If a nurse is working in a state agency that is not providing efficient care while striving for continuous quality improvement, what is the most likely outcome? Select all that apply
1. Agency administrators will receive increased complaints from clients.
2. Government reimbursements from Medicare will decrease.
3. The agency will encounter an influx of care providers seeking employment.
4. The nursing staff will be named in an increased number of negligence lawsuits.
5. Nurse managers will experience more difficulty staffing the units.
Answer: 1; 2; 5
Rationale:
• Agency administrators will receive increased complaints from clients: When client care is not efficient and staff do not work towards improving quality of the care provided, it is likely that client complaints will rise.
• Government reimbursements from Medicare will decrease: Medicare reimburses a predetermined amount for each diagnostic group. If care is not efficient, the agency will experience less reimbursement for the services given to clients over a longer period of time.
• The agency will encounter an influx of care providers seeking employment: If care is not efficient and Medicare reimbursement declines, it is unlikely care providers will seek out the agency for employment.
• The nursing staff will be named in an increased number of negligence lawsuits: Lawsuits against nurses will not necessarily increase just because care is inefficient.
• Nurse managers will experience more difficulty staffing the units: The agency will experience increased turnover because of the inefficiency and stagnation of the agency. It also will experience difficulty in filling the vacancies left by the turnover, as nurses and other staff will want to work for an agency striving to make processes continually better.
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