What was not considered to be a major problem when the National ...

[shofmannx20]

What was not considered to be a major problem when the National Council of State Boards of Nursing developed the Transition-to-Practice Model?
 
  1. New nurses care for sicker patients in complex settings.
  2. New nurses feel increased stress levels.
  3. Nationally, recruitment has remained the same due to changes in the nursing shortage.
  4. One-quarter of new nurses leave their positions in the first year post-graduation.

Question 2

Which example represents a negative patient variance?
 
  1. A patient develops hospital-acquired pneumonia due to noncompliance with respiratory interventions.
  2. The nurse administers a mislabeled medication.
  3. A CBC was drawn on a patient instead of an ABG.
  4. Difficulties were experienced in placing an older adult into long-term care.

[medine]

Answer to Question 1

3
Explanation: 1. This is one of the three problems noted, and its impact is more errors re reported.
2. This is one of the three problems noted, and its impact is stress increases risk to patient safety and errors.
3. The model does not identify this as one of the major problems, and recruitment and shortage is highly variable from one area of the country to another.
4. This is one of the three problems noted, and its impact is increased turnover negatively influences patient safety and healthcare outcomes.

Answer to Question 2

1
Explanation: 1. A patient variance identifies factors related to the patient that prevent the achievement of patient outcomes. In this case, a patient has developed a nosocomial infection because the patient did not want to do the intervention that might have prevented a negative outcome.
2. This is a provider negative variance.
3. This is a provider negative variance.
4. This is an operational negative variance.