ELABORATIONS BASED ON FINAL EXAMS!!
What are the four concepts essential to nursing care of patients across settings?
answers: - community based nursing
- continuity of care
- collaborative practice
- care coordination
Community based care:
answers: is defined as health care provided to people who live within a defined
area
Is community based care focused on the individual or the population as a whole?
What is it designed for?
answers: the individual, to meet the needs of people through these transitions of
health care settings
Roles of the Nurse in community-based care
answers: - provide continutity of care when patient moves from one level of care
to another or from one setting to another
- provide interventions to promote health
- manage acute or chronic illness
- promote self care
Qualities of the community based nurse
, answers: - knowledgable and skilled: need to be knowledgable in assessments,
body mechanics, nursing diagnosis, infection control. Must be adaptive to
environments.
- independent in making decisions: work solo
- Willing to remain accountable: no other nurse coming to relieve you at shift
change
Roles of the community based nurse
answers: - patient advocate: supporting patient rights
- coordinator of services: primary source of communication among team. need to
be knowledgable about community services to promote patient health.
- patient/family educator: teach patients and family about all aspects of care
Types of Home Health care agencies (4)
answers: 1. official or public agencies
2. voluntary or private not for profit agencies
3. private, proprietary agencies
4. institution based agencies
QSEN defines teamwork as:
answers: being able to function effectively to provide high quality care by
fostering communication, having mutual respect, and shared decision making
WHO defines interprofessional collaboration and establishes the following goal:
answers: to deliberately work together to build a safer and better patient centered
and community/population oriented U.S. healthcare system
Community based nurses work for a
, answers: home health care agency
List the four concepts essential to nursing care of patient's across settings
answers: 1. community based nursing care
2. continuity of care
3. collaborative practice
4. care coordination
Goal of collaborative practice:
answers: to deliberately work together to build a safer and better patient centered
and community/population oriented U.S. health care system
Care Transition is:
answers: a continuous process in which a patient's care shifts from being provided
in one setting of care to another. Requires intentional coordination.
Care coordination is the:
answers: central responsibility of all health care professionals, especially nurses
Describe the aim of care coordination (3)
answers: - link patients with resources in the community to enhance their
wellbeing
- improve information exchange
- reduce fragmentation and duplication of services
Describe the role of the patient navigator