A nurse executive is trying to convince the hospital management ...

[ashley]

A nurse executive is trying to convince the hospital management team that a clinical ladder system would work well in nursing.
 
  Which points should the nurse include in this argument? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Clinical ladders keep very good nurses at the bedside.
  2. These programs prove to be worth their cost.
  3. These programs reveal substandard nurses quickly so they can be terminated.
  4. Similar programs have been shown to improve nurse job satisfaction.
  5. Quality of client care increases with these programs.

Question 2

The new chairperson of the nursing department has determined that the faculty's teaching is stagnant and outmoded. The chairperson would like to encourage the faculty to adopt more innovative teaching strategies.
 
  According to Lewin, what is the first step in initiating this plan? 1. Bring an expert on innovative teaching strategies to campus for a meeting with faculty.
  2. Include the staff in identifying problems related to teaching strategies.
  3. Ask staff to assist in the development of a plan for implementing new teaching strategies.
  4. Implement interventions to improve the teaching strategies currently used.

[dajones82]

Answer to Question 1

1,2,4,5
Rationale 1: Nurses with excellent clinical skills are promoted, but not into management. They stay at the bedside.
Rationale 2: Evaluation of established programs has shown substantial positive fiscal impact.
Rationale 3: Terminating nurses is not the focus of the clinical ladder program.
Rationale 4: Improvement of job satisfaction has been shown to be a result of clinical ladder programs.
Rationale 5: The programs have been shown to increase quality of client care.
Global Rationale:

Answer to Question 2

2
Rationale 1: Bringing in an expert to talk to the faculty would be ineffective until the faculty is beginning to unfreeze their current beliefs about teaching. Introducing an expert at this time might do more harm than good.
Rationale 2: The first step is to unfreeze the existing equilibrium by asking staff to become part of the process of change, particularly in the first phase.
Rationale 3: Asking the staff to assist in developing a plan is incorrect because the planning part of the process occurs after the problem areas have been identified.
Rationale 4: The faculty will likely not be receptive to new strategies until they have identified a need to change.
Global Rationale: