Answer to Question 1
A
The most important element of a teamwork training program is the support of both formal and informal leaders. The CNO should assess for any change agents within the facility who do not support the program and whose attitudes might be sabotaging the program.
Informing the staff that teamwork improves safety and is expected would be part of the educational process. This information, provided in isolation, might make the staff resentful that this is being forced upon them.
More education and training might be needed, but the CNO first needs to find out whether there are leaders who are not supportive of the plan.
Rotating staff members to different areas would create confusion and possibly decrease patient safety because nurses could be forced to work in areas in which they had no expertise.
Answer to Question 2
B
The first phase of teamwork training should be to conduct a preassessment to determine the facility's readiness to change. Using the TeamSTEPPS program, this occurs in phase 1.
Designing training for selected onsite trainers would be part of phase 2, in which members are trained.
Because the CNO has already decided on a specific model to use, this means that investigating specific training models has already been done.
After the CNO determines readiness, phase 2 consists of a train the trainer approach, which is then implemented in identified high-risk areas first. This is part of phase 3.
Nursing process
Five step nursing process
Purpose of the nursing interventions
Critical thinking model for safety evaluation
Nursing history for vascular assessment
A schematic model of the effects of cholesterol on synthetic membrane structure