A nurse manager is developing a plan to enhance nursing accountability within the unit. Which strategy is most effective?
Implementing a peer review process for evaluating nursing practice.
Requiring nurses to report all errors to the administration only.
Mandating additional paperwork for every nursing task.
Encouraging nurses to work independently without oversight.
The Correct Answer is A
Rationale:
A. Implementing a peer review process for evaluating nursing practice is correct because peer review promotes accountability by encouraging nurses to reflect on their own practice and receive constructive feedback from colleagues. This process fosters professional growth, adherence to standards, and shared responsibility for quality care. It also strengthens collaboration, communication, and a culture of continuous improvement within the unit.
B. Requiring nurses to report all errors to the administration only is incorrect because limiting reporting to administration may create fear of punishment and discourage open communication. Effective accountability is achieved through transparency, learning from mistakes, and fostering a non-punitive culture, rather than a purely hierarchical reporting system.
C. Mandating additional paperwork for every nursing task is incorrect because excessive documentation does not inherently increase accountability. While documentation is important, overburdening nurses with paperwork can reduce efficiency, increase stress, and distract from direct patient care, without improving professional responsibility.
D. Encouraging nurses to work independently without oversight is incorrect because accountability is reinforced through collaboration, supervision, and feedback. Allowing nurses to work without oversight may lead to inconsistent practices, errors, and diminished quality of care, which undermines accountability rather than enhancing it.
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Related Questions
Correct Answer is C
Explanation
Rationale:
A. Evaluating the effectiveness of previous interventions is incorrect because this step occurs later in the EBP process after implementing interventions and measuring outcomes. While evaluation is important, it is not the initial step.
B. Implementing recommendations based on previous clinical guidelines is incorrect because EBP begins with identifying the clinical problem and forming a focused question, not immediate implementation. Guidelines may inform the search, but they do not replace the systematic process of EBP.
C. Formulating a specific and clear research question using the PICOT format is correct because the first step in EBP is identifying a clinical issue and creating a structured question. The PICOT format (Population, Intervention, Comparison, Outcome, Time) helps nurses focus their inquiry, guide evidence searches, and ensure that interventions are tailored to specific patient needs.
D. Searching for current evidence in peer-reviewed journals is incorrect because this occurs after the PICOT question has been formulated. Evidence searching is guided by the focused question and is a subsequent step in the EBP process.
Correct Answer is D
Explanation
Rationale:
A. She founded the first nursing school for African American women is incorrect because Mary Mahoney did not establish a nursing school; her contributions were in clinical practice and professional advocacy, not in founding educational institutions.
B. She became the first African American president of the American Nurses Association is incorrect because Mahoney was not the ANA president. However, she was active in professional organizations and advocated for diversity and equality within nursing.
C. She was the first black woman to serve in the Army Nurse Corps is incorrect because Mahoney’s career was primarily in civilian nursing and advocacy, not military service.
D. She was the first black nurse to graduate from a formal nursing program is correct because Mary Eliza Mahoney, in 1879, became the first African American to complete professional nursing education in the United States. Her graduation marked a significant milestone for racial integration and diversity in nursing, and she later worked to promote opportunities for African American nurses and advocate for equal treatment within the profession.
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