A nurse leader has been commissioned to implement a new electronic documentation system in a hospital, replacing the existing paper-based system that has been in place for decades
What is the first step that this nurse should take toward facilitating this change?
A) Enlist the support of the physicians and advanced practice nurses in the hospital.
B) Publicize the deficits of the existing documentation system.
C) Understand how and why individuals are often resistant to change.
D) Begin the process of evaluation before the change is implemented.
Ans: C
A first step in facilitating change is gaining a thorough understanding of resistance
to change. This should precede the evaluation process, even though this should indeed begin
early in the change process. An understanding of the change process is necessary before the
nurse begins eliciting support from care providers or publicizing the deficits of the current
system.
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