NUR 222

NUR 222 Exam Nurses use research to - Correct Answer-provide evidence-based care that promotes quality health outcomes for individuals, families, communities and health care systems Nursing research results in - Correct Answer-improved nursing education improved health care delivery improved outcomes improved leardership Improved nursing education - Correct Answer-center around the most up-to-date, evidence-based practices research identifies ways to make nurse education more effective Improved health care delivery - Correct Answer-looks at how health care is delivered, and how that influences the cost and quality of the service, as well as the experience of patients and families it investigates the factors that influence access to health care and looks to identify solutions that will improve the overall delivery system Improved outcomes - Correct Answer-is evidence-based, and nurse research seeks to identify the treatment protocols that are most effective for patients across the spectrum looks at the overall health of patients; it considers disease within the lenses of health promotion, rehabilitation, and restoration, and looks for better ways to provide care and comfort that meet patients' needs investigate the social, emotional, and behavioral aspects to help develop protocols that improve outcomes and overall quality of life Improved leadership - Correct Answer-leadership is a primary goal of the American Nurses Association, which has called for more nurse education focused on leadership by taking a more scientific and analytical approach to the practice of nursing, not only do outcomes for patients improve, but the entire field and practice of nursing does as well The seven steps of the research process - Correct Answer-1. identify and develop topic 2. find background information 3. use catalogs/data bases to find books, media, journal articles, internet resources 4. devlop research study 5. implemement research study 6. evaluate findings and develop conclusions 7. disseminate findings How do you disseminate research - Correct Answer-internet nursing publications online data bases staff nurse meetings nursing education classes Name two nursing researchers - Correct Answer-Florence Nightingale Linda Aiken Clinical effectiveness in nursing - Correct Answer-demonstrates the impact of nursing on patients and clients and addresses the effects of interventions on patients' well-being Types of health care organizations - Correct Answer-private not for profit public private for profit Private not for profit - Correct Answer-they do not have to generate a profit Public - Correct Answer-government operated health service organizations (health departments) Private for profit - Correct Answer-operate for profit (surgical and diagnostic centers) What is organizational culture? - Correct Answer-is an enduring set of shared values, beliefs, and assumption Three levels of organizational culture - Correct Answer-artifact level espoused beliefs underlying assumptions Artifact level - Correct Answer-visible characteristics: patient room, layout, paint color, lobby design, logo, directional signs Espoused beliefs - Correct Answer-written goals, philosophy of the organization Underlying assumptions - Correct Answer-unconscious but powerful beliefs and feelings, such as commitment to cure every patient, no matter the cost The shared, values, attitudes, and behaviors that are directed to preventing or minimizing patient harm despite complex and hazardous work have been called the - Correct Answer-cluture of saftey Key features of an organizations culture of safety - Correct Answer-commitment to safe operations errors and near misses are reported w/o fear of punishment teamwork to solve patient saftey issues providing resources to address saftey concerns detecting and eliminating error-prone situations openness to questioning exisiting systems and to change them What constitues a better, more supportive care environment? - Correct Answer-collegial relationships skilled nurse managers staff development quality of care Organizational goals - Correct Answer-survival: maintain their existence growth: grow and expand profit: for profit vs. not for profit status: known to be the best in the field dominance: drive out others client care: what does the client say and want Organizational ladder - Correct Answer-CEO administrators managers (also medical staff) staff nurses technicians (including LPN) aides: housekeeping: maintenance Organic organizational structure - Correct Answer-many decisions are made by the people who will implement them, not by their bosses flexibility and autonomy superviors become planners and resource people Shared goverance - Correct Answer-affords staff nurses the opportunity to participate at all levels of decision making essential to empowerment Two ways organizations get things done - Correct Answer-formal informal Formal - Correct Answer-written policies and procedures Informal - Correct Answer-not written and often not duscussed Power is - Correct Answer-the ability or capacity to influence other people despite their resistance can be positive or negative ABILITY Sources of power - Correct Answer-authority: power granted to an individual or group reward: money, goods, services, recognition, other bebefits control of information: special knowledge an individual possess coercion: threat of pain or some type of harm which may be physcial economic or psychological Empowerment is - Correct Answer-a feeling of competence, control, and entilement FEELING Feelings of empowerment include (SCIM) - Correct Answer-self-determination: decide how you want to do your work meaning: caring about your work competent: confidence in your ability impact: feeling that people listen to your ideas, and you make a difference What contrubutes to nurse empowerment (DWARF) - Correct Answer-decision making: control of nursing practice within an organization autonomy: ability to act on the basis of ones knowledge and experience manaagable workload: resonable work assignments reward and recognition: appreciation fairness: equitable treatment for all How can professional organizations empower nurses - Correct Answer-collegiality: work with peers commitment: improve health care representation: state or province and national level enhancement: nurses competence through publications and education recognition: achivement through certification programs, awards, media You can take steps to enhance your competence, thereby increasing your sense of empowerment by - Correct Answer-conferences continuing education journals and books nursing research problem solve with colleagues higher degree Safety is - Correct Answer-the prevention of errors and adverse effects Six characteristics of quality health care - Correct Answer-1. safe 2. effective 3. patient-centered 4. timely 5. efficient 6. equitable Quality is - Correct Answer-the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current and professional knowledge Avoiding injuries to patients from the care that is delivered - Correct Answer-safe nonmalefience Providing services based on scientific knowledge to all who could benefit and refraining from providing services to those not likely to benefit (avoiding underuse and overuse) -