Organizational behavior and magnet hospitals
Nurses employed in organizations that follow a Custodial Model of organizational behavior would most likely observe which of the following related to performance outcomes?
A: A Custodial Model of organizational behavior would most likely be characterized by passive cooperation. Enthusiasm and engagement are more characteristic of a Collegial Model, and drive and cooperation are characteristic of a Supportive Model. TABLE 3-1 MODEL OF ORGANIZATIONAL BEHAVIORS
A high-performance organization can be characterized by which of the following characteristics?
A: High-performance organizations operate in a way that brings out the best in people and produces sustainable high performance over time. They have the ability to attract, motivate, and retain talented people. HIGH-PERFORMANCE ORGANIZATIONS
Improvement in quality patient outcomes has been reported in magnet organizations. According to several studies, which of the following is thought to contribute significantly to quality patient outcomes?
A: Research by Lake and Friese; Aiken, Smith, and Lake; and Aiken, Sloane, Lake, Sochalski, and Weber support the importance of the nurse's work environment to enhanced continuity of patient care, increased levels of patient satisfaction, and lower mortality rate. IMPROVEMENT IN QUALITY PATIENT OUTCOMES
A nurse manager is assisting with the magnet application process when a staff nurse asks, "What is a gap analysis?" The most appropriate response by the nurse manager would be which of the following?
A: The gap analysis examines the space between where the organization is and where it wants to be, an assessment of the differences between the expected magnet requirements and the organization's current performance on these requirements. MAGNET APPRAISAL PROCESS
A nurse recognizes that the most important essential of magnetism is which of the following?
A: The most important essential of magnetism is concern for the patient. Other essentials include opportunities to work with other nurses who are clinically competent, good nurse-physician relationships, nurse autonomy and accountability, supportive nurse managers, control over nursing practice, support for education, and adequate nurse staffing; however, concern for the patient is always paramount. TABLE 3-5 EIGHT ESSENTIALS OF MAGNETISM
Schermerhorn, Hunt, and Osborn define organizational behavior as the study of:
A:Schermerhorn, Hunt, and Osborn define organizational behavior as the study of human behavior in organizations. ORGANIZATIONAL BEHAVIOR
One of the top benefits of magnet designation for a hospital is:
B: Hospitals attaining magnet designation may achieve multiple benefits. The major benefits are improved patient quality outcomes, enhanced organizational culture, improved nurse recruitment and retention, enhanced safety outcomes, enhanced competitive advantage, and higher nurse job satisfaction. BENEFITS OF MAGNET RECOGNITION
Intellectual capital can be defined as:
B: Intellectual capital includes an individual's knowledge, skills, and abilities that have value and portability in a knowledge economy. EVOLUTION OF ORGANIZATIONAL BEHAVIOR
Which of the following provides a competitive advantage for hospitals with magnet designation?
B: Low turnover and high job satisfaction gives a competitive advantage to hospitals with magnet designation. High turnover and low job satisfaction would indicate that there are problems in the hospital's internal environment. Problems such as unsafe working conditions, low salaries, and poor leadership or management are just a few of the situations that can create dissatisfaction and high turnover. ENHANCED COMPETITIVE ADVANTAGES
According to Lynn and Redman, organizational behavior emphasizes:
B: Organizational behavior emphasizes actions and attitudes of people within organizations such as job satisfaction, commitment (loyalty), and performance (productivity). ORGANIZATIONAL BEHAVIOR
Organizational behavior has impacted the autocratic model of behavior by moving from:
B: The autocratic model focuses on dependency on the boss, while the study of organizational behavior has shown today's health care employees prefer a more supportive and collegial work environment empowering the individual. Passive cooperation is seen in the custodial model. Dependency on the organization is seen in the custodial model. Motivation by money, security, and benefits is seen in the custodial model. EVOLUTION OF ORGANIZATIONAL BEHAVIOR
A staff nurse asks the supervisor, "What is an essential element to giving quality care in magnet hospitals?" Which response by the supervisor would be the most appropriate?
B: There are eight essentials of magnetism: opportunities to work with other nurses who are clinically competent, good nurse-physician relationships, nurse autonomy and accountability, supportive nurse managers, control over nursing practice, support for education, adequate nurse staffing, and concern for the patient. TABLE 3-5 EIGHT ESSENTIALS OF MAGNETISM
Magnet hospitals are known for enhanced safety outcomes. According to Aiken, Sloane, and Klocinski, magnet hospitals are known to have:
C: Aiken, Sloane, and Klocinski state that magnet hospitals have been found to have fewer needle stick injury rates among nurses. ENHANCED SAFETY OUTCOMES
In order to increase productivity, the nurse manager of the surgical unit removes obstacles for motivated and empowered individuals. This behavior is common in which type of organizational model?
C: In Table 3-1, Clark summarizes and compares models of organizational behavior. The collegial model is based on partnership, teamwork, and employee support that removes obstacles for motivated and empowered individuals. Both autocratic and custodial models are managed by power, authority, economics, and money, which have employees dependent on the boss or the organization. Technology is not a model or organizational behavior discussed. EVOLUTION OF ORGANIZATIONAL BEHAVIOR
After achieving magnet status, a nurse manager asks the Director of Nursing, "How often are the site visits for the re-designation of magnet status for organizations?" The most appropriate response from the Director would be which of the following?
C: Interim reports are submitted every year. Site visits are scheduled every 4 years for the re-designation process. MAGNET APPRAISAL PROCESS
Maintaining high quality-of-work-life environments requires the commitment of:
C: Maintaining high quality-of-work-life environments requires the commitment of both leaders and employees in organizations. Leaders in high-performance organizations recognize that the single best predictor of an organization's capacity to attract, motivate, and sustain talented people is to maintain a high quality work-life environment. HIGH-PERFORMANCE ORGANIZATIONS
The University of Washington Medical Center in Seattle became the first magnet facility in which year?
C: RAT: The University of Washington Medical Center in Seattle became ANCC's first magnet facility in 1994. By 1998, 13 hospitals achieved magnet designation, and, by mid-2006, more than 200 facilities had achieved magnet designation. THE ANCC MAGNET FACILITIES
The nursing staff of the medical unit recognize that according to Schermerhorn et al., an organization can be considered effective if it:
C: Schermerhorn et al. state important contributions to the effectiveness of any organization are the quality of its workforce and their commitment to the goals and success of the organization. IMPORTANCE OF ORGANIZATIONAL BEHAVIOR
The Magnet Hospital Recognition Program was created to achieve three major goals. Which of the following is considered a goal?
C: The goals are to identify excellence in the delivery of nursing services to patients, promote quality in a milieu that supports professional nursing practice, and provide a mechanism for the dissemination of best practices in nursing services. GOALS OF THE MAGNET RECOGNITION PROGRAM
The initial proposal for the Magnet Hospital Recognition Program was approved by the ANA Board of Directors in:
C: The initial proposal for Magnet Hospital Recognition Program was approved by the ANA Board of Directors in December 1990. This proposal indicated that the program would be built upon the 1983 ANA magnet hospital study. HISTORICAL OVERVIEW OF MAGNET HOSPITALS
A new graduate has accepted a position at a hospital that is considered a high-performance organization. The hospital most likely has which of the following characteristics?
D: High-performance organizations empower their employees to use self-directive and personal initiative. This type of organization brings out the best in people and produces sustainable high performance. High-performance organizations encourage the use of technology, focus on both the internal and external environment, and are supportive of their staff's involvement in continuing education. TABLE 3-2 FIVE CHARACTERISTICS OF HIGH-PERFORMANCE ORGANIZATIONS
Saint Cecil's hospital recently achieved "magnet" status. This means that the hospital has met the:
D: Magnet status is awarded to health care organizations that have met the rigorous nursing excellence requirements of the American Nurses Credentialing Center (ANCC), a division of the American Nurses Association (ANA). Achievement of magnet status designation represents the highest level of recognition the ANCC accords to health care organizations that provide the services of registered professional nurses. MAGNET HOSPITALS
Nine characteristics define magnet nursing services. Which of the following is NOT a characteristic of the program's appraisal process?
D: Nine characteristics define magnet nursing services: high quality patient care, clinical autonomy and responsibility, participatory decision making, strong nurse leaders, two-way communication with staff, community involvement, opportunity and encouragement of professional development, effective use of staff resources, and high levels of job satisfaction. TABLE 3-3 NINE CHARACTERISTICS DEFINING MAGNET SERVICES
A nursing instructor wants to determine whether the nursing students understand the principles that scientific management emphasizes. Which response by the students would indicate that they understand scientific management?
D: Scientific management emphasizes the machine-like or assembly line focus of work processes and the precise sets of instructions and time-motion studies assumed to enhance productivity. EVOLUTION OF ORGANIZATIONAL BEHAVIOR
During preparation of the application for magnet status, a nurse asks the supervisor, "What is meant by nursing sensitive indicators?" The supervisor would be correct in responding:
D: The supervisor would be correct in responding that nursing sensitive indicators measure the outcome of nursing care. These indicators represent the patient's response to the various strategies implemented by the nursing staff. THE MAGNET MODEL
