question

Influences on perception

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Individual personality, environment, culture

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Component of time management

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Goal setting, priority determination, daily planning, delegation, limiting losers, evaluation, analysis

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Short term vs long term: how to determine goals

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Professional shift by shift, make lists, tickler file, schedule blocks

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Make a list

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Priority, importance, time needed, your availability

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Tickler file

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Keep track of approaching deadlines, due dates

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Schedule blocks

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Tasks, flow sheets, group tasks together

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Setting limits

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Say no, don't do unnecessary work

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Unnecessary work

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Beds, some baths,duplicate charting, too much socialization, gather all equiptment, one trip, use intercom, encourage patient care independence

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Priority determination

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Use maslows hierarchy of needs

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Maslows hierarchy of needs

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Physiological drives, safety and security needs, belonging needs, esteem and ego needs, self actual inaction needs

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Prioritization

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Based on application of maslows theory, urgent or not, recognizing the essential activities, safety and well being, discretionary needs

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Safety and well being needs are

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Meds on time, treatments, dressing changes, comfort needs are met, prevention from actual injury

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Discretionary needs are

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Baths, personal care, linen changes, documentation, charting, extra patient grooming needs, cleaning up the rooms

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Urgent needs are

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Physiological needs, safety and security needs

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No urgent needs are

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Belonging, esteem and self actualization

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1st order do prioritization by EF Wywialowski

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Threats of patients immediate survival/safety

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2nd order do prioritization by EF Wywialowski

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Actual or potential problems pt or family has asked for immediate help, relief of pain, nausea, bladder and bowel needs

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3rd order do prioritization by EF Wywialowski

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Actual or potential problems pt or family does not recognize (cognitive dysfunction from sedation)

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4th order do prioritization by EF Wywialowski

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Actual or potential problems pt or family may need help in the future

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The extras to prioritize as well

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Time to spend: talking with the family and patient, teaching and listening, learn a new skill, decrease anxiety of family/pt, what you find most professionally and personally satisfying

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Daily planning

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The to do list, streamlining, look further into patients that don't "look good"

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Six aims of crossing the chasm: STEEP

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safe, timely, efficient, equitable, effective, patient

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Safe

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Facilitates care safe as at home

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Timely

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No waits or delays, to get pt out of hospital

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Efficient

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Cost effective, no waste, equiptment, supplies, ideas or energy

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Equitable

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Evidence based as standard

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Effective

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Unequal treatment in the past for everyone

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Patient

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Centered, revolve around the patient, preferences, patient in control

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Delegation

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Efficient time management tool, assign tasks, determine expected results, grant authority to individual to accomplish tasks, very difficult leadership skill for nurses to aquire

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Limiting losers

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Time is a valuable resource, recognize the time wasters to guard against them, time losers, time wasters

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Time losers and wasters

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Doing too much, just say no, procrastination, complaining, perfectionism, interruptions, disorganization, information overload

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Doing too much

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3-4 projects at the same time, thinking about future events that do not apply to the current task, if you think you have too much to do you probably do, should have fewer projects going at once, concentrate on one at a time, complete one then move on after full attention

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Just say no

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Overload from not being able to say no, when someone asks you to do something you need to stop and consider the request, do not accept a request that you can never accomplish,say no, delegate, or negotiate tasks

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Procrastination

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Put off tasks that are not enjoyable, find excuses for not starting or completing a task, doing one thing when you should be doing something else, not wanting to begin or knowing where to begin, or how to begin

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How to deal with procrastination

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Identify the reason and make it your highest priority for the next day, give yourself a reward for a completion, break it down into manageable pieces, select least attractive part to do first

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Complaining

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Can take up the time needed to solve the problem, better to ask what is the solution and do it, better to talk directly to the person and suggest a solution

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Perfectionism

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Tendency to never finish because it's never perfect, give permission to do slightly less than perfect, still your best

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Interruptions

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Strategy to prevent and control these, resume doing it now, maintain attitudes that these are part of your duties

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Tips

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Chart in place less accessible, be comfortable saying no, plan to accomplish highest prioroty time consuming tasks early, develop plan for the day and stick to it, recognize crisis and interruptions as part of your day and plug them, be aware of your own time wasters

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Disorganization

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Organization is a process not a product, not the goal, but a means to achieve it, simple guidelines

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Simple guidelines for organization

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Eliminate clutter, keep everything in place, do similar tasks together

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Information overload

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Too much,too fast, too often

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scientific, research evidence, significance, predication that helps with information overload

answer

by learning what information is important, you can learn to use it to your advantage

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Evaluation analysis and time analysis

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Time log, entry every 15-30min activity once you see how large amounts of time are spent, you will be better able to eliminate or reduce lost time

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Crisis is an opportunity in disguise

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Don't worry about things you can't control more energy to maintain positive. Perspective and move projects forward

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Pagana's student list

answer

Ommission by decision- deciding what not to do, learn to say no, refusal bc of time restraints and prioritization, blocking interruptions, visitors and phone, program blocks of time for large projects, organize work space, med carts and charting

question

relevance/ accuracy that helps with info overload

answer

develop data receiving skills, inf. is simply a tool to use to plan action on making decisions

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Gaps that affect info overload

answer

not the skills to interpret into useful information

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