The nurse manager believes that the nurses who work in the ...

[Alainaaa8]

The nurse manager believes that the nurses who work in the department are working overtime more often than necessary. Which of the following steps by the nurse manager has the highest priority when preparing for change?
 
  1. Develop a list of interventions to implement to reduce overtime paid to staff members.
  2. Develop a list of allies to assist with the change process.
  3. Attempt to minimize anxiety related to the change process.
  4. Collect and analyze data surrounding overtime and client acuity levels.

Question 2

The nurse supervisor determined that the nurse managers were not communicating effectively with each other. Which of the following actions would be included in the final refreezing stage of the change process?
 
  1. The nurse supervisor continues to monitor the nurse managers' communication techniques and how well they continue to implement the changes that have been made.
  2. The nurse managers and the nurse supervisor meet to discuss how their poor communication techniques might be affecting the organization and other staff members.
  3. The nurse supervisor identifies several nurse managers who are acting defensively towards the nurse supervisor.
  4. The nurse managers brainstorm about many ways the problem could be solved. Feasible solutions are identified.

[zoeyesther]

Answer to Question 1

Answer: 4

Rationale: The most important thing to do prior to planning a change is to collect and analyze data that support the need for a change. People affected by the change will need this information to understand the rationale for the change. This information will assist the nurses to psychologically adapt during the change process. It is important for the nurse to develop a list of nursing staff members who might serve as allies for the change, after the need for a change has been identified. It is important for the staff members to actively participate in developing a list of ways to alleviate the problem, after they understand the problem. During the change, it is important to help minimize staff members' anxiety to help them adjust.

Answer to Question 2

Answer: 1

Rationale: The change process can be broken down into unfreezing, moving, and refreezing stages. During the unfreezing stage, the problem is identified by the people most affected by a change. During the moving stage, the solution to the problem has been determined. The change is beginning. During the final stage of change, the change has occurred. The nurse supervisor must evaluate for continued quality. Refreezing occurs when the new practice or process has stabilized. The nurse managers are consistently implementing the identified methods to solve the problem.