Author Question: A nurse leader has been commissioned to implement a new electronic documentation system in a ... (Read 99 times)

arivle123 · **on:** Jul 8, 2018

A nurse leader has been commissioned to implement a new electronic documentation system in a hospital, replacing the existing paper-based system that has been in place for decades.

What is the first step that this nurse should take toward facilitating this change?

A) Enlist the support of the physicians and advanced practice nurses in the hospital.
B) Publicize the deficits of the existing documentation system.
C) Understand how and why individuals are often resistant to change.
D) Begin the process of evaluation before the change is implemented.

Question 2

Healthcare is a field that continues to undergo constant and profound change, both planned and unplanned. Which of these situations is an example of reactive change?

A) Hospital administrators have announced a desire to implement the principles of evidencebased
practice.
B) A hospital's accreditation review revealed systemic problems and the hospital has been
directed to resolve these.
C) The introduction of automated medication dispensing machines at a hospital is scheduled
for later this year.
D) A transition will soon begin whereby the practical (vocational) nurses will begin to practice
within their full scope.

ultraflyy23 · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

Ans: C
A first step in facilitating change is gaining a thorough understanding of resistance
to change. This should precede the evaluation process, even though this should indeed begin
early in the change process. An understanding of the change process is necessary before the
nurse begins eliciting support from care providers or publicizing the deficits of the current
system.

Answer to Question 2

Ans: B
Planned change has a definite design and structure established to facilitate the
process, including time lines, identification of stake holders, goals, plans for implementation,
and processes for evaluation. Thoughtful planning often results in more effective and efficient
change processes and is essential for projects that are complex or large in scope and that require
greater time, resources, or skills. Change also may be unplanned and occur as a reaction to
another issue, such as a failed accreditation. This is referred to as reactive change. Reactive
change occurs when some problem or event arises that requires a different way of doing things.