A chief nursing officer (CNO) has implemented a model for ...

[audie]

A chief nursing officer (CNO) has implemented a model for teamwork training in the facility. The model seems to be working in some areas but not in others. The best action by the CNO would be to
 
  a. assess for formal and informal leaders who oppose the plan.
  b. inform the staff that teamwork improves safety and is expected.
  c. provide more education and training on benefits of the model.
  d. rotate staff between areas with different levels of acceptance.

Question 2

A chief nursing officer (CNO) wishes to integrate the Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) model of teamwork training into the hospital where the CNO works. The first action by the CNO should be to
 
  a. design training for onsite trainers.
  b. determine readiness for such training.
  c. investigate specific training models.
  d. pick high-risk areas to start training.

[johnpizzaz]

Answer to Question 1

A
The most important element of a teamwork training program is the support of both formal and informal leaders. The CNO should assess for any change agents within the facility who do not support the program and whose attitudes might be sabotaging the program.
Informing the staff that teamwork improves safety and is expected would be part of the educational process. This information, provided in isolation, might make the staff resentful that this is being forced upon them.
More education and training might be needed, but the CNO first needs to find out whether there are leaders who are not supportive of the plan.
Rotating staff members to different areas would create confusion and possibly decrease patient safety because nurses could be forced to work in areas in which they had no expertise.

Answer to Question 2

B
The first phase of teamwork training should be to conduct a preassessment to determine the facility's readiness to change. Using the TeamSTEPPS program, this occurs in phase 1.
Designing training for selected onsite trainers would be part of phase 2, in which members are trained.
Because the CNO has already decided on a specific model to use, this means that investigating specific training models has already been done.
After the CNO determines readiness, phase 2 consists of a train the trainer approach, which is then implemented in identified high-risk areas first. This is part of phase 3.

[audie]

Thanks

[johnpizzaz]

Welcome