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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: While a leader may actively make decisions, it is not always beneficial for them to do so during every stage of planning and implementation. This approach can limit the team's engagement and growth opportunities.
Choice B reason: This is the correct answer because allowing team members to control decision-making fosters an active learning environment. It encourages autonomy, enhances problem-solving skills, and can lead to more innovative solutions.
Choice C reason: Setting rules is a part of leadership, but it is not the sole responsibility. Leaders also need to inspire, motivate, and guide their team towards achieving the common goal.
Choice D reason: Maintaining close oversight can be necessary in certain situations, but approving all decisions can create a bottleneck and reduce the team's ability to act swiftly and learn from their experiences.
Correct Answer is D
Explanation
Choice A reason: Change involving many layers in an organization can lead to resistance due to complexity and the potential disruption of established processes. However, it is not the most likely cause of resistance compared to a direct threat to personal security.
Choice B reason: While workers being satisfied with current practice may lead to some resistance to change, it is generally less intense than resistance caused by perceived threats to personal security.
Choice C reason: Involvement of non-professional workers in change might create resistance, especially if they feel undervalued or excluded from the decision-making process. However, this is not as significant a factor as a perceived threat to personal security.
Choice D reason: A perceived threat to personal security is the most likely cause of resistance to change. Individuals tend to resist changes that they believe could harm their well-being, job security, or personal safety.
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