A nurse manager finds an unsigned note reporting that patient care standards are not consistently being followed. Within the organizational structure, what is the best action for the manager?
a. Schedule a staff meeting to ask staff who left the note.
b. Send an email reminder that all staff need to review the policy and procedure book.
c. Wait for a staff member to come forward who is willing to be identified.
d. Form a small group to explore why staff are not comfortable reporting errors.
ANS: D
There are significant problems in an organization where staff are not willing to openly discuss problems, especially problems that affect patient care. A focus group can help identify what is preventing a sense of comfort to reveal problems. Scheduling a meeting is unlikely to have the person admit to complaining about care provided by coworkers in front of coworkers. A request to review policies and procedures is so broad the staff will not be able to identify a specific problem that needs to be corrected. Unless organizational changes are made, it is unlikely that staff will decide to come forward when they would not do so in the first place.
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