Clinical Decision making: involves clinical judgments that result in interventions at the point of patient care.
Clinical Judgment involves forming,
... [Show More] refining, and evaluating hypotheses based upon recognizing and analyzing cues. The interpretation of the information of patient problems and needs.
Q: For BOTH clinical decisions making and judgment.
*A client becomes confused after surgery. He is in a room farthest away from the nurses' station. The client tries to get out of bed several times during the shift. The nurse informs the physician and obtains an order for soft restraints. In addition, she moves the client close to the station and assigns a sitter to watch him. Which of the following did the nurse utilize? (Select all that apply.)*
a. Clinical judgment
b. Clinical decision-making
c. Autocratic decision
d. Financial decision
e. Unjustified restraint use
Planned Change: a decision to make a deliberate effort to improve a system. Q:
*The development of new practices in response to new evidence is called:*
a. altered direction.
b. organizational flux. c. planned change.
d. status revision.
Rapid Cycle Change: is used in health care to improve patient safety and quality. Rapid Cycle Changes or those that are emergent are put into place to improve patient care, with the emphasis on patient safety and quality goals. Staff should not be educated that the changes are made based upon regulatory requirements or the avoidance of litigation. Misconceptions or inaccurate information can create resistance to change.
Q:
*A medical-surgical unit utilizes a group of nurses and patient care assistants to determine ways to reduce the number of falls in the unit. They conduct Internet research to locate best practice interventions. They create fall risk alerts in the unit, and they implement hourly rounding to assess the need for toileting. After putting these small changes into place, they will evaluate the data to determine effectiveness. This project is an example of:*
a. Rapid response teams.
b. Failure Modes and Effects Analysis.
c. Root Cause Analysis. d. Rapid Cycle Change.
Change Agent:The change agent is a person or thing that produces a particular effect or change. The change agent can be a person who functions as a change facilitator.
*The chief nursing officer (CNO) of a hospital system works with senior leadership for approval to initiate an electronic health system. He recruits a nursing informaticist and a chief medical informatics officer to begin the process of planning the education and rollout of the new electronic system. The CNO could be viewed as the:*
a. resister.
b. innovator.
c. change agent.
d. strategist.
Shared Governance: an organizational structure that promotes empowerment and autonomous decision making at the point of care, accountability that is shared among all parties in a decision, and organizational processes that promote an egalitarian environment in decision-making processes.
Q:
*A long-term care facility has been busy for several months with patients who have a very high acuity. Nurses have been working double shifts. The nurses have been given the task of determining whether they would like to implement an on-call program and determine guidelines for implementation, if most nurses believe that it is the best solution. This example depicts which type of decision-making tool?*
a. Pilot project
b. Simulation
c. Shared governance
d. Data analytics
Six Sigma: a quality and decision support technique that uses data to build process improvement models. The goal is to eliminate defects in safety and quality in health care delivery. Essentially Six Sigma is a variant of the plan-do-study-act (PDSA) cycle promoted by the Institute for Healthcare Improvement.
Q:
*Effective managers utilize a wide array of data in making decision. Which of these techniques is used to build process improvement models?*
a. Incrementalism
b. Scenario planning c. Six Sigma
d. Budgetary model
Social awareness: an intuitive skill of empathy and expressiveness in being sensitive and aware of the emotions and moods of others.
Q:
*Good leaders need to be able to demonstrate an intuitive skill of empathy and expressiveness when dealing with others in the workplace. This requires sensitivity and awareness of the emotions and moods of others and is known as:*
a. social awareness.
b. self-awareness.
c. self-management.
d. relationship management.
Laggards: group of people who will take the longest to adapt to a change. Q:
*Individual members of a group will adapt to change at different rates. Which of the following groups would take the longest to accept change?*
a. Early adopters
b. Late majority
c. Innovators d. Laggards
Innovation: is the use of a new idea or method. Q:
*The use of a new idea or method is the definition of:*
a. change.
b. innovation.
c. resistance.
d. stereotyping
Variable staffing: units are staffed below maximum workload conditions and staff is then supplemented when needed.
Q:
*The staffing method used when units are staffed below maximum workload conditions and staff is then supplemented when needed is called:*
a. Fixed staffing. b. Variable staffing.
c. Strategic staffing.
d. Staffing by acuity
Team STEPPS: was initially developed to address communication issues between nurses and providers during critical patient events.
Q:
*A communication system developed originally to address communication patterns in critical situations is:*
a. VERA framework.
b. NVC model.
c. Crucial conversations. d. TeamSTEPPS. [Show Less]