The hospital has initiated a new fall risk assessment tool. The nurse manager would like to reward those staff members who use the tool regularly. Which method of reinforcement would be most successful in getting long-term compliance?
1. A coupon for free lunch for staff members each time they use the tool
2. A counseling session with the nurse manager when the assessment tool has not been used
3. A coupon for a free lunch for staff members who, according to a medical record review of nursing documentation, consistently use the tool correctly
4. A pizza party for the staff when there is 100 percent compliance
3
Rationale 1: A reward on each instance of a behavior will change behavior but is not as effective for a lasting behavior change. Behaviors learned under a continuous schedule extinguish very quickly once the reinforcement stops.
Rationale 2: Positive reinforcement is a better way to change behavior than punishment.
Rationale 3: When giving reinforcement for desired behaviors, the reward should be seen as positive for the employee and based on continued performance.
Rationale 4: To be most effective the staff member should have as much control as possible over the reward. This is not possible with a pizza party.
Global Rationale:
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