Author Question: As the unit manager, you spend a day performing direct patient care and work with a new system that ... (Read 23 times)

Ebrown · **on:** Jul 8, 2018

As the unit manager, you spend a day performing direct patient care and work with a new system that is designed to capture patient documentation at the bedside.

During discussions with staff while giving care, you discover that the number of screens that need to be opened during documentation makes charting more complex and time-consuming than traditional manual charting approaches. On the basis of this feedback, you:

a. Assume that the system is doing what it needs to do.
b. Provide reassurance to staff that the unit has achieved its goals in implementation of the system.
c. Ask some of the staff if they have had similar experiences with the system.
d. Consult chart audit data and end user consultation reports to determine if errors and problems are occurring.

Question 2

As the unit manager on the unit that is leading changes to heparin locks, you find that Elizabeth is very valuable in terms of her observations about other units and her knowledge of organizational processes,

and now in discussing the new procedure with others. Elizabeth might be considered an:

a. Engager.
b. Innovator.
c. Informal change agent.
d. Informant.

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

Answer to Question 1

ANS: D
In Kotter's eight-step change model, removing obstacles means keeping alert for barriers in structure and processes that limit the ability to change and then removing those barriers once they have been found.

Answer to Question 2

ANS: C
Informal change agents are those who do not have formal, positional power but who have credibility through expertise and can model the new way of thinking, or who offer suggestions, ideas, and concerns.