HESI 101 Nursing Leadership(2021 update) Graded A+

HESI 101 Nursing Leadership(2021 update) Graded A+ written by influencer Did you know a seller earn an average of $250 per month selling their study notes on Docmerit Scan the QR-code and learn how you can also turn your class notes, study guides into real cash today. D - The Best Study Notes Uploaded by: influencer on Docmerit. Distribution of this document is illegal HESI 101 Nursing Leadership = Everything (Final) Complete! 1. #1 thing to remember about negative feedback Unsatisfactory work must be acknowledged and discussed 2. 2 biggest/worst actions that lead to malpractice lawsuits 3. 2 out of 3 people leave a job because of this 4. 2 types of change 5. Altering/falsifying a medical record, violation of an internal or external standard of practice Ineffective/incompetent management Planned/Managed, Unplanned/Reactive Active resistance and passive resistance 6. 7. 8. 9. 3 stages of lewins theory of change 10. 3 types of liability 11. 4 stages of burnout 12. According to JCAHO what is the reason for a large number of sentinel events that occur? 13. According to Rogers what are typical responses to change? 1. Recognize and understand your own emotions, learn to manage them, stay calm and clear headed. 2. Listen to others, perceive unspoken concerns, acknowledge others perspectives, helpful Graduate from an approved RN program, english language proficiency, disclosure of criminal convictions Interpersonal, decisional and informational behaviors along with leadership, business sense and clinical expertise Unfreeze(take out of comfort zone), Change(discomfort), Refreeze(new comfort zone) Personal, vicarious, employer/corporate 1. high expectations and idealism, 2. pessimism and early job dissatisfaction, 3. withdrawal and isolation 4. irreversible detachment and loss of interest Communication deficits among health care providers innovators, early adapters, early majority, late majority, laggards and rejectors. 14. Advice for giving feedback 15. AKA - Bottling emotions (inappropriate way of dealing reality shock) 16. These are activities that an RN may NOT delegate 17. These are clinical protocols involving all disciplines 18. These are established guidelines for the nursing profession to ensure quality of care 19. are influenced by values 20. These are non life essential values (things, people, ideas, kindness, and understanding) 21. These are offenses committed against state laws 22. These are organized thoughts about why people exist in the universe 23. Behaviors at risk for violence Give both negative and positive, give immediately, give frequently, give negative feedback in private, base it on observed behavior, include suggestions for change. Rutter Initial and follow up assessments, decisions and judgements about client plan of care, interventions that require professional RN knowledge or skills, decisions/judgements needed to evaluate care Critical pathways Nursing Standards Choices Extrinsic values Criminal acts Beliefs History of violent behavior, delusions paranoia suspicion, aggression, threats, rapid speech, anger, stiff posture, clenched fists, ETOH/drug use, male or youth, unrealistic policies/procedures 25. Choices to resolve conflict 26. Common actions leading to malpractice lawsuits 27. Common causes of negligence 28. Common mistakes made during change implementation 29. The CQI program evaluates what 3 things? 30. Describe the traditional organizational structure 31. Dont's of feedback 32. Do's and Don'ts for managing diversity 33. Do's of feedback Avoid it, accommodate, compete, compromise, collaborate Fail to assess properly, fail to report changes in pt status, fail to document, fail to obtain informed consent, fail to report co-worker negligence, fail to provide adequate education * TWO BIGGEST* Altering/falsifying a medical record and Violation of an internal or external standard of practice Client falls, equipment injuries, failure to monitor, failure to communicate, medication errors, medical errors Failure to make need for change clear, unclear goals, too little time, poor leadership, insufficient coordination of the change process, insufficient education, dismissing complaints 1.Structure within which care is given, 2. the process of giving the care 3. the outcome of that care Tall and narrow chain of command - Employees ranked top to bottom with the number on bottom greater than the top, authority is at the top only, power is distributed, communication is a challenge because of all of the layers of power Focus on negatives, let personalities intrude, be vague, play favorites, correct people publicly Do - recognize it, value it and develop support for it, Ensure fairness, make all of the above part of your philosophy. Don't- pretend all are alike, expect everyone to conform, seek quick solutions, develop different performance standards, expect one workshop/meeting to solve it. Include positive comments, be objective, be specific, treat everyone the same, correct people privately 34. These ethical concepts are learned and change with maturity and experience 35. Explain the differences between management and leadership Values (The amount of values a person holds, isn't as important as "which" values they consider important) Management-Assigned formal position, budgets, hires/fires. Leadership -Achieved informal position, part of every RN's responsibility Ethical Codes 39. How are error events in health care categorized? 40. How do managed health care organizations control costs? Near miss, adverse event, accident, never event By providing incentives to consider lower cost treatment alternatives Education, early diagnosis, self-care, prevention, reduce duplication Respecting the pts right to make their own choices about healthcare They need to assist pts in meeting all of their needs (Biological, psychological, social) Requires nurse to protect pts who can not protect themselves They must be nonjudgmental to every patient Use Assessment to assess needs of pts, set specific goals, match the right personnel with the appropriate skills care for the pt, Use Planning to mentally identify who is best suited for the task, and prevent later problems, Use implementation to assign appropriate personnel who have the right level of expertise for the pt to deliver the 47. How much actual time does an RN spend on pt care? 50. In this nursing care delivery model the nurse is responsible for planning, organizing, and delivering all care. It is the oldest method of organizing care. 51. In this nursing care delivery model the RN acts as a leader and coordinates all care for a group of patients. Was formed in the 50's to improve pt satisfaction and reduce fragmented care 52. In this nursing care delivery model, the RN is the main caregiver and responsible for planning, directing and evaluating all care. Created in the 70's for promoting RN autonomy. care, and use Evaluation to oversee the care and determine if the pt care needs have been met and allow for feedback. 35% Don't volunteer information, be familiar with the case, clarify questions, don't assume, don't exaggerate, allow 5 seconds before answering (Practice this), tell the truth always, speak slow and clear, eye contact, bring resume, request a break/rest, think before answering, avoid anger/absolutes, read deposition ahead of time, if asked the same question twice- ask them to play back or repeat your previous answer. Native (i'll just keep doing this because it's easier), runaway, rutter, burnout, loner, remain new, be the change agent Total Patient Care Nursing Team Nursing (RN team A LPN team A PCA team A delivers care for the group of pts assigned to team A; RN teamb, LPN team B PCA team B delivers care for the group of pts assigned to team B) Primary Nursing 53. In this nursing care delivery model the staff members are assigned to complete tasks for a specific group of patients and unskilled workers are trained to perform routine simple tasks, evolved during WWII as a result of the nursing shortage. 54. In this type of managed health care organization, the primary care provider controls access to services 55. In this type of organization, authority figures have all of the power/control 56. Is burnout an emotional disturbance or a reaction to organizational stressors? 57. Keys to surviving reality shock 58. Laws relevant to Nursing 59. List 3 levels of criminal law offenses 60. List 3 qualities a leader must develop 61. List 3 sources that laws come from HMO Centralized/Traditional It is a reaction to organizational stressors Think before you answer, take vacations, support co-workers (be a good listener), be comfortable, treat yourself, get rid of energy drains, learn to say NO Good samaritan, confidentiality, slander/libel, false imprisonment, assault and battery, malpractice, liability, and negligence Felony, Misdemeanor, Juvenile 1. Ability to diagnose or understand the situation you want to influence or change 2. Adaptation in order to allow your behaviors to close the gap between the current situation and what needs to be changed 3. Communication Constitution, statutes, Administrative -Private/nonprofit, publicly supported, private/for profit 63. List 4 points about grapevine communication 64. List four types of nursing care delivery methods Team nursing, Functional nursing, Primary nursing, total care nursing 65. List some barriers to effective delegation lack of experience, lack of licensure, quality of care, assigning work to others, poor communication or follow through/follow up, lack of trust 66. List some behaviors characteristic of a leaders Critical thinking, problem solving, respect people, communicates skillfully, sets goals, shares a vision, develops self and others 67. List some examples of professional negligence Duty owed, duty breached, forseeability(Knowingly fails to meet standards), causation, injury, damages 68. List some sources of power Formal vs informal, authority, reward, coercion, expertise/information, connections/referent 69. List some ways RNs organize their work Set long and short term goals, use lists, ticker files, time blocks, filing systems 70. list the 4 phases of unplanned change? Design the change, plan implementation, implement the change, integrate the change 71. List the 5 dimensions of followership Courage to assume leadership/responsibility as needed, courage to serve, courage to challenge, courage to participate in change/transformation, courage to leave 72. List the conflict resolution process Identify the problem, generate possible solutions, evaluate suggested solutions, choose the best solutions, implement the solution chosen, is the problem solved?, if yes end process if not repeat. 73. Major issues handled by the state Falsifying documents, felonies, drugs/alcohol problems, functioning outside the scope of practice, abuse boards of nursing include what? 74. The manager that believes this theory of McGregor believes in guidance rather than control and development rather than supervision with added rewards is the best way to manage employees 75. The manager that believes this theory of McGregor believes that employees need strict rules, constant supervision and threat of punishment Theory X Theory X and Theory Y 79. Name some ethical principles Autonomy, nonmaleficence, beneficence, justice, fidelity, confidentiality, veracity, accountablity Internal, organizational, accepted state and national standards, nurse practice acts, patient care partnerships Insurance companies, Government insurance, managed care organizations Veracity 83. Name the three types of leadership styles 84. Name two things required to motivate people 85. Pain tolerance is what type of research? Authoritarian/autocratic, Democratic, laissez fare Power and authority Qualitative disadvantages, rank options and select one, implement option selected, evaluate the results 89. Re-admission rates are what type of research? 90. Requirements for informed consent 92. The role of this group is to provide unbiased, expert advice to improve health. (they drive healthcare) 95. These standards are maintained in policy and procedure manuals/online access. Developed by institutions Honeymoon, shock, recovery and resolution QI - Nightengale began, structured/organized, evidence based CQI-Purpose, Identify and collect data, analyze, evaluate and change, responsibility, evaluate structure process and outcome Quantitative Mentally competent adult - voluntary, client understands exactly what they are consenting to, Consent includes risks alternative treatments available and outcomes, consent is written Voluntary consent, if the subject of the research is human - they can stop at any time they choose, patients are adequately informed Institute of medicine (qsen, quality and safety - we teach to the IOM) Routine contact with the public, work alone or in small numbers, work late, poor security, patients and families with weapons, lack of experienced staff, units and patients that require seclusion/restraint activities Healthcare should be 1. safe 2. effective 3. pt centered 4. timely 5. efficient 6. equitable Internal standards Complaint, discovery, deposition, and trial covered and employer, keep all 98. Steps to solving a problem 99. Strategies for group decision making 100. Strategies for groups to decide on changes 101. Ten rules to govern healthcare reform for the 21st century as published/recommended by the institute of medicine 102. Things an RN should do when evaluating the delegation process 103. This approach to error resolution addresses a problem and goes deeper, outcome, implement, evaluate Increase acceptance, increase time, more ideas generated the better, increase team building, all members need knowledge, some members may dominate, competition can develop Brainstorm, nominal group techniques, focus groups, delphi technique(Panel of professionals to educate) 1. care is based on a continuous healing relationship 2. care is provided based on pt needs/values 3. pt is a source of control of care 4. knowledge is shared and free. 5. Evidence based decisions 6. safety as a system is a priority 7. secrecy is harmful, transparency is necessary 8. anticipate pt needs 9. decrease waste continually 10. cooperation needed between the healthcare providers Oversees the care, determine if pt care needs have been met, allow for feedback Root cause analysis 104. This budget is a plan for monthly bills and receipts 105. This budget used by businesses is to purchase equipment 106. This budget used by businesses is used for day to day expenses 107. This drives healthcare, (QSEN standards also) 108. This ethical principle is loyalty and a promise to fulfill all commitments. (accountability) 109. This ethical principle means being responsible for your own action to self and other collegues 110. This ethical principle means "doing good" for others 111. This finding in research means there is low probability the result was due to just chance 112. This health practice model advocates for continued growth of nursing, provides vision, practices self and shared governance and empowerment of nursing practice 113. This is a health care delivery system that uses financial incentives and management controls to direct efficient and appropriate health outcomes (capitated system) 114. This is a health care initiative by the institute of medicine that states the gaps in actual care and high quality care can be attributed to key inter- related areas within healthcare Capital Expenditure budget Operating Budget IOM- Institute of Medicine Fidelity accountability Beneficence "significant findings" (Not chance - proven probability) Professional practice model Managed Care "Crossing the quality chasm" 115. This is a measure of 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 116. This is a persons own code for what is acceptable behavior (conscience) this is learned 117. This is a problem in which conflicts of belief exist making decisions difficult 118. This is a type of leadership in which the nurse is acting in an approved/appointed management role 119. This is created as an attempt to demand lower health care prices by consumers and employers. (the strongest movement in healthcare) 120. This is "do no harm" ethical principle 121. This is leadership exercised by a person with no official power but influences others (can be positive or negative influence) 122. This is something in the environment that changes (research/experimentation methods) 123. This is the ability to influence the beliefs, opinions or behaviors of a person or group toward overall goal acheivement 124. This is the act of getting work done through others by planning, organizing and commanding employees Morals Ethical dilemma Formal leadership Managed Health Care organizations nonmaleficence Informal leadership Variable Leadership Management 128. This is the model in which each person in an organization share a mission, vision, values and partnerships. They believe that each person has a right to healthcare and each person is accountable to communicate and contribute to their healthcare. It is a planned partnership. Empowerment for each persons healthcare begins with themselves. 129. This is the negative phenomenon that occurs in highly cohesive groups similar prejudices suppress open discussion. It often interferes with critical thinking and increases pressure to conform. 130. This is the "right" or "wrong" of human behavior, and the motivation behind it 131. This is the term used for professional negligence 132. This is the unintentional tort of acting or failing to act, resulting in harm to the person owed care Clinical Practice Model for healthcare Group Think Ethics Malpractice Negligence 134. This managed healthcare organization is when the physician and health services are contracted with the insurance company to provide services at discounted fees 135. This managed healthcare organization type allows choice of providers but cost may be higher PPO POS 137. This occurs when the novice RN begins to understand the culture of the unit after reality shock Recovery 138. This personality test studies Extro/introversion, sensing/intuition, thinking/feeling and judging/perceiving personality testing (some employers use this to seek out possible new employees) Evidence based practice 141. This process includes data information collection and knowledge. It is the infrastructure for Evidence based practice, and collects data for standardized nursing practice, Hospital information data and administrative database maintenance (collection of private, secure data) 142. This research is objective, numbers are used as analysis Informatics Quantitative 145. This research term describes the likelihood that something will happen 146. This research type is subjective, words are used as element of analysis 147. This skill is a prerequisite for good delegation skills? 148. This states that the supervisor that gives an order can be sued if the person below them fails to follow it. Probability Qualitative Good organizational skills Malpractice -(respondeat superior) 151. This type of civil law is a legal duty of care (Duty to not harm) 152. This type of error event is when no harm or minimal harm is done 153. This type of error event is when serious injury occurs, very concerning, major mistake 154. This type of error event shouldn't have happened. Ever. 155. This type of leader is directive an controlling and can damped the creativity and inhibit motivation of the group (Very efficient) Near miss Sentinel event Never Event Autocratic/ authoritarian 157. This type of leader leads people to feeling confused, without goals or guidance and is often ineffective with little control or responsibility for the leader (not efficient) 158. This type of leader makes no attempt to motivate or move the group in any direction 159. This type of leader tries to move the group toward the groups goals - Shared responsibility (Somewhat efficient overall) 160. This type of leader tries to move the group toward their own (the leaders) goals 161. This type of liability is dependent on hiring of quality staff, in a safe environment Laissez-Fare Laissez-Fare Democratic Autocratic/authoritarian Employer/Corporate liability 162. This type of liability is employers being held accountable for negligence of employees 163. This type of organizational structure is less bureaucratic, more flexible, decisions are made by those who implement the changes, autonomy is emphasized, communication is up and down 164. This type of organization gives power to those who are affected by decisions 165. This type of resistance to change attacks the idea, refuses to change, argues, organizes resistance of other people 166. This type of resistance to change avoids discussion, ignores the change, refuses to commit, and agress but doesn't act on the change 167. This was a group of recommendations by the institute of medicine to enhance safety, encourage learning from errors, sets standards for safety and safety systems 168. Tips for a successful Team conference 169. Tips for prevention of malpractice Innovative/Decentralized/Non-traditional Decentralized/Non-traditional/Innovative Active resistance Passive resistance "To Err is Human" recommendation Present the info in a clear concise manner Keep informed about new information r/t your practice (CEU's), Insist on employer keeping personnel informed of all changes in policy/procedure and new technology, 170. To keep a current license RN's complete CEU's. At least one of these CEU's must be about . 171. Top 3 types of quality errors that can happen in an institution 172. True or false, conflict is always a negative experience 173. True or false, conflict is inevitable in large groups 174. True or false, effective leadership ensures good management skills 175. True or False, good management skills ensure good leadership skills? 176. True or False, it is more difficult to provide positive feedback than to provide negative feedback? 177. True or False, the courts uphold the authority of boards of nursing to regulate standards 178. Two things (Forces) that can happen during change (according to Lewin) follow standards of care, ID at risk clients for problems, maintain safe environment, document precisely, write detailed incident reports, file incident reports, recognize client behaviors that might be a problem Pain or pain management 1. Service occurrences 2. serious incident 3. sentinel event False, not necessarily True False False false, it is more difficult to provide "good negative feedback" Than positive feedback. True 1. Driving forces and 2. Resisting forces 179. Types of Civil Law Tort, Quasi-Intentional Tort, Negligence, Malpractice 180. Types of ethical values 181. Types of law 182. These types of tests determine probability (likelihood something will happen) 183. These types of values sustain life - (food/water) 184. What are 4 things that the Institute of Medicine states about quality of care 185. What are driving forces for change? 186. What are restraining forces of change? 187. What are some advantages of functional nursing care 188. What are some advantages of primary nursing care? 189. What are some advantages of team nursing care? 190. What are some advantages to total patient care nursing? 191. What are some common areas for Functional nursing delivery? 192. What are some common areas for primary care nursing delivery? Intrinsic, extrinsic, personal and professional Criminal, Civil statistical tests Intrinsic values 1. quality can be defined and measured 2. quality problems are serious and extensive 3. current approaches are inadequate to improve quality 4. there is an urgent need for rapid change They call for the change, enable it. It must increase in order for the change to occur Resistance to change. They must decrease for the change to occur Care is provided economically and efficiently, minimum number of RNs required, tasks are completed quickly High quality holistic patient care, Establish good rapport with RN, the RN feels challenged and rewarded High quality, comprehensive care with a high proportion of subordinate staff, each team member participates in care decision making and contributes their own expertise High degree of autonomy, Lines of responsibility and accountability are clear, patient receives holistic unfragmented care Operating Room Hospice, Home Health, Long Term Care, (my sub-acute detox facility I work on) 193. What are some common areas for team nursing delivery? 194. What are some common areas for Total Patient Care Nursing delivery? 195. What are some common errors of delegation? 196. What are some decisional behaviors of nurse managers? 197. What are some disadvantages of functional nursing care? 198. What are some disadvantages of primary nursing care? 199. What are some disadvantages of team nursing care? 200. What are some disadvantages of total patient care nursing? 201. What are some examples of ethical dilemmas 202. What are some factors the RN should consider when delegating tasks? 203. What are some fiscal responsibilities of RN's? Inpatient and outpatient care settings (Med/Surg, Pine Rest Inpatient units etc) ICU, PACU, and Nursing students often provide total patient care. :D Overloading self by not delegating, old patterns of behavior, unclear communication, release of control, pressure to delegate in appropriately Employee evals, resource allocation, planning, job analysis and redesign Care can be fragmented, Pt may become confused with so many different care providers, caregivers feel unchallenged Primary nurse must be able to practice with a high degree of autonomy, RN must accept 24 hour responsibility, more RN's are needed so it is not cost effective Continuity suffers if daily team assignments vary, team leaders must have good leadership skills, There may be inefficient time for planning and communication between team members and teams Inconsistency- each RN may have different approach to care, not cost effective, Lack of RN availability Assisted Suicide, technology issues, gene therapies, designer babies, organizational climate Is there potential for harm?, Complexity of the RN activity/task, what problem solving/innovation is required, how predictable is the outcome? Understand that budgeting drives healthcare, achieve patient outcomes in a safe/cost efficient manner, judicious use of equipment and supplies 204. What are some good team communication guidelines? 205. What are some informational behaviors of nurse managers? 206. What are some interpersonal behaviors of nurse managers? 207. What are some methods used to organize nursing care? 208. What are some possible goals of a health care organization other than "caring for the health and wellbeing of people) 209. What are some potential conflict generators in the workplace? 210. What are some reasons delegation is necessary? 211. What are some RN only tasks that should not be delegated? 212. What are some roles of the nurse manager? Active listening, communicate genuine concern and interest, provide the employee with adequate information, use team members ideas in the plan of action, maximize feelings of self respect, focus on the team members ability to help themselves, don't minimize value of time allowed to learn, seek alternatives, respect values and dignity, depresonalize potential conflict situations Spokesperson for staff and the organization, monitor activities of units/work groups, dissemination of information Networking, conflict resolution, employee development, rewards/punishment -critical pathways, computerized information sheets, personalized worksheets, delegation trees -Survival, Growth, Profit, Status, Dominance Competition, increased workload, multiple role demands, threats to safety/security, scarce resources, cultural differences, invasion of personal space RN shortage, health care reform, increased need for nursing services, cost containment, time management, demographic trends, use of UAP Initial teaching, nursing diagnoses, assessments, delegation to others Customer service, team building and motivation, decisions/mediation, evaluations, delegation, change agent, clinical consults, staff development, corporate supplier 213. What are some things that can make groups (in general) feel more empowered? 214. What are some trends in informatics today? 215. What are some types of errors that can occur in healthcare delivery 216. What are some ways in which nurses feel empowered? 217. What are some ways to lower resistance to change (Restraining forces) 218. What are the 2 times in which confidentiality may be violated? 219. What are the 5 rights of delegation a nurse must remember? 220. What are the differences between mission statement, vision and philosophy of an organization 221. What are the different types of nursing practice models 222. What are the key things that should be included in shift change report? 223. What are the main components of Joining/participating in Professional organizations, collective bargaining, shared governance EMR/Smartcards, telehealth, email help, health websites and evaluation of web resources Diagnostic, treatment, preventative Assist with decision making, Keeping workloads manageable, reward/recognition, fairness/equality Information dissemination (give as much info as possible for better understanding), Disconfirm currently held beliefs(risks if a change does happen), Psychological safety must be ensured, Command (usually commanding doesn't work) If the pt is indicating they may harm themselves or others, if the pt gives permission for the information to be shared Right task, Right circumstance, Right person, Right direction/communication, Right supervision/evaluation Mission - reason for existence, Vision- goals/ambitions for future, Philosophy-value of principles/beliefs/behaviors -Professional practice model, - Clinical practice model Pt ID, Pt Dx, Where the pt is, Treatment plan, Responses to treatments, omit personal opinion and judgement Intake, referral, treatment, recovery monitoring and completion 224. What are the qualities of a good leader? 225. What are the requirements of the patient self determination act 226. What are the skills needs of a novice RN? 227. What do followers expect from good leadership? 228. What happens if a student doesn't pass NCLEX after 3 x in one year 229. What impact do ineffective nurse managers have on others? 230. What is evidence based care model standards to follow? 231. What is formal power? 232. What is horizontal delegation" 233. What is informal power? Integrity, courage, initiative, energy, optimism, perseverance, balance, ability to handle stress, self awareness Advanced directives - (Each person must be provided with information regarding them, documentation must be made, education necessary, respect pts rights, demonstrate cultural humility) Interpersonal skills, Clinical skills, organizational skills, delegation skills, prioritization skills, improved social skills Respect, tools to do the job, guidelines/input into the decision and how it will affect them as followers, openness to change, quality relationships with supervision, rewards/recognition, balance of life, professional development opportunities Must have to repeat an RN program. Then gets 3 more chances in 12 months to pass (this may vary state to state) Can harm employees, clients and the organization for which they work Ask a clinical question, acquire the evidence, appraise the evidence, apply the evidence to practice, assess the outcomes Written policies set in stone RN to RN (transfer of responsibility and accountability) Transfer to person of same expertise level. Powers under the radar (stems from relationships you build/rapport etc - the way you speak to certain people can gain you power) 234. What is SWOT analysis? 235. What is the difference between delegating and assigning? 236. What is the difference between Theory X and Theory Y (McGregor) 237. What is the purpose of a mission statement? 238. What is the purpose of belief systems 239. What is the purpose of peer review? 240. What is the role of the staff nurse pertaining to budget? 241. What is the safety goal of JCAHO? Delegate- RN remains accountable (verticle RN to UAP), Assign-Transfer of responsibility (Horizontal RN to RN) (verticle -responsibility of the task if transferred to the delegatee, accountability remains with the delegator) Theory X - Work is avoided, people want to do as little as possible, control and punishment is needed. Theory Y - Work itself can be motivating/rewarding, people actually want to do their job well, guidance and development with rewards are needed To show purpose/reason for existence, outlines aim of organization, critical in strategic planning and guides planning To explain concepts such as life and health, good and evil, and health and illness To provide the individual with feedback from those best acquainted with the requirements and demands of the position. Control spending /cost on the unit without compromising patient safety Improve communication among health care providers 242. What is the staff RN role in research? 243. What is vertical delegation? 244. What should the nurse consider when implementing delegation to staff (assignments) Ensure rights, Identify problems, assist with research, implement findings, read widely and critically, attend conferences, seek an environment in support of research, journal clubs, collaborate with researchers From Rn to less qualified or UAP (RN is still accountable) Assign appropriate personnel who have the level of expertise necessary to deliver the care or carry out the activities. 245. What three traits are necessary in a person to prevent burnout 246. What to do if workplace safety is compromised 247. What type of law states that nurses have a duty to deliver care in such a manner that pts will not be harmed? (civil law) 248. What were some reasons for the crossing the quality chasm initiative from the institute of medicine? 249. When must the NCLEX be taken 250. Where does funding for research come from? 251. Who is responsible for RN disciplinary action? 252. Why are clinical pathways used? powerlessness 2. commitment to work and lifes activities rather than alienation 3. seeing lifes demands and changes as a challenge rather than a threat (THINK POSITIVE) Report to supervisor, call police, get medical attention, contact union/collective bargaining/ nurses association, participate in policy making Tort Growing complexity of science and technology, increase in chronic medical conditions, poorly organized delivery system, constraints on exploiting the revolution in information technology within two years of graduation Private foundations, nursing organizations, government (organizations NIH, Dept of Health and human services) State boards of Nursing To decrease cost (save money)