A new chairperson of the nursing department has been appointed ...

[EAugust]

A new chairperson of the nursing department has been appointed and plans to institute new programs for faculty development with a focus on innovative teaching strategies. According to Lewin, which is the first step in initiating this plan?
 
  1. Ask staff to assist in the development of a plan for implementing new teaching strategies.
  2. Include the staff in actively participating in the identification of problems related to teaching strategies.
  3. Implement interventions to improve the teaching strategies currently used.
  4. Reinforce the efforts of faculty as they begin to use new teaching strategies.

Question 2

On two recent occasions, the experienced nurse manager has found it nearly impossible to discuss upcoming events with all the staff on the unit. What is a common reason for this problem?
 
  1. The hospital is experiencing a nursing shortage, so staff members are very busy.
  2. The client mix on the unit is much more varied.
  3. The unit has just adopted combined staffing patterns.
  4. There is a 1-hour overlap of staff between shifts.

[al]

Answer to Question 1

2
Explanation: 1. The first step is to unfreeze the existing equilibrium by asking staff to become a part of the
process of change, particularly in the first phase. 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. Implementing interventions is incorrect because interventions cannot be made until
the problem has been identified and a plan has been developed. Reinforcing the efforts of
faculty is incorrect because reinforcement of new patterns of behavior is the last phase of
change.

Answer to Question 2

3
Rationale 1: A nursing shortage and a busy staff should not impact the manager's ability to communicate information to staff.
Rationale 2: The amount of variation in client mix should not adversely affect the manager's ability to provide information to the staff.
Rationale 3: A combined staffing pattern allows for such variation in shifts that the manager may not come into contact with all of the staff during the manager's work hours.
Rationale 4: An overlap of staff should make communication easier for the manager.
Global Rationale: