Issues In Nursing

Front 1

Managed care

Back 1

Strategies in the health care delivery system that reduce the cost of health care

Front 2

Case management

Back 2

Supports managed care. Uses interdisciplinary approach. Includes assessment & development of plan of care, coordination of all services, referral and follow-up

Front 3

Critical pathway

Back 3

Clinical managment care plan for providing client-centered care and for plannining & monitoring the clients progress within a given time frame

Front 4

Variation analysis

Back 4

devetions or detours from a critical pathway are variances

Front 5

Postive variance

Back 5

Client achieves max benefit & is discharged earlier than crtical patway

Front 6

Negative variance

Back 6

Untoward events prevent timely discharge

Front 7

Caremap

Back 7

Caremap is model for critical pathway

Front 8

Functional nursing

Back 8

task approach to client care

Front 9

Team nursing

Back 9

team is led by RN who is responsible for assessing, diagnosing, planning and evaluating.

Front 10

Relationship based practice

Back 10

One primary nurse is responsible for client care

Front 11

Client-focused care

Back 11

total care/case method. Client may have different nurses in 24h period, however nurse provides all care during assigned time.

Front 12

Leadership

Back 12

Interpersonal process involves influencing others to achieve goals

Front 13

Management

Back 13

Accomplishment of goals by oneself or by directing others

Front 14

Autocratic

Back 14

Manager maintains strong control. Dominates & commands.

Front 15

Democratic

Back 15

Participative. Facilitates.

Front 16

Laissez-faire

Back 16

Passive, non-directive, inactive approach. Relinquishes all or part of responsibility to the group

Front 17

Situational

Back 17

Uses a combination of managment styles

Front 18

Bureaucratic

Back 18

Individuals are motivated by external sources

Front 19

Functions of management

Back 19

Planning, organizing, directing, controlling

Front 20

Problem-solving process

Back 20

1. Identify problem, collect date 2. Determine exact nature of problem 3, decide plan of action 4. carryout plan 5. evaluate

Front 21

Frontline manager

Back 21

supervisory role closely identified with delivery of patient care

Front 22

Middle manager

Back 22

Includes unit manager and supervisor

Front 23

Nurse executive

Back 23

Top-level nursing managmer. Supervises numerous departments eg. director of nursing services or vice-president for client care services

Front 24

Power

Back 24

Ability to do or act to achieve desired results

Front 25

Types of power

Back 25

1. Reward 2. coercive 3. referant 4. expert 5. Legitimate 6. Personal 7. Informational

Front 26

Empowerment

Back 26

Interpersonal process of enabling others to do for themselves

Front 27

Mission statement

Back 27

Communicates reason for organizations existance

Front 28

Organizational chart

Back 28

Depicts how activities are arranged, authority channels. communication channels

Front 29

Policies

Back 29

Guidelines that define the organizations standpoint

Front 30

Procedures

Back 30

Based on policy and define method for task

Front 31

Protocols

Back 31

Prescribe a specific course of action for a specific client problem

Front 32

Centralization

Back 32

decision making by few individuals at the top of the organization

Front 33

Decentralization

Back 33

Distribution of authority throught organization

Front 34

Evidence based practice

Back 34

Nurse integrates the clients preferences, clinical expertise, and the best research evidence

Front 35

Quality improvment

Back 35

focuses on processes or systems that significantly contribute to client safety and effective client care outcomes

Front 36

Retrospective audit

Back 36

"looking back" used to inspect medical records after discharge for compliance with standards

Front 37

Concurrent audit

Back 37

"at the same time" inspects compliance of nurses with predetemined standards and criteria during the clients stay