A certified nurse's aide (CNA) has been reported to the nurse ...

[newyorker26]

A certified nurse's aide (CNA) has been reported to the nurse manager for refusing to perform hand hygiene between clients when providing morning care. Which statement by the nurse manager would be the most effective?
 
  1. Do you need a class on hand hygiene?
  2. Forgetting to perform hand hygiene between clients can spread infection.
  3. Why do you refuse to perform hand hygiene?
  4. If I hear of any more instances of you not performing hand hygiene, I will write you up.

Question 2

The director of quality improvement reports that the hospital will soon be using dashboards as part of the quality management process. How should the staff interpret this information?
 
  1. Surveyors are driving to clients' homes to collect data on hospital visits.
  2. This electronic tool makes it easy to aggregate and display data.
  3. Dashboard is an acronym for the topics covered in client satisfaction surveys.
  4. The dashboard is a screen on the electronic medical record that can be accessed for quality improvement information.

[wilsonbho]

Answer to Question 1

2
Rationale 1: Asking if the CNA needs a class on hand hygiene is demeaning.
Rationale 2: The employee needs to realize the unwanted behavior has consequences for the client. A better understanding may prevent the behavior in the future.
Rationale 3: There is no choice except for the CNA to perform hand hygiene. Why it is not being performed is not as important as reinforcing the need.
Rationale 4: The employee must understand the consequences if the behavior does not change but this should not be communicated in a threatening manner.
Global Rationale:

Answer to Question 2

2
Rationale 1: The dashboards in this scenario are not associated with automobiles.
Rationale 2: Dashboards are electronic tools that provide ease of access to real-time or retrospective data.
Rationale 3: Dashboard is not an acronym.
Rationale 4: Dashboards are not part of the electronic medical record.
Global Rationale:

[newyorker26]

Excellent

[amcvicar]

Wow, this really help