The nurse manager on a medical-surgical unit wants to change to "walking rounds" in the patients' rooms for change of shift report. In the past, it has been "face to face" at the nurses sta-tion
The nurse manager is meeting resistance from the staff because they think that it will take longer and the nurses will not finish their shift on time. What could the manager do to increase the nurses' acceptance of this change? a. Inform all shifts that there has been some lapses in communication regarding pa-tient needs and that involving the patient in the report will help alleviate this.
b. Inform all nurses that to reach Magnet™ status that this type of change of shift report is required.
c. Ask the nurses to participate in the planning and implementation of the change.
d. Ask the nurses to try this type of change of shift report for 1 week and then have them evaluate it.
C
Change is always difficult, especially when it has been forced on people, threatens their security, or seems unnecessary. Change is more palatable when nurses participate in the planning and im-plementation and see that it is worthwhile. Trying the new change shift report for only 1 week does not give enough time for nurses to become proficient with this type of report; therefore evaluations will very likely be negative. Also, implying that it will be evaluated may result in nurses thinking that if the evaluations are negative, they will be able to return to the previous way of doing things.
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