As Director of Nursing Education, you are often asked to respond ...

[dbose]

As Director of Nursing Education, you are often asked to respond to change. For example, a new policy is not working well and you are told to do something to fix this. What is the best response you could give to this request?
 
  1. I will move forward based on the information you have just given me that the policy is not being followed. A plan for staff education on the policy will be implemented this month.
  2. I will look into the problem. After I have some data, analyze the issues, talk to nurse managers, staff, and other stakeholders, I will then develop and response. If staff education is needed, I will plan this.
  3. I will ask the nurse managers in the four units that use this policy the most to identify specific staff who have not used the policy, and to meet with them to correct this.
  4. I will ask the Policy and Procedure Committee to take are of the problem.

Question 2

A patient who has a history of asthma asks about the availability of a disease management program for his illness. Which statement, made by the nurse, is appropriate?
 
  1. There isn't a disease management program for asthma yet, but there is one under development.
  2. There is no such program for asthma.
  3. The program exists, but only a very few insurance companies cover it.
  4. There is a program targeted specifically for asthma.

[JYan]

Answer to Question 1

2
Explanation: 1. This response assumes that the problem can be solved with staff education and does not include an expanded understanding of the problem.
2. This is the best responsenot all change and problems should be or can be solved by staff education.
3. The Director of Nursing Education does not have supervisory responsibility and this approach leans in that direction. It also assumes blame and does not fully appreciate the problem and how best to resolve it. The response is not focused on education, which is the responsibility of the Director of Nursing Education.
4. In this approach the Director of Nursing Education is transferring work to someone else. The committee does need to be involved in determining the best strategies to use once the problem is understood, but this approach is not clear in the response.

Answer to Question 2

4
Explanation: 1. A program does exist.
2. A program does exist.
3. Insurance companies have identified that illness management results in cost savings. More and more companies are developing, administering, and paying for these programs.
4. Asthma is often targeted for illness management programs.