Nursing 102 WKU
How does HIPAA relate to patient privacy?
-How can it go from place to place and who is allowed access to it -Protect individuals' medical records and other personal health information
How does informatics impact care?
-Informatics can lead to safe, quality care -Nurses need to take active role -Information sharing and coordination of care
describe a bureaucratic organization
-It's a top down vertical structure. the management is removed, very impersonal -Top management doesn't have an open door policy, there is limited access to management for staff to have input regarding decision making
did Ignaz Semmelweis receive rightful recognition from his colleagues
-No, he was largely ignored, rejected, and ridiculed -He was dismissed from the hospital and harassed by the medical community with forced him to move to Budapest
what roles does occupational therapist have
-Not present in every hospital -Help with rehabilitation due to impaired functioning -Work in hospitals, long term care, and home health care
What is nursing informatics?
A specialty that integrates nursing science, computer science, and information science to manage and communicate information
What is a meta-analysis?
A subset of systematic reviews; a method for systematically combining pertinent qualitative and quantitative study data from several selected studies to develop a single conclusion that has greater statistical power
What is application?
Applying the info learned
what are the characteristics of a profession
Autonomy, Responsibility, Accountability
What is the highest level of evidence to base nursing practice?
Cochrane systematic review
what was the first war that Florence Nightingale was involved in?
Crimean war (1854-1856)
What is an annual limit?
Enrollees have a defined amount that they would have to pay, after that amount is paid, the patient is 100% covered for care.
What makes simulation an effective method for developing clinical competency in nursing?
Helps increase confidence and decrease risks (The sim lab is a safe environment for practicing and making nursing decisions but with faculty guidance)
What did Jefferson Street Mission later become named
Henry Street Settlement
What do we mean by "safety net hospitals"?
Hospitals that serve populations who have limited or no resources to pay for services.
What three individuals started the Jefferson street mission
Lillian Wald, Mary Brewster, and Lavinia Dock
what is the NCSBN
National council of state boards of nursing
does the US have a universal healthcare system of coverage for all individuals
No
what is patient advocacy
Respecting patient rights and the patient and ensuring that the patient has the education to understand treatment and care needs
what is the international honor society for nursing?
Sigma Theta Tau International (a non-profit that provides leadership and scholarship in practice, education, and research to improve the health of all people)
Do disparities in the healthcare professions workforce contribute to health disparities outcome
Yes
Should nurses be more involved?
Yes
Would access to care be improved with a patient-centered care model?
Yes
what is competency
The behavior and performance a student is expected to demonstrate (an expected measurable level for nursing performance that integrates knowledge, skills, abilities, and judgments based on established scientific knowledge and expectations for nursing practice)
What is didactic learning?
The classroom and clinical experiences (which are divided into lab or simulation experiences)
What is health literacy?
The degree to which individuals have the capacity to obtain, process, and understand basic information and services needed to make appropriate decisions regarding their health.
Who funds Medicaid?
The federal and state government is the largest insurer
What is memorization?
The first step to learning
What are copayments?
The fixed amount that a patient may be required to pay per service.
What is clinical reasoning
The nurses ability to assess patient problems or needs and analyze days to accurately identify and frame problems within the context of the individual patients environment
Are advanced practice nurses being used as hospitalists?
Yes, in some hospitals
Are there disparities in the healthcare professions' workforce?
Yes, no equality between minorities and non minorities How healthcare system functions, Discrimination at the patient provider level
What is active listening?
When the learner listens and repeats info
what does describing a hospital's process refer to
how the organization functions and how the work gets done
what does describing a hospital's structure refer to
how the organization is configured
what are some barriers to effective listening?
overwork, lack of communication, stress, interruptions, fatigue, anger, confusing, lack of self esteem
what are the five elements of the APA title page?
page number running head for publication title of the manuscript byline of the authors name institutional affiliation
if we define nurses by describing tasks, what are we talking about?
promoting health and preventing illness and injury
what is critical thinking
purposeful, informed, outcome focused thinking that requires careful identification of key problems, issues, and risks
How are quotations that are more than 40 words incorporated into the text?
displayed a double spaced block, indented five spaces from the left, with no quotation marks
how are questions that are more than 40 words incorporated into the text
displayed a double spaced block, indented five spaces from the left, with no quotation marks
How are quotations that are less than 40 words incorporated into the text?
enclosed with double quotation marks ""
how are quotations that are less than 40 words incorporated into the text?
enclosed with double quotation marks ""
what are some barriers to effective coordination?
failure to understand other professions, lack of clear plan of care, limited leadership
describe interprofessional team
teams ensure that care is continuous and reliable (requires leadership, good decision making, communication, and delegation)
what do we mean by nurses being knowledge workers
the notice that change is inevitable and that the best way to approach is to be ready for change and view it as an opportunity for learning and improvement
what is delegation
the transfer of responsibility to complete a task from one person to another
What is reality shock?
when someone who has been educated with one view of nursing encounters a different view of nursing in the practical setting
during Florence Nightingale's time, women typically were involved in what type of work or activity
women typically did not work outside of the home
what is coordination
working to see that the pieces and activities fit together and flow as they should
When evaluating information and literature for writing nursing papers and making clinical decisions: Are data from sites such as World Health Organization, Governmental websites and professional organization's Websites good sources of facts and data?
yes
When evaluating information and literature for writing nursing papers and making clinical decisions: Should newspapers and magazine articles in the popular press be used?
yes
Who funds Medicare?
state government- taxes from us
what roles does a Registered nurse have
-Backbones of acute care -Many different departments, some are management positions, some have direct care.
Remember that employing evidence-based practice requires use of research findings but also what/who else?
-Evidence based medicine -Patient centered care -Interdisciplinary teams
What is HIPAA?
-Health Information Portability and Accountability Act (2006)
What is documentation?
supports care coordination and continuity of care
what role should each nurse take to improve the image of nursing in the community
-Nurses should speak up to advocate for their role in the community -They should be independent but also recognize interdependence -They should share responsibility and handle conflict in a positive way
The format and content of documentation of care should include what?
-Planning -Care Provided -Outcomes
what roles do Respiratory therapist have
-Provide care to patients who have a variety of respiratory problems -Go the patients bedside, or work solely in intensive care -They respond to codes when patients experience cardiac or respiratory arrests
What does health literacy include?
-Reading, writing, and arithmetic skills -Listening and speaking abilities -Conceptual knowledge
What is patient-centered care?
-Respect, and care for patient differences, values, preferences, and needs -Relief of pain -Coordination of care -Clear communication with and education of the patient -Shared decision making and continuous promotion if disease prevention and wellness
Who was Linda Richards
-She created the first individual patient record -Helped with process improvement -America's first trained nurse
Who is Clara Barton
-She helped POWs reunite with their families -Worked to improve hospitals on the battlefield during the Civil War -She founded the American Red Cross in 1882
Who was Dorthea Dix
-She improved conditions for mentally ill -She was the union superintendent of females nurses in civil war -Advocated for insane persons confined in cages, stalls, and pens
Who is Adelaide Nutting
-She was a nurse educator -The world's first professor in nursing
Who was Mary Mahoney
-The first black professional nurse that gave expert care to the sick -Gave welcome address at the National Association of Colored Graduate Nurses
the NCSBN has set boundaries in the nurse-patient relationship. whose responsibility is it to delineate and maintain boundaries between the nurse and patient relationship
-The nurse -Exchanging gifts, thinking the nurse can only provide care for the patient, dating the patient, talking to the patient about personal issues
who was Margaret Sanger
-Wanted to prevent unplanned pregnancies to reduce the number of abortions -Founded planned parenthood
what roles does a dietician have
-Work with patients to help resolve dietary nutritional needs
Who was Ignaz Semmelweis
-Worked in the obstetrical ward of Vienna general hospital -Tried to institute a strict hand washing policy to reduce the number of deaths due to childbed fever
was organized religion and or military establishments linked with the care of the sick
-Yes, they had major influences on the development of nursing -Women (nuns) were allowed to participate in the caring for sick -Especially during the crusade times and the medieval era when health was strongly believed to be influenced by religion
Are they in a financial crisis? If so, what contributes to the crisis?
-Yes. -Needing hospital care but not having the resources to pay for it.
a knowledge worker uses ______(3 Cs) when surveying as a nurse
-collaboration -coordination -critical thinking
what are the key roles of nurses? (list a few)
-provider of care -educator -counselor -manager -researcher -collaborator -change agent -entrepreneur -patient advocate
what are the steps in the nursing process
1. Assessment 2. Diagnosis 3. Planning 4. Implementation 5. Evaluation
Research is a systematic investigation that is designed to develop or contribute to generalizable knowledge. There are two major types of research approaches:
1. basic research 2. applied research.
what are the five core competencies identified by the IOM
1. provide patient-centered care 2. work in interdisciplinary/interprofessional teams 3. employ evidenced based improvement 4. apply quality improvement 5. utilize informatics
what are the five rights of nursing delegation
1. right task 2. right circumstances 3. right person 4. right direction/communication 5. right supervision
What are basic elements of APA format?
1. title page 2. abstract 3. body of text 4. reference 5. appendix 6. tables 7. figures
what organization represents all RN in the united states
American Nursing Association (ANA)
What is Medicaid?
Federal and state program for certain low-income people, children, blind, disabled and those who receive federally assisted income maintenance programs.
What is Medicare?
Federal health insurance program for people aged 65 and older; disabilities; end-stage renal disease
What is a hospitalist?
Generalist who coordinates the patient's care, serving as the primary provider while the patient is in the hospital
What is the Sullivan Commission report?
It examined disparities in health care from a different perspective
What is the role of the nurse with patient advocacy?
It requires leadership skills. Nurses participate in and support actions that emphasize patient advocacy.
How is nursing curriculum different from other types of curricula?
Nursing is more demanding and requires understanding and application of what was learned more than just memorization
What are insurance deductibles?
Part of the bill that the patient must pay before the insurer will pay the bill for the services.
What is coinsurance?
The payment for each service is paid by insurance
What is clinical judgement
The process by which nurses come to understand the problems, issues, and concerns of patients, to attend a salient information and to respond to client (patient) problems in concerned and involved ways; includes both conscious decision making and intuitive response
what are some elements of effective teams and team leaders
collaboration over personal success, leader is respectful, punctual, and passionate
what is collaboration
cooperative effort among healthcare providers who work together to accomplish a common goal
What is basic research?
designed to broaden the base of knowledge rather than solve an immediate problem
What is applied research?
designed to find a solution to a practical problem
Does the U.S. have a universal healthcare system of coverage for all individuals?
no
When evaluating information and literature for writing nursing papers and making clinical decisions: Are blogs and informal internet sources permissible?
no
what is the largest department in a hospital
nursing
What is the main role of the Institutional Review Board's (IRB) in research?
reviews research before it is conducted to ensure that the study is conducted ethically, that involves human subjects in institutions that receiver federal funds
What are 2 important tools for success in nursing education?
time management and organization (also study skills)
high touch vs high tech
we want to physically help patients with total care and not be on computers all the time
