Which nursing behaviors best indicate that an empowered staff has shifted the paradigm of care in their unit?
1. Routine use of new neoprene restraints when this is necessary for control.
2. Making rounds every 2 hours on patients not in restraints or seclusion.
3. Routinely involving the patient and family in the plan of care and treatment choices.
4. Staying in the nurses' station with locked glass windows while administering medications.
Answer: 3
Explanation: The paradigm shift for nursing care occurs when nurses develop a partnership with patients and families, emphasis on individualized care and the fostering of hope for recovery. Neoprene restraints, rounding every 2 hours, and locked glass windows have more to do with the old paradigm of consistency, control, and vigilance.
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