Unit Two: chapters 1, 5, 6, 8, 9

Question 1

A continuous process of measuring products, services, and practices against the toughest competitions or those customers recognized as industry leaders

Answer 1

Benchmarking

Question 2

A strategy to improve patient care and reduce hospital costs through corrdination

Answer 2

Case Management

Question 3

A case management tool that outlines the expected clinical course and outcomes for a specific patient type

Answer 3

Clinical Pathways

Question 4

A federal government- established payment system for hospitals based on diagnosis

Answer 4

Diagnostic Related Groups (DRG’s)

Question 5

The time spent providing hands on care to patients

Answer 5

Direct Care

Question 6

The measure of the work time commitment of a full- time employee

Answer 6

Full- Time Equivalent

Question 7

A care delivery model that divides nursing work into functional roles that are then assigned to individual team members

Answer 7

Functional Nursing

Question 8

The activities that support patient care but are not done directly to the patient

Answer 8

Indirect Care

Question 9

A hospital unit that provides care to patients in a hospital 24 hrs a day, 7 days a week

Answer 9

Inpatient Unit

Question 10

The average number of days a patient is hospitalized from day of admission to day of discharge

Answer 10

Length of Stay (LOS)

Question 11

A care delivery model that divides a geographical space into modules of patients with each module having a team led by an RN to care for its patients

Answer 11

Modular Nursing

Question 12

Paid time not devoted to patient care; it includes benefit time such as vacation, sick time, and education time

Answer 12

Nonproductive Hours

Question 13

A method to organize the work of caring for patients

Answer 13

Nursing Care Delivery Model

Question 14

The amount of nursing care required per patient in a 24 hrs period based on standards such as past unit needs or national benchmarks

Answer 14

Nursing Hours Per Patient Day (NHPPD)

Question 15

The measure of nursing workload that is generated for each patient based on the patients needs

Answer 15

Patient Acuity

Question 16

A patient care delivery model in which care and service are brought to the patient

Answer 16

Patient- Centered Care

Question 17

a system for identifying different patients based on their acuity, functional ability, or resource needs

Answer 17

patient classification system (PCS)

Question 18

a model of differentiated nursing practice that emphasizes quality, cost and value

Answer 18

patient- focused care

Question 19

A care delivery model that clearly delineates the responsibility and accountability of the RN and reinforces the RN as the primary provider of nursing care to patients

Answer 19

Primary Nursing

Question 20

The hrs worked by staff and available for patient care

Answer 20

Productive Hours

Question 21

The process in which unit staff take leadership in creating and monitoring the work schedule while working within defined guidelines

Answer 21

Self- Scheduling

Question 22

The percentage of RN staff to other direct care staff, LPN and NAP

Answer 22

Skill Mix

Question 23

A plan that articulates how many and what kind of staff are needed bu shift and day to staff unit or department

Answer 23

Staffing Pattern

Question 24

A care delivery model that assigns staff to teams that are then responsible for a group of patients

Answer 24

Team Nursing

Question 25

A care delivery model in which nurses are responsible for the total nursing care for their patient assignment for the shift they are working

Answer 25

Total Patient Care

Question 26

A measure of patient encounters to help in determining nursing workload

Answer 26

Units of Service

Question 27

An interactive process that occurs when a person (the sender) sends a verbal or nonverbal message to another person (the receiver) and receives feedback.

Answer 27

Communication

Question 28

An informal avenue in which rumors circulate.

Answer 28

Grapevine

Question 29

The stage that a group progresses through as it matures, consisting of the following: forming, storming, norming, performing, and adjourning.

Answer 29

Group Process

Question 30

Making something different from what it was.

Answer 30

Change

Question 31

One who is responsible for implementation of a change project.

Answer 31

Change Agent

Question 32

A disagreement about something of importance to each person involved.

Answer 32

Conflict

Question 33

The process of creating new services or products.

Answer 33

Innovation

Question 34

A theory based on five learning disciplines (personal mastery, mental models, shared vision, team learning, and systems thinking) that demonstrate responsiveness and flexibility.

Answer 34

Learning Organization Theory

Question 35

Being responsible and answerable for the actions or inactions of self.

Answer 35

Accountability

Question 36

The distribution of work that each staff member is to accomplish during a given period.

Answer 36

Assignment

Question 37

The right or ability to delegate or direct the actions of others.

Answer 37

Authority

Question 38

The ability of a person to act with and integrate the knowledge, skills, values, attitudes, abilities, and professional judgement that underpin effective, quality service.

Answer 38

Competence

Question 39

The transfer of responsibility for the performance of a task from one individual to another while retaining accountability for the outcome.

Answer 39

Delegation

Question 40

The obligation to accomplish a task or duty.

Answer 40

Responsibility

Question 41

The provision of guidance or direction, oversight, evaluation, and follow up by the person in charge for the accomplishment of a delegated task by assistive personnel.

Answer 41

Supervision

Question 42

Centralized decision- making style in which the leader makes decisions and uses power to command & control others.

Answer 42

Autocratic leadership

Question 43

Involves activities that focus on the employee and emphasize relating and getting along with people

Answer 43

Consideration

Question 44

Leadership theory that acknowledges that other factors in environment influence outcomes as much as leadership style and that leader effectiveness is contingent up on or depends upon something in addition to the leader's behavior.

Answer 44

Contingency Theory

Question 45

Style in which participation is encouraged and authority is delegated to others

Answer 45

Democratic Leadership

Question 46

A component of leadership & refers to capacity for recognizing your own feelings and those of others, for motivating yourself for managing emotions well in yourself and relationships.

Answer 46

Emotional Intelligence

Question 47

Style with a focus on the human needs of subordinates.

Answer 47

Employee- Centered Leadership

Question 48

Leadership role in which a person is in a position of authority or in a sanctioned role within an organization that connotes influence

Answer 48

Formal Leadership

Question 49

A culture and work processes that radically reduce system failures and effectively respond when failures do occur, thus helping to achieve safety, quality, and efficiency goals.

Answer 49

High Reliability Organization

Question 50

An individual who demonstrates leadership outside the scope of a formal leadership role, such as a member of a group rather than the head or leader of the group

Answer 50

Informal Leadership

Question 51

Involves an emphasis on the work to be done, a focus on the task and production

Answer 51

Initiating Structure

Question 52

Are seen as less effective bc of their focus on schedules, cost, efficiency, resulting in lack of attention to developing work groups and increase performance goals

Answer 52

Job- Centered Leaders

Question 53

Workers who are involved in serving others through their special knowledge

Answer 53

Knowledge Workers

Question 54

Process of influence whereby the leader influences others toward goal achievement

Answer 54

Leadership

Question 55

The feelings & attitudes of followers regarding acceptance, trust, & credibility of the leader

Answer 55

Leader- Member Relations

Question 56

Process of planning, organizing, coordinating, & controlling resources and staff to achieve organizational goals

Answer 56

Management

Question 57

Whatever influences one's choices and creates direction, intensity, and persistence in one's behavior

Answer 57

Motivation

Question 58

Reflect the structure, process, and outcomes of nursing care. structure of nursing care is indicated by the supply of nursing staff, the skill level of staff, and education/certification of nursing staff. process indicators measure aspects of nursing care such as assessment, intervention, and RN job satisfaction. Pt outcomes that are determined to be nursing sensitive are those that improve if there is a greater quantity or quality of nursing care (pressure ulcers, falls, and intravenous infiltration)

Answer 58

Nursing-Sensitive Indicators

Question 59

Is the degree of formal authority and influence associated with the leader

Answer 59

Position Power

Question 60

Are variables that may influence followers to the same extent as the leader's behavior

Answer 60

Substitutes for Leadership

Question 61

Refers to degree to which work is defined, with specific procedures, explicit direction, and goals.

Answer 61

Task Structure

Question 62

Traditional manager, concerned with day- to-day operations

Answer 62

Transactional Leader