A certified nurse's aide (CNA) has been reported to the nurse manager for refusing to perform hand hygiene between clients when providing morning care. Which statement by the nurse manager would be the most effective?
1. "Do you need a class on hand hygiene?"
2. "Forgetting to perform hand hygiene between clients can spread infection."
3. "Why do you refuse to perform hand hygiene?"
4. "If I hear of any more instances of you not performing hand hygiene, I will write you up."
2
Rationale 1: Asking if the CNA needs a class on hand hygiene is demeaning.
Rationale 2: The employee needs to realize the unwanted behavior has consequences for the client. A better understanding may prevent the behavior in the future.
Rationale 3: There is no choice except for the CNA to perform hand hygiene. Why it is not being performed is not as important as reinforcing the need.
Rationale 4: The employee must understand the consequences if the behavior does not change but this should not be communicated in a threatening manner.
Global Rationale:
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