The nurses and the unit manager have been involved in shared decision-making related to the model of nursing care delivery that the unit will adopt. All individuals have participated and been involved in decision-making and implementation of changes. When issues arise during implementation, it is expected that:
Individual expertise will be utilized to provide solutions, but responsibility for the change is shared.
This will contribute to widespread skepticism among the staff about the probability of success.
Accountability resides entirely with the unit manager.
No one really has any accountability or responsibility for the changes.
The Correct Answer is A
Choice A reason: Utilizing individual expertise while sharing responsibility ensures that all team members are involved in problem-solving and that no single person is burdened with the outcome. This approach aligns with the principles of shared decision-making, which emphasize collaboration and collective accountability.
Choice B reason: Shared decision-making aims to reduce skepticism by involving staff in the decision-making process, thereby increasing buy-in and the likelihood of success. Widespread skepticism would suggest a failure in the decision-making process.
Choice C reason: In a shared decision-making model, accountability does not rest solely with the unit manager. Instead, it is distributed among all individuals involved in the decision-making process.
Choice D reason: The statement that no one has any accountability or responsibility for the changes is incorrect. Shared decision-making requires that all participants take responsibility for the decisions made and their outcomes.
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Related Questions
Correct Answer is D
Explanation
Choice A reason: Conducting a chart review can provide insights into the care issue, but it does not directly address the employee's performance or reasons for failing to meet standards.
Choice B reason: Asking other staff to document concerns may be part of a broader investigation into the issue, but it should not be used solely for the purpose of discharging an employee without a fair assessment and opportunity for improvement.
Choice C reason: Asking questions of the employee can help understand their perspective and knowledge base, but it is not a comprehensive approach to dealing with performance issues.
Choice D reason: Determining if the issue is related to the employee's will or skill is essential. If it is a skill issue, the leader can provide additional training or resources. If it is a will issue, then further action, such as motivational interviewing or disciplinary measures, may be necessary. This approach ensures a fair and constructive response to the problem.
Correct Answer is B
Explanation
Choice A reason: Communication is the act of conveying information and ideas from one individual or group to another. It is an essential part of collaboration and teamwork but does not specifically describe the emotional involvement in a project or event.
Choice B reason: Commitment refers to the state of being dedicated to a cause or activity. An emotionally committed individual is likely to show passion and dedication, which aligns with the description provided in the question.
Choice C reason: Willingness to cooperate indicates a readiness to work together with others, which is important in a collaborative environment. However, it does not inherently include the emotional aspect of passion and dedication.
Choice D reason: Contentment is a state of satisfaction and happiness. While it may result from successful involvement in a project or event, it does not specifically denote the emotional investment or active dedication described.
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