A nurse manager of a 12-bed medical unit finds that the majority of the patients are older adults. She is asked to assess and adapt the unit to better meet the unique needs of the older adult patient. Using complexity principles, what would be the best approach to take for implementation of this change?
Focus the assessment on the unit and ignore the needs of the hospital as a whole.
Hire an outside consultant to oversee and manage the project.
Engage involved staff at all levels in the decision-making process.
Seek a resolution from upper management.
The Correct Answer is C
Choice A Reason:
Focusing the assessment on the unit and ignoring the needs of the hospital as a whole is not a viable approach. While it is important to address the specific needs of the unit, it is equally crucial to consider the broader context of the hospital. Ignoring the hospital’s overall needs can lead to fragmented care and inefficiencies. A holistic approach ensures that changes in the unit align with the hospital’s goals and resources.
Choice B Reason:
Hiring an outside consultant to oversee and manage the project can provide specialized expertise and an external perspective. However, this approach may not fully leverage the insights and experiences of the staff who are directly involved in patient care. Consultants can be valuable, but their role should complement, not replace, the active involvement of the unit’s staff.
Choice C Reason:
Engaging involved staff at all levels in the decision-making process is the best approach. This strategy aligns with complexity principles, which emphasize the importance of collaboration, shared decision-making, and leveraging the collective expertise of the team. Involving staff fosters a sense of ownership and commitment to the changes, leading to more effective and sustainable implementation. It also ensures that the adaptations are practical and directly address the needs of both patients and staff.
Choice D Reason:
Seeking a resolution from upper management may be necessary for securing resources and support, but it should not be the primary approach. Top-down directives can overlook the nuanced understanding and practical insights of frontline staff. Effective change management requires a bottom-up approach that engages those who are most familiar with the day-to-day operations and challenges of the unit.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A Reason:
Sending an email expressing gratitude to the nurse for their outstanding performance is a good way to recognize their efforts. However, it lacks the personal touch and immediacy that can make recognition more impactful. While written appreciation is valuable, face-to-face recognition can be more meaningful and memorable for the recipient.
Choice B Reason:
Commending the nurse’s conduct during their upcoming performance evaluation is also a positive approach. However, waiting until the performance evaluation may delay the recognition, reducing its immediate impact. Timely recognition is important to reinforce positive behavior and show appreciation when it is most relevant.
Choice C Reason:
Shielding the nurse from potential embarrassment by expressing appreciation privately is considerate, but it may not be the most effective method. While some individuals may prefer private recognition, public acknowledgment can boost morale and encourage others to strive for similar excellence. It is important to know the preferences of the individual being recognized, but generally, public recognition can have a broader positive impact.
Choice D Reason:
Approaching the nurse after they leave the patient’s room and conveying specific aspects of their care that were valued is the most effective method. This approach provides immediate, personal, and specific feedback, which can be highly motivating. It shows that the manager is attentive and appreciative of the nurse’s efforts, reinforcing the positive behavior in a timely manner. Specific feedback helps the nurse understand exactly what actions were appreciated, making it more likely they will continue to perform at a high level.
Correct Answer is D
Explanation
Choice A Reason:
Navigate the workday without a strategy. Navigating the workday without a strategy is counterproductive and can lead to inefficiency and increased stress. Effective time management requires planning and prioritizing tasks to ensure that important responsibilities are addressed promptly. Without a strategy, nurse managers may find themselves overwhelmed and unable to meet their goals.
Choice B Reason:
Delay important tasks until they are motivated to begin them. Delaying important tasks until motivation strikes is a poor time management practice. Procrastination can lead to missed deadlines and increased pressure as tasks pile up. Instead, nurse managers should prioritize their tasks and tackle important ones first, even if they do not feel motivated at the moment.
Choice C Reason:
Only accept projects that exactly fit their specifications. While it is important to take on projects that align with one’s skills and goals, being too selective can limit opportunities for growth and collaboration. Nurse managers should be open to projects that may not fit perfectly but still offer valuable experience and contribute to the team’s objectives.
Choice D Reason:
Refuse requests that do not align with their priorities. This is the most effective time management strategy. By refusing requests that do not align with their priorities, nurse managers can focus on tasks that are most important and relevant to their goals. This approach helps prevent overcommitment and ensures that their time and energy are directed towards activities that have the greatest impact.
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