Select all that apply: Which of the following are examples of how to create a culture of safety?
Error reporting free from penalty
Hazing a coworker
Becoming a mentor to a new nurse
Open communication and clear expectations
Correct Answer : A,C,D
Choice A reason:
Error reporting free from penalty is essential for a culture of safety. It encourages staff to report mistakes without fear of retribution, allowing for the identification and correction of system issues that could lead to errors.
Choice B reason:
Hazing a coworker is not an example of creating a culture of safety. It is a harmful practice that undermines trust and respect, which are crucial for a safe work environment.
Choice C reason:
Becoming a mentor to a new nurse is a positive example of creating a culture of safety. Mentorship supports the development of competence and confidence, which contributes to safer patient care.
Choice D reason:
Open communication and clear expectations are fundamental to a culture of safety. They ensure that everyone understands their roles and responsibilities and feels comfortable speaking up about concerns.
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Correct Answer is D
Explanation
Choice A reason: Evidence-Based Practice is a systematic approach to health care that uses the best available evidence, clinical expertise, and patient preferences to make decisions about the care of individual patients. While it is a critical aspect of modern health care, it is not the culture that has replaced the culture of blame.
Choice B reason: Teamwork is essential in health care for providing comprehensive care and ensuring patient safety. However, it is not the specific culture that has replaced the culture of blame. Teamwork is a component of a larger cultural shift towards safety and quality in health care.
Choice C reason: Authority refers to the power or right to give orders, make decisions, and enforce obedience. A culture of authority does not replace a culture of blame; instead, it could potentially perpetuate it if not balanced with accountability and open communication.
Choice D reason: Safety has become the primary focus in health care, replacing the culture of blame with a culture of safety. This shift emphasizes learning from errors, improving systems and processes, and preventing harm to patients through a non-punitive approach to incident reporting and analysis.
Correct Answer is A
Explanation
Choice A reason:
Noticing is the first stage of the Tanner Clinical Judgment Model. It involves the nurse becoming aware of a situation, such as Mary RN observing her patient's behavior and interactions with family members.
Choice B reason:
Responding is the second stage, where the nurse takes action based on their observations and assessments. Mary RN has not yet reached this stage, as she is still in the process of understanding the situation.
Choice C reason:
Reflecting is the third stage, which can occur before, during, or after the response. It involves analyzing the situation and the effectiveness of the actions taken. Mary RN has not yet acted, so she is not in the reflecting stage.
Choice D reason:
Interpreting is the stage where the nurse makes sense of the data gathered during the noticing stage. While Mary RN is gathering data, she has not yet moved on to interpreting the patient's behavior.
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