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Flashcards in Chapter 5 Deck (27)
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1
Q

Patient workforce management includes:

A
  1. Establishment of a patient care delivery model
  2. Patient needs and nurse interventions identification
  3. Creation of a core staffing schedule to support patient needs
  4. Daily staffing process to match available staff with identified patient care needs
  5. Evaluation of value and outcomes
2
Q

Describes the structure and process by which responsibilities for patient care are assigned and the means by which the work is coordinated among caregivers

A

Workforce management (staffing plan)

3
Q

A method or system for organizing and delivering nursing care; encompasses work delegation, resource utilization, communication methodologies, clinical decision making processes, and management structure

A

Patient care delivery model

4
Q

Work is assigned by tasks

A

Functional nursing

5
Q

A nurse is assigned as the lead caregiver to plan and coordinate care

A

Primary nursing

6
Q

Similar to functional nursing in which a team provides care based on tasks, skill levels, and competence

A

Team nursing

7
Q

A two-person team providing care to a group of patients

A

Modular nursing

8
Q

A nurse coordinates care using clinical pathways and quality criteria

A

Case management nursing

9
Q

Includes practice partnerships, primary care partnerships

A

Interdisciplinary model

10
Q

Four areas of focus must be addressed to get work done in a complex, digital world

A
  1. division of divide knowledge work into discrete, assignable tasks
  2. recruitment of specialized workers based on their contributions
  3. assurance of work quality
  4. integration of work pieces
11
Q

The ordering of entities into groups or classes on the basis of their similarity, minimizing within-group variance and maximizing between-group variance

A

Classification

12
Q

The level of need or dependency of an individual patient, measure in hours of care needed by skill level

A

Patient acuity (intensity)

13
Q

A process of grouping patients into homogeneous mutually exclusive groups to determine their dependency on caregivers or to determine patient

A

Patient classification

14
Q

The long-range plan that combines the organization’s goals, legislation, regulation, and accreditation requirements and planned patient demand

A

Scheduling

15
Q

The real-time adjustment of the schedule based on census, acuity, and the mix of available resources

A

Staffing

16
Q

Extent to which a workforce management system measures what is designed to measure–that is, its ability to quantify and/or predict patient needs for nursing care

A

Validity

17
Q

Extent to which data are reproducible

A

Reliability

18
Q

3 types of reliability

A

Stability
Homogeneity
Equivalence- different nurses use same workforce system to measure the same individual, at the same time to achieve consistent results

19
Q

Continuous timed observations of a single person during a typical period or shift or work

A

Motion & time studies

20
Q

Samples work activities at systematic or random intervals; randomly observing ppl working to determine how they spend their time

A

Work sampling

21
Q

Another technique used to determine the amount of time associated; individual asked to log work performed using data collection tool w/start and stop times of each activity recorded; subjective

A

Self-reporting

22
Q

Uses time standards developed from past experiences

A

Standard data settings

23
Q

Used to determine time standards; panel of experts or individuals w/experience identifies time requirements for certain work

A

Expert opinion/panel

24
Q

Five common reasons for the current mistrust of a patient classification system:

A
  • Low validity
  • Misuse of the tool
  • Difficulty in projecting future staff needs
  • Failure to use data generated
  • Lack of tool simplicity
25
Q

Represent an aggregated average number and skill mix required for patient care; template for each unit includes caregivers, shift length, and calendar days

A

Core schedules

26
Q

Considerations in creating the core schedule

A
  • Anticipated patient needs volume
  • Caregiver categories
  • Shift length
  • Licensure requirements
  • Experience
  • Education
  • Regulatory minimum level requirements
  • Contextual factors
  • Available research evidence for staffing effectiveness
27
Q

Evaluation of staffing, scheduling, and patient classification systems considers:

A

the infrastructure, the processes, and the outcomes of the integrated workload management system