Which nursing care delivery situation best reflects the concept ...

[james9437]

Which nursing care delivery situation best reflects the concept of a clinical microsystem?
 
  1. A rural free clinic housed in a church gymnasium that is staffed by volunteer nurses and physicians
  2. A walk-in clinic in a local discount store that is staffed by a nurse practitioner
  3. An inpatient burn unit
  4. A general medical-surgical unit in a midsized hospital

Question 2

Which option best reflects a driving force in the process of change?
 
  1. A financial deficit of millions of dollars
  2. A staff composed of long-term employees
  3. An ineffective nurse manager
  4. An administration composed of long-term employees

[peter]

Answer to Question 1

3
Rationale 1: The free clinic likely does not have the support staff, equipment, and facilitative environment necessary for a clinical microsystem.
Rationale 2: A walk-in clinic in a retail outlet does not have a tightly defined population to receive care and is not likely to function as a clinical microsystem.
Rationale 3: The burn unit likely has a core team of caregivers, a defined population to receive care, informational systems in place, support staff, equipment, and an environment that facilitates provision of care.
Rationale 4: A general medical-surgical unit is less likely to have the components necessary to support a clinical microsystem.
Global Rationale:

Answer to Question 2

1
Explanation: 1. A budget in the red necessitates change by pushing participants in a desired direction. A staff
of long-term employees is a restraining force that impedes change by discouraging
participants from making specified changes. An ineffective nurse manager is a restraining
force that impedes change by discouraging participants from making specified changes. An
administration of long-term employees is a restraining force that impedes change by
discouraging participants from making specified changes.