PNR Midterm (week 4&5) Latest Update 100% Pass

PNR Midterm (week 4&5) Latest Update 100% Pass HOBIC Health Outcomes for Better Information and Care Goals of HOBIC 1) identify nursing-sensitive client outcomes 2) determine appropriate ways of measuring these outcomes 3) identify databases on which these outcomes could be housed organization evidence information about the organization's capacity to execute tasks political evidence gives a sense of how the various stakeholders may response to policies 5 steps of Evidence-Based Practice 1) define the clinical question 2) search the literature 3) select and critically appraise the most relevant reports 4) decide whether and how to use the information 5) evaluate the effects of your decision Knowledge Transfer & Exchange Refers to the responsibility of creating and disseminating research so that it can be readily used by decision-makers at all levels Examples of KT & E - Canadian Health Services Research Foundation - Canadian Population Health Initiative - Canadian Institutes of Health Research NHSRU Nursing Health Services Research Unit: Funded by CHSRF & CIHR. Goals are to: conduct research and other forms of inquiry, provide info necessary for evidence-based policy & develop joint mechanism for knowledge transfer between MOHLTC Goal of the WHO achieve the highest level of health for all people what is the WHO the directing and coordinating authority for health within the United Nations system Federal governance of health care - establishes and delivers national principles for health care (CHA) - provides financial assisantace - promote health and prevent diseases provincial/territorial governance of health care - implement health care in accordance w/ the principles of the CHA - allocation of hospitals & LTC - determine employment of health care professionals - distributes money to health care services - reimburses Dr's and hospital expenses Canadian National Health Care System designed to ensure Canadians have a reasonable access to medical treatment, hospitals and physician services on a uniform prepaid basis 5 basic principles for health care - universality - comprehensiveness - accessible - portable - publicly administered Canada Health Transfer federal government provides cash & tax transfers to provinces and territories in support of health Canadian Institute of Health Information independent, not-for-profit, organization that provides essential data and analysis on Canada's health system and the health of Canadians CIHI's data and reports focus on - health care services - health spending - health human resources - population health Canadian Health Services Research Foundation - promotes and funds management and policy research in health services and nursing -collaborates with health system decision makers to support and enhance the use of research evidence services NOT covered by OHIP - ambulance - route eye exams (19-64 y/o) - some physio - regular dental exams - podiatrist - chiropractors Local Health Integration Networks main roles - plan, fund and integrate health care services locally in communities - development integration of health service plans - funds health service providers - allocates local health dollars based on community priorities 4 levels of health care services 1) health promotion 2) disease and injury prevention (protection) 3) Diagnosis and treatment of existing health problems 4) rehabilitation population health approach to health care that focuses on DoH - aims to reduce inequities among different groups of populations integrated health care delivery system a network of health care organizations that provides or arranges to provide a coordinated continuum of services to a defined population + held clinically and fiscally accountable for the outcomes and the health status of the population serviced disease management cost effective approach to improving service quality and integration and promoting consumer empowerment and QoL Accreditation Canada assists health service organizations across Canada to examine and improve quality of care they provide two main acts that govern privacy legislation 1) Privacy Act 2) The Personal Information Protection and Electronic Documents Act Operating Budgets account for income and expenses associated with day-to-day activity within a department or organization Capital Budgets account for the purchase of major new or replacement equipment Construction Budgets are developed when renovations or new structures are planned Operational Budgets financial tools that outline anticipated revenue and expenses over a specified period Accounting an activity that managers engage in to record and report financial transactions and data Balanced Scorecards a documentation tool providing a snapshot of pertinent information and activity at a specific time: finances, customer satisfaction, internal operational efficiency + learning & growht fundamental information gathered to prepare a budget - demographics - regulatory influences - strategic plans - consumer willingness to pa revenue income generated through a variety of means: billable client services, investments, donations, unit-based revenue expenses cost associated with the delivery of services (medical supplies, drugs, paper supplies, labour, equipment, utilities, etc.) expenditures resources used by an organization to deliver services (labour, supplies, equipment, space, utilities) zero-based budgeting process used to drilldown into expenses by detailing every supply item and quantity of items used cost centres hospitals are frequently divided into subsections/units which defines it's own scope of service past budgets help establish a baseline for a department and help establish patterns of growth or decline over tie salaries and benefits account for 80% health care budgets staffing models outline the number of staff required (based on the procedure or clients) for most cost effective combination care delivery models organize the work of caring for patients models of care based on the needs of clients (and unit) and availability of competent staff skill levels total patient care nurse is responsible for the total care for a client assignment for a worked shift functional nursing divides work into functional units - each care provider is responsible for specific duties/tasks modular nursing team nursing that divides a geographic space into modules of patients. Each module has a team of staff team nursing assigns staff to teams responsible for a group of patients primary nursing defines the responsibility and accountability of the nurse - nurse is the primary provider of care mission statement formal expression of the purpose or reason for existence of the organization philosophy value statement of principles and beliefs that direct that organization's behaviour vision provides a clear picture of what the future will look like; it defines the key results achieve and goals that are to be accomplished values may be formally stated and explicit; or may be implicit and part of the organizational culture shared governance framework grounded in the decentralization of leadership that fosters autonomous decision making and professional nursing practice Benner's 5 stages of nursing novice - advanced beginner - competent - proficient - expert FOCUS F - focus on an improvement O - organize a team that understands the process C- clarify what is happening in the current process U - understand the degree of change needed S - select a solution for improvement organizational culture basic pattern of shared assumptions, values and beliefs that govern behaviour within an organization five stages that groups progress through forming - storming - norming - performing - adjourning functional roles of a group initiator - coordinator - mobilizer - questioner - antagonist - recorder dysfunctional roles criticizer - passive observer - detailer - controlle - pleaser