During the change process to implement an electronic medical record, a nurse manager says, "We are experiencing a 'slow death'." What evidence would the manager have to support this conclusion?
1. Work processes seem scattered
2. Staff burnout with complaints increasing
3. Use of a detailed project plan
4. Staff refusing to assume more assignments
3
Explanation: 1. Inability to do work effectively is a sign of 'slow death.'
2. Staff burnout is a sign of 'slow death.'
3. Using a detailed plan is a positive step and should not lead to 'slow death' during change.
4. Staff who are less enthusiastic is a sign of 'slow death.'
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