Author Question: Which nursing behaviors best indicate that an empowered staff has shifted the paradigm of care in ... (Read 81 times)

deesands · **on:** Jul 19, 2018

Which nursing behaviors best indicate that an empowered staff has shifted the paradigm of care in their unit?

1. Routine use of new neoprene restraints when this is necessary for control.
2. Making rounds every 2 hours on patients not in restraints or seclusion.
3. Routinely involving the patient and family in the plan of care and treatment choices.
4. Staying in the nurses' station with locked glass windows while administering medications.

Question 2

The nursing staff quality improvement committee recommends a new practice change be implemented based on outcome analysis. Which response by their manager would be most effective in fostering the empowerment of the nurses?

1. We'll take this to all the hospital committees and see if they approve it.
2. This is a great idealet's share your success with the other units.
3. You have done a nice job. I'll revise this and then we can write a policy on it.
4. I don't think the physicians will want to continue you this, but it was a good effort.

daiying98 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Answer: 3
Explanation: The paradigm shift for nursing care occurs when nurses develop a partnership with patients and families, emphasis on individualized care and the fostering of hope for recovery. Neoprene restraints, rounding every 2 hours, and locked glass windows have more to do with the old paradigm of consistency, control, and vigilance.

Answer to Question 2

Answer: 2
Explanation: Providing positive feedback and offering to share the results with other units would validate the team's efforts and foster empowerment. Taking the project to the hospital committees may be necessary but would not likely foster empowerment. Revising the project would undermine the staff's efforts and analysis. If it needed to be revised, the manager might make some helpful suggestions rather than assume responsibility for it. Stating that the physicians might not agree with the project might be true, but the nurse manager should advocate for her staff if she believes in their project.