Author Question: Eliminating the obstacles to change, adjusting systems, and encouraging risk taking represent which ... (Read 58 times)

cartlidgeashley · **on:** Jul 7, 2018

Eliminating the obstacles to change, adjusting systems, and encouraging risk taking represent which part of the change process?

a. planning for and creating short-term wins
b. institutionalizing new approaches
c. creating a vision
d. empowering others to act on the vision

Question 2

Which of the following are correct regarding the use of a walking rounds report for patient hand off?

a. advantage: nurse giving report as actual audience and can include all pertinent information
b. advantage: patient is included in the planning and evaluation of care
c. disadvantage: lack of privacy in discussing patient information
d. disadvantage: easy to get side tracked or discuss non-patient-related issues
e. advantage: accountability of outgoing care provider promoted
f. disadvantage: time consuming

matt95 · **Reply #1 on:** Jul 7, 2018

Answer to Question 1

d

a. Incorrect: This phase within Kotter's Eight-Stage Change Process includes planning for visible performance improvements, creating those improvements and recognizing and rewarding employees involved in the improvements.
b. Incorrect: This phase within Kotter's Eight-Stage Change Process includes articulating the connections between the new behaviours and corporate success, and developing the means to ensure leadership development and succession.
c. Incorrect: This phase within Kotter's Eight-Stage Change Process includes creating a vision to help direct the change effort and developing strategies for achieving that vision.
d. Correct: Within Kotter's Eight-Stage Change Process, stage 5, empowering others to act on a vision, includes getting rid of obstacles to change; changing systems or structures that seriously undermine the vision; and encouraging risk-taking and non-traditional ideas, activities, and actions.

Answer to Question 2

B, C, E, F
Two effective means of delivering the patient handoff report are through face-to-face meetings or walking rounds. The following are some of the advantages and disadvantages of the walking rounds-type of patient hand off report: 1) advantage: patient is included in the planning and evaluation of care; 2) disadvantage: lack of privacy in discussing patient information; 3) advantage: accountability of outgoing care provider promoted; and 4) disadvantage: time consuming. Some advantages and disadvantages of face-to-face meetings for the patient handoff report are: 1) advantage: nurse giving report as actual audience and can include all pertinent information; and 2) disadvantage: easy to get side tracked or discuss non-patient-related issues.