Term
| Generational characteristics |
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Definition
1925-1945 - matures, hard work, duty, sacrifice, thriftiness, work fast
1946-1964 - Baby boomers - personal fulfillment, optimism, work efficiently
1965-1980 - generation X - personal focus, eliminate the task, uncertainty, save, save, save, live for today
1981-1999 - millenials - what's next?. on my terms, do exactly what's asked, earn to spend |
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Term
| cultural preferences - distance |
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Definition
| allow the other person to establish the proper distance for the interaction |
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Term
| cultural preferences - eye contact |
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Definition
| sitting next to someone, rather than directly across from them, will reduce eye contact |
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Term
| cultural preferences - body language |
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Definition
standing with hands on hips may imply anger to some. pointing or beckoning with a finger may appear disrepectful to some cultures.
**Conservative use of body language is wise when you are uncertain as to what is appropriate within a cultural group. Observing actions and interactions may give you direction. |
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Term
| five extraordinary effective leadership beahviors |
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Definition
- visibility
- flexibility
- authority
- assistance
- feedback |
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Term
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Definition
| identifies the needs of followers and provides rewards to meet those needs in exchange for expected performance; effort produced and performance obtained is as expected |
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Term
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Definition
| using charisma, inspiration, and intellectual stimualation, this leader causes the followers to rise above their own needs and, thus changing the culture, obtains higher levels of effort and satisfaction; performance beyond expectation and altered institutional culture |
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Term
| management process - 4 functions |
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Definition
- planning
- organizing
- coordinating or directing
- controlling |
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Term
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Definition
- visible
- communicates a vision
- motivates followers
- seeks out new resources
- evaluates outcomes |
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Term
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Definition
- coordinates patient care
- plans daily operations
- makes assignments
- sets goals for subordinates
- hires staff
- responds to needs of subordinates |
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Term
| Legal aspects of managament |
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Definition
concern for:
- personal negligence in clinical practice
- liability for delegation and supervision
- organizational liability related to employment issues |
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Term
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Definition
information systems
nursing labor force
reimbursement |
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Term
| successful change strategies |
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Definition
- explain the rationale for change
- allow emotions to be worked out
- give participants all information needed
- help individuals cope with change
- make the change process as participative as possible
- incorporate resistors |
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Term
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Definition
- lack of coalition
- lack of vision
- under communication
- vision obstacles
- lack of short term wins - are you meeting milestones?
- declaring victory too soon
- not anchoring change |
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Term
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Definition
- define the problem
- gather information
- determine desired outcome
- develop solution
- consider consequences
- make decisions
- implement and evaluate solutions |
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Term
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Definition
- cause and effect diagram
- team approach
- visually displays the reaons for a problem
- state the problem in the form of a question |
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Term
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Definition
| quality and safety education in nursing |
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Term
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Definition
| Technology informatics guiding educational reform; coaltion of about 20 nursing infromatics organizations |
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Term
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Definition
| many nurse leaders recognizing the importance of having a nursing workforce that is well educated in the use of technology |
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Term
| by what year is it mandated that all hospitals have implemented EHRs? |
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Definition
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Term
| the Decade for Health Information Technology's four goals: |
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Definition
- inform clinical practice
- interconnect clinicians
- personalize care
- improve population health |
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Term
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Definition
| a specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, and knowledge in nursing practice. Nursing informatics failitates the integration of data, information, and knowledge to support patients, nurses, and other providers in their decision-making in all role settings. This support is accomplished through the use of information structures, information processes, and information technology. |
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Term
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Definition
| an EHR has various sources of information entered into a single integrated set of data. Information is then available in a user friendly format to support provider decisions and adminstrative processes. |
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Term
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Definition
- administrative
- laboratroy
- pharmacy
- radiology
- nursing
- computerized provider order entry
- clinical documentation |
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Term
| Information commonly entered by nurses in an EHR |
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Definition
- daily charting
- medication administration
- phsyical assessment
- admission nursing note
- nursing care plan
- referral
- present complaint (symptoms)
- past medical history
- lifestyle
- physical examination
- findings and immunizations
- diagnoses
- tests
- procedures
- treatment
- medication
- discharge
- history
- diaries
- problems |
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Term
| EHRs are an integration of data from: |
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Definition
- registration system
- accounting and billing
- diagnostic services (lab and pharmacy)
- computer order entering systems
- knowledge systems (Medline and Cinahl)
- medication administration
- clinical services (such as nursing)
- medicine
- PT |
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Term
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Definition
| EHRs are maintained by health care institutions, and PHRs are digitized information that patients enter and keep for their own use |
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Term
| computerized provider order enetering (CPOE) |
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Definition
| avoids the mistakes related to being unable to read a physician or advanced practice registered nurse order |
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Term
| what organization drew attention to the fact that 98,000 deaths were occurring annually? |
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Definition
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Term
| safety and quality of patient care is dependent on |
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Definition
| teamwork, communication, and a collaborative work environment. According to the Joint Commission |
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Term
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Definition
| process of joint decision making among independent parties involving joint ownership of decisions and collective responsibility for outcomes. The essence of collaboration involves working across professional boundaries |
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Term
| Conditions that enhance collaboration include: |
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Definition
-shared goals
-understanding of the other’s roles and responsibilities
-mutual respect
-clear communication
-openness to learning
-ability to change one’s viewpoint, given new information |
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Term
| Barriers to collaboration include: |
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Definition
-persistent worldview differences
-professional autonomy
-inequitable power gradients – people who want to be the boss and make all the decisions |
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Term
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Definition
| a process by which information is exchanged between individuals through a common system of symbols, signs or behavior |
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Term
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Definition
| is a precursor to collaboration |
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Term
| barriers to communication |
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Definition
| different languages that professionals use among themselves and with patients and families; across gender, age, cultural and ethnic boundaries; and under conditions of stress that can be experienced by patients, families, and care providers. of vital information |
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Term
| 10 qualities or abilities of effective communicators: |
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Definition
-They are interested
-Open
-Purposeful
-Passionate
-Connect the dots
-Succinct
-Use compelling evidence
-Deliver a clear message
-Put themselves in the others’ situations
-Listen carefully (pick up cues) while they are communicating with their audiences |
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Term
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Definition
| to transfer authority to a competent individual for completing selected nursing tasks/activities/functions |
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Term
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Definition
| direct an individual to do activities within an authorized scope of practice |
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Term
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Definition
| describes the distribution of work that each staff member is to accomplish in a given work period |
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Term
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Definition
| a joint action by two or more people, in which each person contributes with different skills and expresses his or her individual interests and opinions to the unity and efficiency of the group in order to achieve common goals |
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Term
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Definition
| the functional groups through which much of health care is delivered |
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Term
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Definition
| an explicit relationship with clear roles and responsibilities between two people who share a common goal or vision |
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Term
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Definition
| individuals from at least two different disciplines who coordinate their expertise to deliver care to patients |
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Term
| Two challenges in working as a member of a team in health care today are: |
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Definition
-There are so many individuals involved
-Each has a different scope of practice, which can involve areas of overlap across the professions. |
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Term
| stages of team development |
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Definition
forming
storming
norming
performing
adjourning |
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Term
| KNOW STAGES OF CHANGE PROCESS!!! |
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Definition
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Term
| Crew Resource Management (CRM) training model emphasizes six key areas |
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Definition
-Managing fatigue
-Creating and managing teams
-Recognizing adverse situations (red flags)
-Cross-checking and communication
-Decision making
-Performance feedback |
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Term
|
Definition
-Clarity about their purpose
-Members with necessary skills
-Members who understand their roles and accept them
-An effective leader
-‘Sufficient’ resources
-Sense of equity as to the workload |
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Term
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Definition
| the phenomenon that occurs when efforts are taken to control the flow of information and decision making to a group, thus restricting its ability to fully explore all options in a situation |
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Term
| Excessive authority gradients and excessive professional courtesy |
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Definition
| when deference is given to the physician as the senior leader and decision maker in all situations |
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Term
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Definition
| behavior that interferes with the ability of everyone on the team to provide safe and effective care; undermines the confidence of any member of the healthcare team in effectively caring for patients; undermines patients’ confidence in the healthcare team or organization; causes concern for anyone’s physical safety, and undermines effective teamwork |
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Term
| Disruptive behavior includes |
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Definition
| verbal abuse (e.g., profane or disrespectful language, name-calling, failure to respond to concerns about safety, outbursts of anger), physical (e.g., throwing objects, pushing), intimidation, or retaliation; it should ALWAYS BE REPORTED! |
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Term
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Definition
| a time when information is transferred, along with authority and responsibility, during transitions in care across the continuum and includes an opportunity to ask questions, clarify, and confirm responses; ALWAYS repeat back verbal orders |
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Term
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Definition
| process that uses closed-loop communication to ensure that information conveyed by the sender is understood by the receiver as intended |
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Term
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Definition
| groups of individuals selected for their skills and willingness to take on high stakes challenges; each member is an expert and competition exists among them to be ‘the best of the best.’Consensus is not the goal, but rather big ideas. |
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Term
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Definition
| groups of individuals who work across time, space, and organizational boundaries with links strengthened by webs of communication technology. They have complementary skills and are committed to a common purpose, have interdependent performance goals, and share an approach to work for which they hold themselves mutually accountable. Geographically dispersed teams allow organizations to hire and retain the best people regardless of location. |
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Term
| Temporary systems or teams |
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Definition
| those that have never previously worked together |
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Term
| charactersistics of temporary systems |
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Definition
-Participants with diverse skills are assembled to enact expertise they already possess
-Participants have limited history working together
-Participants have limited prospects of working together again in the future
-Participants often are part of limited labor pools and overlapping networks
-Tasks are often complex and involve interdependent work
-Tasks have a deadline |
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Term
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Definition
| a form of trust that gets readily established in the functioning of a temporary system |
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Term
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Definition
| can exist within a person, occur between two or more people, or within a large group of people who may or may not know each other. There can be actual confrontation, verbal expression, or a conflict that is unexpressed yet apparent through avoidance, denial, or non-verbal signs |
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Term
| Conflict can be addressed through |
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Definition
| avoidance, diffusion, or confrontation |
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Term
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Definition
| a set of strategies employed to diffuse the conflict and, hopefully, satisfy the wishes of all parties involved |
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Term
| Crucial conversations are discussions that occur when: |
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Definition
opinions vary
the stakes are high
emotions run strong |
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Term
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Definition
| offer a series of helpful recommendations for staying focused on priorities; articulating clearly and persuasively what is a desired outcome; keeping the conversation safe; and turning conversation into action |
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Term
| A precursor to becoming an effective team member and collaborating with others is possessing |
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Definition
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Term
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Definition
| the ability to identify, assess, and manage one’s own emotions and the responses to them, as well as to assess and manage our relationships with others; Intuitive, sensing, strong communication skills, good listenener |
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Term
| Interpersonal intelligence |
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Definition
| the ability to understand other people: what motivates them, how they work, how to work cooperatively with them |
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Term
| Intrapersonal intelligence |
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Definition
| a correlative ability, turned inward. It is a capacity to form an accurate, veridical model of oneself and to be able to use that model to operate effectively in life |
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Term
| domains of emotional intelligence |
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Definition
Managing one’s emotions
Motivating oneself
Recognizing emotions in others
Handling relationships |
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Term
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Definition
| The transfer of responsibility for the performance of a task from one individual to another while retaining, accountability for the outcome |
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Term
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Definition
| The state of being responsible or answerable |
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Term
| The RN assigns or delegates tasks based on |
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Definition
| the needs and condition of the patient, potential for harm, stability of the patient’s condition, complexity of the task, predictability of the outcome, and abilities of the staff to whom the task is delegated. |
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Term
| all decisions related to delegation and assignment are based on |
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Definition
| fundamental principles of protection of the health, safety, and welfare of the public |
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Term
| The decision of whether or not to delegate or assign is based upon |
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Definition
| the RN’S judgment concerning the condition of the patient, the competence of all members of the nursing team and the degree of supervision that will be required of the RN, if the task is delegated |
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Term
| five rights of delegation |
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Definition
-right task
-right circumstance
-right person
-right direction/communication
-right supervision |
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Term
|
Definition
-Noninvasive and nonsterile treatments such as emptying Foley catheters and providing hot/cold soaks
-Collection of and reporting data such as vital signs, height and weight , and capillary blood sugar results
-Hygienic care activities such as bathing, and toileting, assistance with feeding and assisting with ambulation
-Socialization activities
-Intervention with supervision |
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Term
| what CANNOT be delegated? |
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Definition
-Patient assessments (data collection is not assessment)
-Planning and evaluation of nursing care
-Development of plan of care
-Health teaching and health counseling (unless it is reinforcement of previously taught material) |
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Term
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Definition
| clear, concise, correct, complete |
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Term
|
Definition
-Identify a time when you can handle an issue
-Ask questions before taking an assignment
-Ask for help when needed
-Use delegation to manage your responsibilities
**YOU CANNOT HANDLE IT ALL !! |
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Term
| two basic roles of nurses |
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Definition
| care providers and care coordinators |
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Term
| three skills needed for leading or influencing: |
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Definition
diagnosing-being able to understand the situation and the problem to be solved or seolved; cognitive competency
adapting-being able to adapt behaviors and other resources to match the situation; behavioral competency
communicating-used to advance the process in a way that individuals can understand and accept; process competency |
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Term
| four skills needed by good leaders |
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Definition
-self-awareness
-self-management
-social awareness
-relationship managemnet |
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Term
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Definition
| the process of influencing people to accomplish goals; guiding, directing, teaching, and motivating to set and achieve goals |
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Term
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Definition
| the coordination and integration of resources through planning, organizing, coordinating, directing, and controlling to accomplish specific institutional goals and objectives; process of working with and through individuals and groups and other resources to accomplish organizational goals |
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Term
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Definition
| an approach to an occupation that distinguishes it from being merely a job, focuses on service as the highest ideal, follows a code of ethics, and is seen as a life-time commitment |
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Term
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Definition
| the act of giving people the authority, responsibilits, and freedom to act on what they know |
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Term
| components of a leadership moment |
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Definition
leader
follower
situation
communication
goals |
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Term
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Definition
| different combinations of task and relationship behaviors used to influence others to accomplish goals |
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Term
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Definition
| an interpersonal process of participation |
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Term
|
Definition
| means giving people the authority, responsibility, and freedom to act on their expert knowledge and skills |
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Term
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Definition
| accept or reject the leader and determine the leader's personal power |
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Term
|
Definition
- leaders have followers
- popularity is not leadership; results are
- leaders are visible and set examples
- leadership is not a rank, but responsibility
- possess the ability to find meaning in negative events and to learn from even the most trying circumstances
- engage others in shared meaning
- a distinctive and compelling voal tone
- a sense of integrity
- a combination of hardiness and ability to grasp context, called "adaptive capacity"
- challenging the process
-inspring shared vision
- enabling others to act
- modeling the way
- encouraging the heart |
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Term
| what are some qualities that people say they want to see in their leaders? |
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Definition
visibility
flexibility
authority
assistance
feedback |
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Term
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Definition
| Achirving Competence Today - an interdisciplinary teaching program that focuses on quality, safety, and health systems improvement |
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Term
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Definition
| technique for communicating important or critical infromation by intentionally verbalizing a step in a process |
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Term
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Definition
| an interdisciplinary apprach to the care of a patient |
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Term
|
Definition
| a process that uses closed-loop communication to ensure that information conveye by the sender is understood by the reeiver as intended |
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Term
|
Definition
| a process of joint decision making among independent parties involving joint ownership of decisions and collective responsibility for outcomes. The essence of collaboration involves working acorss professional boundaries |
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Term
|
Definition
| a relatively stable, formally composed group that has an identified purpose as part of an organizational structure |
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Term
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Definition
| a process by which information is exchanged between individuals through a common system of symbols, signs, or behavior |
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Term
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Definition
| crew resource management - a training program to improve team functioning in high stakes as industries such as aviation, nuclear power, and health care |
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Term
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Definition
| process of transferring authority to a competenet individual for completing selevted nursing tasks/activities/functions. To assign is to direct an individual to do activities within an authorized scope of practice. Assignenment (none) describes the distribution of work that each staff memeber os to accomplish in a given work period |
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Term
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Definition
| behavior that interferes with the ability of everyone on the team to provide safe and effective care; undermines the confidence of any member of the healthcare team in effectively caring for patients; undermines patients' confidence in the healthcare team or organization; causes concern for anyone's physical safety, and undermines effective teamwork |
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Term
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Definition
| any collection of interconnected individuals working together for some purpose |
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Term
|
Definition
| a time when information is transferred, along with authority and responsibility, during transistions in care acorss the continuum and includes an opportunity to ask questions, clarify, and confirm responses |
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Term
|
Definition
| individuals from at least two different disciplines who coordinate their expertise to deliver care to patients |
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Term
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Definition
| a team made up of individuals from at least two distinct professions or disciplines |
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Term
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Definition
| small, functional, front-line units that provide most health care to most people. They are the essential building blocks of lower organizations and of the health system. They are the place where patients and providers meet. The quality and value of care produced by a large health system can be no better than the services generated by the small systems of which it is composed |
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Term
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Definition
| an explicit relationship with clear roles and responsibilities between two people who share a common goal or vision |
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Term
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Definition
| individuals who come together and develop a partnership to accomplish a shared goal |
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Term
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Definition
| a group convened to accomplish a specific objective within a designated period of time |
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Term
|
Definition
| a small number of consistent people committed to a relevant shared purpose |
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Term
|
Definition
| a joint action by two or more people, in which each person contributes with different skills and expresses his or her individual interests and opinions to the unity and efficiency of the group in order to achieve common goals |
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Term
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Definition
| Organizational Blueprint (for what is to be accomplished) that matches capabilities with external opportunities; tactical plan is an element of a strategical plan – the details to accomplish goal |
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Term
| a strategic plan consists of |
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Definition
TACTICAL PLAN – GOALS AND OBJECTIVES
TIME FRAME
RESPONSIBILITY ASSIGNMENTS
EVALUATION CRITERIA
CONSENSUS FOR OWNERSHIP |
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Term
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Definition
GOAL – EMPOWERMENT OF EMPLOYEES WITHIN DECISION MAKING STRUCTURE
MORE DECISION MAKING POWER ABOUT CLIENTS AND PRACTICE
CORE OF STRUCTURE IS THE PRACTICING NURSE
REQUIRES LONG TERM COMMITMENT
ORGANIZATIONAL GOVERNANCE IS SHARED
NURSE AUTHORITY/ CONTROL - INCREASE |
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Term
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Definition
| Teams are the functional groups through which much of health care is delivered. |
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Term
| Tuckman's stages of team development |
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Definition
forming
storming
norming
performing
adjourning |
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Term
| Success Factors to Enhance Team Performance |
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Definition
1. Establish a sense of urgency and importance of the work
2. Outline clear expectations and outcomes to be achieved. A charter–which is a document describing the purpose, aims, scope, principles and outcomes of a group–is a helpful unifying tool to use for direction and focus as a new group forms
3. Select members for skill and skill performance, not personality – but if members are assigned, be clear about that
4. Make meetings worthwhile with explicit agendas, specific goals, prompt starts, attention to the time, and review of decisions and next steps at the end
5. Establish clear rules of behavior. A compact or agreement that lays out the conditions under which the work will be done, and what members can expect of each other, is a helpful tool to co-create when a team first comes together. This can include how members will relate with each other, keep each other informed, handle disagreements of opinion, share the work, etc.
6. Link the work of the team to the broader organizational context – bring in data, perspectives, updates that enrich the work and keep it relevant
7. Recognize accomplishments and milestones
8. Create opportunities for every team member to participate:
a) if a few people monopolize the discussion, suggest that everyone in the group be given a chance to weigh in
b) allow for some feedback to be provided in written form in between meetings
c) provide a minute for people to collect their thoughts after a question is posed |
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Term
| what are the ways conflict can be addressed? |
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Definition
avoidance
diffusion
confrontation |
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