NR 226 Managing Patients Cares Questions and Answers

NR 226 Managing Patients Cares Questions and Answers Magnet recognition has a transformed culture with a practice environment that is dynamic, autonomous, collaborative, and positive for nurses. The culture focuses on concern for patients Team nursing developed in response to the severe nursing shortage following World War II Total patient care was the original care delivery model developed during Florence Nightingale's time Primary nursing was developed to place RNs at the bedside and improve the accountability of nursing for patient outcomes and the professional relationships among staff members Case management care management approach that coordinates and links health care services to patients and their families while streamlining costs and maintaining quality Decentralized management decision making is moved down to the level of staff, is very common within health care organizations. This type of management structure has the advantage of creating an environment in which managers and staff become more actively involved in shaping the identity and determining the success of a health care organization Autonomy freedom of choice and responsibility for the choices Authority refers to legitimate power to give commands and make final decisions specific to a given position Accountability refers to individuals being answerable for their actions. It means that as a nurse you accept the commitment to provide excellent patient care and the responsibility for the outcomes of the actions in providing that care Shared governance chaired by senior clinical staff, these groups establish and maintain care standards for nursing practice on their work unit. Shared governance councils promote empowerment in staff nurses and enable them to control their nursing practice Nurse/physician collaborative sharing of different perspectives that are then synthesized to better understand complex problems. An outcome of collaboration is a shared solution that could not have been accomplished by a single person or organization. Nurse-physician collaboration improves patient safety and outcomes and reduces errors Interdisciplinary collaboration emphasis on efficiency in health care delivery brings all members of the health care team together. Teamwork decreases mistakes because team members commit to shared knowledge, skills, and attitudes. Interdisciplinary collaboration leads to decreased patient mortality, decreased health care costs, and increased nurse job satisfaction High priority immediate threat to a patient's survival or safety such as a physiological episode of obstructed airway, loss of consciousness, or a psychological episode of an anxiety attack Intermediate priority nonemergency, non-life-threatening actual or potential needs that the patient and family members are experiencing. Anticipating teaching needs of patients related to a new drug and taking measures to decrease postoperative complications are examples of intermediate priorities. Low priority actual or potential problems that are not directly related to the patient's illness or disease. These problems are often related to developmental needs or long-term health care needs. An example of a low priority problem is a patient at admission who will eventually be discharged and needs teaching for self-care in the home.