lead final 1

Question 1

The Magnet Program doesn’t dictate

Answer 1

a specific way of doing things. Instead you have to take it upon yourself to explain why your system is good

Question 2

The Synergy Model

Answer 2

• Comprehensive approach to care

- starts with a philosophical approach to care that drives the way care is delivered

Question 3

Clinical Nurse Leader

Answer 3

This new role is designed to help staff solve problems and improve the quality of care delivered on a clinical unit.

Question 4

Functional Nursing: 3 Advantages

Answer 4

• Efficient
• Assistive personnel can be trained to perform specific tasks.
• Cost-effective

Question 5

Functional Nursing: 3 Disadvantages

Answer 5

• Communication disrupted
• Maybe too much focus on tasks instead of big picture
• Frustrating for the nurse

Question 6

Care Delivery Model: Team Nursing: 3 Advantages

Answer 6

• Cost-effective
• Decisions made at the “grass roots” level, often by staff caring for the patient
• Improved patient satisfaction

Question 7

Care Delivery Model: Team Nursing: 3 Disadvantages

Answer 7

• Relies heavily on have a good team leader
• Need adequate staff with the right skill mix
• Potential for fragmentation of care

Question 8

A goal of Nursing Case Management: Improved ___ ___

Answer 8

patient outcomes

Question 9

A goal of Nursing Case Management: Decreased

Answer 9

length of stay

Question 10

A goal of Nursing Case Management: Interfaces with ___ ___

Answer 10

multiple disciplines

Question 11

3 things that the Nurse Case Manager is responsible for

Answer 11

• Make sure the patient has access to services
• Monitor how much they are using the resources
• Monitor the outcomes

Question 12

understand that Nurse Case Managers will have a

Answer 12

manager/leader (they’re not on their own)

Question 13

Disease Management is a model of care for

Answer 13

people with chronic illnesses

Question 14

Disease Management Model of care: 3 traits

Answer 14

1. Emphasize self-care
2. Use best practice
3. Outpatient follow up

Question 15

HPPD

Answer 15

Hours per Patient Day

Question 16

UOS

Answer 16

Unit of Service

Question 17

Patient falls
Skin breakdown
Length of stay

are examples of

Answer 17

Clinical/Service indicators that are used to determine how effective the staffing is

Question 18

NHPPD
Overtime
Vacancy rate

are examples of

Answer 18

Human Resource indicators that are used to determine how effective the staffing is

Question 19

The goal of dealing with staffing issues is to use

Answer 19

available data to improve outcomes

Question 20

Key Points for Manager: Ability to deliver safe and effective care while

Answer 20

maintaining employee satisfaction

Question 21

Societal Factors Influencing the Use of Research: Rising

Answer 21

cost of health care

Question 22

Societal Factors Influencing the Use of Research: Quality

Answer 22

improvement initiatives

Question 23

Societal Factors Influencing the Use of Research: Pressures to

Answer 23

avoid errors

Question 24

Research definition

Answer 24

systematic inquiry to validate knowledge or produce new knowledge

Question 25

3 examples of Foundations for Practice Improvement

Answer 25

- Preop teaching - Preventing falls - Preventing ulcers

Question 26

Research Utilization

Answer 26

using research to make a change in practice

Question 27

Evidence-Based Practice includes consideration of

Answer 27

patients’ preferences

Question 28

Requirements for the development of an evidence-based practice include: A clearly

Answer 28

written clinical question

Question 29

Requirements for the development of an evidence-based practice include: thorough

Answer 29

search of the literature

Question 30

Requirements for the development of an evidence-based practice include: Placing evidence in the context of

Answer 30

patient, family, and community values

Question 31

EBP: One distinction from research utilization, which focuses on using a SPECIFIC research finding in practice, is that EBP

Answer 31

focuses on solving a clinical problem with a research-based solution. So EBP is more broad

Question 32

Another difference between EBP and RU is that evidence-based practice includes consideration of

Answer 32

patients’ preferences

Question 33

The best strategies for getting staff members to use a new evidence-based protocol

Answer 33

Translation of Research into Practice

Question 34

Steps in Evidence-Based Practice: (first step) Asking

Answer 34

the relevant clinical question

Question 35

Steps in Evidence-Based Practice: (second step after you asked your question) Searching

Answer 35

for the best evidence

Question 36

Steps in Evidence-Based Practice: (After you searched for your evidence)

Answer 36

Critically appraising evidence

Question 37

Steps in Evidence-Based Practice: (4th step) Integrating

Answer 37

Integrating evidence with clinical expertise, patient preferences, and values in making a practice decision or change

Question 38

Steps in Evidence-Based Practice: The thing that's always the last step

Answer 38

Evaluating

Question 39

PICO

Answer 39

Population Intervention Comparison Outcome

Question 40

Diffusion of Innovations: 5 Stages

Answer 40

``` Knowledge (you learned the info) Persuasion Commitment Implementation Confirmation ```

Question 41

Active in seeking new information. Organization’s visionaries.

Answer 41

Innovators

Question 42

Organization’s opinion leaders who learn about an innovation and apply it to their practice. Can be effective in communicating the value of an innovation.

Answer 42

Early adopters

Question 43

Won’t bring forth an innovation but will readily adopt it when brought forth by others.

Answer 43

Early majority

Question 44

Skeptics who don’t adopt something unless pressure is applied. May be part of a backlash.

Answer 44

Late majority

Question 45

Most secure in holding on to the past. Most comfortable when an idea can’t fail.

Answer 45

Laggards

Question 46

Stetler’s Research Utilization Model (5 steps) PVDAE

Answer 46

``` Prepare Validate decision making application Evaluation ```

Question 47

Collaboration in EBP: 3 things

Answer 47

Get people involved Partner with institutions Publicize your results