The nurse managers are discussing planning for process changes ...

[beccaep]

The nurse managers are discussing planning for process changes and time management techniques that result in stress reduction. Which of the following statements indicates that the nurse manager requires more education regarding these concepts?
 
  1. It is stressful for the nurses who have to do these dressing changes, because the supplies that they need have to be acquired from four different places on the unit.
  2. It is so stressful to implement this new policy because we do not have buy-in' from the physicians who have clients on the unit.
  3. It is almost impossible for the staff to carry out the new procedure regarding our bariatric clients. How are they supposed to find 10 staff members to help turn these clients, when the unit only has five staff members available on the night shift?
  4. I just stay on my course. The decision has been made to implement the new process, so I just tune everyone else out and enforce it.

Question 2

The nurse manager is preparing to implement a new policy and procedure on the unit. Which of the following is the most important step in the nursing process to maximize time management?
 
  1. The nurses and surgeons evaluate the results of the new dressing change policy.
  2. The nurse manager meets with several nurses on the unit regarding how to implement the new dressing change policy and procedure.
  3. The nurses state that there is a problem with the way they've been dressing the postoperative clients' new loop colostomies, which is leading to skin breakdown.
  4. The nurses implement the new dressing change policy and procedure.

[frejo]

Answer to Question 1

Answer: 4

Rationale: Nurses who implement new processes can experience physical, psychological, or biological stress related to the change. The goal of the nurse manager is to plan well for the change to decrease the stress experienced by those implementing the change. The nurse manager must listen well and communicate effectively to assist the nurses during the change. Steps of the process change must be taken into account to determine a logical arrangement of supply-gathering activities. There must be buy-in from all of the people who are affected by the change. The change must be feasible in terms of resources to implement the procedure. And the nurse manager has to remain flexible during the change.

Answer to Question 2

Answer: 2

Rationale: These options are all phases of the nursing process. An assessment is performed and a problem is identified. The next step is to plan. Planning the best way to implement something new is the most effective use of time. The next step is to implement the process. Then, the change must be evaluated. In some instances, the amount of time spent planning can exceed how long it takes to implement a new process. Planning is the best way to outline a course of action, because time spent planning can save time in the execution of activities.