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what are the 4 A's of quality care in the community - ANSWER
✔✔availability
accessibility
affordability
acceptability
what is an example of availability as one of the 4 A's - ANSWER
✔✔its the most important
similar to WSS
,availability of resources- health agencies, transportation, recreational
things, education, school nurse, safety in community
IS THERE CARE?
what are examples of accessibility as one of the 4 A's - ANSWER
✔✔able to get to it?, car vs no car, hours of operation being during time
of work, will the place take the pt's insurance
what are examples of affordability as one of the 4 A's - ANSWER
✔✔insurance coverage vs paying out of pocket, high deductibles
what are examples of acceptability as one of the 4 A's - ANSWER
✔✔do you like the care that is provided?
if not, won't return
cultural preferences to female vs male care providers
what are the categories of community-based nursing quality indicators -
ANSWER ✔✔symptom management, therapeutic alliance, utilization
of services, pt satisfaction, risk reduction, protective factors, level of
function
what is a sample indicator of symptoms management - ANSWER
✔✔level of self care
,pain management
what is a sample indicator of pt satisfaction - ANSWER ✔✔degree to
which nursing care meets pt expectations
what is a sample indicator of risk reduction - ANSWER ✔✔# of pts
attending smoking cessation programs
# of pts with decreasing BMIs
what are the 5 QSEN competencies - ANSWER ✔✔patient-centered
care
teamwork and collaboration
EBP
quality improvement
safety
what is the patient-centered care aspect of the QSEN competencies -
ANSWER ✔✔pt or designee as source of control and full partner
what is the PH intervention for patient-centered care as part of the
QSEN competencies - ANSWER ✔✔advocacy
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, what is the teamwork and collaboration part of the QSEN competencies
- ANSWER ✔✔knowledge of own strengths, participation in teams
what are the PH interventions for teamwork and collaboration as part of
the QSEN competencies - ANSWER ✔✔collaboration, community
organizing, coalition building
what is the evidence-based practice part of the QSEN competencies -
ANSWER ✔✔best practices
what works- why recreate something if it already works
what is the quality improvement aspect of QSEN competencies -
ANSWER ✔✔trends over time (ex: BMI)
know the PH care system
know the community-based nursing care quality indicators
what is the safety aspect of QSEN competencies - ANSWER
✔✔safety in homes- hand rails, lighting, limited clutter, available phone
what is the personal aspect of QSEN competencies - ANSWER
✔✔be vigilant- check out environment
home visits