A nurse manager is conducting annual performance evaluations of the RNs on her floor. Which of the following staff behaviors demonstrates INEFFECTIVE followership?

A. Recruiting volunteers might seem like a cost-effective solution, it can be problematic in terms of patient safety and quality of care. Volunteers generally lack the clinical training required to perform medical tasks safely and competently. Their involvement in direct patient care could pose risks to patient safety and may not effectively address staffing shortages in a meaningful way.
B. Developing a centralized staffing pool of float nurses is a strong intervention for addressing staffing shortages while securing patient safety and managing costs. Float nurses are experienced and can be deployed to various units as needed. This strategy ensures that staffing needs are met in a flexible and efficient manner, without compromising patient care. It also helps to balance the workload and prevents burnout among regular staff.
C. Assigning nurses from less busy units to understaffed ones can be effective, but it must be done with consideration for patient acuity. Nurses need to be assigned based on their skills and the needs of the unit to ensure that patient safety is maintained. If nurses from less busy units are assigned to areas with higher acuity patients without proper training or experience, it could compromise patient care and safety.
D. Implementing a mandatory overtime policy can address short-term staffing shortages but often leads to staff dissatisfaction, burnout, and decreased quality of care. Compelling nurses to work extra hours can negatively impact their well-being and job satisfaction, potentially leading to higher turnover rates and increased costs associated with recruiting and training new staff.

A. Increased mortality rates are not an outcome of quality stamina. In fact, quality stamina aims to improve overall care quality and patient outcomes, which should ideally lead to decreased mortality rates. High-quality care and sustained attention to standards generally contribute to better patient outcomes and lower mortality rates.
B. Quality stamina does not typically result in decreased patient volume. In fact, maintaining high-quality care can lead to increased patient satisfaction and potentially attract more patients. Decreased patient volume might be a result of other factors, such as poor service or lack of resources, rather than quality stamina.
C. Improved job satisfaction is a positive outcome of quality stamina. When healthcare staff work in an environment where high standards are maintained, they often experience greater job satisfaction due to better working conditions, support, and recognition of their efforts.
D. Optimal workload distribution is another positive outcome associated with quality stamina. Effective quality management practices can lead to more efficient processes and better distribution of tasks, which helps in reducing burnout and maintaining a sustainable work environment.
E. Enhanced nurse retention is also a likely outcome of quality stamina. When healthcare organizations prioritize quality and maintain high standards, it often leads to a better work environment and job satisfaction, which can contribute to higher nurse retention rates. Retaining experienced staff helps in maintaining consistent, high-quality care.