Chapter 21 – Leadership and Management in Nursing

clinical pathway
Clinical management plans that specify the optimal thing and sequences of major patient care activities and interventions by the inter professional team for a particular diagnosis, procedure, or health condition and are designed to standardize care delivery; clinical pathways may also be called critical paths, practice protocols, or care maps.
clinical practice guidelines (CPG)
Recommendations for appropriate treatment and care for specific clinical circumstances; guidelines are developed through a systematic process to integrate the best evidence for treating specific medical conditions and assist health care providers to make decisions about appropriate treatment.
nursing care delivery model
Also called care delivery system or patient care delivery model; details the way work assignments, responsibility, and authority are structured to accomplish patient care; depicts which health care worker is going to perform what tasks, who is responsible, and who has the authority to make decisions.
patient acuity
Indication of the amount and complexity of care required for any particular patient; high acuity indicates a need for more intense, complex nursing care as compared with lower acuity, which indicates a need for moderate, less complex nursing care.
patient classification system
Method used to group or categorize patients according to specific criteria and care requirements and thus help quantify the patient acuity, or amount and level of nursing care needed.
patient outcome
A measurable condition that results from interventions by the health care team; a change in a person’s health care team; a change in a person’s health after treatment; outcomes may be positive such as improved mobility or improved lab values or negative such as infections, falls, or death.
staff mix
Combination of categories of workers employed to provide patient care (ex: RNs, LPNs, or licensed vocational nurses [LVNS], and unlicensed assistive personnel [UAP]).
Ensuring that an adequate number and mix of health care team members (ex: RNs, LPNs or LVNs, UAP, clerical support) are available to provide safe, quality patient care.
unlicensed assistive personnel (UAP)
An unlicensed individual who is trained to function in an assistive role to the RN by performing patient care activates as delegated by the nurse; may include nursing assistants, clinical assistants, orderlies, health aides, or other titles designated within the work setting.

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