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ANSWERS!!
1 of 65
Definition
Advantages:
- promotes interdisciplinary collaboration
- increases quality of care
- is cost-effective
- eases patient's transition from hospital to community services
- nurse has increased responsibility
Disadvantages:
- requires additional training
- requires nurses to be off the unit for periods of time
, - is time-consuming
- is most useful only w/ high-risk patients and high-cost/high-volume
conditions
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Nursing Leadership according to: Advantages of
Linda Aiken Case Management
Nursing
Challenges of Advantages and Disadvantages of
Contemporary Practice Team Nursing
Environments
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2 of 65
Term
What characteristics do today's nurses have in common, and in what
ways do they differ?
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1) Ergonomics
- Body injury due to poor design of beds/stretchers (safe patient handling)
- medication labels
- signage
- single vs. multiple occupancy rooms
- unit layout
2) Fabric/Ambient
- lighting
- acoustics
- temperature
,- gardens/green space
3)Art & Aesthetics
- art or paintings on wall
- color (safety)
=> wall colors (comfort)
4) Services
- maintenance
- cleanliness
- decontamination
Advantages:
- high patient and family satisfaction
- promotes RN responsibility, authority, autonomy, and accountability
- nurse can care for entire patient (physically, emotionally, socially,
and spiritually)
- patient knows nurse well, and nurse knows patient well
- promotes patient-centered decision making
- increases coordination and continuity of care
- promotes professionalism
- promotes job satisfaction and sense of accomplishment for nurses
Disadvantages:
- difficult to hire all RN staff
- expensive to pay all RN staff
- nurses are not familiar w/ other patients, making it difficult to "cover" for
each other
- may create conflicts b/w primary and associate nurses
- stress of round-the-clock responsibility
- heavy responsibility, especially for new nurses
1) The nurse, not the patient, is responsible for delineating and
maintaining boundaries
2)The nurse should work w/in the "zone of helpfulness," which is neither
aloof nor too intense/emotionally involved
3)The nurse should examine any boundary crossing, be aware of its
potential implications, and avoid repeated crossings
4) Variables such as the care setting, community influences, client needs, and
the nature of therapy affect the delineation of boundaries
5)Actions the overstep established boundaries to meet needs of the nurse are
boundary violations
, 6)The nurse should avoid dual relationships in which the nurse has a personal
or business relationship w/ a patient, as well as the professional one
7) Post-termination relationship are complex because the client may need
additional services, and it may be difficult to determine when the nurse-client
relationship is truly terminated
Should be:
- organized
- confident
- accountable
- technologically savvy
Should have:
- strong assessment, communication, & interpersonal skills
Qualities that differ depending on area of employment:
- entrepreneurial spirit
- a broad knowledge base or specialized knowledge
- an advanced education
- willingness to practice autonomously
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3 of 65
Definition
- "A spirit and a setting where we invite the 'stranger' and learn
in public"
- a technique and way of being that shapes our interactions
with others
- a framework for working w/ conflict and a way to guide conflict
towards transformation
- involves cultural humility and confident humility