Week 11 : Managing Care – Flashcards
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Identify different qualities, skills, styles of leaders.
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Qualities: Charismatic, Dynamic, Enthusiastic, Poised, Confident, Self-directed, Flexible, Knowledgeable, Politically aware Skill: Commitment to excellence, Problem-solving skills including a clear vision and strategic focus that allow movement forward toward a creative solution (see the accompanying Nursing Advocacy in Action display), Commitment to and passion for one's work, Trustworthiness and integrity, Respectfulness, Accessibility, Empathy and caring, Responsibility to enhance the personal growth of all staff Styles: Autocratic leadership, democratic leadership, laissez-faire leadership, quantum leadership theory
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Differentiate among the types of nursing care delivery models.
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Functional nursing, Team nursing, Total care or care nursing, Primary nursing, Case management, Patient-centered and patient-focused care, Collaborative practice models
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Identify ways to effectively promote change.
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Everyone must be on board with the change including the patient. Take into account who all will be affected, are they ready for the change?
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Describe the elements of centralized and decentralized decision making and the purpose of each.
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In a centralized management structure, senior managers generally make decisions. Those further down in the hierarchy of the organization are often responsible for implementing decisions into which they had little input. In a decentralized management structure, on the other hand, decisions are made by those who are most knowledgeable about the issues being decided. Nurses are thus intimately involved in decisions concerning patient care.
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Describe scope of practice and the importance of knowing and understanding the definition.
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The scope of practice describes the procedures, actions, and processes that one is permitted to undertake in keeping with the terms of their professional license. It is important to know and understand scope of practice because if one does not follow their scope of practice, it can cause them to be in trouble.
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Functional Nursing
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An organizational mode for assigning nursing personnel that is task- and activity oriented, using auxiliary health worker strained in a variety of skills. Each person is assigned specific functions performed for all patients in a given unit, and all report to the head nurse.
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Team Nursing
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Team nursing is a model in which a group of healthcare professionals, including nurses, care for a group of patients in the acute care or inpatient setting. (Acute care, also known as critical care, is when nurses help patients confronting life-threatening issues.)
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Total Care or Care Nursing
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Where long-term care facilities for residents are responsible for meeting all the needs of a resident.
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Primary Nursing
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Primary Nursing is a care delivery system that supports professional nursing practice. Within Primary Nursing, a therapeutic relationship is established between a registered nurse and an individual patient and his or her family. The relationship is initiated by the RN and is in effect for an episode of care or service.
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Case Management
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Case management is a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual's and family's comprehensive health needs through communication and available resources to promote quality, cost-effective outcomes.
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Patient Centered and Patient Focused Care
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Patient-centered care is a method of care that relies upon effective communication, empathy, and a feeling of partnership between doctor and patient to improve patient care outcomes and satisfaction, to lessen patient symptoms, and to reduce unnecessary costs.
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Collaborative Practice Models
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Communication, sharing, and problem solving between the physician and nurse as peers; this pattern of practice also implies a shared responsibility and accountability for patient care.