Nursing Care Models Overview

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Questions and Answers

What is considered the greatest challenge to most health care organizations today?

  • Inadequate budget allocation
  • The shortage of human resources (correct)
  • High patient census
  • Availability of nursing programs

What primarily influences the retention of nursing staff within an organization?

  • Creation of a desirable work environment (correct)
  • Ongoing recruitment efforts
  • Competitive national salary standards
  • Increase in nursing school enrollment

Which factor does NOT affect the recruitment of nursing staff?

  • Competitive salaries
  • Financial resources
  • The organization's reputation
  • Staff experience level (correct)

What event has contributed to the current nursing shortage?

<p>Wave of early retirements due to COVID-19 (A)</p> Signup and view all the answers

Which of the following statements is true regarding recruitment?

<p>Recruitment processes include various methods (B)</p> Signup and view all the answers

What is one effective way to maintain an adequate employee pool?

<p>Use word of mouth recommendations from staff (A)</p> Signup and view all the answers

How does the economy impact nursing shortages?

<p>Nursing shortages decline when the economy improves (A)</p> Signup and view all the answers

Why is diversity in nursing staff important?

<p>Lacking diversity is linked to increased health disparities (C)</p> Signup and view all the answers

What is a key defect in interview processes that managers should be aware of?

<p>Subjectivity can significantly impact the interview outcomes (C)</p> Signup and view all the answers

What is a critical tip for applicants during an interview?

<p>Make a good first impression and arrive on time (B)</p> Signup and view all the answers

Which of the following topics is illegal for interviewers to inquire about?

<p>Marital status (D)</p> Signup and view all the answers

What does pedagogy primarily focus on?

<p>Methods for teaching children (A)</p> Signup and view all the answers

Which key characteristic is NOT part of Senge's Model of Learning Organizations?

<p>Self-directed assessment (A)</p> Signup and view all the answers

According to Knowles' work, what is essential for trainers when working with adult learners?

<p>Creating a climate of openness and respect (C)</p> Signup and view all the answers

What does andragogy emphasize in the education of adults?

<p>Experiential techniques and quick application (C)</p> Signup and view all the answers

Which best describes systems thinking in the context of learning organizations?

<p>Understanding the interconnectedness of components (C)</p> Signup and view all the answers

In the assessment of staff learning, which aspect is NOT typically measured?

<p>Instructor's teaching style (C)</p> Signup and view all the answers

What is a primary goal of collective learning in an organization?

<p>To foster positive organizational change (A)</p> Signup and view all the answers

What is the primary advantage of team nursing?

<p>Encourages collaboration among team members (A)</p> Signup and view all the answers

Which nursing model requires one primary nurse to oversee patient care throughout their stay?

<p>Primary nursing (D)</p> Signup and view all the answers

What is a key goal of disease management programs?

<p>To optimize care across multiple treatment settings for chronic illnesses (C)</p> Signup and view all the answers

Which factor can affect staffing needs in healthcare settings?

<p>Source of nursing pools (D)</p> Signup and view all the answers

What role does a Clinical Nurse Leader (CNL) primarily play?

<p>Lead clinical practice and quality improvement efforts (D)</p> Signup and view all the answers

What is a disadvantage commonly associated with primary nursing?

<p>Improper implementation of the model (B)</p> Signup and view all the answers

In modular nursing, what is the primary benefit of dividing a nursing unit into smaller sections?

<p>Allows for focused care within specific modules (C)</p> Signup and view all the answers

Which statement best describes the relationship between disease management and case management?

<p>Disease management is population-based while case management is individual-based (D)</p> Signup and view all the answers

What does the nurse navigator model primarily assist with?

<p>Navigating patients through complex healthcare systems (D)</p> Signup and view all the answers

What potential pitfall exists with team nursing implementations?

<p>Reduced staff engagement and collaboration (B)</p> Signup and view all the answers

What does a 'staffing mix' refer to in a healthcare setting?

<p>The ratio of licensed to unlicensed personnel (C)</p> Signup and view all the answers

What does the term 'closed unit staffing' signify?

<p>Staff cannot be pulled to other units during low census (C)</p> Signup and view all the answers

What is the primary advantage of self-scheduling for nurses?

<p>Flexibility in determining their own work hours (D)</p> Signup and view all the answers

Which aspect is crucial for safe staffing in healthcare facilities?

<p>Ensuring RNs have manageable workloads (D)</p> Signup and view all the answers

What is a challenge associated with staffing and scheduling policies?

<p>Impact on financial costs and retention (D)</p> Signup and view all the answers

What does 'mandatory overtime' imply for nursing staff?

<p>Obligation to cover shifts under threat of patient abandonment (B)</p> Signup and view all the answers

Why is it important for managers to be aware of patient acuity?

<p>To allocate appropriate levels of nursing care (C)</p> Signup and view all the answers

What is a common characteristic of scheduling policies in healthcare?

<p>Employing strict penalties for tardiness (B)</p> Signup and view all the answers

What is a primary reason that scheduling in nursing is particularly challenging?

<p>Unpredictable health-care demand (A)</p> Signup and view all the answers

Which type of staffing allows unit managers to have more control over scheduling decisions?

<p>Decentralized staffing (C)</p> Signup and view all the answers

What scheduling option allows nurses to choose their work hours while fulfilling job responsibilities?

<p>Flextime scheduling (C)</p> Signup and view all the answers

What is often a benefit of centralized staffing?

<p>Greater adherence to staffing policies (C)</p> Signup and view all the answers

Which staffing option generally leads to higher staff satisfaction when guidelines are adhered to?

<p>Self-scheduling (B)</p> Signup and view all the answers

Which of the following is NOT a characteristic of decentralized staffing?

<p>Staffing decisions are made at a central office (C)</p> Signup and view all the answers

What is the likely impact of increasing nursing care hours and having a better staffing mix?

<p>Higher quality of care (B)</p> Signup and view all the answers

Why are fair and uniform staffing and scheduling policies important in nursing?

<p>To ensure equitable treatment of all employees (B)</p> Signup and view all the answers

Flashcards

Team Nursing

A nursing model where a team of licensed and unlicensed personnel collaborates to care for a group of patients, guided by a professional nurse.

Modular Nursing

A nursing model that divides a nursing unit into smaller sections (modules) with assigned teams.

Primary Nursing

A nursing model where one primary nurse is responsible for a group of patients from admission to discharge.

Disease Management Programs

Programs for managing certain chronic illnesses efficiently across various healthcare settings, regardless of reimbursement policies.

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Nurse Navigator

A nurse who helps patients and families navigate the complex healthcare system.

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Clinical Nurse Leader (CNL)

Experienced nurses with graduate degrees who lead clinical care in various settings focusing on improved health outcomes.

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Staffing Management

The process of recruiting, selecting, orienting, and promoting personnel to meet organizational goals.

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Factors affecting staffing needs

Sources of available nursing staff influencing the quantity of nurses required.

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Nursing shortage

A lack of qualified nurses to meet patient care demands.

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Recruitment

Process of attracting job applicants.

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Retention

Keeping employees in a company.

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Nurse shortage contributing factors

Factors like COVID-19, aging nurse staff, inadequate nursing programs, and inadequate nurse faculties.

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Recruitment factors

Financial resources, sufficient nursing pool, competitive salary & reputation of organizations, desirability of working location, national/local economy.

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Recruitment methods

Advertisements, career days, organization members as employee testimonials, related literature.

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Peak staff resignation periods

Times when a higher amount of employees leave.

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Patient census peaks

Highest patient occupancy periods.

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Staff knowledge levels

The degree of nurses' skills and expertise.

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Nursing school enrollments

Number of students joining nursing programs.

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Length of employment

The average time new staff remain in their job.

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Budget constraints

Resource limitations affecting the organization.

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Centralized Staffing

Staffing decisions are made by a central office or staffing center.

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Decentralized Staffing

Unit managers are responsible for staffing decisions, like adjusting staffing levels based on patient needs.

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Flextime Scheduling

Employees get to choose their work schedules to fit their personal needs while meeting work responsibilities.

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Why scheduling is hard in nursing

Nursing scheduling is challenging due to unpredictable patient needs, high expertise needs 24/7, and the need for a good work-life balance.

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Staffing/Scheduling Options

This includes shift lengths (10 or 12 hours), agency/travel nurses, shift bidding, flextime, per diem, float pools, and self-scheduling.

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Relationship Nursing Care Hours/Staffing Mix/Care Quality

More nursing care hours and a better RN to patient ratio usually leads to better patient care.

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Illegal Interview Questions

Federal law prohibits interviewers from asking about age, date of birth, religion, marital status, children, race/ethnicity, sexual preference, financial status, or nationality.

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Learning Organizations

Organizations that promote collective learning, shared vision, and positive change for both individuals and the organization.

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Senge's Model of Los Key Characteristics

Systems thinking, personal mastery, team learning, mental models, and shared vision are key aspects of Senge's model.

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Pedagogy

Teaching methods and practices used with children.

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Andragogy

Teaching methods and practices used with adults, emphasizing self-directed learning, experiential techniques and applying learned quickly

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Assessing Staff Learning

Evaluating staff learning reactions, behavior change, organizational impact and cost-effectiveness.

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Implications of Knowles' work

Openness, respect, allowing adults to plan their learning, and involve them in evaluation.

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Bring to Interview

A pen, paper, and answer questions with confidence, paying attention to nonverbal cues.

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Employee Retention

Keeping employees to reduce recruitment costs.

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Word-of-Mouth Recruiting

Satisfied employees recommending the organization to others.

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Supply and Demand (Nursing)

Nursing shortages relate to economic conditions; high demand during boom times, low during recessions.

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Nursing Staff Diversity

Having a variety of genders, cultures, ages, and ethnicities in the nursing staff improves care for diverse patients.

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Health Disparities

Unequal access to health resources due to lack of diversity.

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Interview Team Approach

Using multiple interviewers to enhance interview quality and reliability.

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Interview Subjectivity

Personal biases can affect interview outcomes.

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Interview Appearance

Professional dress and grooming are crucial for a good first impression.

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Interview Preparation

Researching the organization, practicing answers, and being prepared for common questions.

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Interview Punctuality

Arriving on time demonstrates respect and professionalism.

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Interview First Impression

Positive initial interactions are essential for a successful interview.

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Interview Etiquette

Following interview etiquette ensures a professional and positive interaction.

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Interview Body Language

Maintaining appropriate posture, eye contact, and avoiding distracting habits.

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Staffing Mix

The proportion of different types of nursing staff (RNs, LVNs, CNAs/NAPs) working at a given time.

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Staffing Ratios

The numerical relationship between the number of staff and patients.

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Patient Acuity

The severity of a patient's condition and the level of care needed.

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Closed Unit Staffing

Staff members on a unit agree to cover each other's absences and extra help, avoiding being pulled from the unit during low census periods.

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Self-Scheduling

Nurses create their own schedules, typically several weeks in advance.

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Safe Staffing

Having the right number of RNs with the appropriate skills to care for patients, ensuring manageable workloads.

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Scheduling Challenges

Issues impacting financial costs, retention rates, productivity, risk management, and employee/patient satisfaction.

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Mandatory Overtime

Employees are required to work extra shifts, sometimes under pressure regarding patient care.

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Staffing and scheduling policies

Rules and guidelines for managing nursing staff schedules.

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Study Notes

Total Patient Care Model

  • Nurses assume responsibility for all patient care needs during their shift.
  • This method is sometimes called the "case method".
  • Commonly used in hospitals and home health agencies.
  • Diagram: Charge nurse → caregiver → patients
  • Mostly seen in ICUs and ERs.
  • Disadvantage: Requires adequate nurse preparation, and experience may be lacking.

Functional Method of Nursing

  • Tasks are divided and assigned to different personnel.
  • Evolved after World War II.
  • Uses relatively unskilled workers trained for specific tasks.
  • Example: One nurse administers medications, another provides treatments.
  • Advantages: Efficient task completion, quick care, little confusion about responsibilities
  • Disadvantages: Fragmentation of care, potential for overlooking patient priorities.
  • Ex: Nursing homes.

Team Nursing

  • Extensive communication with licensed and unlicensed personnel required.
  • Team members collaborate, contributing special expertise.
  • Allows for diverse skills and knowledge.
  • Disadvantages stem from poor implementation, not the philosophy.
  • Structure: Charge nurse → team leader → nursing staff → patients

Modular Nursing

  • Dividing a nursing unit into smaller sections or modules.
  • Each module has a team of nurses and other staff assigned.
  • Method of nursing care delivery across geographical locations.

Primary Nursing/Relationship-Based Nursing

  • Primary nurse plans and monitors care for patients from admission to discharge.
  • One primary nurse is assigned for a patient's entire stay at the hospital, coordinating with other staff.
  • Optimal mode of organizing patient care, especially for diverse skill mixes.
  • Job satisfaction is typically high; however, implementation can be difficult.

Disease Management Programs

  • Aims to address common, chronic illnesses efficiently, across diverse treatment settings.
  • Encompasses comprehensive, integrated approach to care and reimbursement.
  • Focuses on optimum cost-effective care for groups, not individual patients.
  • Ideal choice for common, high-cost chronic illnesses.

Nurse Navigators

  • Support services for patients and families navigating complex health care systems.
  • Help patients understand their care and resources.

Clinical Nurse-Leaders (CNLs)

  • Experienced nurses with advanced degrees and clinical leadership roles.
  • Oversee clinical settings, manage microsystems of care, and implement quality improvement strategies.
  • Responsible for specific groups of clients within units.

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