A new chairperson of the Nursing Department has been appointed, ...

[ETearle]

A new chairperson of the Nursing Department has been appointed, and plans to institute new programs for faculty development based on innovative teaching strategies.
 
  Rank the following actions by the new chairperson in order of occurrence according to the process of change.
  ____ Reinforce the efforts of faculty as they use new teaching strategies.
  ____ Monitor quality of process and outcome achievement following the change.
  ____ Request assistance from faculty to develop a plan for implementation of new teaching strategies.
  ____ Provide an adequate period of time to educate faculty regarding new teaching strategies prior to implementation.
  ____ Include active participation from the staff to identify problems related to current teaching strategies.

Question 2

The nurse manager is meeting with staff members. Which of the following responses by a staff member is an example of an external force for change?
 
  1. This new computerized documentation system that we're using is so much more efficient than the old way.
  2. I learned that the health care insurance companies are paying 100 less than they were a year ago for clients with a DRG of pneumonia.
  3. This new product the hospital adopted makes ostomy appliance changes a lot easier.
  4. Ever since we opened that new surgical unit, our client acuity levels are decreasing on this unit.

[thall411]

Answer to Question 1

Answer:
1. Include active participation from the staff to identify problems related to current teaching strategies.
2. Request assistance from faculty to develop a plan for implementation of new teaching strategies.
3. Provide an adequate period of time to educate faculty regarding new teaching strategies prior to implementation.
4. Reinforce the efforts of faculty as they use new teaching strategies.
5. Monitor quality of process and outcome achievement following the change.

Rationale: The process of planned change is the ideal way to implement changes. The initial step is to identify problems associated with the current way of doing something. The problems must be identified by those who will be most affected by the change. The faculty must feel that they are a part of the change in order to reduce resistance to change. The second step is to develop a plan for implementation of the change. The next step is to provide an adequate period of time to educate those affected by the change about the new behaviors. The next step is to reinforce the efforts of those people who are adapting to the change. The last step is to evaluate how well the change is going by monitoring quality and determining whether outcomes have been achieved.

Answer to Question 2

Answer: 2

Rationale: Internal and external forces influence changes to nursing practice. Internal forces for changes are those that come from inside the organization. The internal and external forces for change interact dynamically and influence all segments of health care. An internal force of change is when a new process, system, or product is adopted by an organization for use by the employees. Changes in reimbursement rates by a health insurance company, local socioeconomic factors, and area nursing programs are examples of external forces for change.

[ETearle]

Gracias!

[bblaney]

Excellent