Two staff nurses ask a charge nurse to help resolve a conflict over holiday scheduling. Which action should the charge nurse take?
Encourage each staff nurse to give up something as part of the negotiation.
Explain to the staff nurses that the holiday schedule is non-negotiable.
Compliment one of the nurses in private on their flexibility and thank them for working all the holidays.
Negotiate with the two staff nurses at the nurses' station.
The Correct Answer is A
Conflict management in nursing leadership utilizes collaborative strategies to maintain unit morale and ensure adequate staffing. The process of negotiation requires a "give and take" approach where both parties modify their original demands to reach a compromise. Effective resolution fosters a professional environment and prevents the escalation of interpersonal tension, which is vital for maintaining a cohesive and functional healthcare team.
Rationale:
A. Encouraging both parties to concede a portion of their request is a hallmark of the compromising strategy. This approach ensures that neither nurse feels completely disadvantaged, promoting a sense of fairness and equity in the scheduling process. It is the most effective way to reach a middle ground that satisfies the needs of both individuals.
B. Stating that the schedule is fixed represents a competing or authoritative conflict style that often breeds resentment among staff. This rigid approach fails to acknowledge the concerns of the nurses and can lead to decreased job satisfaction and higher turnover. Flexibility is essential in leadership to maintain a positive and supportive workplace culture.
C. Favoring one nurse over another or offering private compliments to resolve a schedule dispute is a form of manipulation. This tactic does not address the root of the conflict and can lead to accusations of favoritism or workplace bullying. Transparent and fair negotiation is the only way to ensure long-term harmony among the nursing staff.
D. Conducting a negotiation at the nurses' station violates the principle of confidentiality and professionalism in the clinical setting. Conflicts should be addressed in a private location to prevent disruption of patient care and to protect the dignity of the individuals involved. Public disputes can undermine the team’s credibility and cause unnecessary stress for patients.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"C"},"C":{"answers":"F"},"D":{"answers":"D"},"E":{"answers":"B"},"F":{"answers":"E"}}
Explanation
- Hourly rounding to prevent falls (Safe): Safety focuses on avoiding injuries to patients from the care that is intended to help them. Proactive rounding identifies environmental hazards and patient needs before an adverse event (like a fall) occurs.
- Clients make the decisions for their healthcare (Client-centered): This domain emphasizes providing care that is respectful of, and responsive to, individual patient preferences, needs, and values, ensuring that patient values guide all clinical decisions.
- Care is not based on personal characteristics (Equitable): Equity ensures that the quality of care does not vary because of personal characteristics such as gender, ethnicity, geographic location, or socioeconomic status.
- Delays in care are reduced (Timely): Timeliness refers to reducing waits and sometimes harmful delays for both those who receive and those who give care.
- Evidence-based data is used to make clinical decisions (Effective): Effectiveness involves providing services based on scientific knowledge to all who could benefit and refraining from providing services to those not likely to benefit (avoiding underuse and misuse).
Correct Answer is D
Explanation
Evidence-based practice (EBP) relies on the hierarchical synthesis of clinical research to validate procedural changes and improve patient outcomes. Systematic reviews and meta-analyses occupy the highest levels of the evidence pyramid, providing a rigorous evaluation of multiple studies. This approach minimizes sampling bias and ensures that nursing interventions are grounded in statistically significant, reproducible scientific data.
Rationale:
A. Ambiguous statistics indicate a lack of statistical significance or clarity in the research findings, making the data unreliable for clinical application. Evidence used to change hospital policy must demonstrate internal validity and clear, consistent results to ensure patient safety. Articles with vague or conflicting data cannot justify a shift in standardized protocols.
B. Research conducted by the manufacturer presents a significant conflict of interest, which can compromise the objectivity of the study results. Independent, peer-reviewed research is necessary to eliminate commercial bias and ensure the product’s efficacy is evaluated neutrally. Trustworthy EBP requires findings that are free from financial influence or industry-driven motives.
C. A study with only 10 subjects has an inadequate sample size, which severely limits the generalizability of the findings to a broader population. Small cohorts lack the statistical power required to prove that results are not due to mere chance. For central line care, robust data from large, multi-center trials are essential to mitigate clinical risks.
D. A review-of-literature that synthesizes numerous studies represents a systematic approach to evidence, offering the strongest support for a new procedure. These articles aggregate diverse data points to confirm the clinical efficacy and safety of a product across various settings. This high-level evidence provides the necessary scientific justification for modifying nursing practice and improving infection control.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.