During appraisal interviews, the nurse manager defends the choice ...

[ts19998]

During appraisal interviews, the nurse manager defends the choice of rating by emphasizing the negative aspects of the nurse's performance. What is the likely outcome of this strategy?
 
  1. The nurse will clearly see the impact of attitude on performance.
  2. The nurse will identify ways that performance can be improved.
  3. The nurse will pay less attention to maintaining what is done well.
  4. The nurse will ignore the negative statements and focus only on the positive.

Question 2

The nurse manager is facing resistance to change from many staff nurses. Why should the manager work hard to address this resistance?
 
  1. Resistance will keep the change from occurring at all.
  2. Resistance from the late majority can keep others from accepting the change.
  3. Resistance can negatively impact future client care.
  4. Resistance allows others to take power from managers.

[AmberC1996]

Answer to Question 1

3
Rationale 1: The nurse will not see the relationship between attitude and performance just because negative statements were made.
Rationale 2: The nurse is less likely to identify ways that performance can be improved if making only negative statements.
Rationale 3: Focusing only on the negative aspects of a nurse's performance can result in the nurse discounting the importance of the things the nurse does well. If this is the case, the nurse may pay less attention to those areas in the future and may not do them as well.
Rationale 4: The nurse is unlikely to simply ignore the negative statements and will probably not focus on ways to improve as well as if positive statements had also been made.
Global Rationale:

Answer to Question 2

3
Rationale 1: Resistance generally does not completely prevent change, but it may stall or delay it.
Rationale 2: The late majority eventually does accept the change.
Rationale 3: Client care is always the most important reason that nurses do what they do. If the change does not improve client care in some respect, is it worth the effort? If resisters interrupt the work of the unit or refuse to provide care as directed by the change, the quality of care may suffer.
Rationale 4: Resistance is a normal part of change and does not mean that power has been diverted to the resisters.
Global Rationale:

[ts19998]

Thank you

[AmberC1996]

No problemo