Term
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Definition
| is the use of individual traits and abilities in realtionships with others and the ability to inturprit the environment/contects where a situation is emerging, and enter the situation in the absence of a script or defined plan that could have been projected. |
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Term
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Definition
| an individual who works with others to develope a clear vision of the prefered future and to make that vison happen. |
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Term
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Definition
The idea that leaders have a certain set of characteristics that are crucial for inspiring others toward a common goal.
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Term
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Definition
| Focus on what the leaders do in relational & contextual terms. Performance requires supervisors to pursue effective relationships with subordinates. |
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Term
| Situational Contingency Theories |
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Definition
| Leaders assess the situation/challenge and adapts leadership style to compliment the issue being faced. |
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Term
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Definition
A desire to serve first. focuses on the growth and well-being of people and the communities to which they belong. The servant-leader shares power, puts the needs of others first and helps people develop and perform as highly as possible.
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Term
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Definition
Relies on the power of organizational position & formal authority to reward & punish performance. The superior makes the decision with little or no input from subordinates.
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Term
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Definition
Organizations are often thought of as silos (i.e. pharmacy, radiology, nursing, etc). These areas all interact and have relationships with each so you have to view from the bigger picture rather than each individual silo.
Ex: Surgery department silo but you have many things that make up the surgery floor (different types of nurses, surgeon, anesthesiologist, etc)
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Term
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Definition
| Inspire & motivate change; communication is key. Not concerned with status quo. |
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Term
| Avanced practice registered nurse (APRN) |
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Definition
| A group of nurses, prepared at the graduate level, with defined roles and scopes who function in expanded nursing roles. Those roles are: certified registered nurse anesthetists, certified nurse-midwives, clinical nurse specialists, and certified nurse practitioners. |
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Term
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Definition
| A defined sequence of steps needed to ensure that basic functions are fulfilled in a standardized manner, ensuring safety and quality, such as medication procurement and administration |
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Term
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Definition
| Monitoring emotions in a situation to guide actions and inform thought processes. |
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Term
| Evidence-based Organizational practice |
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Definition
| Scientifically derived approaches to delivering care that optimizes professional roles, practices, and coordination of activities. |
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Term
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Definition
| Those with whom a leader interacts; involves assertive use of personal behaviors in contributing toward organizational outcomes while still acquiescing certain tasks to the leader or other team members |
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Term
| Magnet Recognition Program |
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Definition
| The only national designation built on and evolving through nursing research that is designed to recognize nursing excellence of healthcare organizations through a self-nominating, appraisal process. |
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Term
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Definition
| The activities needed to plan, organize, motivate, and control the human and material resources needed to achieve outcomes consistent with the organization’s mission and purpose |
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Term
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Definition
| The theory related to the activities described in Management. |
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Term
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Definition
| The instigation of action based on various factors, both intrinsic and extrinsic. |
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Term
| Patient Protection and Affordable Care Act |
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Definition
| Legislation aimed at increasing access to uninsured Americans to quality, affordable care while reducing costs of unnecessary services. The PPACA was upheld as constitutional by the Supreme Court in 2012. |
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Term
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Definition
| The desired sequence of steps that have been designed to achieve clinical standardization. |
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Term
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Definition
| The use of technology and other mechanisms to create a web of relationships with common involvement in an area of focus or concern. |
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Term
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Definition
| A shortcut for describing contemporary healthcare reform: to improve access, improve quality, and decrease or control healthcare costs. |
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Term
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Definition
| Inner forces that influence decision making and priority setting |
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Term
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Definition
| The desired future state. |
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Term
| Agency for Healthcare Research and Quality (AHRQ) |
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Definition
| The primary federal agency devoted to improving quality, safety, efficiency, and effectiveness of health care |
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Term
| American Board of Quality Assurance and Utilization Review Physicians (ABQAURP) |
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Definition
| A multidisciplinary professional organization that focuses on those providers in roles related to quality assurance and utilization review |
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Term
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Definition
| Diagnostic related group (DRG) |
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Term
| Institute for Healthcare Improvement (IHI) |
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Definition
| An independent organization devoted to improving patient safety and health care globally. |
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Term
| Institute of Medicine (IOM) |
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Definition
| An organization that works outside of the federal government to provide independent, scientific advice |
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Term
| National Integrated Accreditation for Healthcare Organizations (NIAHO) |
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Definition
| Formerly Det Norske Veritas. An internationally based organization that accredits many fields, including health care. |
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Term
| National Quality Forum (NQF) |
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Definition
| A membership-based organization that sets priorities and goals for performance improvement and endorses standards for measurement. |
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Term
| Quality and Safety Education for Nurses (QSEN) |
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Definition
| This acronym refers to the Quality and Safety Education for Nurses, which is an institute devoted to providing resources related to the QSEN Competencies for both undergraduate and graduate practitioners. The knowledge, skills, and attitudes are defined to reflect the necessary abilities one must have to practice safely and to strive for quality. The six competencies are patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics. |
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Term
| TeamSTEPPS (an AHRQ strategy to promote patient safety) |
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Definition
| A teamwork system designed to increase patient safety. |
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Term
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Definition
| An organization that accredits healthcare organizations and is deemed by the Center for Medicare & Medicaid Services (CMS) as holding healthcare facilities to CMS standards |
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Term
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Definition
| The so-called 20-something generation, who were born between the years of 1965 and 1985. |
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Term
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Definition
| Employed persons older than 35 years who are thought of as the Baby Boomer generation. |
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Term
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Definition
| An experienced person who helps a less experienced person navigate into expertise. |
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Term
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Definition
| The act of using rewards and punishments as part of daily oversight of employees in seeking to get the group to accomplish a task. |
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Term
| Transformational Leadership |
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Definition
| An act of encouraging followers to follow the leader’s style and change their interests into a group interest with concern for a broader goal. |
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Term
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Definition
| A person-oriented service that reflects multidisciplinary cooperation and coordination. |
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Term
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Definition
| Individuals with formal or informal legitimate power whose purpose is to initiate, champion, and direct or guide change. |
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Term
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Definition
| Person who contributes to a group’s outcomes by implementing activities and providing appropriate feedback |
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Term
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Definition
| Person who demonstrates and exercises influence and power over others. |
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Term
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Definition
| Care purchased through a public or private healthcare organization whose goal is to promote quality healthcare outcomes for patients at the lowest cost possible through planning, directing, and coordinating care delivered by healthcare organizations that it may own, have contractual agreements with, or have authority over by virtue of the fact that it reimburses the organization for services provided its patients. This model rewards providers for low utilization of care that is relatively low in cost; also, a system of care in which a designated person determines the services the patient uses. |
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Term
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Definition
| The attitudes, behaviors, and policies evident in an organization that create the ambiance and operation of the workplace. |
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Term
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Definition
| Measurable elements of quality that specify the focus of evaluation and documentation. |
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Term
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Definition
| A physics theory stating that energy is not a smooth flowing continuum but, rather, bursts of energy that are related |
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Term
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Definition
| Expected or actual behavior, determined by a person’s position or status in a group. |
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Term
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Definition
| A framework used to understand how individuals perform within organizations. |
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Term
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Definition
| Doctrine whereby a principal becomes accountable for the actions of his or her agent; created when a person holds himself or herself out as acting on behalf of the principal; also known as apparent authority. |
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Term
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Definition
| Personal freedom and the right to choose what will happen to one’s own person. |
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Term
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Definition
| Principle that states that the actions one takes should promote good. |
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Term
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Definition
| Mechanism for settling labor disputes by negotiation between the employer and representatives of the employees. |
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Term
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Definition
| Right of privacy to the medical record of a patient; also, a respect for the privacy of information and the ethical use of information for its original purpose. |
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Term
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Definition
| The condition of being responsible for corporate loss related to acts performed and not performed in meeting obligations to operate legally and judiciously. |
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Term
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Definition
| Person younger than adulthood who is no longer under the control and regulation of parents and who may give valid consent for medical procedures; examples include married teens, underage parents, and teens in the armed services. |
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Term
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Definition
| Science relating to moral actions and moral values; rules of conduct recognized in respect to a particular class of human actions. |
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Term
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Definition
| Group of persons who provide structure and guidelines for potential healthcare problems, serve as an open forum for discussion, and function as patient advocates. |
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Term
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Definition
| Newer area of potential liability for nurse managers that involves the responsibility to warn subsequent or potential employers of nurses’ incompetence or impairment. |
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Term
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Definition
| Keeping one’s promises or commitments. |
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Term
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Definition
| Concept that certain events may reasonably be expected to cause specific consequences; third element of negligence/malpractice. |
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Term
| Health Care and Education Reconciliation Act |
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Definition
| Federal legislation that amended the Patient Protection and Affordable Care Act to clarify budget resolutions. |
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Term
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Definition
| An individual’s capacity to obtain, process, and understand health information needed to make appropriate health decisions. |
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Term
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Definition
| An authoritarian style that places control within one person’s position. |
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Term
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Definition
| Conceptualizing new and innovative approaches to solving problems or making decisions |
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Term
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Definition
| A composite of knowledge, attitudes, and skills; an intellectually disciplined process. Also, the ability to assess a situation by asking open-ended questions about the facts and assumptions that underlie it and to use personal judgment and problem-solving ability in deciding how to deal with it. |
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Term
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Definition
| Purposeful and goal-directed effort using a systematic process to choose among options. |
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Term
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Definition
| A specific decision process that is designed to produce the best (optimal) results. |
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Term
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Definition
| Selecting the ideal solution or option to achieve goals. |
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Term
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Definition
| Using a systematic process to solve a problem. |
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Term
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Definition
| A decision process where the solution is acceptable (rather than best). |
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Term
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Definition
| Selecting an option that is acceptable but not necessarily the best option. (Satisfy+suffice=satisfice.) |
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Term
| Accountable Care Organization |
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Definition
| Groups of providers and healthcare organizations that agree to work together to provide coordinated high quality care to patients who receive Medicare. |
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Term
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Definition
| Process by which an authoritative body determines that an organization meets certain standards to such a degree that the organization is able to meet the standards as a whole and without ongoing monitoring of each aspect of performance. |
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Term
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Definition
| A group of healthcare organizations that are united based on common characteristics of ownership, regional location, or mutual performance objectives for the purpose of optimizing utilization of their resources in achieving their missions. |
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Term
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Definition
| A power granted by one with power so that the recipient acts in his or her place. |
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Term
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Definition
| A system in which patients have the option of consulting any healthcare provider, subject to reasonable requirements that may include utilization review and prior approval for certain services but does not include a requirement to seek approval through a gatekeeper. |
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Term
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Definition
| An organization, such as a hospital, that is operated to create excess income (profit) for the benefit of owners or stockholders |
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Term
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Definition
| The condition that results when two (or more) organizations with similar services come together |
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Term
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Definition
| Resources of colleagues upon whom you can draw for advice; formal systems to provide services |
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Term
| Preferred Provider Organization |
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Definition
| Contracts are developed between hospitals and physicians with discounted rates and prompt payment. |
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Term
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Definition
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Term
| Private Non-Profit(or not-for-profit) Organization |
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Definition
| Organization that has funds redirected to maintenance and growth rather than as dividends to stockholders. |
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Term
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Definition
| Providing health services under the support and direction of local, state, or federal government. |
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Term
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Definition
| Disease restorative care. |
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Term
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Definition
| An academic health center and affiliated hospital. |
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Term
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Definition
| Rehabilitative or long-term care. |
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Term
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Definition
| Private and public agencies that contract with an individual to assume responsibility to pay under defined conditions for specified healthcare services. |
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Term
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Definition
| Alignment of organizations to provide a full array or continuum of services. |
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Term
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Definition
| Characterized by formality, low autonomy, a hierarchy of authority, an environment of rules, division of labor, specialization, centralization, and control. |
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Term
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Definition
| The hierarchy depicted in vertical dimensions of organizational charts. |
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Term
| Flat Organizational Structure |
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Definition
| Characterized by decentralization of decision making to the level of personnel carrying out the work. |
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Term
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Definition
| Arrangement of departments and services by specialties. |
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Term
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Definition
| Chain of command that connotes authority and responsibility. |
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Term
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Definition
| Possessing characteristics from several types of organizational structures |
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Term
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Definition
| A function that involves direct responsibility for accomplishing the objectives of a nursing department, service, or unit. |
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Term
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Definition
| An organizational structure influenced by dual authority, such as product line and discipline. |
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Term
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Definition
| The reason for the organization’s existence. The purpose it was designed to address. |
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Term
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Definition
| A business structure designed to support specific business goals and processes; or a group of individuals working together to achieve a common purpose. |
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Term
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Definition
| A chart that defines organizational positions’ responsibility for specific functions. |
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Term
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Definition
| A framework that divides work within an organization and delineates points of authority, responsibility, accountability, and non–decision-making support |
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Term
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Definition
| The systematic analysis of how organizations and their component parts act and interact. |
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Term
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Definition
| Values and beliefs regarding nature of work derived from a mission and the rights/responsibilities of people involved. |
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Term
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Definition
| Technique to analyze tasks to improve efficiency. |
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Term
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Definition
| A total reorganization of how an organization will function, with the goal of increased efficiency. |
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Term
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Definition
| Technique to enhance organizational productivity. |
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Term
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Definition
| A type of structure in which the functions necessary to produce a specific service or product are brought together into an integrated organizational unit under the control of a single manager or executive. |
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Term
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Definition
| A flat type of organizational structure with decision making decentralized |
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Term
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Definition
| The number of individuals a supervisor manages. For budgetary reasons, span of control is often a major focus for organizational restructuring. |
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Term
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Definition
| Function that assists those in frontline positions in accomplishing primary objectives. |
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Term
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Definition
| A group or organization working together as a unified whole. |
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Term
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Definition
| An approach to consider how various independent parts interact to form a unified whole or to disrupt a unified whole; the construct related to the operation of the whole process or entity. |
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Term
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Definition
| Groups of individuals or organizations that join together temporarily around a common goal. This goal often focuses on an effort to effect change |
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Term
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Definition
| A sharing of power and control with the expectation that people are responsible for themselves; also, the process by which we facilitate the participation of others in decision making within an environment in which power is equally distributed. |
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Term
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Definition
| The process of using power; may range from the punitive power of coercion to the interactive power of collaboration. |
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Term
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Definition
| Conferring with others to bring about a settlement of differences. |
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Term
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Definition
| A specifically designated statement to guide decisions and actions. |
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Term
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Definition
| A process of human interaction within organizations. |
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Term
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Definition
| The ability to influence others in the effort to achieve goals. |
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Term
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Definition
t
Clinical nurse leader, which is a protected title for those who successfully complete the CNL certification examination. |
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Term
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Definition
| A licensed nurse in the primary care model who provides care to the patient according to the primary nurse’s specification when the primary nurse is not working |
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Term
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Definition
| A model of delivering patient care based on patient outcomes and cost containment. Components of case management are a case manager, critical paths/critical pathways, and unit-based managed care |
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Term
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Definition
| A clinical nurse with a baccalaureate or master’s degree who coordinates patient care from preadmission through discharge. |
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Term
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Definition
| A model of care delivery in which one nurse provides total care for a patient during an entire work period. |
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Term
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Definition
| A registered nurse responsible for delegating and coordinating patient care and staff on a specific unit. A resource person for all staff; there is usually one charge nurse each shift per unit. |
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Term
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Definition
| An evolving role of the professional nurse being developed by the American Association of Colleges of Nursing (AACN). |
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Term
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Definition
| A component of a care MAP that is specific to diagnosis-related group reimbursement. The purpose is to ensure patients are discharged before insurance reimbursement is eliminated. |
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Term
| Differentiated Nursing Practice |
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Definition
| A model of care that recognizes the difference in the level of education and competency of each registered nurse. The differentiation is based on education, position, and clinical expertise |
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Term
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Definition
| The result of patient goals that are achieved through a combination of medical and nursing interventions with patient participation. |
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Term
| Functional Model of Nursing |
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Definition
| A method of providing patient care by which each licensed and unlicensed staff member performs specific tasks for a large group of patients. |
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Term
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Definition
| A nurse who helps patients, often in a specific patient population, work through the healthcare system to secure quality, efficient care. |
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Term
| Nursing Care Delivery Model |
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Definition
| The method used to provide care to patients. |
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Term
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Definition
| The process of a nurse coordinating health care by planning, facilitating, and evaluating interventions across levels of care to achieve measurable cost and quality outcomes. |
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Term
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Definition
| The result of patient goals that are expected to be achieved through a combination of nursing and medical interventions. |
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Term
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Definition
| A model in which staff functions become centralized on a unit to reduce the number of staff required; emphasizes quality, cost, and value. |
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Term
| Practice Partnership Model |
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Definition
| A form of primary nursing where an RN is paired with a technical assistant |
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Term
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Definition
| One who delivers autonomous care. |
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Term
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Definition
| A model of patient care delivery whereby one registered nurse functions autonomously as the patient’s main nurse throughout the entire hospital stay. |
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Term
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Definition
| The proportion of RNs to LPNs/LVNs to UAPs in a specific setting |
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Term
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Definition
| A model of care delivery adopted by the American Association of Critical-Care Nurses that matches the needs and characteristics of the patient with the competencies of the nurse. Seven characteristics are unique to every patient, and each nurse has varying levels of ability, which are categorized into eight competencies. When the knowledge, skills, and competencies of the nurse are used to meet the complex needs of the patient and family, the care is optimal. |
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Term
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Definition
| A small group of licensed and unlicensed personnel, with a team leader, responsible for providing patient care to a group of patients. |
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Term
| Transforming Care at the Bedside (TCAB) |
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Definition
| A program of the Institute for Healthcare Improvement designed to improve care of patients. |
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Term
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Definition
| An approach designed by Dr. Mary Naylor to help patients return successfully to their homes (or another facility) after hospitalization. |
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Term
| Unlicensed Assistive Personal |
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Definition
| Healthcare workers who are not licensed and who are prepared to provide certain elements of care under the supervision of a registered nurse (e.g., technicians, nurse aides, certified nursing assistants). |
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Term
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Definition
| Anything that alters a patient’s progress through a normal care path. |
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Term
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Definition
| The expectation of explaining actions and results. |
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Term
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Definition
| Proactively making a decision about tasks and people to accomplish effective work. |
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Term
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Definition
| The power to make decisions which often derives from policies, laws, and job descriptions |
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Term
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Definition
| The individual who becomes accountable for performing delegated activities |
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Term
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Definition
| Achieving performance of care outcomes for which an individual is accountable and responsible by sharing activities with other individuals who have the appropriate authority to accomplish the work. |
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Term
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Definition
| The individual with authority to share activities with another |
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Term
| Individual Accountability |
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Definition
| The individuals’ ability to explain their actions and results. |
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Term
| Organizational Accountability |
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Definition
| The accountability for the system of operations; the prime accountability of organizations is patient safety. Organizations are accountable for adequate resources to deliver safe care. |
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Term
| Patient Care Associate (PCA) |
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Definition
| A title given to individuals who are employed as unlicensed nursing personnel. Formerly nurse aide. |
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Term
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Definition
| Delegation that does not require a decision-making process. The decisions derive from job descriptions or policies and thus the tasks are not actively delegated, they are assumed by virtue of the policy or job description |
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Term
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Definition
| The condition of being reliable and dependable and being obligated to accomplish work. |
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Term
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Definition
| Provision of guidance and oversight of delegated nursing task (ANA & NCSBN, 2006). |
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Term
| Unlicensed Nursing Personal (UNP) |
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Definition
| A term used to distinguish those for whom nurses are accountable as opposed to the numerous unlicensed assistive personnel providing aid in other clinical disciplines. |
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Term
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Definition
| Progressive achievement throughout a person’s professional life. |
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Term
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Definition
| Designation of special knowledge beyond basic licensure |
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Term
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Definition
| Learning that builds on prior knowledge and experience with the goal of being a more competent professional. |
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Term
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Definition
| A listing of professional life activities. |
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Term
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Definition
| A right granted that gives the licensee permission to do something that he or she could not legally do absent such permission; the minimum form of credentialing, providing baseline expectations for those in a particular field without identifying or obligating the practitioner to function in a professional manner as defined by the profession itself. |
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Term
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Definition
| A professional assemblage of materials that represent the work of the professional. These materials include such elements as evaluations, letters of recommendation or appreciation, certificates of accomplishment, copies of articles, documentation of projects (e.g., research, clinical changes, management projects), and additional educational achievements (continuing education and degree achievement). |
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Term
| Professional Association (Organization) |
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Definition
| An alliance of practitioners within a profession that provides opportunities for its members to meet leaders in the field, hone their own leadership skills, participate in policy formation, continue specialized education, and shape the future of the profession. |
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Term
|
Definition
| A summary of professional abilities and facts designed for specific opportunities |
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