A nursing manager wants to be involved in activities that would systematically improve quality care. The manager would best accomplish this by
a. ensuring that temporary agency nurses fill open positions.
b. hiring only baccalaureate-prepared nurses on that unit.
c. preparing cost estimates for a new telemetry system.
d. teaching nurses on the unit to use positive conflict-resolution skills.
C
Nurse managers are involved in quality improvement activities in two ways: by creating a culture that is supportive of quality improvement and by making business cases for investments in technology and structural changes. By preparing a cost analysis for a new telemetry unit, this nurse manager is participating in systemic quality improvement.
Filling open positions is important to maintain quality in the hospital, but using temporary agency nurses is working from a crisis mode and not working toward long-term quality improvement.
Policy groups do recommend a higher proportion of BSN-prepared nurses on staffs. However, this does not guarantee improved quality.
Conflict-resolution skills are a great asset, but this does not address quality improvement.
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