Author Question: The health care organization has instituted a major change regarding a hospital policy. During a ... (Read 88 times)

laurencescou · **on:** Jul 8, 2018

The health care organization has instituted a major change regarding a hospital policy. During a discussion with the nurse staff members, the nurse manager is fielding many questions and comments regarding the change.

Which of the following questions or comments are examples of a psychological-emotional objection to the change? Select all that apply.
1. I think this approach is far too liberal for my political views. We can't take care of everyone free of charge.
2. It is going to take a long time to adjust to these new changes, and a lot of extra effort to get this going.
3. I can't cope with all of these changes. It seems like we've changed some policy or procedure every 2 months.
4. How do you know this way is going to be better? We've been doing it the other way for 22 years, and it has worked well, in my opinion.
5. The cost to the hospital to implement this program must be really high. How can you ensure that this change will be beneficial?

Question 2

The nurse managers are meeting with the nurse supervisor to discuss unit-specific and organization issues. Which of the following statements by a nurse manager is the most accurate description of a nonlinear change?

1. My nurses were having a lot of trouble with the new system to clock in and out until we talked to the nurse educator.
2. We knew the surgeons would have to stop ordering those specific types of dressing changes when the supplies ran out.
3. I understand that the administrators had to make the decision for us to use this new product to shampoo the clients' hair after the recall of our old product.
4. I'm not even really sure when it first occurred, but the nurses started doing bedside shift change reporting, and it's working out really well.

nikmaaacs · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

Answer: 3; 4

I think this approach is far too liberal for my political views. We can't take care of everyone free of charge. There are three types of resistance responses: logical-rational, psychological-emotional, and sociological. This comment is an example of a sociological objection. Sociological objections include those based on political and parochial views.
It is going to take a long time to adjust to these new changes, and a lot of extra effort to get this going. There are three types of resistance responses: logical-rational, psychological-emotional, and sociological. This comment is an example of a logical-rational objection. This type of objection includes the view that the change will take a lot of time, money, and effort to achieve. Also, the objector feels that the outcomes might be less than desirable.
I can't cope with all of these changes. It seems like we've changed some policy or procedure every 2 months. There are three types of resistance responses: logical--rational, psychological-emotional, and sociological. This comment is an example of a psychological-emotional objection. This type of objection includes fear of the unknown, low tolerance for change, lack of trust, and feelings of insecurity related to the change.
How do you know this way is going to be better? We've been doing it the other way for 22 years and it has worked well, in my opinion. There are three types of resistance responses: logical-rational, psychological-emotional, and sociological. This comment is an example of a psychological-emotional objection. They include fear of the unknown, low tolerance for change, lack of trust, and feelings of insecurity related to the change.
The cost to the hospital to implement this program must be really high. How can you ensure that this change will be beneficial? There are three types of resistance responses: logical-rational, psychological-emotional, and sociological. This comment is an example of a logical-rational objection. This type of objection includes the view that the change will take a lot of time, money, and effort to achieve. Also, the objector feels that the outcomes might be less than desirable.

Answer to Question 2

Answer: 4

Rationale: Nurse managers should share issues that their own staff members are experiencing. Changes to a way to clock in and out are most likely an example of a planned change. The nurse manager is seeking input to validate any concerns voiced by their staff members. When a process or system is allowed to die out due to neglect, this is an example of nonintervention. A radical intervention can occur due to a product recall. A radical intervention is when a small number of people who are not directly influenced by a change make a decision that impacts a large number of people. Change happens more easily when the people who are impacted by the change assist in making decisions regarding the change. A nonlinear form of change occurs when people are not necessarily even aware of when the change began. The nurses self-organized as a result of a process that was not working well. Nonlinear changes are not formally planned changes.