Exam (elaborations)

N342 Unit 4: Change Process and Decision Making questions with correct answers

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Course
Nurs 342

Institution
Chamberlain School Of Nursing

_____, innovation, and decision making includes: · The Future of Nursing; Leading Change, Advancing Health report has had a major impact on the profession of nursing. Recommendations include education and practice issues. · Healthcare delivery system is not static-experiences change daily....

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N342 Unit 4: Change Process and Decision Making
questions with correct answers
_____, innovation, and decision making includes:

· The Future of Nursing; Leading Change, Advancing Health report has
had a major impact on the profession of nursing. Recommendations
include education and practice issues.

· Healthcare delivery system is not static-experiences change daily.

· Nurses at all levels must make a commitment to the _______ process
and take active roles in it.

· ______ should not come solely from the manager; staff members
should provide input to ensure they are part of the change process.
Correct Answer-change

what are the 5 R's involved with change and decision making? Correct
Answer-· Reengineering
· Redesigning
· Re-regulating
· Rightsizing
· Restructuring

the following are the 5 R's concerning ____ and decision making:

,· Reengineering
· Redesigning
· Re-regulating
· Rightsizing
· Restructuring Correct Answer-change

What "R" for change and decision making is described below:

· - EMR is good example of this. (DRASTIC)
o Fundamental change, not just "fixing the problem"

o Cross-functional approach
§ Interdisciplinary approach
§ All parties are involved in the change. Have to get everybody's input
because if not, motivation goes down because don't feel like they are a
part of it.

o Futuristic imperative
§ Looks into the future. Not doing things so great now, so we need to
make adjustments.

o Patient-focused care
§ Have to make sure patient's interest is first and foremost

,o Not used frequently (also known as restructuring and redesigning an
organization)

o Goals—improve satisfaction, quality, and costs
§ DECREASE COSTS!!!

o Retrospective evaluation—essential and nurses must be involved

o Focused on reducing full time equivalents (FTE) and this has to do
primarily in nursing: in decreasing LOS and reducing resources used wh
Correct Answer-reengineering

What "R" for change and decision making is described below:

o Focused on reducing full time equivalents (FTE) and this has to do
primarily in nursing: in decreasing LOS and reducing resources used
which is huge implications for hospitals and cost reduction measures.
This will drive why it is good to reengineer or restructure the way
hospitals run
§ If you are or decide to work full time in a hospital, a full time work
week is considered 40 hrs and you have 40 hours of full time
equivalence. When a unit manager goes to look at a schedule and
deciding how many nurses they need, they are budgeted for however
many FTEs. One FTE is equal to 40 hours. If you are only budgeted a
certain amount of hours, the nurse manager has to think about how many
FTEs they need and how many nurses to hire.

, § Can pull resources from one unit in hospital to focus on another unit in
the hospital
§ Usually done with limited nursing input me Correct Answer-
reengineering

What "R" for change and decision making is described below:

o Patient-focused care
§ Have to make sure patient's interest is first and foremost

o Not used frequently (also known as restructuring and redesigning an
organization)

o Goals—improve satisfaction, quality, and costs
§ DECREASE COSTS!!!

o Retrospective evaluation—essential and nurses must be involved
Correct Answer-reengineering

What "R" for change and decision making is described below:

· - EMR is good example of this. (DRASTIC)
o Fundamental change, not just "fixing the problem"

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