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Population-Based
Facilitating change
Question | Answer |
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A nurse leader is working to improve safety measures on the geriatric unit after an increase in patient falls. Which strategies should the nurse leader use to expedite this change process? | -Develop a plan to reduce patient falls by 50% over the next year. -Attend national safety meetings to discuss new advances in patient safety. -Volunteer to head a committee to investigate innovative safety strategies. |
A group of newly hired nurses are consistently late for work, creating dissatisfaction among the night shift. Which action by the nurse manager can facilitate change in the new nurses and improve satisfaction among other staff? | -Be present on the floor at the beginning of every shift. -Outline a plan for disciplining tardy staff and stick to the plan for every staff member. |
-- | Immediately discuss the issue with each new nurse individually and the consequences of repeated tardiness. |
Recently, the medical-surgical unit has been short staffed because of numerous sick calls. Often, many patients are waiting for hours to be admitted to the unit from the emergency department. What can the nurse do to facilitate the change process? | -Work with health care providers and discharge planners to help develop ways to facilitate earlier discharges from the unit. -Hire temporary staffing to help alleviate the staffing problem while examining reasons why there may be so many sick calls. |
An anonymous report evaluating responses to change shows that in the critical care unit the majority of nurses are resistant to change. How should the nurse leader proceed? | -Communicate with resisters. -Identify and address any confusion regarding the change. -Hold a joint meeting to discuss change with both resisters and supporters. |
The nurse leader is evaluating ways to increase patient safety on the unit and implements a fall prevention program involving collaboration with physical and occupational therapists. The staff | -- |
nurses are reluctant to collaborate with staff with whom they are not familiar and do not have an established history. In which way should the nurse leader respond to ensure a successful collaboration? | Talk to the staff nurses about why they feel uncomfortable working with the other departments. |
Several nurses on the unit are frustrated because they were not notified ahead of time about a mandatory online training that must be completed by the following week. How should the nurse leader respond to this outcome of change? | -Request feedback from the nurses about how this change was communicated. -Allow nurses scheduled to work to switch days with other nurses who already completed the training |
-- | -Sit with the nurses who are frustrated and allow them time to explore ways that they can complete the training. |