Professional Growth and Empowerment – Professionalism and Career Quiz – Flashcards
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Reasons for Changes in Healthcare Delivery System
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Population shifts Cultural diversity Patterns of diseases Advances in technology Economic changes
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Models of Patient Care
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Functional Nursing Team Nursing Total Patient Care Primary Care Case management
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Functional Nursing
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One nurse is assigned to meds, one to vitals, one to assessments, etc...
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Team Nursing
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Small team of professionals is assigned to a small team of patients; each person on the team is responsible for each of the patients; Ex. Med-surg
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Total Patient Care
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One nurse is responsible for all of the patient care during an eight hour shift; Ex. Critical Care
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Primary Care
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One nurse is responsible for all patient care for duration of the stay or longer;
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Case Management
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One nurse coordinates the actions of other healthcare providers on an interdisciplinary team; Hospice, recipe patients; uses critical pathways
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Halo Effect
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overrating an employee's total performance based on a single positive event
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Horns Effect
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underrating an employee's total performance based on a single negative event
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Five Characteristics of a Profession
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1. Systematic Theory (from internal and other disciplines) 2. Authority (given by client) 3. Community Sanction (Indiana Nurse Practice Act) 4. Ethical Codes (ANA Code of Ethics) 5. Professional Culture formal and informal groups)
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Nine Characteristics of Nursing
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1. Educational Background 2. Adherence to code of ethics 3. Participation in the professional organization 4. Continuing education and competency 5. Communication and publication 6. Autonomy and self-regulation 7. Community service 8. Use, development, and evaluation of theory 9. Research involvement
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Nursing Values
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Commitment to public service Autonomy Commitment to lifelong learning and education Belief in the dignity and worth of each person
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Empowerment
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occurs through knowledge and research
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Benner Stages
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Novice Advanced Beginner Competent Proficient Expert
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Novice
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Characterized by a lack of knowledge and experience Facts, rules, and guidelines are focus Remember the rules
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Advanced Beginner
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Able to formulate principles that dictate action Lack experience to prioritize, adjust, or adapt rules
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Competent
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able to analyze problems, prioritize, plan, alter plans, and draw on prior knowledge
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Proficient
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able to grasp entire situation contextually; grasp on norms of group and experiences with variation from norms, tests rules and theories; develops alternative rules and theories; sometimes breaks rules
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Expert
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beyond fixed set of rules, internalized understanding grounded in wealth of experience and deep knowledge
