Nursing 410 Exam 1 (2024) || With Questions & 100% Verified Solutions
Nursing 410 Exam 1 (2024) || With Questions & 100% Verified Solutions
5 Aspects of Transitioning to the Professional Role - ANSWER - 1. Socially sanctioned and mandated service; social trust
2. Necessary competence to hold m...
Nursing 410 Exam 1 (2024) || With
Questions & 100% Verified Solutions
5 Aspects of Transitioning to the Professional Role - ANSWER - 1. Socially sanctioned and mandated service; social trust
2. Necessary competence to hold membership
3. Penalties for non-performance
4. Accountabilities and obligations not tasks and functions
5. Communication-clarity, confidence, understanding; SBAR
Evolution of Patient Classification Systems (PCS) - ANSWER - Psychosocial
Clinical Stability/instability
Frequent vital signs & assessment
Titrating drips
Complex condition or Post op surgical procedures (e.g., CABG)
Functional Dependent versus independent; maximal assist
Interventions
Tubes/drains; ventilator
Monitoring devices
Assessments-blood glucose monitoring
3 Major Variables to Attracting & Retaining Professional Nurses - ANSWER - 1. Administration
2. Professional practice
3. Professional development
8 Strategies to Address Shortage - ANSWER - 1. Minimize work demands on older nurses; develop strategies to retain older nurses
2. Increased funding/scholarships for nursing; loan forgiveness programs
3. Recruit diverse and younger groups to nursing
4. Gender, racial, ethnic diversity
5. Elementary & junior high school students
6. Accelerated programs; distance learning
7. Improve image of nursing
8. Healthy workplace environment; support lifelong learning (Refer to Huber (2010), Box 27.2 pp. 603-604)
3 Elements of Increased Demand for Nurses - ANSWER - 1. Need for nursing care increasing exponentially as baby boomers age (graying of the planet-an international phenomenon)
2. Economic growth
3. Increased technology 4 Factors of Workplace Environment Which Effect Nursing Shortage - ANSWER - 1.Workload, burnout/emotional exhaustion, job dissatisfaction
2. Autonomy
3. Relationship with managers
4. Compensation
4 Factors in Nursing Shortage - ANSWER - 1. Supply of nurses stable through 2010 then declines; # of RNs retiring exceed # of new graduates
2. Capacity to educate new nurses (SON space & faculty)
3. Workplace environment-factors effecting recruitment and retention of nurses (e.g., Magnet status)
4. Demographic-aging of existing RNs-half are age 50 and older; new graduates are older (CA BRN, 2011)
Increased demand
Multiple Metrics Involve (4 Measurements) - ANSWER - 1. Patient outcomes, staff satisfaction, organizational cost; hours per patient day (HPPD)
2. Individual and aggregate patient outcomes
3. Average census and outliers
4. Nurse-centric metrics (reflect staffing and scheduling)
5 Elements of Process Excellence Assessment - ANSWER - 1. Collaborative scheduling based upon historical trends, patient care needs, and staff preferences. 2. Mandatory OT is not used as a staffing solution
3. Fatigue-avoid long stretches (e.g., no longer than 3 shifts in a row)
4. Leaders and staff work collaboratively to manage variances between patient needs and available staff
5. Experienced clinical experts available to provide oversight to help less-experienced nurses in organizing and providing patient care
Infrastructure for Excellence Assessment (5 items) - ANSWER - 1. Clearly defined plan
2. Input from nurses & decision-making at point of service
3. Valid and reliable system for determining acuity/patient care needs
4. Scheduling and staffing developed collaboratively by leaders, managers, and direct care providers/knowledge workers (RNs)
5. Consideration of unit function support (indirect hours such as leadership, education, quality management, personnel management, in-servicing)
4 Elements of Evaluating Workforce Management - ANSWER - 1. Infrastructure for excellence assessment
2. Process excellence assessment
3. Evaluation excellence assessment
4. Use of multiple metrics
Acuity Creep - ANSWER - On PCS slide, but I can't tell what it means
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