Role and Scope Exam 3 Rasmussen Questions and Answers 2023

Role and Scope Exam 3 Rasmussen Questions and Answers 2023 Nurse to Patient Collaboration Nurses coordinate with patients the many issues surrounding health promotion and disease prevention, treatment methods, lifestyle changes, and end-of-life decisions. 2. Nurse-Nurse Collaboration (Intraprofessional) Nurses work in teams in hospitals, in clinics, and in communities that provide collaboration and support in patient caregiving. Nurses from various units, fields, and with different experiences also collaborate: nurse managers, nurse researchers, nurse educators, advanced practice nurses, as well as novice nurses with expert nurses! Mentoring is one example of this collaboration. Shift "hand-offs" are also exemplars. 3. Interprofessional Collaboration This is the category that often comes to mind when thinking about collaborative care. Nurses form partnership between a team of health providers from medicine, pharmacy, occupational therapy, physical therapy, dentistry, social work, education, and even law. (Nurse consult with PT, OT, Surgery, etc. 4. Interorganizational Collaboration Nurses must be aware of and utilize resources and information between organizations which will benefit patients at the local, national, or global levels. Examples of this are Hospice Care at the local level, and Health Care Consortiums at the national level. Collaborative Culture - Nurse to patient - Nurse to nurse collaboration (Intraprofessional); handoff with report - Interprofessional collaboration - other disciplines (ot/pt consult) - Interorganizational collaboration - between organizations (hospice consult) Goals of Care Coordination - Improve and optimize care. - Promote health and independence. - Reduce unnecessary service utilization. Care Coordination Care coordination is a set of activities purposefully organized by a team to facilitate the appropriate delivery of the necessary services and information to support optimal health and care across settings and over time. Social Models - Manage home- and community-based services. - Do not address medical care. - Examples include: - Food and meal services - School-based services - Housing and transportation assistance - Disability services Medically Oriented Models - Coordinate medical services. - Some models focus on a specific diagnosis. - Some models focus on the coordination of multiple treatments for multiple conditions. Integrated Models - Combine health care (both acute and long-term), social support, and community services. - Emphasis is on holistic, patient-centered, family-focused care. - Example: - Program for All-Inclusive Care for the Elderly (PACE) Interprofessional collaborative practice - Multiple health workers from different professional backgrounds work together with patients, families, careers and communities to deliver the highest quality care (WHO, 2015) Five Key Attributes of Interprofessional Collaborative Practice - Interprofessional team that includes the patient - Proactive plan of care - Targeted set of purposeful activities - Proactive follow-up - Communication Interprofessional Team Includes Who? - Includes patient and family. Proactive Plan of Care - Activities are patient centered and family focused. - Individual needs, preferences, and risks are assessed. - Evidence-based standards are followed. - Goals are clear, and decision making is shared. - Patient is taught and coached to promote self-care. Proactive Follow-up - Is the systematic process of surveillance, evaluation, and monitoring. - Follow-up assessments - Tests - Treatments - Plan of care Relevance to Health Care (Care Coordination) - Everyone will need care coordination at some time during their lives. - Populations with the greatest need that benefit the most are: - Vulnerable populations - Individuals with multimorbid chronic conditions - Children and older adults Populations with the greatest need that benefit the most are: - Vulnerable populations - Individuals with multimorbid chronic conditions - Children and older adults Barriers to Communication These barriers may be physical (too much ambient noise in the area), psychological (anxiety on the part of any of the participants), or semantic (misunderstandings based upon language and words). Dealing with Breakdowns in Communication Assess and identify the triggers of the event or incident. Discover the history and the context for each person. Assess how much or how little they rely on working with each other. Identify the issues, goals, and resources involved in the situation. Uncover any previously considered solutions that may or may not have worked. Assertive Communication Assertive communication is honest and direct. It accurately expresses the person's feelings, beliefs, ideas, and opinions. Nonassertive behavior categories submissive and aggressive Aggressive Communication - used to humiliate, control, or embarrass the other person or lower that person's self-esteem - creates an "I win, you lose" situation. The other person may perceive aggressive behavior or communication as a personal attack What are the recommendations for nurses that are published in the IOM's report The future of nursing? - Nurses should practice to the full extent of their education and training. - Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression. - Nurses should be full partners, with physicians and other health professionals, in redesigning health care in the United States. - Effective workforce planning and policy making require better data collection and information infrastructure. What is Magnet recognition? The Magnet Recognition Program is a recognition program operated by the American Nurses Credentialing Center that allows nurses to recognize nursing excellence in other nurses. It is considered the highest recognition for nursing excellence. Who determines laws and rules for professional nurses? Practice is typically defined by the Nurse Practice Act and governed by the State Board of Nursing. What role do nurses play in informed consent? - Witness signed consent - Reinforce education - Ensure the patient fully understands the procedure - It is not the responsibility of the RN to provide initial education, this is the role of the provider. Definition of Health (WHO) The WHO defines health as "a state of complete physical, mental, and social well-being and not merely the absence of disease and infirmity" (Giddens, 2013). How does collaboration occur? What disciplines and who is involved? - Nurse to patient - Nurse to nurse collaboration (Intraprofessional) - handoff with report - Interprofessional collaboration - other disciplines (ot/pt consult) - Interorganizational collaboration - between organizations (hospice consult) How is informatics used to promote interdisciplinary care? Nursing Informatics is a broad concept and basically means the blending of information and computer science to study processes, management, and retrieval of health- related information. Informatics is used to combine data sets to give information, and thus knowledge to the individual using them. How do nurses utilize informatics? Nurses have a defined need to communicate the nursing care of clients and their families, establish comparability of nursing data across clinical populations, project trends regarding nursing care provided and allocation of nursing resources, stimulate nursing research through linkages of nursing data, and provide data about nursing care to influence health policy and decision-making (Catalano, 2013). Consider all the forms of communication in nursing practice: nurse-patient, nurse-nurse, etc. Know the different styles of communication: assertive, aggressive, submissive, conflictual, & educational. ... assertive communication - Direct - Accurately expresses the person's feelings, beliefs, ideas, and opinions - Respects self and others - Encourages trust and teamwork - Encourages others to express their opinions in an open and respectful atmosphere