A nurse manager seeks to enhance their unit’s use of evidence-based practice. Which of the following is an appropriate strategy for the nurse manager to consider?

Conducting a review of adverse events and incident reports.

Reviewing specialty organization guidelines.

Prohibiting anyone outside the nurse manager’s chosen team from participating in the planning process.

Requesting input from staff members.

Answer and Explanation

The Correct Answer is D

Choice A Reason

Conducting a review of adverse events and incident reports is a valuable strategy for identifying areas of improvement and understanding the root causes of issues within the unit. However, this approach is more focused on quality improvement and risk management rather than directly enhancing the use of evidence-based practice. While it can provide insights into areas needing attention, it does not actively involve the staff in the process of integrating evidence-based practices.

Choice B Reason

Reviewing specialty organization guidelines is an important step in staying updated with the latest standards and recommendations in nursing practice. These guidelines are often based on the best available evidence and can serve as a foundation for implementing evidence-based practices. However, relying solely on guidelines without involving the staff in the decision-making process may not lead to successful implementation. Staff engagement is crucial for the practical application of these guidelines.

Choice C Reason

Prohibiting anyone outside the nurse manager’s chosen team from participating in the planning process is counterproductive. This approach limits the diversity of perspectives and ideas, which are essential for developing comprehensive and effective strategies. Inclusive planning processes that involve a wide range of staff members are more likely to result in successful implementation of evidence-based practices. Excluding others can lead to resistance and lack of buy-in from the broader team.

Choice D Reason

Requesting input from staff members is the most appropriate strategy for enhancing the use of evidence-based practice. Engaging the staff in the planning and implementation process fosters a sense of ownership and commitment to the changes being made. It allows for the incorporation of practical insights and experiences from those who are directly involved in patient care. This collaborative approach increases the likelihood of successful adoption and sustainability of evidence-based practices.

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Correct Answer is A

Explanation

Choice A Reason:

Providing the staff member the opportunity to disagree with the evaluation is a crucial aspect of a fair and transparent performance appraisal process. This approach allows for open communication and ensures that the staff member feels heard and respected. It also provides an opportunity for the nurse to address any misunderstandings or discrepancies in the evaluation. This practice can lead to a more constructive and positive appraisal experience, fostering a culture of trust and collaboration.

Choice B Reason:

Conducting the performance appraisal in a public setting to ease tension is inappropriate. Performance appraisals should be conducted in a private and confidential setting to ensure that the staff member feels comfortable discussing their performance openly. A public setting can lead to embarrassment and discomfort, which can hinder honest communication and negatively impact the appraisal process.

Choice C Reason:

Evaluating how well employees were able to perform duties outside of their job description is not a standard practice in performance appraisals. The focus should be on assessing the staff member’s performance based on their defined roles and responsibilities. While flexibility and willingness to take on additional tasks can be noted, the primary evaluation should be based on the core duties of the job.

Choice D Reason:

Initiating a random time to conduct the performance appraisal to ensure authentic responses by the staff member is not recommended. Performance appraisals should be scheduled in advance to allow both the evaluator and the staff member to prepare adequately. This preparation ensures a thorough and thoughtful evaluation process. Random appraisals can lead to anxiety and may not provide an accurate reflection of the staff member’s performance.

A. Whether mentoring is included in the position description. B. Raymond’s level of confidence. C. The potential biases of the students that Raymond has mentored. D. Whether mentoring can be accurately observed and measured.

Correct Answer is A

Explanation

Choice A Reason

Determining whether mentoring is included in the position description is crucial. Job descriptions outline the responsibilities and expectations for a role, providing clarity on what is required from the employee. If mentoring is explicitly stated as a duty, Raymond needs to understand that it is part of his professional responsibilities. This can help address any misconceptions and ensure that Raymond is aware of all aspects of his role. Additionally, it provides a basis for evaluating his performance in this area.

Choice B Reason

Raymond’s level of confidence is important but secondary to understanding the job requirements. Confidence can affect performance, and if Raymond lacks confidence in mentoring, it may impact his effectiveness. However, addressing confidence issues should come after clarifying whether mentoring is a required part of his job. If it is, then steps can be taken to build his confidence through training, support, and feedback.

Choice C Reason

The potential biases of the students that Raymond has mentored are not directly relevant to the evaluation of his performance. While it is important to consider feedback from students, focusing on their biases does not address the core issue of whether mentoring is part of Raymond’s job responsibilities. Instead, feedback should be used constructively to help Raymond improve his mentoring skills if it is indeed part of his role.

Choice D Reason

Whether mentoring can be accurately observed and measured is a valid consideration for performance evaluations. Effective mentoring involves observable behaviors and outcomes, such as the development of students’ skills and confidence. However, this consideration is secondary to establishing whether mentoring is a required duty. Once that is confirmed, appropriate metrics and observation methods can be implemented to assess Raymond’s performance in mentoring.

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A nurse manager seeks to enhance their unit’s use of evidence-based practice. Which of the following is an appropriate strategy for the nurse manager to consider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is planning to conduct a performance appraisal of a staff member on her unit. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

In a performance evaluation, Nurse Manager Francis mentions that Raymond struggles with mentoring students on the unit. Raymond counters that it is not his job. When responding to Raymond, Francis must take into account:

Correct Answer is A

Explanation

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