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NURS 601 TEST 2 STUDY GUIDE LATEST UPDATED ACCURATE AND VERIFIED
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NURS 601 TEST 2 STUDY GUIDE LATEST UPDATED ACCURATE AND VERIFIED
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NURS 601 TEST 2 STUDY GUIDE LATESTUPDATED ACCURATE AND VERIFIED
Transtheoretical Model stages (sequence question) (5)
✔✔1. Precontemplating - patient denying that anything needs ot change
ways NPs can change this - bring it to their attention - personalize it for
them.
2. Contemplation - person becomes conscious of a personal change they
need to do
This happens within 6 months - can be dim and last for a long time
NPs can reinforce teaching - teach more and broader ways of
personalizing
3. Preparation - wants to make the change
NPs - networking system, referrals, education
4. Action phase - relapse is high - NPs can reinforce the positives,
encourage discussion, follow up visits
5. Maintenance - NPs can discuss triggers, reinforce positive outcomes,
self-empowerment, people can be role models
How organizational change happens
✔✔Create vision, create a supportive environment so conflict can be
discussed, problem solving or appreciative inquiry - discover dream
design destiny
Outcomes assessment
✔✔ongoing and meant to evaluate and improve processes
,Guidelines for presentations
✔✔ID learners and objectives
Plan presentation
Develop media
Deliver presentation
Methods for measuring NP efficacy
✔✔1. Pt satisfaction surveys
2. Fewer hospital admissions
3. measures of revenue given caseload
adult learning
✔✔mostly narrative, through people's stories
Benchmarking
✔✔-the process of establishing a standard of excellence and comparing a
business function or activity, a product, or an enterprise as a whole with
that standard - will be used increasingly by healthcare institutions to
reduce expenses and simultaneously improve product and service quality.
QSEN - what does it stand for? What are 6 areas to focus on for QSEN?
✔✔Quality and safety Education for nurses - goal is to educate future
nurses with knowledge, skills, and attitude to always promote patient
safety and improve quality
1. Patient- Centered care
2. Evidence-based Practice
3. Safety
4. Teamwork and collaboration
,5. Quality Improvement
6. Informatics
Quality improvement (QSEN)
✔✔Use data to monitor the outcomes of care processes and use
improvement methods to design and test changes to continuously improve
the quality and safety of healthcare systems.
Safety (QSEN)
✔✔Minimize risk of harm to patients and providers through both system
effectiveness and individual performance.
What is needed for teamwork and collaboration (QSEN)
✔✔Function effectively within nursing and inter-professional teams,
fostering open communication, mutual respect, and shared decision
making to achieve quality patient care.
Patient centered care (QSEN)
✔✔Recognize the patient or designee as the source of control and full
partner in providing compassionate and coordinated care based on respect
for patient's preferences, values, and needs.
EBP (QSEN)
✔✔Integrate best current evidence with clinical expertise and
patient/family preferences and values for delivery of optimal health care
Infomatics (QSEN)
✔✔Use information and technology to communicate, manage knowledge,
mitigate error, and support decision making"
, What is the NQF?
✔✔National Quality Forum - prominent organization in national quality
arena
What measures need to be defined initially with QI?
✔✔STRUCTURE - APN characteristics, practice setting, access to service
PROCESS - nature of APN's interventions and interactions with patients
OUTCOMES - results for individuals, groups or society
HMOs
PPOs
POSs
✔✔HMOs - Health Maintenance Orgs - pay for care in a network. PCP
coordinates
PPOs - Preferred Provider Orgs - pay more if enrollee stays in network, but
can go outside network
POSs - Lets enrollee choose between HMO and PPO each time care is
needed
Why is outcomes assessment important for APNs?
✔✔So as to improve outcomes
Transformation of healthcare provision and compensation
✔✔1. Departure from fee-for-service
2. Prospective payment, global pricing, and capitation are prominent
3. Shift of risk from insurer to provider
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