A new manager is hired and is reviewing unit records. The manager finds a list of accidents, errors, and interpersonal problems on the staff. Which action by the manager is best?
a. Investigating the educational credentials and experience of the staff
b. Hiring more registered nurses and assistive personnel
c. Comparing this unit's records with similar units in the hospital
d. Researching alternative staffing patterns and the effects of shift work
ANS: D
A
Because the staff has already been hired, their credentials should already be established and are likely not the cause of the problem. Shift work has been shown to increase depression, exhaustion, accidents, and interpersonal problems, and the manager should investigate this aspect of the work environment.
B
The unit may indeed need more staff, but this alone will not solve the problem. Shift work has been shown to increase depression, exhaustion, accidents, and interpersonal problems, and the manager should investigate this aspect of the work environment.
C
Comparing units is a helpful strategy but not the best option. Shift work has been shown to increase depression, exhaustion, accidents, and interpersonal problems, and the manager should investigate this aspect of the work environment.
D
Shift work has been shown to increase depression, exhaustion, accidents, and interpersonal problems, and the manager should investigate this aspect of the work environment. The manager should investigate problems associated with shift work and find alternative patterns of staffing in order to propose a change.
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