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37 Cards in this Set

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Managed care
Strategies in the health care delivery system that reduce the cost of health care
Case management
Supports managed care. Uses interdisciplinary approach. Includes assessment & development of plan of care, coordination of all services, referral and follow-up
Critical pathway
Clinical managment care plan for providing client-centered care and for plannining & monitoring the clients progress within a given time frame
Variation analysis
devetions or detours from a critical pathway are variances
Postive variance
Client achieves max benefit & is discharged earlier than crtical patway
Negative variance
Untoward events prevent timely discharge
Caremap
Caremap is model for critical pathway
Functional nursing
task approach to client care
Team nursing
team is led by RN who is responsible for assessing, diagnosing, planning and evaluating.
Relationship based practice
One primary nurse is responsible for client care
Client-focused care
total care/case method. Client may have different nurses in 24h period, however nurse provides all care during assigned time.
Leadership
Interpersonal process involves influencing others to achieve goals
Management
Accomplishment of goals by oneself or by directing others
Autocratic
Manager maintains strong control. Dominates & commands.
Democratic
Participative. Facilitates.
Laissez-faire
Passive, non-directive, inactive approach. Relinquishes all or part of responsibility to the group
Situational
Uses a combination of managment styles
Bureaucratic
Individuals are motivated by external sources
Functions of management
Planning, organizing, directing, controlling
Problem-solving process
1. Identify problem, collect date 2. Determine exact nature of problem 3, decide plan of action 4. carryout plan 5. evaluate
Frontline manager
supervisory role closely identified with delivery of patient care
Middle manager
Includes unit manager and supervisor
Nurse executive
Top-level nursing managmer. Supervises numerous departments eg. director of nursing services or vice-president for client care services
Power
Ability to do or act to achieve desired results
Types of power
1. Reward 2. coercive 3. referant 4. expert 5. Legitimate 6. Personal 7. Informational
Empowerment
Interpersonal process of enabling others to do for themselves
Mission statement
Communicates reason for organizations existance
Organizational chart
Depicts how activities are arranged, authority channels. communication channels
Policies
Guidelines that define the organizations standpoint
Procedures
Based on policy and define method for task
Protocols
Prescribe a specific course of action for a specific client problem
Centralization
decision making by few individuals at the top of the organization
Decentralization
Distribution of authority throught organization
Evidence based practice
Nurse integrates the clients preferences, clinical expertise, and the best research evidence
Quality improvment
focuses on processes or systems that significantly contribute to client safety and effective client care outcomes
Retrospective audit
"looking back" used to inspect medical records after discharge for compliance with standards
Concurrent audit
"at the same time" inspects compliance of nurses with predetemined standards and criteria during the clients stay