Administration in a facility is charged with developing a shared governance structure within nursing to develop/revise policies/procedure, and to weigh in on decisions that ultimately support the success of the facility.

What is this process called?

Choice A rationale
This statement is more about describing the specific situation (the “D” in DESC) rather than expressing the nurse’s concerns (the “E” in DESC). It’s important to note that the DESC tool stands for Describe, Express, State, and Consequences. In this context, the nurse is merely stating what happened, not expressing how it made them feel or the impact it had on them.
Choice B rationale
This statement accurately represents the “E” component of the DESC tool, which stands for "Express your concerns"12. In this scenario, the nurse is expressing their feelings about the physician’s behavior and its impact on them. They’re stating how the physician’s actions made them feel uncomfortable, especially in front of other staff members and the patient. This is a crucial step in the DESC process as it allows the individual to express their feelings and concerns about the situation.
Choice C rationale
This statement is more aligned with the “S” component of the DESC tool, which stands for "State other alternatives"12. Here, the nurse is suggesting a different way for the physician to express their concerns in the future. While this is an important part of the DESC process, it does not represent the “E” component.
Choice D rationale
This statement represents the “C” component of the DESC tool, which stands for "Consequences stated"12. In this context, the nurse is outlining the potential outcomes if they cannot agree on an alternative approach. While this is a crucial step in the DESC process, it does not represent the “E” component.

Choice A rationale
The Quality and Safety Education for Nurses (QSEN) project provides a roadmap to transform nursing by integrating six competencies: patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics.
Choice B rationale
The Institute of Medicine (IOM) is a non-profit organization that provides unbiased and authoritative advice to decision makers and the public. While the IOM has made significant contributions to health care, it does not specifically develop safety competencies for nurses.
Choice C rationale
The Centers for Disease Control (CDC) is a national public health institute in the United States. It conducts and supports health promotion, prevention and preparedness activities in the United States, with the goal of improving overall public health.
Choice D rationale
The Health Insurance Portability and Accountability Act (HIPAA) is legislation that provides data privacy and security provisions for safeguarding medical information. While HIPAA contributes to the safety and privacy of patient information, it does not develop safety competencies for nurses.