The nursing administration has instituted a horizontal promotion ...

[jasdeep_brar]

The nursing administration has instituted a horizontal promotion system within the nursing department. What benefit is this program to the staff nurse?
 
  1. The most competent nurses will rise to managerial positions.
  2. It rewards the nurse's clinical excellence.
  3. Over time the nurse will move steadily upward through the levels.
  4. The process is practice based rather than research based.

Question 2

Which of the following statements is an example of the overall goal of quality management in todays health care activities?
 
  1. The nurse manager realizes a policy was ineffective in reducing incidents.
  2. The administrator walks around making a list of potential problems.
  3. The human resources department lets nonproductive employees go.
  4. The nurse wipes up a spilled drink before clients are allowed to enter.

[xiazhe]

Answer to Question 1

2
Rationale 1: In horizontal promotion, the system rewards clinical excellence by moving clinically superb nurses upward on a clinical ladder, but they remain at the bedside.
Rationale 2: Horizontal promotion is a reward for clinical excellence.
Rationale 3: This promotion process is based upon the nurse's clinical excellence, not longevity.
Rationale 4: The process is based on Patricia Benner's novice-to-expert concepts.
Global Rationale:

Answer to Question 2

4
Explanation: 1. The focus of quality management is on ways to prevent problems and to improve quality of
care. Identification of failed standards is reactive and not proactive. Assessment of problems
within the organization was the focus of quality management in the past. Identification of
inefficient employees is reactive as opposed to proactive.