what is the Globalization in Health Care
Changes in Society such as increased technology, new demographic patterns, health promotion, and the women's & human rights movements
what are the 3 components of a community?
Structure, population, and social system
What is the function of a case manager?
Delivering health care to an individual with an episode of illness through:
Continuum of care, assessment, plan of care, coordination of all services, referral and follow up.
What is the A.S. RN degree?
2 year program that focuses on the basic sciences, theoretical and clinical courses related to the practice of nursing
What is the B.S. RN degree?
4 year degree that is the same as the A.S. degree that also includes courses in social sciences, arts, and humanities to support the nursing theory
What is the Nursing Process?
Assessment
Diagnosis
Plan
Implementation
Evaluation
What is the responsibility of the RN with the QI committee?
Maintain competencies needed to continuously improve the quality of care in their work environments
What is Quality Improvement?
Use of data to monitor the outcomes of care processes and use improvement methods to improve the quality and safety of the health care system
What are the groups of the vulnerable population?
Immigrants, homeless, abused patients, substance abuse patients, mental illness, and the elderly
What is the Benner Order?
Novice
Advanced Beginner
Competent
Proficient
Expert
What is the role of a Community Based Nurse?
They are competent as a caregiver, collaborator, educator, counselor, change agent, patient advocate, case manager, and epidemiologist
What is PPS?
Payment mechanism for reimbursing hospitals for inpatient services
What is the primary goal of the QI committee?
To respond to reports about safety and quality patient care
What are DRG's?
Group of patients classified to establish a mechanism for health care reimbursement based of length of stay
What are the components of the QI committee?
Plan, Do, Study, Act
What are the 6 steps of EBP?
1. Ask a clinical question
2. Collect the best evidence
3. Critique
4. Integrate
5. Evaluate
6. Share outcomes
What does P.I.C.O stand for?
Patient population of Interest
Intervention of Interest
Comparison of Interest
Outcome
What is Qualitative Research?
Bases on something that is impossible to accurately and precisely measure
Subjective Date
What is Quantitative Research?
Offers precise measurement
numbers and precentages
How does EBP influence clinical decision making?
Provides a systemic approach to rational decision making
What are the benefits of EBP?
Results in higher quality of care that leads to improved patient outcomes
What is the definition of EBP?
To use the best current evidence with clinical expertise along with patient/family preferences and values for optimal health care
What are the 4 goals of Healthy People 2020?
1. Attain higher quality of life
2. Achieve health equity
3. Create good environments for all
4. Promote quality of Life
What is W.H.O?
World Health Organization
How does the WHO define "HEALTH"?
It is the state of complete physical, mental and social well-being
Not just the absence of disease or infirmity
what is the Health Belief Model?
Considers the relationship between a person's health beliefs and health behaviors
What is Health Promotion?
Highlights factors that increase individual well-being and self-actualization
What are the Basic Human Needs?
(Maslow)
Emphasizes on identifying individual needs, prioritizing needs, and encouraging individual discovery
What is the Holistic Health Model?
Promotes optimal health by getting patients to participate in improving their overall health
What are Health Beliefs and Practices?
Beliefs that are influenced by internal and external variables and should be considered when planning care
What are Internal Variables that influence health?
Developmental Status
Intelectual background
Perception of functioning
Emotional Factors
Spiritual Factors
What are External Variables that influence health?
Health beliefs and practices
Socioeconomic factors
Cultural background
What is Primary Prevention?
True prevention that lowers the chances a disease will develop
What is Secondary Prevention?
Focuses on those who have a disease or that are at risk to develop a disease
What is Tertiary Prevention?
Occurs when a defect or a disability is permanent or irreversible
What are the 4 risk factors r/t a disease or dysfunction?
G.A.E.L
Genetic and Physiological factors
Age
Environment
Lifestyle
What are the 5 stages of change?
P.C.P.A.M
Precontemplation
Contemplation
Preparation
Action
Maintenance