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Nurs. 120 - Ch. 21 Managing Patient Care

Terms in this set (44)

Regardless of the type of setting in which you eventually choose to work as a staff nurse, you will be responsible for using organizational resources, participating in organizational routines while providing direct patient care, using time productively and setting priorities, collaborating with all members of the health care team, and using certain leadership skills
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Building a Nursing Team
- nurses are self-directed and, with proper leadership and motivation, are able to solve most complex problems
- a nurses education and commitment to practicing within established standards and guidelines ensures a rewarding professional career
- it is also important to work in an empowering environment as a member of a solid and strong nursing team
- effective team development requires team building and training, trust, communication, and a workplace that facilitates collaboration
- stronger levels of teamwork among staff members have been found to contribute to higher levels of job satisfaction among nurses
Nurse Executive
- building an empowered nursing team begins with the nurse executive who is often a vice president or director of nursing
- the executives position within an organization is critical in uniting the strategic direction of an organization with the philosiphical values and goals of nursing
- a clinical and business leader who is concerned with maximizing quality of care and cost effectiveness while maintaining relationships and professional satisfaction of the staff
- perhaps the most important responsibility of the nursing executive is to establish philosophy for nursing that enables managers and staff to provide nursing care
Nurse Manager
- critical to developing and successful unit that works together as a healthy team
- together the manager and the nursing staff have to share a philosophy of care to their work unit
Transformational Leadership Styles Used by Nursing Manager
- a nurse manager who uses transformational leadership is focused on change and innovation through team development, motivates and empowers staff to function at a high level of performance, and serves as a role model for the nurses on the unit
- nursing units where nurse managers use transformational leadership styles have a shared vision that leads the unit to work toward the unit goals together, and staff members have job clarity that improves productivity and staff motivation
- leads to increased staff satisfaction, decreased stress and burnout of staff nurses, increased overall staff feeling of well-being, and staff retention
Transactional Leadership Styles Used by Nursing Manager
- increased level of patient satisfaction
- lower mortality rate
- lower rate of medication errors
Relational Leadership Styles Used by Nursing Manager
- create positive work environment by providing support, encouragement, and constructive feedback to staff through open communication
- a positive work environment engages nurses in their practice, promotes good working relationships among colleagues an high morale level, and prompts nurses to take responsibility for their career development morale level
Philosophy of Care
- includes the professional nursing staff's values and concerns for the way they view and care for patients
- selection of a nursing care delivery model and management structure that supports professional nursing practice are essential to the philosophy of care
TEEAMS Approach
- in this approach the nurse manager spends time on the unit with the staff sharing ideas, empowers the staff, is enthusiastic about seeking opportunities to enhance the team, shows appreciation and recognizes team members for a job well done, manages the team and holds team members accountable, and provides support in the stressful health care enviroment
Magnet Recognition Program
Based on 5 model components
~ transformational leadership
~ structural empowerment
~ exemplary professional practice
~ new knowledge, innovation, and improvements
~ empirical quality results

-Has a transformed culture with a practice environment that is dynamic, autonomous, collaborative and positive for nurses. The culture focuses on concern for patients
- A magnet hospital empowers a nursing team to make changes and be innovative
-This culture and empowerment combine to produce a strong collaborative relationship
Nursing Care Delivery Models
- needs to help nurses achieve desirable outcomes for their patients in the way that work is organized, the role that each care provider assumes, or the way a nurses responsibilities are defined
- contain the common components on nurse-patient relationship, clinical decision making, patient assignments and work allocation, interprofessional communication, and management of the environment of care
Team Nursing
- the RN is the leader who leads a team of other RNs, practical nurses and NAPs who provide direct patient care
Primary Nursing
- places RNs at the bedside and improve the accountability of nursing for patient outcomes and the professional relationships among staff members
- supports a philosophy regarding nurse and patient relationships, it is typically not practiced today because of the high cost of an all RN staffing model
Patient-and Family-centered care
- mutual partnerships among the patient, family and health care team are formed to plan, implement and evaluate nursing and heath care delivered
- at the center is the patient or family member as the source of control and full partner in providing care
Four Core Concepts of Patient-Centered Care
1. Respect and dignity- ensuring that the care provided is given on the basis of a patient's and family's knowledge, values, beliefs and cultural backgrounds
2. Information Sharing- meaning that health care providers communicate and share information so patients and families receive timely, complete, and accurate information to effectively participate in care and decision making
3. Participation- patients and families are encouraged and supported in participating in care and decision-making
4. Collaboration- demonstrating by the health care leaders collaborating with patients and families in policy and program development, implementation, and evaluation and patients who are fully engaged in their health care.
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