A health care organization is investigating a new computerized ...

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A health care organization is investigating a new computerized documentation system. Which question by nursing management would address a source of work-related distress in nurses related to documentation?
 
  a. How can we ensure the nurses get adequate training or updates?
  b. How can we make these computerized units more portable?
  c. How much more accurate and complete will this charting be?
  d. How will this system save my nurses time when documenting?

Question 2

A seasoned nurse and a student are completing an admission history with a patient.
 
  On leaving the room and discussing their findings, the novice nurse is stunned that what the seasoned nurse learned about the patient seems so different from what he or she took from the interview. What explanation by the seasoned nurse best illustrates the dynamics of this interaction?
  a. Experience facilitates selective attention and helps create reality for seasoned nurses.
  b. Nurses working on one floor see similar patients and learn how to focus the questions.
  c. The novice nurse simply does not know the most important questions to ask patients.
  d. The novice nurse was focusing on asking all the questions on the admission database.

[annierak]

Answer to Question 1

D
In a recent study, nurses reported feeling as though they spend too much time on documentation and not enough on direct patient care. This can contribute to role discrepancy.
Ensuring adequate training and updates would be more a concern of management than of individual nurses on the floor.
Portability does not get at the source of distress related to documentation, which is the fact that nurses feel they spend too much time documenting, taking time away from patient care.
Ensuring more accurate and complete charting would be a concern more likely to arise from the management group than from individual nurses.

Answer to Question 2

A
Experience teaches the nurse how to selectively pick out the most important messages, and habituation helps block out irrelevant messages. People are able to make sense of the messages they receive, in part, because of their past experience such that present reality is tied to these past experiences. The novice nurse has not yet been able to develop the skills of selective attention and habituation in a health care setting and has little experience to shape his or her understandings.
With a specific population, the nurse might be able to focus questions in this manner, but working on one floor consistently does not adequately explain the interaction.
The novice nurse may not yet be able to differentiate between important and not-so-important questions, but this explanation is too narrow to fully describe the interaction.
Novices do focus on procedures and steps to complete, but this explanation is too narrow to fully explain the interaction.