Author Question: A chief nursing officer (CNO) is concerned about the ongoing nursing shortage and wants to implement ... (Read 189 times)

jho37 · **on:** Jul 17, 2018

A chief nursing officer (CNO) is concerned about the ongoing nursing shortage and wants to implement strategies to keep it from getting worse. Which action by the CNO would best meet this goal?

a. Create a career ladder for registered nurses.
b. Institute an across-the-board wage hike.
c. Offer tuition reimbursement at area colleges.
d. Provide perks, such as unit holiday parties.

Question 2

A nurse working in a rehabilitation unit wishes to use nursing theory to guide a personal concept of practice but has become frustrated when the chosen theory does not seem to be helpful. The nurse consults an expert on theory.

What statement by the theory expert would best help the nurse choose a theory from which to work?
a. Any theory should work fine for you as long as you understand the concepts.
b. Choose a theory that has clear explanations of all four key concepts.
c. Rehabilitation nursing is probably too broad to find an appropriate theory.
d. Since you work in a specialized area, use a theory that is very specific.

fur · **Reply #1 on:** Jul 17, 2018

Answer to Question 1

A
Organizational attributes, including workload, management style, and opportunity for promotion, all figure into nurses' decisions to work. A career ladder provides a forum for promotion without competing for scarce management jobs.
An across-the-board wage hike may attract and keep nurses, but research demonstrates that opportunities for promotion are more important for entering or remaining in the workforce, so this is not the best answer.
Tuition reimbursement, similar to many other perks, may affect some nurses' work decisions; however, a specific perk may not be relevant to specific nurses' decisions about working.
Holiday parties can contribute to a collegial environment, but research shows that other organizations characteristics are more important, including the availability of promotion.

Answer to Question 2

D
Types of patients, setting, and practice should influence the theory chosen to guide practice. A specific setting is best served by a theory with specificity in its components. A global theory would be better suited for research and knowledge generation.
Not all theories fit all circumstances, and in fact, many of the theories in this chapter are too broad to be used in their entirety.
It is valid to suggest a theory that has clear explanations of all four key concepts; however, it does not go far enough in giving the nurse direction in choosing a theory.
Nursing theory can guide practice in any setting; the key is finding a theory that fits.