Due to time constraints, the nurse manager has not adequately monitored for quality improvement following the recent organization-wide change to a new patient-controlled analgesic pump

Question

Which of the following responses by the staff nurses can be expected?
1. "The change to the new PCA pumps is really going well."
2. "I can't get anyone to tell me how to clear the pump without going through five different steps. It seems to take forever."
3. "It sounds like the change is costing the organization a lot less money to rent the pumps."
4. "The nurse manager said that the new pumps are saving the nurses an average of 7 minutes throughout their day."

Answer 1

Answer: 2

Rationale: Change must be evaluated to determine its importance. Evaluating change can help the organization understand whether the change efforts are worthwhile, are cost-effective, and benefit the organization. The staff nurses involved in the change should be knowledgeable about how well the change is going overall. Problems should be pinpointed early, and corrective action should be quickly provided. Staff members should continue to struggle with problems. The staff members should understand how the change is effecting the organization financially. The staff members should be educated about how the change might be saving them time, and to understand the benefits related to the change. These questions can be answered only by evaluating the change. Relevant data should be analyzed carefully and in a timely manner. When evaluation of change is given a low priority, the answers to these questions will be vague and will lack meaning.