Test 1 Study Guide Flashcards
What is managed care?
goal is to provide needed services efficiently and at an appropriate cost. It requires nurse managers to know and incorporate business principles into patient-care practices. Healthcare organization who promote quality health care at lowest cost through planning, directing, and coordinating care.
What is a critical pathway?
Patient focused documents that describe the clinical standards, necessary interventions, and expected outcomes for the patient throughout the treatment process of hospital stay. The purpose is to ensure that pts are discharged before insurance reimbursement is eliminated
What does a clinical nurse leader do?
oversees lateral integration of care for a distinct group of patients
-may actively provide direct care for complex pts
What is functional nursing?
each licensed and unlicensed staff members performs specific tasks for a large group of patients (similar to an assembly line system)
What are the 5 disadvantages to functional nursing?
- Fragmented care; task oriented
- Pt and family needs may be overlooked
- Lapses in communication
- Quality of care may be compromised; holistic view of pt may be lacking
- Frustrating to professional nurse
What is the complexity theory?
Promotes the idea that the world is full of systems that interact and adapt through relationships.
- Change is ongoing
- non-hierarchal
- Nurses must be flexible and dynamic to be in tune with the ever changing systems of people, health care, public policy, and human relationships.
What is shared governance?
a decision making structure in which staff at any level in the hierarchy are engaged in shaping policy and practices that affect patient care
-creation of organizational structures that facilitate nursing staff having more autonomy to govern their practice (trait of Magnet hospitals)
What is the matrix organizational structure?
-dual authority
Typically have more than one person responsible for the work and requires understanding both the service and the function.
structure is commonly described as having both a functional manager and a service or product-line manager.
What is decentralized organizational structure?
less formalized than hierarchal organizations, it delegates decision making (nurses make decisions at their level)
-Each employee is charged with decision-making authority to provide the best in patient care– Magnet hospitals have seen the benefits of this and its impact on both nursing satisfaction and patient outcomes
A decrease in strict adherence to rules and policies allows individualized decisions that fit specific situations
What are the 8 characteristics of a healthy work environment?
- Working with clinical, competent peers
- Collegial/collaborative nurse/physician relationships
- Clinical autonomy
- Support for education
- Perception of an adequate staff
- Supportive nurse managers
- Control of nursing practice
- Transmission and adoption of patient-centered culture
What’s the purpose of discharge planning?
It starts in the beginning of discharge, it’s continuous.
What is the purpose of the joint commission?
If you pass, you get funded, if you don’t pass, you don’t get funded (from medicare etc) (magic word is funding)
What is the NQF? What do they do?
Nurse quality forum. They go over nurse quality care standards.
How many answers are correct in the case management select all that apply?
5 options, 4 are correct
Know what Laissez-Faire is?
A policy or attitude of letting things take their own course, without interfering
