Questions and Answers of Leadership in organizations

What is a nursing professional practice model?Describe one type of model. Is one used in a clinical site where you have been? If so, what is it? How do the nurses demonstrate the model in their
What is the Magnet Recognition Program?Why is it important?
Write a brief paragraph that describes a case related to the following questions. The timeline—why do we need to consider it?
Write a brief paragraph that describes a case related to the following questions. Why are we discussing quality improvement when we are talking about documentation?
Write a brief paragraph that describes a case related to the following questions. What should we tell them about our documentation concerns?
How might meaningful use affect what the task force does?The hospital where you work is assessing its EMR system, which has been in use for 1 year.You volunteered to be on the task force that is
Why is the team member’s question important?The hospital where you work is assessing its EMR system, which has been in use for 1 year.You volunteered to be on the task force that is leading the
What is meaningful use?The hospital where you work is assessing its EMR system, which has been in use for 1 year.You volunteered to be on the task force that is leading the review. The team meets to
What is your opinion of the human, caring part of the care process in relation to this case description?A 6-year-old has come to the attention of the child welfare department as a possible victim of
How else might this technology be used?A 6-year-old has come to the attention of the child welfare department as a possible victim of sexual abuse. The child’s school nurse reported the situation
Discuss the impact of the use of these methods in the case on the nurse–patient relationship and on patient confidentiality, including HIPAA requirements.A 6-year-old has come to the attention of
What is your opinion of the potential conflict between high-touch care and high-tech care? Describe some examples where you thought technology interfered with patient care, either for you or for
Which biomedical equipment have you used or seen used? How does the use of this equipment impact care?
Speak to a registered nurse who works in staff development/education in an HCO.Discuss the training that staff members receive for using informatics (for example, type of content, cost and time
Divide into teams. Identify an HCO (hospital or other type) in your local community and try to find out how it uses informatics and applies meaningful use. You can focus on the entire organization or
Explain how the EMR and PHR can increase quality of care and decrease errors. Provide examples.
Why is documentation important?
Describe four examples of healthcare informatics and implications for nursing.
What is informatics? Why is it important in health care and nursing?
Write a brief paragraph that describes a case related to the following questions. What role should staff nurses assume?
Write a brief paragraph that describes a case related to the following questions. Was the procedure followed as described and based on best evidence?
Write a brief paragraph that describes a case related to the following questions. Can you provide us with comparison data for the last 5 years?
What was the impact of technology in this case?In this example of a case that actually occurred, it is clear that physician errors led to near misses, but it is also clear that nursing actions led to
What do you think hospitals should do when patients describe incidents like these in patient satisfaction surveys?In this example of a case that actually occurred, it is clear that physician errors
What could have been done to prevent these near misses?In this example of a case that actually occurred, it is clear that physician errors led to near misses, but it is also clear that nursing
Which system issues might have been involved?In this example of a case that actually occurred, it is clear that physician errors led to near misses, but it is also clear that nursing actions led to
Describe each of the near misses and the roles of the physicians and the nurses in each incident.In this example of a case that actually occurred, it is clear that physician errors led to near
What is a “near miss”?In this example of a case that actually occurred, it is clear that physician errors led to near misses, but it is also clear that nursing actions led to near misses.
If you were the nurse assigned to this patient in emergency department, what could you have done?A 21-year-old woman presented to the emergency department of an urban hospital with a history of
Is this patient-centered care? Why or why not?A 21-year-old woman presented to the emergency department of an urban hospital with a history of systemic lupus. Her complaint was dehydration,
Consider the six aims (STEEEP) to better ensure quality care. How might they apply to this patient?A 21-year-old woman presented to the emergency department of an urban hospital with a history of
What are the critical issues in this case description?A 21-year-old woman presented to the emergency department of an urban hospital with a history of systemic lupus. Her complaint was dehydration,
In your journal, describe an example of a QI problem that you have observed or were directly involved in while in clinical practice. Remember to follow the Health Insurance Portability and
Select two of the online patient safety resources found at National Patient Safety Foundation website (http://www.npsf.org/?page=professionals). How might nurses use this resource?
Visit the OSHA Workplace Violence website, https://www.osha.gov/SLTC/healthcarefacilities/violence.html, to learn about this important staff safety problem and possible solutions.Review the
Visit the National Healthcare QDRs website to review the current reports on healthcare quality and disparities (https://www.ahrq.gov/research/findings/nhqrdr/index.html). After reviewing data on the
Divide up into teams, with each team taking one of the rules for the 21st century. Develop a defense for this rule and share with the other teams.
Discuss the definition of quality.
Describe the culture of safety. How does this compare to the blame culture?
How do the six aims (STEEEP) to improve quality relate to the rules for the 21st century(IOM) and the healthcare professions core competencies (IOM)?
Write a brief paragraph that describes a case related to the following questions. Why is the documentation of EBP something we should consider?
Write a brief paragraph that describes a case related to the following questions. Why is this important to us? We are all very busy.
Write a brief paragraph that describes a case related to the following questions. What do we need to do to increase use of EBP?
What might be improved in this unit’s practice?You have just taken a new position in a cardiac care unit. A month after you start the job, you have a question about a procedure and the rationale
What does this tell you about EBP on the unit?You have just taken a new position in a cardiac care unit. A month after you start the job, you have a question about a procedure and the rationale for
At your next monthly meeting with the nurse manager, what might you say about this issue?You have just taken a new position in a cardiac care unit. A month after you start the job, you have a
How might this interaction affect your view of your mentor?You have just taken a new position in a cardiac care unit. A month after you start the job, you have a question about a procedure and the
What might be your response to your mentor?You have just taken a new position in a cardiac care unit. A month after you start the job, you have a question about a procedure and the rationale for its
What care approach is used in a clinical setting in which you have practicum? How does it relate to what you have learned from the systematic review and/or clinical guideline?Health professionals
Can you find a clinical guideline on VAP? What evidence is provided?Health professionals noticed that ventilator-dependent adults often developed pneumonia. They started questioning what might be
Can you find one published article describing a single study and also a systematic review focusing on VAP and related care issues? If so, what evidence does it provide? How is a single study
Consider how you might improve your practice first as a student and then as a nurse.Develop the steps you will take to work to improve, and then track your results annually.
If you are interested in learning more about the Tuskegee study as an example of need for research ethics, visit The National Academics online ethics center
Visit the National Institute of Health ethics program website (http://ethics.od.nih.gov/default.htm). Review one of the posted topics.Why did you select this topic? Summarize what you have learned
Visit the NINR website and review the current strategic plan (https://www.ninr.nih.gov/aboutninr/ninr-mission-and-strategic-plan).What examples are given on the site to demonstrate how nursing
Write a PICOT question. After you have written your PICOT question, compare it with questions developed by other students (this can be done in a small group). Ask members of the group to identify the
In an EBP review, you begin by describing the clinical problem or scenario. At the University of Washington’s website (http://libguides.hsl.washington.edu/content.php?pid=231619&sid=1931590), you
Why is EBM important to healthcare delivery?
Why is EBP important to nursing practice?
How does research relate to EBP?
What is the research process?
Write a brief paragraph that describes a case related to the following questions. What are the 3 Cs we need to address?
Write a brief paragraph that describes a case related to the following questions. We work in teams all the time as nurses. You need to work in interprofessional teams, so what do we need to do to
Write a brief paragraph that describes a case related to the following questions. Why do we need to work together?
What are examples from your clinical experiences when you thought care coordination should have been used that you might include in your presentation?Examine the important topic of care coordination
What are some examples of effective care coordination you have seen in your clinical experiences that you might include in your presentation?Examine the important topic of care coordination at the
Have you or a family member experienced similar situations when receiving health care?What happened? Now that you know more about teamwork and quality care, what is your perspective of your
How does this case reflect the need for interprofessional teamwork?A 70-year-old man in very good health experiences a syncopal episode after standing unsupported for 20 minutes. His pulse was 46 and
Where and when might errors have occurred?A 70-year-old man in very good health experiences a syncopal episode after standing unsupported for 20 minutes. His pulse was 46 and color ashen with
What could have been done to prevent the confusion that this patient experienced?A 70-year-old man in very good health experiences a syncopal episode after standing unsupported for 20 minutes. His
Describe your opinion of incivility in the healthcare workplace. Have you observed it or experienced it? What was your reaction?
View the video on incivility in the workplace:http://www.youtube.com/watch?v=NujWmw8z7sg Then identify three things you learned from the video that you found helpful. Discuss in teams.
Have you been a member of a team/group or in a work situation in which there was conflict? Describe the situation (does not have to be a clinical situation), the events that occurred, your role in
Why do you think delegation might be easy or difficult for you as an individual?
For a week, keep a log of your critical communications.Note who was involved in the communication, the context or situation in which it occurred, the time of day and day of the week, the message, the
What is conflict resolution? How can conflict be prevented?
Why is coordination a key activity of a clinical interprofessional team? Of a nursing team?
How does collaboration influence team effectiveness?
What is a team? How does it function?Would a nursing team and an interprofessional team function differently? If so, how?
Explain the healthcare core competency“work in interprofessional teams.” Why is this issue important to address in healthcare education? What is its impact on practice?
Write a brief paragraph that describes a case related to the following questions. What should be the main focus of the design of our unit?
Write a brief paragraph that describes a case related to the following questions I think we should ask our patients about the unit.
Write a brief paragraph that describes a case related to the following questions Why does management expect us as nurses to contribute to plans for the redesign of the lobby of the hospital and the
What should the nurse have done when she experienced issues related to professional boundaries?A nurse on a medical unit was caring for an elderly woman. The patient’s family visited frequently.
Describe how this case relates to nurse–patient (and family) relationships as described in this chapter.A nurse on a medical unit was caring for an elderly woman. The patient’s family visited
How were professional boundaries crossed in this case?A nurse on a medical unit was caring for an elderly woman. The patient’s family visited frequently. The nurse, patient, and family spent a lot
How might patient-centered care be applied to this case? Be specific.A 45-year-old woman fell during an ice storm. She went to the emergency department because she thought she might have broken one
Is this an example of health literacy? If so, how is it an example?A 45-year-old woman fell during an ice storm. She went to the emergency department because she thought she might have broken one or
What role might a nurse have assumed, and what specifically might the nurse have done?A 45-year-old woman fell during an ice storm. She went to the emergency department because she thought she might
What do you think could have been done differently?A 45-year-old woman fell during an ice storm. She went to the emergency department because she thought she might have broken one or more ribs. When
If you were or are a member of a minority group, would you want to have a healthcare professional who is a member of that minority group care for you? Why?
When did you first become aware that people were different ethnically or racially?
Have you been treated differently because of your own ethnicity or race? If so, how?
Do you think people are treated differently because of race or ethnicity? If so, describe an example.
How would you describe yourself ethnically/racially/culturally? Has your view of ethnicity/race/culture changed over time? If so, how?
Visit The Joint Commission website to review the report on diversity in hospitals(http://www.jointcommission.org/assets/1/6/ARoadmapforHospitalsfinalversion727.pdf). Visit
Review the material on health literacy found at the following site: http://nnlm.gov/outreach/consumer/hlthlit.html. In a team discussion, consider the identified vulnerable populations and their
Watch an episode of a favorite TV show, including the commercials. This program does not have to be a health-related TV show. As you watch the show, keep notes describing ethnic, racial, and culture
The National Healthcare Quality and Disparities Report monitors our health care(https://www.ahrq.gov/research/findings/nhqrdr/index.html). Go to the site. What can you learn about current disparities
Discuss the importance of patient education.

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