BOOK
Nursing Delegation and Management of Patient Care - E-Book
Kathleen Motacki | Kathleen Burke
(2016)
Additional Information
Book Details
Abstract
With a strong focus on the key areas included on the NCLEX-RN Exam’s "management of care" section, Nursing Delegation and Management of Patient Care, 2nd Edition prepares you to successfully prioritize, assign, and delegate nursing care to other members of the health care team. It provides the latest information on the roles and responsibilities of the staff nurse related to the management of patient care, the core competencies required of the nurse caring for patients, as well as a wide range of leadership and management concepts nurses need to confidently manage patients within a hospital unit. This new edition is organized according to the new 2014 Magnet Standards of Practice to help you learn the skills and competencies magnet status hospitals require when hiring nurses.
- Learning objectives, key terms, critical thinking case scenarios, and application exercises in each chapter provide you with plenty of opportunities for review.
- A trusted author team with years of teaching experience in nursing leadership and management introduce current content related to the management of patient care in today’s health care setting.
- NEW! A new table of contents reorganized according to the 2014 Magnet Standards.
- NEW! Addresses the competencies of the nurse’s role with respect to the 2014 Magnet Standards.
- Coverage includes the latest information on the roles and responsibilities of the manager of patient care position, core competencies required of nurses caring for patients, and a wide range of management concepts new nurses need to know before entering practice.
- Emphasis on the NCLEX Exam "management of care" areas that you will be tested on, such as prioritization, delegation, and assignment.
- Clinical Corner and Evidence-Based Practice boxes within most chapters include real-world tips and advice on patient and client management, plus the latest research on practices relevant to chapter topics.
- NEW! End-of-chapter and Evolve NCLEX questions include analysis and application-level questions.
- NEW! The latest RN design gives this edition a fresh new feel that is easier to follow.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| IFC | ES1 | ||
| NURSING DELEGATION AND MANAGEMENT OF PATIENT CARE | i | ||
| NURSING DELEGATION AND MANAGEMENT OF PATIENT CARE | iii | ||
| Copyright | iv | ||
| Dedication | v | ||
| ABOUT THE AUTHORS | vi | ||
| KATHLEEN MOTACKI, MSN, RN, BC | vi | ||
| KATHLEEN BURKE, RN, PHD | vi | ||
| CONTRIBUTORS | viii | ||
| REVIEWERS | x | ||
| PREFACE TO THE INSTRUCTOR | xi | ||
| FEATURES | xi | ||
| ANCILLARIES | xi | ||
| PREFACE TO THE STUDENTS | xii | ||
| ACKNOWLEDGMENTS | xiii | ||
| CONTENTS | xiv | ||
| 01 - Transformational Leadership | 1 | ||
| 1 - Leadership and Management | 2 | ||
| LEADERSHIP VERSUS MANAGEMENT | 3 | ||
| COMPARISON OF LEADERSHIP AND MANAGEMENT | 4 | ||
| THEORIES OF LEADERSHIP | 5 | ||
| Trait Theory | 5 | ||
| Behavioral Theory | 5 | ||
| Contingency Theory | 5 | ||
| LEADER VERSUS MANAGER | 6 | ||
| COMPARING THE NURSING PROCESS WITH THE MANAGEMENT PROCESS | 7 | ||
| LEVELS OF MANAGEMENT | 7 | ||
| First Level | 7 | ||
| Middle Level | 8 | ||
| Upper Level | 9 | ||
| COMPETENCIES OF PATIENT CARE MANAGERS | 9 | ||
| SUMMARY | 10 | ||
| NCLEX® EXAMINATION QUESTIONS | 13 | ||
| 2 - Organizational Structure of Health Care | 15 | ||
| LEADERSHIP STRUCTURE IN HEALTH CARE | 16 | ||
| Integrative Structures in Health Care | 16 | ||
| Organizational Structures | 16 | ||
| Functional Structures | 16 | ||
| Product Line Structures | 17 | ||
| Matrix Structures | 17 | ||
| Integrated Structures | 17 | ||
| MAJOR TYPES OF CARE DELIVERY SYSTEMS | 17 | ||
| Total Patient Care | 19 | ||
| Functional Nursing | 20 | ||
| Team Nursing | 20 | ||
| Modular Nursing | 21 | ||
| Primary Nursing | 21 | ||
| Case Management | 22 | ||
| SUMMARY | 24 | ||
| NCLEX® EXAMINATION QUESTIONS | 26 | ||
| 3 - Strategic Management and Planning | 27 | ||
| WHAT IS STRATEGIC PLANNING? | 27 | ||
| ELEMENTS OF A STRATEGIC PLAN | 28 | ||
| Mission and Vision Statements | 28 | ||
| Statement of Competitive Environment and Strategy | 28 | ||
| Statement of Short-Term and Long-Term Goals | 30 | ||
| Action Planning | 30 | ||
| UNIT-BASED PLANNING PROCESS | 30 | ||
| Purposes of Planning | 33 | ||
| SUMMARY | 33 | ||
| NCLEX® EXAMINATION QUESTIONS | 36 | ||
| 4 - Financial Management in Health Care | 38 | ||
| HEALTH | 39 | ||
| FACTORS THAT INFLUENCE THE FINANCIAL BURDEN OF HEALTH CARE IN THE UNITED STATES | 40 | ||
| Demographic Influences | 40 | ||
| Uninsured Individuals | 41 | ||
| Medical Technology | 41 | ||
| Health Care Payment Sources | 41 | ||
| PRIVATE INSURANCE | 41 | ||
| SOCIAL HEALTH MAINTENANCE ORGANIZATION | 42 | ||
| POINT OF SERVICE PLANS | 42 | ||
| U.S. GOVERNMENT | 42 | ||
| Medicaid | 42 | ||
| State Children’s Health Insurance Program (SCHIP) | 43 | ||
| Medicare | 43 | ||
| Administration of Federal Insurers | 43 | ||
| Benefits | 43 | ||
| Part A: Hospital Insurance | 43 | ||
| Part B: Medical Insurance | 43 | ||
| Part C: Medicare Advantage Plans | 44 | ||
| Part D: Prescription Drug Plans | 44 | ||
| Prescription Drug Coverage | 44 | ||
| Hospice | 44 | ||
| CHARITY CARE ASSISTANCE | 45 | ||
| VETERANS HEALTH ADMINISTRATION | 45 | ||
| INDIAN HEALTH SERVICE | 45 | ||
| TYPES OF HEALTH CARE SERVICES | 45 | ||
| FOR-PROFIT AND NOT-FOR-PROFIT HEALTH CARE AGENCIES | 46 | ||
| BUDGETING PROCESS | 46 | ||
| Information Gathering and Planning | 47 | ||
| Development of Organizational and Unit Budgets | 47 | ||
| Development of Cash Budgets, Negotiation, and Revision | 48 | ||
| Evaluation | 48 | ||
| TYPES OF BUDGETS | 48 | ||
| STAFF NURSE ROLE IN BUDGET PROCESS | 51 | ||
| SUMMARY | 51 | ||
| NCLEX® EXAMINATION QUESTIONS | 54 | ||
| 5 - Health Care Regulatory and Certifying Agencies | 56 | ||
| REGULATORY AGENCIES | 57 | ||
| ACCREDITATION | 57 | ||
| THE JOINT COMMISSION | 58 | ||
| Benefits of Accreditation | 58 | ||
| Standards and Performance Measurement | 58 | ||
| DET NORSKE VERITAS | 60 | ||
| THE AMERICAN OSTEOPATHIC ASSOCIATION | 61 | ||
| OTHER ACCREDITING AGENCIES | 61 | ||
| EDUCATIONAL ACCREDITATION | 61 | ||
| REGULATORY AGENCIES | 61 | ||
| LICENSING BODIES | 62 | ||
| GOVERNMENT AGENCIES | 62 | ||
| Occupational Safety and Health Administration | 62 | ||
| The U.S. Department of Health and Human Services | 62 | ||
| CENTERS FOR DISEASE CONTROL AND PREVENTION | 62 | ||
| OTHER GROUPS RECOGNIZING HEALTH CARE PERFORMANCE AND EXCELLENCE | 63 | ||
| SUMMARY | 64 | ||
| NCLEX® EXAMINATION QUESTIONS | 67 | ||
| 02 - Structural Empowerment | 69 | ||
| 6 - Organizational Decision Making and Shared Governance | 70 | ||
| SHARED GOVERNANCE | 71 | ||
| Partnership | 72 | ||
| Equity | 72 | ||
| Accountability | 72 | ||
| Ownership | 72 | ||
| NCLEX® EXAMINATION QUESTIONS | 78 | ||
| 7 - Professional Decision Making and Advocacy | 80 | ||
| SCOPE OF PRACTICE | 84 | ||
| 03 - Exemplary Professional\rPractice | 118 | ||
| 10 - Professional Development | 119 | ||
| BENNER FIVE STAGES | 119 | ||
| Stage 1: Novice | 120 | ||
| Stage 2: Advanced Beginner | 120 | ||
| Stage 3: Competent | 120 | ||
| Stage 4: Proficient | 120 | ||
| Stage 5: The Expert | 121 | ||
| STAFF COMPETENCY | 121 | ||
| CONTINUED EMPLOYEE DEVELOPMENT | 122 | ||
| CLINICAL LADDERS | 122 | ||
| SUMMARY | 129 | ||
| NCLEX® EXAMINATION QUESTIONS | 131 | ||
| 11 - Professional Practice and Care Delivery Models and Emerging Practice Models | 134 | ||
| PROFESSIONAL PRACTICE MODELS | 135 | ||
| CARE DELIVERY SYSTEM | 136 | ||
| Frameworks for the Delivery of Patient Care | 137 | ||
| EMERGING CARE DELIVERY MODELS | 137 | ||
| Ten Essential Elements of Traditional Care Models | 138 | ||
| SUMMARY | 139 | ||
| NCLEX® EXAMINATION QUESTIONS | 142 | ||
| 12 - Staffing and Scheduling | 144 | ||
| STAFFING | 145 | ||
| The Joint Commission | 145 | ||
| The American Nurses Association Principles for Nurse Staffing | 145 | ||
| PROCESS OF STAFFING | 147 | ||
| Process of Daily Staffing | 147 | ||
| The Staffing Plan | 148 | ||
| Staffing and Scheduling Systems | 148 | ||
| Centralized Scheduling | 148 | ||
| Decentralized Scheduling | 148 | ||
| Mixed Scheduling | 148 | ||
| Self-Scheduling | 148 | ||
| FULL-TIME EQUIVALENT | 151 | ||
| DEVELOPMENT OF A STAFFING PATTERN | 151 | ||
| Part-Time Staff | 152 | ||
| External Temporary Agencies | 152 | ||
| Travel Nurses | 152 | ||
| Overtime | 152 | ||
| Automated Staffing Systems | 153 | ||
| Evaluation of Staffing Measures | 153 | ||
| SUMMARY | 154 | ||
| NCLEX® EXAMINATION QUESTIONS | 158 | ||
| 13 - Delegation of Nursing Tasks | 160 | ||
| DELEGATION | 161 | ||
| THE FIVE RIGHTS OF DELEGATION | 162 | ||
| Right Task | 163 | ||
| Right Circumstance | 163 | ||
| Right Person | 163 | ||
| The Right Direction/Communication | 165 | ||
| Right Supervision | 165 | ||
| ACCEPTANCE OF DELEGATED ASSIGNMENT | 165 | ||
| DELEGATION FACTORS | 165 | ||
| Direct Patient Care Activities | 166 | ||
| Indirect Patient Care Activities | 166 | ||
| Activities That May Not Be Delegated | 166 | ||
| OBSTACLES TO DELEGATION | 167 | ||
| LEVELS OF CLINICAL EXPERIENCE | 167 | ||
| Unit-Based Scenarios | 168 | ||
| Pairing | 168 | ||
| Partnering | 168 | ||
| PRIORITY SETTING | 168 | ||
| SUMMARY | 169 | ||
| NCLEX® EXAMINATION QUESTIONS | 172 | ||
| 14 - Providing Competent Staff | 175 | ||
| BENNER FIVE STAGES | 176 | ||
| STAFF COMPETENCY | 176 | ||
| NEW EMPLOYEE ORIENTATION | 176 | ||
| Mandatory Content | 176 | ||
| Unit-Based Content | 177 | ||
| PRECEPTOR MODEL | 177 | ||
| RESIDENCY PROGRAMS | 178 | ||
| CONTINUED EMPLOYEE DEVELOPMENT | 178 | ||
| PEER REVIEW | 179 | ||
| Peer-Review Principles | 179 | ||
| PERFORMANCE APPRAISAL PROCESS | 180 | ||
| Guidelines for Overall Performance Rating | 180 | ||
| Planning for the Interview | 182 | ||
| Participating in the Appraisal Interview | 182 | ||
| Using Evaluation Results | 182 | ||
| SUMMARY | 184 | ||
| NCLEX® EXAMINATION QUESTIONS | 187 | ||
| 15 - Group Management for Effective Outcomes | 189 | ||
| GROUPS AND TEAMS | 190 | ||
| ACTIVE LISTENING | 190 | ||
| CONDUCTING MEETINGS | 191 | ||
| EFFECTIVE AND INEFFECTIVE TEAMS | 191 | ||
| TEAM ASSESSMENT QUESTIONNAIRE | 192 | ||
| Scoring | 193 | ||
| POWER AND CONTROL | 193 | ||
| RECOGNIZE AND REWARD SUCCESS | 193 | ||
| QUALITIES OF A TEAM PLAYER | 194 | ||
| INTERDISCIPLINARY TEAMS | 195 | ||
| SUPERVISING THE WORK OF OTHERS | 195 | ||
| TYPES OF CONVERSATIONS | 195 | ||
| SUMMARY | 197 | ||
| NCLEX® EXAMINATION QUESTIONS | 200 | ||
| 16 - Hospital Information Systems | 202 | ||
| HEALTH CARE INFORMATICS | 203 | ||
| TECHNOLOGY IN HEALTH CARE | 203 | ||
| Evaluating Websites | 204 | ||
| ELECTRONIC HEALTH RECORDS | 204 | ||
| HEALTH CARE INFORMATION MANAGEMENT SYSTEMS | 207 | ||
| Patient Information Retrieval | 207 | ||
| Order Entry | 207 | ||
| Nursing Data Entry | 207 | ||
| Administrative Systems | 207 | ||
| Point-of-Care Systems | 208 | ||
| NURSING MINIMUM DATA SET | 208 | ||
| INFORMATICS COMPETENCIES FOR NURSES | 208 | ||
| SUMMARY | 210 | ||
| NCLEX® EXAMINATION QUESTIONS | 215 | ||
| 17 - Ethical and Legal Issues in Patient Care | 218 | ||
| ETHICAL DECISION MAKING | 220 | ||
| Common Ethical Principles and Their Rules | 220 | ||
| TRADITIONAL ETHICAL THEORIES | 220 | ||
| AMERICAN NURSES ASSOCIATION’S CODE OF ETHICS FOR NURSES | 221 | ||
| Revised Code of Ethics for Nurses | 221 | ||
| 04 - New Knowledge, Innovations,\rand Improvements | 248 | ||
| 18 - Improving Organizational Performance | 249 | ||
| Improving Organizational Performance | 249 | ||
| HISTORICAL PERSPECTIVES | 250 | ||
| KEY FOCUS OF PERFORMANCE IMPROVEMENT | 251 | ||
| DRIVERS OF QUALITY | 251 | ||
| OUTCOME MEASURES | 252 | ||
| MODELS OF QUALITY | 254 | ||
| EVIDENCE-BASED PRACTICE | 255 | ||
| LEAN CULTURE | 256 | ||
| RISK MANAGEMENT | 256 | ||
| SUMMARY | 258 | ||
| NCLEX® EXAMINATION QUESTIONS | 260 | ||
| 19 - Evidence-Based Practice | 262 | ||
| TREATMENT MYTHS AND TRUTHS | 263 | ||
| EXAMPLES OF SOME TRADITIONAL PRACTICES NOT SUPPORTED BY EVIDENCE | 263 | ||
| Use of Oxygen in Patients with Chronic Obstructive Pulmonary Disease | 263 | ||
| Use of Large-Bore IV Needles for Blood Administration | 263 | ||
| DECISION-MAKING MODEL | 264 | ||
| MODELS OF EVIDENCE-BASED PRACTICE | 265 | ||
| EVIDENCE-BASED PRACTICE | 265 | ||
| Question Formulation | 265 | ||
| Reliable Evidence | 266 | ||
| Critical Appraisal | 267 | ||
| POPULATION, INTERVENTION, COMPARISON INTERVENTION, OUTCOME | 267 | ||
| RESEARCH USE | 269 | ||
| RESEARCH | 269 | ||
| SUMMARY | 270 | ||
| NCLEX® EXAMINATION QUESTIONS | 273 | ||
| 20 - Monitoring Outcomes and the Use of Data for Improvement | 275 | ||
| NURSING-SENSITIVE INDICATORS | 275 | ||
| NATIONAL COMPARISON GROUPS AND REPORTS | 276 | ||
| SUMMARY | 289 | ||
| NCLEX® EXAMINATION QUESTIONS | 291 | ||
| 05 - Congratulations | 293 | ||
| 21 - New Graduates: The Immediate Future: Job Interviewing, NCLEX, and Continuing Education | 294 | ||
| THE EMPLOYMENT PROCESS | 295 | ||
| Position Posting | 295 | ||
| Advertising | 295 | ||
| Screening | 295 | ||
| Interviewing | 295 | ||
| Selecting | 296 | ||
| THE INTERVIEW PROCESS | 296 | ||
| RÉSUMÉ WRITING | 296 | ||
| Name and Address Section | 296 | ||
| Objective | 297 | ||
| Education | 297 | ||
| Relevant Skills and Experience or Accomplishments | 297 | ||
| Job History | 297 | ||
| Professional Affiliation and Honors | 297 | ||
| Proofread! Proofread! And Proofread Again! | 297 | ||
| EFFECTIVE COVER LETTERS | 298 | ||
| THE INTERVIEW | 299 | ||
| Styles of Interviewing | 299 | ||
| Lawful and Unlawful Inquiries | 300 | ||
| RECRUITMENT STRATEGIES | 300 | ||
| YOUR FIRST JOB AS A NURSE | 302 | ||
| New Nurse Residency Programs | 303 | ||
| YOUR FIRST JOB INTERVIEW | 303 | ||
| Where to Look | 303 | ||
| After the Interview | 304 | ||
| PREPARING FOR LICENSURE EXAMINATION | 304 | ||
| Registration Process Overview | 305 | ||
| Before the Examination | 306 | ||
| PROFESSIONAL GROWTH | 307 | ||
| CONTACT HOURS | 308 | ||
| RETURNING TO SCHOOL | 308 | ||
| SUMMARY | 308 | ||
| NCLEX1397904493 Examination Questions | 310 | ||
| INDEX | 312 | ||
| A | 312 | ||
| B | 312 | ||
| C | 313 | ||
| D | 314 | ||
| E | 314 | ||
| F | 314 | ||
| G | 315 | ||
| H | 315 | ||
| I | 315 | ||
| J | 316 | ||
| K | 316 | ||
| L | 316 | ||
| M | 316 | ||
| N | 317 | ||
| O | 317 | ||
| P | 318 | ||
| Q | 319 | ||
| R | 319 | ||
| S | 319 | ||
| T | 320 | ||
| U | 320 | ||
| V | 320 | ||
| W | 320 |