Author Question: The health care organization is canceling its contract with the company that provided all of the IV ... (Read 233 times)

mcmcdaniel · **on:** Jul 8, 2018

The health care organization is canceling its contract with the company that provided all of the IV pumps due to staff members' complaints about the quality of the product. A new IV pump is needed.

Which of the following is the best way to initiate the change to a new IV pump?
1. Administrators should decide which IV pump is the most cost-effective for the organization.
2. Vendors who provide IV pumps to hospitals should be contacted to provide the nursing staff members with an opportunity to explore their options.
3. The old IV pumps should be maintained to keep them operating for as long as possible until they do not work anymore and a new IV pump must be implemented.
4. The nurse supervisor must gain support for the change to a new IV pump.

Question 2

During a discussion among hospital supervisors, changes are being considered. Which of the following responses is an example of an internal force for change?

1. We're finding that the client acuity level in the Progressive Care Unit has increased dramatically over the last year.
2. The amount of money that is being reimbursed by Medicare for knee replacement surgery has decreased 250 over the last 2 years.
3. The number of people residing in this area who are at or below poverty level has increased to 32.
4. The local community college lost its accreditation by the National League of Nursing again, and is dismantling its nursing program.

moormoney · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

Answer: 2

Rationale: This change is a planned change. The problem has been identified by the staff members. The administrators chose to cancel the contract with the supplier of the IV pumps due to staff complaints. The best next step is to find solutions to their problem. The hospital needs a new IV pump. Vendors should be contacted to help the staff members who use IV pumps determine which new IV pump is appropriate for the hospital. The decision should not be made by the administrators. This decision should be made by the people who are most affected by the change. Nonintervention is a form of planned change. This occurs when administrators neglect to intervene and allow a process or practice to die. At this time, there is no reason for the nurse supervisor to gain support from staff members about a change to a new IV pump. The new IV pump has not been selected by the staff members yet.

Answer to Question 2

Answer: 1

Rationale: Internal and external forces influence changes to nursing practice. Internal forces for changes are those that come from inside the organization. A change in a unit-specific client acuity level is an example of an internal force for change. Changes in reimbursement rates by Medicare, local socioeconomic factors, and area nursing programs are examples of external forces for change. The internal and external forces for change interact dynamically and influence all segments of health care.