Organizing Patient Care Overview
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Questions and Answers

What is one of the primary benefits of employee retention for a facility?

  • Increased team morale
  • Improved employee performance
  • Decreased recruitment spending (correct)
  • Higher customer satisfaction

    • Which factor is indicated to influence nursing shortages historically?

  • Economic conditions (correct)
  • Staff turnover rates
  • Government regulations
  • Training programs

    • How can diversity within nursing staff effectively benefit healthcare delivery?

  • Increasing staff retention rates
  • Reducing costs of care
  • Meeting diverse client needs (correct)
  • Enhancing organizational revenue

    • What is considered a major defect of the traditional interview process?

    <p>Inherent subjectivity</p> Signup and view all the answers

    What is a recommended behavior for applicants during an interview?

    <p>Make a strong first impression</p> Signup and view all the answers

    What is a significant disadvantage of the total patient care model?

    <p>Nurses can become overwhelmed if they lack knowledge and skills.</p> Signup and view all the answers

    Which nursing model divides work based on specific tasks rather than individual patients?

    <p>Functional method of nursing</p> Signup and view all the answers

    In which settings is the total patient care model most commonly utilized?

    <p>ICU and emergency rooms</p> Signup and view all the answers

    What was a significant factor that led to the evolution of the functional method of nursing?

    <p>World War II</p> Signup and view all the answers

    What is the primary advantage of the functional method of nursing?

    <p>It allows for efficient task completion.</p> Signup and view all the answers

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

    <p>Date of birth</p> Signup and view all the answers

    What is the primary difference between training and education?

    <p>Education is broader in scope than training.</p> Signup and view all the answers

    In Senge's Model of Learning Organizations, which characteristic pertains to the ability of individuals to organize and synthesize knowledge?

    <p>Systems thinking</p> Signup and view all the answers

    According to Knowles' Adult Learning Theory, what is an important aspect of understanding adult learners?

    <p>Adults like to be involved in planning their learning.</p> Signup and view all the answers

    What does andragogy focus on in the context of adult education?

    <p>Self-directed learning</p> Signup and view all the answers

    Which of the following statements aligns with the philosophy of learning organizations?

    <p>Collective learning benefits both individuals and organizations.</p> Signup and view all the answers

    What should a nurse manager do according to the principles of andragogy?

    <p>Explain the relevance of learning to the adult.</p> Signup and view all the answers

    What is a characteristic of pedagogy compared to andragogy?

    <p>Emphasizes directive teaching.</p> Signup and view all the answers

    What is a key challenge in nursing scheduling?

    <p>Patient acuity and census numbers</p> Signup and view all the answers

    How does centralized staffing differ from decentralized staffing?

    <p>Centralized staffing is managed from a central office.</p> Signup and view all the answers

    Which staffing option is linked to greater staff satisfaction?

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

    What is the formula for calculating nursing care hours per patient day (NCH/PPD)?

    <p>Nursing hours worked / patient census</p> Signup and view all the answers

    What impact does a better staffing mix typically have on quality of care?

    <p>It leads to higher quality of care.</p> Signup and view all the answers

    Which of the following best describes a mentor's role in a professional setting?

    <p>To clarify roles through education in a structured manner.</p> Signup and view all the answers

    What does decentralized staffing allow unit managers to manage effectively during peak patient times?

    <p>Covering scheduled staff absences.</p> Signup and view all the answers

    What is one of the consequences of scheduling difficulties in nursing?

    <p>Constant staffing changes due to patient needs.</p> Signup and view all the answers

    What is a significant factor that enhances adult learning?

    <p>Recognition of a need to know</p> Signup and view all the answers

    What does 'chunking' refer to in the context of learning?

    <p>Grouping information into manageable units</p> Signup and view all the answers

    Which of the following is considered an asset for adult learning?

    <p>Self motivation</p> Signup and view all the answers

    What is the main purpose of socialization in a workplace context?

    <p>To share organizational values and behaviors</p> Signup and view all the answers

    What is an example of resocialization?

    <p>Adopting new job responsibilities after a promotion</p> Signup and view all the answers

    What role do preceptors play in adult learning environments?

    <p>Offering emotional support and guidance</p> Signup and view all the answers

    Which of the following is an obstacle to learning for adults?

    <p>Inaccessibility to online resources</p> Signup and view all the answers

    How does coaching contribute to team building?

    <p>By empowering subordinates and fostering teamwork</p> Signup and view all the answers

    What is a significant advantage of team nursing?

    <p>Improved communication and collaboration among staff</p> Signup and view all the answers

    Which role does the primary nurse play in primary nursing?

    <p>Oversees the care of a patient from admission to discharge</p> Signup and view all the answers

    What is a key characteristic of modular nursing?

    <p>Divides a nursing unit into smaller sections with dedicated teams</p> Signup and view all the answers

    What is the primary focus of disease management programs?

    <p>Provide population-based health care for chronic illnesses</p> Signup and view all the answers

    Which statement about clinical nurse-leaders (CNL) is true?

    <p>Create and manage microsystems of care for specific patient groups</p> Signup and view all the answers

    What can be a disadvantage of primary nursing?

    <p>Difficulty in implementation due to required nurse autonomy</p> Signup and view all the answers

    How do nurse navigators assist patients and families?

    <p>Help navigate complex healthcare systems</p> Signup and view all the answers

    What is the goal of disease management programs?

    <p>To ensure maximum efficiency across different treatment settings</p> Signup and view all the answers

    Which factor is considered when determining staffing needs?

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

    What is a notable disadvantage of team nursing?

    <p>Improper implementation that can occur</p> Signup and view all the answers

    Which nursing model promotes autonomy among nurses?

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

    What does clinical pathways in disease management programs reflect?

    <p>Standardized clinical guidelines based on best practice research</p> Signup and view all the answers

    What is a potential role of professional nurses in disease management programs?

    <p>Act as case managers or program coordinators</p> Signup and view all the answers

    What does staff management involve in healthcare organizations?

    <p>Timely recruitment, employee selection, and orientation</p> Signup and view all the answers

    What is the main challenge facing healthcare organizations related to human resources?

    <p>Shortage of human resources</p> Signup and view all the answers

    What primarily drives the recruitment process in healthcare organizations?

    <p>Actively seeking out applicants for positions</p> Signup and view all the answers

    How does improving employee retention affect recruitment spending?

    <p>It decreases spending on recruitment.</p> Signup and view all the answers

    What is a significant impact of staff diversity in nursing?

    <p>It helps address health disparities.</p> Signup and view all the answers

    Which factor is crucial for enhancing staff retention in healthcare settings?

    <p>Creating a desirable work environment</p> Signup and view all the answers

    Which statement accurately describes the total patient care model?

    <p>One nurse is responsible for all aspects of care for a group of patients.</p> Signup and view all the answers

    What is a major consequence of the aging nursing workforce?

    <p>Accelerating demand for professional nurses</p> Signup and view all the answers

    What is a critical advantage of using a team approach in interviews?

    <p>It enhances the validity and reliability of the interview process.</p> Signup and view all the answers

    Which factor is NOT mentioned as influencing recruitment in healthcare organizations?

    <p>Quality of patient care</p> Signup and view all the answers

    What is a significant disadvantage of the functional method of nursing?

    <p>It may lead to fragmented care and overlook patient priority needs.</p> Signup and view all the answers

    During an interview, what is an important behavior an applicant should exhibit?

    <p>Maintain eye contact and be prompt.</p> Signup and view all the answers

    How does the economy influence nursing shortages historically?

    <p>An improved economy correlates with increased nursing shortages.</p> Signup and view all the answers

    Which nursing model assigns care by task rather than by individual patients?

    <p>Functional method of nursing</p> Signup and view all the answers

    In which types of healthcare settings is the total patient care model primarily utilized?

    <p>Home health agencies and critical care units.</p> Signup and view all the answers

    What led to the evolution of the functional method of nursing?

    <p>The need for efficient care during World War II.</p> Signup and view all the answers

    What does safe staffing ensure in a healthcare environment?

    <p>The correct number of RNs with appropriate skills is available</p> Signup and view all the answers

    What consequence may arise from decreased RN hours in nursing care per patient day (NCHPPD)?

    <p>Increased medication errors</p> Signup and view all the answers

    Which of the following best describes the staffing mix in a healthcare setting?

    <p>The percentage of licensed and unlicensed personnel on duty</p> Signup and view all the answers

    What is a characteristic of closed unit staffing?

    <p>Staff members cover absences without external assistance</p> Signup and view all the answers

    What is one element involved in staffing and scheduling policies?

    <p>Responsibility for staffing schedules</p> Signup and view all the answers

    Which of the following topics are interviewers legally prohibited from asking about?

    <p>Age and marital status</p> Signup and view all the answers

    What is a key characteristic of Senge's Model of Learning Organizations?

    <p>Integration of mental models and systems thinking</p> Signup and view all the answers

    What distinguishes 'training' from 'education'?

    <p>Training is organized for specific purposes.</p> Signup and view all the answers

    According to Knowles' Adult Learning Theory, what aspect is crucial for identifying adult learners' needs?

    <p>Climate of openness and respect</p> Signup and view all the answers

    What approach does andragogy emphasize in adult education?

    <p>Facilitating self-directed learning</p> Signup and view all the answers

    What is a significant implication of Knowles' work for trainers?

    <p>Encouraging adults to take part in learning experiences</p> Signup and view all the answers

    In the philosophy of learning organizations, what is seen as essential for creating organizational change?

    <p>Promoting a shared vision and collective learning</p> Signup and view all the answers

    What is a primary focus of pedagogy in teaching?

    <p>Directing students in their learning</p> Signup and view all the answers

    What is one of the primary reasons mistakes are viewed positively in adult learning?

    <p>They serve as opportunities for learning.</p> Signup and view all the answers

    What condition enhances an adult's readiness to learn?

    <p>Recognition of a need to know.</p> Signup and view all the answers

    Which of the following describes 'chunking' in the context of learning?

    <p>Breaking down information into manageable units.</p> Signup and view all the answers

    What is the primary role of socialization in a workplace setting?

    <p>To promote learning of behaviors associated with roles.</p> Signup and view all the answers

    What does the term 'resocialization' specifically refer to?

    <p>Learning new skills due to changes in work responsibilities.</p> Signup and view all the answers

    Which of the following is considered an asset for adult learners?

    <p>Self-directed learning capability.</p> Signup and view all the answers

    Which obstacle to learning specifically relates to personal mindset?

    <p>Self-confidence issues.</p> Signup and view all the answers

    What is a key feature of coaching in a team environment?

    <p>It focuses on individual performance optimization.</p> Signup and view all the answers

    Study Notes

    Organizing Patient Care

    • Total Patient Care Model: One nurse is responsible for all aspects of care for a group of patients during their shift. This is also known as the case method of patient assignment.
    • Functional Method: Work is divided into tasks, and relatively unskilled workers are trained to complete specific tasks. Care is assigned by task rather than by patient. This method evolved from World War II.

    Functional Method Disadvantages

    • Disadvantages of total patient care occur when the nurse is unprepared and lacks the knowledge to meet patient needs.

    Team Nursing

    • Requires extensive communication with licensed and unlicensed personnel.
    • Team members contribute their expertise or skills.
    • Disadvantages are associated with improper implementation, not the philosophy itself. Team structures can be modular, with nurses being distributed geographically within modules.

    Disease Management Programs

    • Comprehensive, integrated approach to the care & reimbursement of high-cost, chronic illnesses.
    • Focuses on optimum cost-effective care for groups and not individual patients.
    • Goal is maximum efficiency across treatment settings, with an emphasis on prevention, early detection, and intervention to avoid costly acute episodes.

    Clinical Nurse Leaders (CNLs)

    • Experienced nurses with graduate degrees.
    • Provide clinical leadership, implement outcomes-based practice, manage microsystems, and address healthcare needs of individuals and families.

    Employee Recruitment, Selection, and Indoctrination

    • Factors affecting staffing needs include available nursing students, usual length of employment, patient census, and knowledge level of needed staff.
    • Nursing shortage: accelerated demand, aging workforce, and inadequate nursing programs/faculty are contributing factors.
    • Retention is key to adequate staffing in the long term; recruitment alone is not sufficient.
    • Maintaining an adequate employee pool is best accomplished through word-of-mouth recommendations from satisfied staff.

    Socializing and Educating Staff for Team Building

    • Collective learning: beyond individual learning; shared vision and collective learning leads to organizational change. Teamwork, collaboration, and commitment to improvement make up learning organizations.
    • Senge's Model of Los (learning organizations model) includes Systems thinking, Personal mastery, Team learning, Mental models, and Shared vision.
    • Training vs. Education: training is focused and specific, whereas education encompasses a broader range of knowledge acquisition.

    Pedagogy vs. Andragogy

    • Pedagogy is teaching children, andragogy is teaching adults.
    • Adult learners are self-directed, require their experiences valued, and prefer task- or problem-centered learning.
    • Knowles' work highlights the importance of adult learners taking part in planning and evaluating their learning experiences.

    Staffing Needs & Scheduling Policies

    • Decentralized and centralized staffing: Decentralized staffing relies on unit managers, while centralized staffing relies on a central office. Many factors, including patient acuity, census, and expertise needs influence staffing difficulty.
    • Different staffing options exist, such as 10 or 12-hour shifts, use of agency nurses, shift bidding, or flextime scheduling.

    Per Diem & Float Pool

    • Per Diem and Float Pool staff must be competent to perform core unit competencies.
    • Formulas for calculating nursing care hours for patients per day are used to assess staffing needs (NCH/PPD).
    • The relationship between nursing care hours, staffing mix, and quality of care is crucial. More RN hours and better staffing mix typically results in improved quality. Staffing ratios and numbers of staff need to meet patient needs.
    • Safe staffing practices are vital and consider the nursing hours per patient day.

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    Organizing Patient Care PDF

    Description

    This quiz explores various models of patient care, including the Total Patient Care Model, Functional Method, and Team Nursing. It highlights the advantages and disadvantages of each approach, emphasizing the importance of communication and expertise in patient care. Ideal for nursing students and healthcare professionals.

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