As part of a shared visioning initiative, a new medication ...

[altibaby]

As part of a shared visioning initiative, a new medication administration system has been adopted. A staff nurse has been chosen to relay the unit's dislike of the system to the evaluation committee.
 
  Which would be the most effective method to communicate the unit's disapproval? 1. Over 75 percent of the nurses on unit 3M want to return to the previous process for passing meds.
  2. The physicians have complained about the new system and the nurses on 3M have voted to return to the old medication passing routine.
  3. The nurses on 3M do not like the new system. Do other units agree?
  4. There has been a 40 percent increase in medication errors on 3M since the new system began. We believe there is a problem.

Question 2

The nurse manager has decided that the only way to deal with an issue is to use coercive power. What strategy is important for this nurse manager to employ?
 
  1. Administer behavioral warnings in public to alert other staff to the seriousness of the issue.
  2. Reduce punishments for noncompliance after the majority of staff members have complied.
  3. Wait at least 72 hours prior to responding to infractions so as to better control emotions during the meeting.
  4. Investigate to get the facts of potential infractions before responding to them.

[akpaschal]

Answer to Question 1

4
Rationale 1: During a transition, there is a time when it is easier to go back to the way things were done prior to the change. This is not a strong argument for abandoning the change.
Rationale 2: Physician and nurse preference is not a strong argument for abandoning the change.
Rationale 3: Nurse preference is not a strong reason to abandon the change.
Rationale 4: When taking action within an organization, it is more powerful to be prepared with data. This statement focuses on why there is a need for action to address a problem.
Global Rationale:

Answer to Question 2

4
Rationale 1: Behavioral warnings and punishments should always be done in private.
Rationale 2: Punishment for noncompliance should be fair and consistently applied.
Rationale 3: Infractions should be promptly addressed after the manager is certain of the facts.
Rationale 4: The manager should always investigate to get facts to avoid jumping to conclusions.
Global Rationale: