Define the following: follower, visionary, manager, and leader
o Follower – the person who contributes to a group's outcomes by implementing
activities and providing appropriate feedback
Followership – those with whom a leader interacts; involves assertive use of
personal behaviors in contributing toward organizational outcomes while
still acquiescing certain tasks to the leader or other team members.
o Visionary – person w/an original idea about a desired future state and thinks
about/plans the future w/imagination or wisdom
o Manager – the person with accountability for a group of people
Management – the activities needed to plan, organize, motivate, and control
the human and material resources needed to achieve outcomes consistent
with the organization's mission and purpose.
o Leader – the person who demonstrates and exercises influence and power over
others
Leadership – the use of personal traits to constructively and ethically
influence pts, families, and staff through a process in which clinical and
organizational outcomes are achieved through collective efforts
Define the following: negligence, beneficence, fidelity, nonmaleficence, autonomy,
justice, accountability, veracity
o Negligence - Failure to exercise the degree of care that a person of ordinary
prudence, based on the reasonable person standard, would exercise under the same
or similar circumstances
o Beneficence – care that is in the best interest of the client
o Fidelity – keeping one’s promise to the client about care that was offered
o Nonmaleficence – nurse’s obligation to avoid causing harm to the client
o Autonomy – ability of client to make personal decisions, even when those
decisions may not be in client’s own best interest
o Justice – fair treatment in matters related to physical and psychosocial care and
use of resources
o Accountability – expectation of explaining actions and results
o Veracity – nurse’s duty to tell the truth
Compare/Contrast NLN, ANA, and AMA
o NLN (National League for Nursing) – focuses on nursing education
o ANA (American Nurses Association) – focuses on nursing practice
, NUR 2868 R & S EXAM 1 STUDY GUIDE
o AMA (American Medical Association) – focuses on physicians
Describe the following and know interchangeable names if applicable: Joint
Commission, Institute of Medicine, Quality Management, and Quality Assurance
o Joint Commission (JC) – An organization that accredits healthcare organizations
and is deemed by the Center for Medicare & Medicaid Services (CMS) as holding
healthcare facilities to CMS standards.
Formally: Joint Commission on Accreditation of Healthcare Organizations
(JCAHO)
o Institute of Medicine (IOM) – An organization that works outside of the federal
government to provide independent, scientific advice.
o Quality Management (QM) – A corporate culture emphasizing customer
satisfaction, innovation, and employee involvement in quality improvement
activities.
Often used interchangeably with total quality management, continuous
quality management, quality improvement, and performance improvement.
Quality improvement - ongoing process of innovation, prevention of
error, & staff dev.
o Quality Assurance (QA) – A process that focuses on the clinical aspects of a
provider's care, often in response to an identified problem.
o Agency for Healthcare Research and Quality (AHRQ) – The primary federal
agency devoted to improving quality, safety, efficiency, and effectiveness of health
care.
o National Quality Forum (NQF) – A membership-based organization that sets
priorities and goals for performance improvement and endorses standards for
measurement.
o Magnet Recognition Program – The only national designation built on and
evolving through research. This program is designed to acknowledge nursing
excellence. Designed for healthcare organizations to achieve recognition of
excellent nursing care through a self-nominating, self-appraisal process.
o Institute for Healthcare Improvement (IHI) – An independent organization
devoted to improving patient safety and health care globally.
o Quality and Safety Education for Nurses (QSEN) – national institution to
provide entry level nurses education, attitudes, and skills re: quality, safe, patient-
centered care (6 competencies: safety, pt-centered care, EBP, informatics, QI, and
teamwork and collaboration)