The staff is transitioning to a major change in the provision of ...

[rlane42]

The staff is transitioning to a major change in the provision of nursing care in a large hospital.
 
  Which behaviors should the nurse manager watch for that would indicate possible problems? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Nurses are discussing the change at breaks and meals.
  2. Nurses are doing both the old work and the new work.
  3. A nurse says, I guess everything we've done for years is wrong.
  4. The provision of care with the new system takes longer than expected.
  5. Nurses are doing parts of the old procedure and parts of the new procedure.

Question 2

As a new nurse manager, which are effective ways to increase your power levels on the unit? Select all that apply.
 
  1. Do favors for those working on the unit.
  2. Be consistent.
  3. Defend the staff at all times.
  4. Keep your word and follow through.
  5. Fix problems immediately.
  6. Follow the chain of command.

[gcook]

Answer to Question 1

2,3,5
Rationale 1: It is natural that the staff would discuss the change and its implications.
Rationale 2: Adding the new work to the old work is a sign that the transition is not healthy.
Rationale 3: This attitude is a sign that the transition is not healthy.
Rationale 4: It is natural for the transition to a new process to take time. The nurse manager should be on the alert if this continues.
Rationale 5: Making individual decisions about what parts of the old method to retain and what parts of the new method to adopt is a sign that the transition is not healthy.
Global Rationale:

Answer to Question 2

2, 4, 6
Explanation: 1. For the nurse manager, consistently managing the daily activities on the unit is a large part of
being effective and raising perceptions of power. Keeping your word, following through with
thoughts, activities, and actions, as well as following the chain of command allow staff to rely
on the manager when needed. Doing favors, defending the staff under any circumstance, and
fixing problems without input undermine the managers power as these are inconsistent and
show favoritism.