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NURS 3514 Weeks 8-12 Questions With Complete Solutions ----- is a strong predictor of increased turnover and sick time Correct Answer job satisfaction ------ is inversely related to turnover Correct Answer organizational commitment ------- is positively related to job performance and satisfaction Correct Answer organizational commitment ——- is a key aspect of effective communication, central to collaborative process, and underpins professional practice and person centred care. Correct Answer Negotiation ———- is the key characteristic of authentic leadership Correct Answer Resilience according to Booth (2016), humans' physical presence and patient care provision are replaced by .... Correct Answer AI and automation Advantages of Entrepreneurship Correct Answer •You are your own boss-independent •Income increases •Chance to be creative, innovative and original •Possibilities •Salary potential advantages of intrapreneurship Correct Answer •Ability to stay in a well known environment
•Lower risk staying within an organization •Using organization's name, resources, knowledge •Access to customers and infrastructure becoming anti-racist includes Correct Answer moving out from fear zone to learning zone and growth zone becoming empowerd means Correct Answer •Identify the key power brokers •Get to know your circle of influence •Feel the fear and do it anyways! •Breathe in courage, exhale fear •Take Risks! •Being at the right place •If not invited not because they don't want you Don't know you want to be there Can you empower someone? Correct Answer no
- only an individual can empower themselves to make choices or to speak out.
- understand the power you already have and power relationships
- if you empower yourself, you must take the power
- have the choice to take the power or not CIHI and CPSI Correct Answer Canadian institute of health information Canadian patient safety institute CIHI and CPSI continue to work with hospitals, clinical leaders and patient safety experts to refine the methodology for
controlled acts Correct Answer •14 Controlled Acts established under RHPA •Controlled acts are considered to be potentially harmful if performed by unqualified persons •A regulated health professional is also authorized to perform a portion or all of the specific controlled acts that are appropriate for that profession's scope of practice •Not all of the regulated health professions are authorized to perform controlled acts coping mechanisms and supports unknown, not functioning or not in place Correct Answer RN CPSI Correct Answer Canadian Patient Safety Institute cultural values and assumptions Correct Answer are usually not visible and are often held subconsciously, and they are rarely questioned decision framework for staffing and its guiding principals Correct Answer •Identifies factors related to client's staff and the organization that guides decision making Five Guiding Principles •Base decisions on client health needs •Base decisions on nursing care delivery model and evidence •Sustain implementation with organizational components and leadership •Involve direct care providers and nursing management •Make decisions with the support of information systems
Disadvantage of entrepreneurship Correct Answer •Money pressure-no security of pay cheque •No benefits •Long working hours •Decisions made alone disadvantages of intrapreneurship Correct Answer •Reward may not be up to expectation •May not be appreciated for innovation, hard work •Not your own boss •Limited by structure and policies of the organization disclosing healthcare errors Correct Answer •Persons and Families want to know •Facts about what happened •The steps that were and will be taken to minimize harm •Healthcare provider organization and/or provider are sorry for what happened •What will be done in the future to prevent similar events •Ethical obligations to be open and honest when communicating with patients •Avoid use of word "error" as known to often result from a complex interplay of factors •Need to provide support to patient, family, health care providers. elaboration on the five styles of DM Correct Answer Autocratic: In this style, the decision-making power rests with one individual, who makes decisions without seeking input or feedback from others. The autocratic style is characterized by a
•Self employed, work independently and is directly accountable to the client for whom they provide services Develop a new idea, improve delivery methods, develop new products •Act upon opportunities and ideas and transform them into value for others. That value that is created can be financial, cultural or social. entrepreneurship and intrapreneurship both need Correct Answer •Advanced knowledge level and skills Self-confidence, courage, integrity, self discipline and the ability to take risks, deal with failure and articulate goals
- overcome barriers of self employments, and lack of recognition, safety net, and adversity Entrepreneurship vs Intrapreneurship Correct Answer Entrepreneurship when you come up with something new independently of an organization Intrapreneurship is when you are paid and hired by an organization to com up with something examining incident reports form complexity theory perspective Correct Answer •What occurs is not linear. •Focuses on relationships and interactions within systems; •Examines the patterns of those relationships, how they are sustained, self-organized and what outcomes emerge; •When new relationships and patterns are built, new realities and possibilities can emerge; and new systems emerge. example of political strategies include: Correct Answer - push
- pull
- persuasive
- preventative
- preparatory examples of improving patient safety include: Correct Answer •Identify patients correctly •Improve effective communication •Prevent fatigue in healthcare professionals •Improve the safety of high alert medication •Ensure correct, site, procedure patient surgery •Reduce the risk of healthcare acquired infections •Reduce the risk of patient harm reduction from falls examples of using AI in health care Correct Answer - serve as a guide
- analyze big data to detect patterns that allow human scientists to further elaborate on topic
- help prescribing and finding better treatment expert power Correct Answer power that is based on the special knowledge, skills, and expertise that a leader possesses fluctuating health condition many factors influencing the client's health Correct Answer RN health condition not well controlled or managed Correct Answer RN Health policy Correct Answer ⚬Principles, plans, and strategies for action guiding the
how do you use liberating structures? Correct Answer - the leader and the people who are experiencing the challenge or work need to identify the issue and identify what are the desired positive changes.
- generate a purpose for what they are going to do, what are the desired outcomes, what is your plan of action, how will you implement it
- identify patterns and generate ideas on how to do it differently
- Positive practices are often discovered, new approaches that are created and people see themselves in the results How is disclosure done Correct Answer Disclosure to the patient is a delicate matter. Consideration should be given to the patient's status, the setting and the timing. If the patient was harmed by an error, the patient must be told. If the patient has not yet experienced harm after an error but there is a risk, the patient should be told. Research has shown that most patients want to know if an error has taken place even if they have not and will not suffer harm. how is nursing a political act Correct Answer If we think of health as something broadly defined and influenced, we begin to arrive at the inescapable conclusion that to be concerned with health is to be concerned with the social context, and that nursing is indeed a political act. (Canadian Nurse Association,
All health issues can have an impact on the direction of health policy and on nursing and nurses.
Since Florence Nightingale, nurses involved in influencing policy How is peace and power relevant to nursing Correct Answer The theory of peace and power make an explicit connection to nursing's core values of caring and high level wellness. The theory is also connected to theoretical ideas in nursing concerning relationships, and social justice. how to make your new ideas as an entrepreneur stick? Correct Answer •Social currency: Determine how it makes people look (innovative? creative?) to talk about the product/idea; •Triggers: Create reminders for people to talk about the product/idea; •Emotions: Utilize emotional content that people care about; •Public: Keep the idea visible; •Practical Value: Present the information so it is easy to pass along to others; •Stories: Embed the product/idea in a story for people to share; and •Create an innovative fun working environment to stimulate positive, sustainable changes.
If the pt care needs not well defined/ established or changing Correct Answer RN in a collaborative practice, we need: Correct Answer •These characteristics will facilitate collaboration among professions and professionals. From Required reading: CNA (2011). Interprofessional colalboration.
•Thinking outside the box •Brainstorming Values •Are they consistent with organizational values •Seeking out others ideas and opinions Equity or Equality? •Everyone should have the same or.. •Person who deserves it the most (contributed, deserving) •Depends on the situation interprofessional collaboration Correct Answer promotes sharing of expertise from health care professionals to create a plan of care that will restore and maintain a client's health. •A partnership between a team of health providers and a client in a participatory, collaborative and coordinated approach to shared decision-making around health and social issues (CNO, 2014) •Moving forward teams will need to include computer science and software engineers, business analysts and healthcare professionals. Intrapreneur Correct Answer •Salaried employee, often within healthcare organizations who develops, promotes and delivers an innovative health or nursing service within a healthcare setting such as hospital or nurse-led clinic. •Develop innovative health practices from within the organizational framework in which they work and share the risks and benefits associated with the innovative practice with the employer
Intraprofessional collaboration Correct Answer Nurse-Nurse collaboration, by developing nursing teams in hops. units, and in community settings that provide collaboration and support in patient caregiving. •Multiple members of the same profession working collaboratively to deliver quality care within and across settings legitimate power Correct Answer the power a person receives as a result of his or her position in the formal hierarchy of an organization. formal position and the perception that the person has the right to exert influence and expect compliance Liberating structures: 15% solutions Correct Answer •Assists in identifying the influence and ability the individuals have to create change. ⚬What can YOU do to create change without more resources or authority? ⚬Write down ideas and then share with 2 to 4 participants •Enables the group to realize the power they already have individually and collectively to implement change immediately. Liberating structures: discovery Correct Answer •Fosters finding solutions to challenging issues. •Groups of 5-10 members are asked a series of questions ⚬When do they know the issue exists? ⚬What do they believe contributes and prevents effectively resolving the problem? ⚬Who deals well with resolving the problem? ⚬What actions do they do? ⚬What other problem solving ideas can we do to address the issue?
Liberating Structures: what, so what, now what Correct Answer •Promotes a shared understanding of different perspectives, ideas and reasons for actions and decisions •What Happened/What is the Issue? •So What? to enable the group to identify the important points and patterns •Now What?- enables the group to identify next steps little fluctuation in health condition over time, few factors influencing the client's health Correct Answer RN, RPN medical error Correct Answer •defined as the failure of planned action to be completed as intended or the use of a wrong plan to achieve an aim. National Interprofessional Competency Framework Correct Answer an integrative approach to describing the competencies required for effective interprofessional collaboration. Six competency domains highlight the knowledge, skills, attitudes, and values that shape the judgements essential for interprofessional collaborative practice allows students/practitioners to learn & apply the competencies, no matter their skill level or type of practice context near miss Correct Answer •An event that might have resulted in harm but the problem did not reach the patient because of
timely intervention by healthcare providers or the patient or family or due to good fortune. •Also known as "close calls" or "good catches" •Important in identifying system issues •Reporting them helps to reduce risks for all patients by not waiting for harm to occur •Trigger improvements in weak spots in the process of care (Hand Off) •Contribute to harm mitigation negative aspects of work place include Correct Answer work stress, burnout, bullying nurse consultation and its outcomes Correct Answer Nurses consult with one another when a situation demands nursing expertise that is beyond their competence. Results in: •Nurse gets advice and continues to care for the client; •Nurse transfers part of the care to the consultant; or •Nurse transfers all the care to the consultant nurse scope of practice statement Correct Answer The practice of nursing is the promotion of health and the assessment of the provision of, care for, and the treatment of , health conditions by supportive, preventive, therapeutic , palliative and rehabilitative means in order to attain or maintain optimal function (Nursing Act, 1991). This includes both RNs and RPNs Nurses are expected to consult when the situation is beyond Correct Answer Their competency
organizational culture Correct Answer - formed by a group of people that have been together long enough to have shared challenges
- develop set of rules in how to relate to one another, power structures, develop systems for rewards and punishing behaviors
- A guiding process for progress within an organization and/or a major source of problems. organizational culture consist from: Correct Answer Beliefs, values, habits Organizational empowerment: access to information Correct Answer - having knowledge of organizational decisions, policies, and goals
- technical knowledge and expertise required to be effective within the broader context of the organization
- provide a sense of purpose and meaning for employees.
- enhances their ability to make decisions that contribute to organizational goals Organizational empowerment: Access to resources Correct Answer ability of individuals to access the material, money, time, supplies, equipment that are required to accomplish organizational goals Organizational empowerment: Access to support Correct Answer - includes feedback
- guidance received from superiors, peers, and subordinates as well emotional support, helpful advice or hands on assistance that others can provide.
Organizational empowerment: opportunities to learn and grow Correct Answer - access to professional development to increase knowledge and skills
- opportunities for mobility and growth Patient safety Correct Answer Patient safety is the reduction and mitigation of unsafe acts within the health-care system, and the use of best practices shown to lead to optimal patient outcomes. Achieving the goal of patient safety requires disclosure of critical incidents, analysis of how they occurred and making the necessary improvements. Nurses, as front line health care providers and patient advocates, play a key role in realizing this goal. Peace and power Correct Answer It's an emancipatory group process drawn from several traditions around the world for working together in cooperative and peaceful wash's, and in ways that challenge status quo and lead to social and political change in the direction of equality and justice for all. peace and power Correct Answer Praxis: is the art of engaging, applying, exercising, realizing, or practicing ideas. Empowerment: growth of personal ability to enact one's will in the context of respect for others Awareness: the growing knowledge of self and others Cooperation: commitment to group cohesiveness and integrity Evolvement: commitment to deliberate growth and change policy Correct Answer - a statement of direction resulting from decision making process that applies reason evidence and values in public or private settings.
