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22 Cards in this Set
- Front
- Back
What is the difference between leadership and management?
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-Leadership refers to a shared vision, values, organizational strategy, and relationships
-Management most often refers to the competencies required to ensure the day-to-day delivery of nursing care according to available resources and standards of professional practice |
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What is the definition of collaborative practice?
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- working together toward mutually identified goals while valuing different perspective and accountabilities of individual team members
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What are the entry-level staff nurse competencies related to leadership and management
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- is accountable and responsible for own actions and decisions, including personal safety
- demonstrates leadership in providing client care by promoting healthy and culturally safe work environments - displays initiative, self-confidence, and self awareness, and encourages collaborative interactions - organizes own workload and develops time-managements skills for meeting responsibilities - integrates quality improvement principles and activities into nursing practice - uses relational knowledge and ethical principles when working with students and other health care team members to maximize collaborative client care - participates in and contributes to nursing and health care team development - supports professional efforts in the field of nursing to achieve a healthier society - demonstrates an awareness of healthy public policy and social justice - develops support networks with RN colleagues, health care team members, and community support |
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What is Continuity of Care?
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- continuity of care is defined as “a seamless continuous implementation of a plan of care that is reviewed and revised to meet the changing needs of the client”
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What are nursing care delivery models?
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- they are designs that determine how nurses provide care
Ex) functional, team, total client care and primary nursing, and case management models, and collaborative practice model |
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Functional Nursing
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- task oriented not client focused. Tasks are divided, used in severe nursing staff shortages
- can lead to fragmented care and client dissatisfaction |
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Team Nursing
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- involves the delivery of nursing care by various staff members
- encourages collaboration |
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Total Client Care
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- an RN is responsible for all aspects of care for one or more clients; this may include delegating tasks
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Primary Nursing
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- aimed to place RNs at clients’ bedsides and improve nursing accountability for client outcomes and relationships among staff
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Case Management
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- coordinates health care services and links them to clients and their families while streamlining costs and maintaining quality
- is a collaborative process which assesses, plans, implements, coordinates, monitors, and evaluates the options and services required to meet an individual’s health needs, using communications and available resources to promote quality, cost-effective outcomes |
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Collaborative Practice Model
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- used by intraprofessional nursing teams (teams whose members provide nursing care) and by other health care professionals who are members of the interprofessional team
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RNAO Best Practice Guideline: Nursing Collaborative Practice
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nursing teams establish clear processes and structures that promote collaboration and teamwork that leads to quality work environments and outcomes for clients by:
- establishing processes for conflict resolution and problem solving and to develop, achieve, and evaluate team performance - developing systems and processes to recognize and reward success - incorporating non-hierarchical, democratic working practices to validate all contributions from team members - incorporating processes that support continuity of care with clients to enhance staff satisfaction, staff self-worth, and client satisfaction - developing and implementing processes that clarity their understanding of the unique and shared aspects of roles within the teams - ensuring that the composition of the team is adequate to achieve their goals and meet their responsibilities to the needs of the client population - establishing processes for decision making for a variety of circumstances such as: emergencies, day-to-day functioning, long term planning, policy development, care planning |
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What is decentralized management?
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- where decision making occurs at the staff level – managers and staff are actively involved in shaping an organization’s identity and determining success
- the four key elements are: responsibility, autonomy, authority, and accountabillity |
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Autonomy
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The freedom of choice and responsibility for choices
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Authority to act
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The right to act in areas in which a nurse has been given and accepts responsibility according to legislation, standards, and the code of ethics governing the professional practice of nusing
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Accountability
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Being answerable for one’s actions
Accepting a commitment to provide excellent client care and the responsibility for the outcomes of actions in providing that care |
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Delegation
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-The transferring of responsibility for the performance of an activity or task while retaining accountability for the outcome
-it requires trust between the RN and UCP |
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The five rights of Delegation
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Right Task
Right circumstances Right person Right direction or communication Right supervision |
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quality improvement (QI)
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an organizational philosophy that seeks to meet clients' needs and exceed their expectations by using a structured process tat selectively identifies and improves all aspects of service
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nurse-sensitive outcome
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reveals whether interventions are effective, whether clients progress, how well standards are being met, and whehter changes are necessary
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Client Safety
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the reduction and mitigation of unsafe acts within the health care system, as well as through the use of best practices shown to lead to optimal patient safety
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why was the QWQHC (quality worklife-quality healthcare collaboration) developed?
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to transform Canadian health care delivery systems
- a fundamental way to better healthcare is through healthier health care workplaces; it is unacceptable to work in, receive care in, govern, manage and fund unhealthy workplaces |