N4410 module 1 Questions with complete
solutions
systems thinking
you -> microsystem -> mesosystem -> macrosystem
benefits of systems thinking
- allows us to zoom out and see how everything fits into nursing/healthcare
- helps emphasize importance of communication
- better patient outcomes w/ systems thinking (notice patterns)
- helps w/ leadership development and collaboration, understand how all the moving parts fit
a microsystem is
a setting with particular physical characteristics, resources, patterns of activities, roles and
interpersonal relations experienced by the developing person
clinical microsystem
the smallest functional unit w/in a healthcare system where care is directly delivered to patients
- includes team of healthcare professionals, patients, processes, and technologies that work
together to achieve specific clinical outcomes
people w/in a clinical microsystem
- patients/clients
- staff nurses
- assistive personnel
- charge nurse
, - nurse management
- providers (physicians, midlevels)
- allied health professionals (therapists, chaplain, radiology tech)
- security
- environmental services
- patient family
other components w/in a clinical microsystem
- mission: why it exists
- vision: where you plan to go
- values: standards, what we hold to be important, guidelines by how we carry out our mission
and achieve our vision
- culture: culmination of the positive things we encourage and the negative things we tolerate,
environment we create for the constituents of the microsystem
- policies: rules that inform how we do what we do
- staffing models: how we dictate the care we give to our patients
staffing models
- geographic staffing: 25 bed unit, 5 nurses, each nurse will have 5 beds all next to each other
- acuity staffing: patient with ECMO will be 1:1, lower acuity patients nurse can have more of
three goals of communication
- instrumental goal: what we want to happen
- relational goal: based off of building a trusting rapport w/ whoever we are communicating
solutions
systems thinking
you -> microsystem -> mesosystem -> macrosystem
benefits of systems thinking
- allows us to zoom out and see how everything fits into nursing/healthcare
- helps emphasize importance of communication
- better patient outcomes w/ systems thinking (notice patterns)
- helps w/ leadership development and collaboration, understand how all the moving parts fit
a microsystem is
a setting with particular physical characteristics, resources, patterns of activities, roles and
interpersonal relations experienced by the developing person
clinical microsystem
the smallest functional unit w/in a healthcare system where care is directly delivered to patients
- includes team of healthcare professionals, patients, processes, and technologies that work
together to achieve specific clinical outcomes
people w/in a clinical microsystem
- patients/clients
- staff nurses
- assistive personnel
- charge nurse
, - nurse management
- providers (physicians, midlevels)
- allied health professionals (therapists, chaplain, radiology tech)
- security
- environmental services
- patient family
other components w/in a clinical microsystem
- mission: why it exists
- vision: where you plan to go
- values: standards, what we hold to be important, guidelines by how we carry out our mission
and achieve our vision
- culture: culmination of the positive things we encourage and the negative things we tolerate,
environment we create for the constituents of the microsystem
- policies: rules that inform how we do what we do
- staffing models: how we dictate the care we give to our patients
staffing models
- geographic staffing: 25 bed unit, 5 nurses, each nurse will have 5 beds all next to each other
- acuity staffing: patient with ECMO will be 1:1, lower acuity patients nurse can have more of
three goals of communication
- instrumental goal: what we want to happen
- relational goal: based off of building a trusting rapport w/ whoever we are communicating
