Chapter 24. Measuring Advanced Practice
Nurse Performance: Outcome Indicators,
Models of Evaluation and the Issue of Value
MULTIPLE CHOICE
1. An independent group of items, people, or procedures with a common purpose is called
a(n):
a. process.
b. goal.
c. system.
d. organization.
ANS: C
Systems are independent groups of people, processes, or items with a common
purpose or goal. Organizations are made up of various systems such as different
departments (i.e., radiology, laboratory, and cardiology) or processes (i.e., QI or risk
management departments).
PTS: 1 DIF: Knowledge
REF: IMPROVEMENT OF THE SYSTEM
2. The credit for the cycle of continuous improvement is given to:
a. W. Edwards Deming.
b. Philip B. Crosby.
c. Joseph M. Juran.
d. Walter Shewhart.
, ANS: D
Walter Shewhart, the director of Bell Laboratories in the mid 1920s, has been credited
with the concept of the cycle of continuous improvement, which advocates that the
process of quality improvement (QI) is an ongoing process because it is linked to
customer needs and judgments. W. Edwards Deming, Philip B. Crosby, and Joseph
M. Juran are all well-known pioneers of the continuous quality movement, and all
have made important contributions to the science of improvement.
PTS: 1 DIF: Knowledge
REF: A CONTINUOUS PROCESS
3. The nurses on your unit want to ensure that the care provided to patients has value to both
the patients and the hospital. In this situation, value involves which of the following?
a. Philosophy
b. Function of quality outcomes and cost
c. Beliefs about something
d. Price for a particular item or service
ANS: B
The repercussions of quality improvement for patient care can be measured by the
overall value of that care. Value itself is a function of both quality outcomes and cost;
for example, outcomes can be a patients return to functional status (or
mortality/morbidity), and the cost is a combination of both the indirect and direct
patient care needs.
PTS: 1 DIF: Application
REF: IMPLICATIONS FOR PATIENT CARE
, 4. The nurse manager poses the following question to a group of staff nurses, What changes
can we make that will result in improvement? The nurse managers question is an integral
part of which of the following?
a. TQM
b. PI
c. FOCUS
d. PDSA
ANS: D
This question is one of three that are utilized at the beginning of each application of
the PDSA (plan-do-study-act) methodology for improvement. Other questions include
What are we trying to accomplish? and How will we know that a change is an
improvement?
PTS: 1 DIF: Application
REF: IMPLICATIONS FOR PATIENT CARE
5. The goal of the local hospital is to increase the ability to predict the effect that one or
more planned changes in the provision of patient care will have an impact. The hospital
would most likely implement which of the following?
a. FOCUS
b. QA
c. PDSA
d. Risk Management
ANS: C
The PDSA (plan-do-study-act) methodology is used to analyze the potential effect of
a certain change or changes if they had been implemented. It involves who will do
what, when will they do it, and where will they do it in relation to the proposed
change(s).
PTS: 1 DIF: Application
Nurse Performance: Outcome Indicators,
Models of Evaluation and the Issue of Value
MULTIPLE CHOICE
1. An independent group of items, people, or procedures with a common purpose is called
a(n):
a. process.
b. goal.
c. system.
d. organization.
ANS: C
Systems are independent groups of people, processes, or items with a common
purpose or goal. Organizations are made up of various systems such as different
departments (i.e., radiology, laboratory, and cardiology) or processes (i.e., QI or risk
management departments).
PTS: 1 DIF: Knowledge
REF: IMPROVEMENT OF THE SYSTEM
2. The credit for the cycle of continuous improvement is given to:
a. W. Edwards Deming.
b. Philip B. Crosby.
c. Joseph M. Juran.
d. Walter Shewhart.
, ANS: D
Walter Shewhart, the director of Bell Laboratories in the mid 1920s, has been credited
with the concept of the cycle of continuous improvement, which advocates that the
process of quality improvement (QI) is an ongoing process because it is linked to
customer needs and judgments. W. Edwards Deming, Philip B. Crosby, and Joseph
M. Juran are all well-known pioneers of the continuous quality movement, and all
have made important contributions to the science of improvement.
PTS: 1 DIF: Knowledge
REF: A CONTINUOUS PROCESS
3. The nurses on your unit want to ensure that the care provided to patients has value to both
the patients and the hospital. In this situation, value involves which of the following?
a. Philosophy
b. Function of quality outcomes and cost
c. Beliefs about something
d. Price for a particular item or service
ANS: B
The repercussions of quality improvement for patient care can be measured by the
overall value of that care. Value itself is a function of both quality outcomes and cost;
for example, outcomes can be a patients return to functional status (or
mortality/morbidity), and the cost is a combination of both the indirect and direct
patient care needs.
PTS: 1 DIF: Application
REF: IMPLICATIONS FOR PATIENT CARE
, 4. The nurse manager poses the following question to a group of staff nurses, What changes
can we make that will result in improvement? The nurse managers question is an integral
part of which of the following?
a. TQM
b. PI
c. FOCUS
d. PDSA
ANS: D
This question is one of three that are utilized at the beginning of each application of
the PDSA (plan-do-study-act) methodology for improvement. Other questions include
What are we trying to accomplish? and How will we know that a change is an
improvement?
PTS: 1 DIF: Application
REF: IMPLICATIONS FOR PATIENT CARE
5. The goal of the local hospital is to increase the ability to predict the effect that one or
more planned changes in the provision of patient care will have an impact. The hospital
would most likely implement which of the following?
a. FOCUS
b. QA
c. PDSA
d. Risk Management
ANS: C
The PDSA (plan-do-study-act) methodology is used to analyze the potential effect of
a certain change or changes if they had been implemented. It involves who will do
what, when will they do it, and where will they do it in relation to the proposed
change(s).
PTS: 1 DIF: Application
