections predict the need to recruit and train an additional geriatric-specialized workforce to meet the patient population’s future demands.
FON report:
Improved data collection procedures and infrastructures will facilitate effective workforce planning and policy development
ex;
Statistics projections predict the need to recruit and train an additional geriatric-specialized workforce to meet the patient population’s future demands.
What was done in response about the example?
In response, the Eldercare Workforce Alliance constituting of thirty-one national organizations was enacted to support the training of the nurses within the geriatric specialty.
QSEN Competencies:
What is the overall goal for the QSEN Competencies?
The overall goal for the Quality and Safety Education for Nurses (QSEN) project is to meet the challenge of preparing future nurses who will have the knowledge, skills and attitudes (KSAs) necessary to continuously improve the quality and safety of the healthcare systems within which they work
QSEN Competencies for Higher-Quality, Safe Nursing Care
Includes what (What are the competencies?)
Safety
Treatment and Collaboration
Quality Improvement
Patient-centered care
Informatics
Evidence-Based Practice
QSEN Competencies
Safety: What must be done to promote safety?
Minimize risk of harm to patients and providers through both system effectiveness and individual performance.
QSEN Competencies
Safety: What should you value?
Value your own role in preventing errors.
What is the definition of safety?
Minimizes risk of harm to patients and providers through both system effectiveness and individual performance.
What are examples of ways to accomplish safety?
Wrist bands
Clutter free environment
Patient equipment
Time out
Medication reconciliation
Bed alarms
Hourly rounding
SBARR
Handwashing
QSEN Competencies:
Teamwork and collaboration: What does this mean?
Function effectively with nursing and interprofessional teams, fostering open communication, mutual respect, and shared decision making to achieve quality patient care
QSEN Competencies:
Patient-centered care
Recognize the patient or designee as the source of control and full partner in providing compassion and coordinated care.
QSEN Competencies:
Patient-centered care- What is it based on?
Based on respect for patient’s preferences, values, and needs.
Provide care with respect for diversity
QSEN Competencies:
Patient-centered care- Who does it involve (in addition to the patient)?
Involve family, & friends
QSEN Competencies:
Quality improvement: What is done to achieve this?
Use data to monitor the outcomes of care processes and use improvement methods to design and test changes to continuously improve the quality and safety of health care systems
QSEN Competencies:
Evidence-based practice: What is it?
Integrate best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health care.
QSEN Competencies:
Evidence-based practice: What is appreciated?
Appreciate importance of regularly reading relevant journals
QSEN Competencies:
Informatics: What is it?
Use information and technology to communicate, manage knowledge, mitigate error, and support decision making
QSEN Competencies:
Informatics: What does it include?
Navigate an EHR
Protect confidentiality
What does ISBAR include?
Identify
Situation
Background
Assessment
Recommendation
Hospital National Patient Safety Goals (NPSG) 2024:
What is the purpose of this?
The purpose of the National Patient Safety Goals is to improve patient safety.
Hospital National Patient Safety Goals (NPSG) 2024:
What is the goals focus on?
The goals focus on problems in health care safety and how to solve them.
Hospital National Patient Safety Goals (NPSG) 2024:
For 2024, its list of patient safety goals includes the following:
- Identify patients correctly.
- Improve staff communication.
- Use medicines safely.
- Use alarms safely.
- Prevent infection.
- Identify patient suicide risks.
- Improve health care equity.
- Prevent mistakes in surgery.
What is the joint commission?
The Joint Commission is an independent, not-for-profit organization that advocates for patient safety issues across the United States.
It evaluates and accredits over 22,000 domestic health care organizations and programs.
Hospital National Patient Safety Goals (NPSG) 2024
Goal 1: Identify patients correctly- What does the Joint Commission recommend?
The Joint Commission calls for healthcare organizations to always use at least two ways to identify patients — typically the patient’s name and date of birth.
Hospital National Patient Safety Goals (NPSG) 2024
Goal 2: Improve staff communication
- What does the Joint Commission recommend?
The Joint Commission’s second patient safety goal is all about communication.
The guidance encourages teams to communicate better with each other when delivering results — specifically, to “get important test results to the right staff person on time.”
Hospital National Patient Safety Goals (NPSG) 2024
Goal 3: Use medicines safely.
The Joint Commission’s third goal has three sub-goals involving the safe use of medications:
Label un-labeled medicines where medicines and supplies are kept.
Take extra care with blood thinners.
Record and pass along correct patient medication information,
Hospital National Patient Safety Goals (NPSG) 2024
Goal 4: Use alarms safely: What does joint commission recommendation?
The Joint Commission’s fourth goal specifies that alarms on medical equipment must be heard and responded to on time.
Hospital National Patient Safety Goals (NPSG) 2024
Goal 4: Use alarms safely:
Alarms serve a key communication purpose. What do they do?
They convey critical information from monitoring devices about potentially harmful situations that a person might not be able to observe.
Hospital National Patient Safety Goals (NPSG) 2024
Goal 4: Use alarms safely:
When alarms malfunction, are not heard, or fail to work as intended, what happens?
when alarms malfunction, are not heard, or fail to work as intended, care teams and patients may not receive the intended signals.
Hospital National Patient Safety Goals (NPSG) 2024
Goal 5: Prevent infection
What does this goal reinforce?
The fifth patient safety goal reinforces hand cleaning guidelines from the Centers for Disease Control and Prevention (CDC) and the World Health Organization (WHO).
Hospital National Patient Safety Goals (NPSG) 2024
Goal 5: Prevent infection
What does the Joint Commission recommend?
The Joint Commission recommends that healthcare organizations assess their compliance with CDC and/or WHO guidelines, establish a safety program that includes a hand hygiene policy, foster a culture of hand hygiene, monitor compliance, and provide feedback.
Hospital National Patient Safety Goals (NPSG) 2024
Goal 6: Identify patient suicide risks
What does this goal state?
The guidance for this goal lists several ways to mitigate suicide risk for patients
Hospital National Patient Safety Goals (NPSG) 2024
Goal 6: Identify patient suicide risks.
The guidance for this goal lists several ways to mitigate suicide risk for patients. This includes:
including conducting an environmental risk assessment,
monitoring at-risk patients,
and using safe transportation procedures when moving patients.
Also recommended:
Screen patients being treated for behavioral health conditions using a validated screening tool.
Document risk levels and create mitigation plans for each patient.
Provide training and regular assessment of staff caring for at-risk patients, monitoring patients, or providing counseling and follow-up.
Evaluate policies regularly to implement improvements.
Hospital National Patient Safety Goals (NPSG) 2024
Goal 7: Improve health care equity
What does this goal aim to do?
Aims to ensure that everyone has a fair and just opportunity to achieve their highest level of health.
Hospital National Patient Safety Goals (NPSG) 2024
Goal 8: Prevent mistakes in surgery
What does this mean?
Making sure the correct surgery occurs on the correct patient in the correct place on the body requires not only mindful work but also good communication.
Staff must be ready to speak up, confirm information, and ask questions when needed.
QSEN 60 Second Situational Assessment includes:
ABC without touching patient
Tubes and Lines
Respiratory Equipment
Patient Safety Survey
Environmental Survey
Sensory
Examples of situational awareness in nursing practice include:
Slide 19 notes
Nurse Practice Act:
What does the act outline.
The act outlines the scope of practice, licensure requirements, and regulations for registered nurses (RNs) and licensed practical nurses (LPNs) in New York.
Nurse Practice Act:
Who does it serve to protect? How?
Serves to protect the public by ensuring that nurses meet specific educational and competency standards and adhere to professional conduct guidelines.
Nurse Practice Act:
What is included:
Licensure requirements:
Scope of practice:
Standards of care:
Supervision and delegation:
Disciplinary actions:
Nurse Practice Act:
Licensure requirements: What does the NPA outline?
The act outlines the qualifications and requirements for obtaining and maintaining a nursing license in the state of New York, including educational prerequisites, examination criteria, and ongoing continuing education obligations.
Nurse Practice Act:
Scope of practice:
The act defines the scope of practice for RNs and LPNs in New York, delineating the specific tasks and responsibilities that nurses are authorized to perform within their respective roles.
Nurse Practice Act:
Standards of care:
The act establishes the standards of care that nurses must adhere to when providing patient care.
Nurse Practice Act:
Standards of care: What does it outline?
It outlines the expectations for maintaining patient safety, confidentiality, and ethical conduct.
Nurse Practice Act:
Supervision and delegation:
The act may provide guidelines on the supervision and delegation of nursing tasks, specifying the circumstances under which nurses can delegate certain responsibilities to other healthcare team members.
Nurse Practice Act:
Disciplinary actions: What does it outline?
The act outlines the procedures and penalties for disciplinary actions against nurses who violate the provisions of the Nurse Practice Act.
Nurse Practice Act:
Disciplinary actions: What does the NPA ensure?
It ensures accountability and protects the public from incompetent or unethical nursing practice.
Why do different states have different Nurse Practice Acts?
Different states have different Nurse Practice Acts because the regulation of healthcare professions, including nursing, falls under the jurisdiction of individual state governments in the United States.
What does each state have the authority to do?
Each state has the authority to establish its own laws and regulations to govern the practice of nursing within its borders
Important skills for nurses to know in order to excel in leadership and management roles
Communication
Decision Making
Critical Thinking
Problem Solving
Teamwork and collaboration
Time Management
Important skills for nurses to know in order to excel in leadership and management roles
Communication: What is this crucial for?
is crucial for nurses in leadership and management positions.
Important skills for nurses to know in order to excel in leadership and management roles
Decision-making: What does decision making skills involve?
Nurses in leadership roles often face complex decisions.
Decision-making skills also involve considering ethical and legal implications and involving relevant stakeholders.
Effective leaders and managers must possess strong decision-making skills. They should be able to analyze complex situations, gather relevant information, consider various alternatives, and make informed choices that align with organizational goals and patient outcomes
Important skills for nurses to know in order to excel in leadership and management roles
Critical thinking: What does it involve?
involves the ability to think critically and analytically, identify problems, and propose creative solutions.
Important skills for nurses to know in order to excel in leadership and management roles
Critical thinking: How are critical thinkers?
Critical thinkers are open-minded, question assumptions, and make decisions based on logic and evidence rather than personal biases.
Important skills for nurses to know in order to excel in leadership and management roles
Problem-solving
Problem-solving skills involve identifying issues, gathering relevant data, analyzing the root causes, and implementing effective solutions.
Important skills for nurses to know in order to excel in leadership and management roles
Problem-solving: What does this skill require?
This skill requires a systematic and logical approach to address and resolve problems.
Important skills for nurses to know in order to excel in leadership and management roles
Teamwork and Collaboration: What does it involve?
involves working effectively with other healthcare professionals, respecting diverse perspectives, and fostering a supportive and inclusive team environment.
What are keys to time management?
Planning ahead
Unplug
Communication
Decision Making
Embrace Breaks
Minimize Distractions
Self-Awareness
Important skills for nurses to know in order to excel in leadership and management roles
Time management
Time management skills involve prioritizing tasks, organizing workflow, setting goals, and efficiently utilizing time and resources.
Effective time management helps nurses maintain productivity, manage stress, and provide timely and effective care.
A Successful leadership and management in healthcare require:
strong decision-making, problem solving, critical thinking and clinical reasoning skills.
