Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
45 Cards in this Set
- Front
- Back
|
What group is identified by AHRQ as the disparities group
|
Racial and ethnic minorities and those with low socioeconomic status
|
|
|
Nursing’s Code of Ethics |
Adopted by the International Council of Nursing in 1953, based on four principle elements (name the four) related to nurses and people, practice, the profession, and coworkers. These are used to guide nursing conduct. |
|
|
What is the California Nurse Practice Act
|
The statutory law governing nursing practice in California. It administers the law in CA. Protects the safety of the public by initially and continuously licensing only competent nurses. |
|
|
What are the Quality and Safety Education for Nurses 6 competency areas
|
Patient centered care Evidence-based practice Quality improvement Teamwork and collaboration Safety Informatics |
|
|
Benner’s Stage of Professional development: NOVICE
|
lack of knowledge & experience, facts & rules for practice is focus, acquire knowledge 7 skill, remembering the rules |
|
|
Benner’s Stage of Professional development: ADVANCED BEGINNER
|
formulate principles that dictate actions, lack experience in complex situations, req guidance, new grads |
|
|
Benner’s Stage of Professional development: COMPETENT
|
ability to analyze problems & prioritize, solid grasp of rules and principles, experience in clinical situations and can on draw prior knowledge and experience, ability to plan and alter plans, Cohen's stage of dependence/mutuality corresponds to this stage |
|
|
Benner’s Stage of Professional development: PROFICIENT
|
Grasps the situation contextually and as a whole, solid experience that sheds light on variations of the norm, incorporates into practice knowledge and to test knowledge to solve problems with alternative approaches, test rules and theories, "break the rules" |
|
|
Benner’s Stage of Professional development: EXPERT
|
Moved beyond a fix set of rules, internalized understanding grounded in a wealth of experience as well as depth of knowledge, always learning and always questioning using subjective and objective knowing, not all nurses can obtain this stage
|
|
|
Strategies to improve the image of nursing
|
- educate the public - avoid using nursing jargon - Share your story of nursing, - accept thanks - deal with the fear of physicians - respect patient confidentiality |
|
|
CINHL
|
cumulative index of nursing ad allied health literature- this is the authoritative resource, 1700 current nursing and allied health journals and publications |
|
|
MEDLINE
|
created by the National Library of Medicine is the largest biomedical literature database that provides authoritative medical information of nursing, medicine, dentistry, vet medicine, the health care system and preclinical sciences |
|
|
Cochrane
|
online collection of 6 databases with “independent high-quality evidence for healthcare decision making” funded for free for many countries |
|
|
ERIC
|
educational resource information center, supported by the us department of education, the national library of education and the office of educational research and Improvement. 2200 digests |
|
|
Health Source
|
nursing/academic edition, 50 scholarly texts, 450 peer reviewed
|
|
|
Psychinfo
|
2 million citations and summaries all in psychology
|
|
|
Betty Neuman
|
Founder of Systems Model Theory. Model based on general systems theory in which the client system is exposed to stressors from within and without the system. Focus is on the client system in relationship to stressors.
|
|
|
Afaf Melesis
|
Founder of the Transitions theory. Clients in transition tend to be more vulnerable to risks that may in turn affect their health. Uncovering these risks may be enhanced by understanding the transition process. (Middle range theory)
|
|
|
Sister Callista Roy
|
The environment consisted of all internal and external influences that effect the human being. Founder of the adaptation model. 3 questions: Who is the focus of nursing care? What is the target of nursing care? When is nursing care indicated? Four components: person, health, environment, and nursing. Six-step nursing process:1.The first level of assessment, which addresses the patient's behavior2.The second level of assessment, which addresses the patient's stimuli3.Diagnosis of the patient4.Setting goals for the patient's health5.Intervention to take actions in order to meet those goals6.Evaluation of the result to determine if goals were met
|
|
|
Roy Adaptation Model
|
a complex nursing model postulating that human beings have the ability to adapt to changes in the environment.87 Adaptation or coping with environmental change occurs through maintaining 4 subsystems: (1) physiologic needs, (2) self-concept, (3) interdependence, and (4) role function. For nursing, the goal is to use this model to guide health promotion and adaptation to illness. The model postulates that focal, contextual, or residual stimuli can be manipulated to promote adaptation based on stage of personal development, family development, and culture.87 Adaptation responses can be effective or ineffective depending on the mode of adaptation. Effective adaptation responses are thought to promote integrity of the human system
|
|
|
What is the University of California San Francisco (UCSF) System Management Theory (SMT)?
|
Symptom management is a challenging experience for patients, families and health care professionals, developed by nursing faculty from the University of California San Francisco’s Center for Symptom Management, The conceptual model is based on the premise that a symptom is a subjective experience of a biophysical function, cognition, or sensation. Symptom management strategies are actions that overcome or stop the negative outcomes from the symptoms through medical or self-care interventions such as assessment and treatment.
|
|
|
3. What is the Pipers Integrates Fatigue Model (IFM)?
|
|
|
|
What is Continuous Quality Improvement (CQI)?
|
A structured organizational process that involves personnel in planning and implementing the continuous flow of improvements in the provision of quality health care that meets or exceeds expectations
|
|
|
Common set of characteristics of CQI
|
• link to key elements of the organization’s strategic plan• quality council composed of the organizations leadership • mechanisms for the selection of improvement opportunities• application of current and rigorous techniques of scientific method and statistical process control• training programs for personnel• formation of process improvement teams• staff support for process analysis and redesign• policies that motivate and support staff participation in process improvement • application of current and rigorous techniques of scientific method and statistical process control
|
|
|
National Quality Forum
|
not-for-profit, nonpartisan, membership-based organization that works to catalyze improvements in healthcare, measures and standards serve as a critically important foundation for initiatives to enhance healthcare value, make patient care safer, and achieve better outcomes.
|
|
|
Institute for Healthcare Improvement (IHI)
|
committed to redesigning health care into a system without errors, waste, delay, and unsustainable costs
|
|
|
Nurse managed clinics
|
Led by advanced practice nurses (NP), provide primary care, health promotion services, and disease prevention services to patients least likely to receive ongoing healthcare services. Most care is preventative measures. They include patients of all ages who are uninsured, underinsured, living in poverty or members of racial and ethnic minorities.
|
|
|
clinical judgement
|
clinician's experience and knowledge in assessment , diagnosis, planning, intervention, and evaluation
|
|
|
critical thinking
|
think in a systematic and logical manner, solve problems, make decisions, and establish priorities
|
|
|
case management
|
timeframe for expected outcome to provide consistent care, continuous process improvement
|
|
|
Complementary medicine
|
refers to an approach that combines conventional medicine with less conventional options
|
|
|
Agency for Healthcare Research and Quality
|
AHRQ
|
|
|
What is bundling care?
|
A listing of care criteria necessary to reduce infections such as checklist or graph for nurses to use at the bedside.
|
|
|
Team nursing
|
Long term stay facilities- 1 RN, 2 LVNs, 5 CNAs
|
|
|
Total patient care
|
1 RN all aspects of care (ICU)
|
|
|
Roles of the Professional Nurse
|
Care giver, Advocate, Leader, Manager, Educator
|
|
|
Alternative medicine
|
does not use conventional methods or medicine
|
|
|
What is a nurse's role in regards to complementary and alternative medicine?
|
secure an accurate assessment of the patients needs and circumstances. Nurse needs to understand the different treatments a patient proposes. Nurses need to provide a safe, trusting atmosphere where patients feel free to discuss their healthcare routines and preferences.
|
|
|
Nursing informatics
|
Integrates nursing, computer, and information science to manage and communicate data, info, and knowledge in nursing practice. Facilitates all of that to support patients, nurses, and other providers in their decision making. Accomplished thru use of info structures, info processes, and info tech.
|
|
|
TIGER
|
Technology Informatics Guiding Education Reform- teams identified resources, references, gaps, and areas that need further development, and provide recommendations for industry to accelerate adoption of IT for nursing.
|
|
|
Magnet
|
an award given by the American Nurses' Credentialing Center(ANCC) - nursing delivers excellent patient outcomes - nurses have a high level of job satisfaction - where there is a low staff nurse turnover rate and appropriate grievance resolution. - lower mortality rates. - recognition from the community |
|
|
Culturally competent
|
ability to interact effectively with people of different cultures
|
|
|
What are strategies for safety of nurses and patients during nurse fatigue?
|
- regular and predictable schedulelimiting work - weeks to 40 hours within 7 days and work shifts to 12 hourseliminate overtime10 consecutive hours per day off for sleepuninterrupted rest breaks, naps - learning how to manage stress - leave their personal life stresses at home - do not self medicate - work in a safe environment |
|
|
What is professional boundaries? What is therapeutic nurse‐patient relationship?
|
Professional boundaries- Appropriate professional behavior that serves to maintain trust between patients and nurses and to maintain nurses’ good standing within their profession. Nurse-patient relationship- power, choice, and trust concepts…asymmetry power of nurse must make sure NOT influencing decisions of patients. Patient must be given complete info to make choices. Violations of nurse in this boundary involves gifts, intimacy (sexual or violation of confidentiality), limits, neglect, abuse, and restraints (chemically, physically, or environmentally) |
|
|
What is consisted of Team Strategies and Tools to Enhance Performance and Patient Safety?
|
a teamwork system developed jointly by the Department of Defense (DoD)and the Agency for Healthcare Research and Quality (AHRQ) to improve institutional collaboration and communication relating to patient safety, improving communication and teamwork skills - SBAR, Call-out, & Check-out |
