After attending a regular monthly unit meeting, a nurse considers the impact of a new protocol on patient care delivery. Which of the following examples best describes a follower in action?
Reliance on the manager to provide direct guidance on patient care management.
Avoiding use of the new protocol until feedback from peers is obtained.
Strict adherence to unit leaders' decisions.
Self-awareness and the ability to speak up and voice opinions and concerns.
The Correct Answer is D
Choice A reason: Reliance on the manager for direct guidance does not demonstrate the proactive qualities of a follower in action. Followers should be able to work independently while understanding the direction provided by leaders.
Choice B reason: Avoiding the use of a new protocol until receiving peer feedback may indicate a lack of initiative or resistance to change, which are not characteristics of an effective follower.
Choice C reason: While adherence to decisions is important, strict adherence without question does not embody the critical thinking and engagement expected of a follower in action.
Choice D reason: Self-awareness and the ability to speak up reflect a follower who is engaged, thoughtful, and proactive, which are key qualities in a dynamic healthcare environment.
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Correct Answer is D
Explanation
Choice A Reason : While communication is essential, this approach lacks transparency and direct engagement with the staff. It may not foster trust or provide an opportunity for open dialogue.
Choice B Reason : Announcing the news through a bulletin board lacks personal interaction and may not address staff concerns adequately. It does not align with transformational leadership principles.
Choice C Reason: This approach demonstrates transformational leadership. By involving a small group of staff members, you create an opportunity for open discussion, empathy, and collaborative problem-solving.
Choice D Reason : Transparency about financial constraints is essential. By engaging staff in discussions about cost-cutting measures, you empower them to contribute ideas and understand the organization's challenges.
Correct Answer is A
Explanation
Choice A reason: Quality Management (QM) emphasizes systemic improvements and avoids assigning blame to individuals. It focuses on identifying and correcting processes that can lead to errors.
Choice B reason: A thorough commitment to quality improvement for the benefit of the organization is a fundamental principle of QM. It involves continuous efforts to enhance patient care and safety.
Choice C reason: QM relies on focusing on outcomes and making data-driven decisions. This ensures that changes lead to measurable improvements in patient care.
Choice D reason: QM operates most effectively within a flat, democratic organizational structure, which fosters open communication and collaboration among healthcare team members.
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