The nurse managers are meeting with the nurse supervisor to discuss unit-specific and organization issues. Which of the following statements by a nurse manager is the most accurate description of a nonlinear change?

Question

1. "My nurses were having a lot of trouble with the new system to clock in and out until we talked to the nurse educator."
2. "We knew the surgeons would have to stop ordering those specific types of dressing changes when the supplies ran out."
3. "I understand that the administrators had to make the decision for us to use this new product to shampoo the clients' hair after the recall of our old product."
4. "I'm not even really sure when it first occurred, but the nurses started doing bedside shift change reporting, and it's working out really well."

Answer 1

Answer: 4

Rationale: Nurse managers should share issues that their own staff members are experiencing. Changes to a way to clock in and out are most likely an example of a planned change. The nurse manager is seeking input to validate any concerns voiced by their staff members. When a process or system is allowed to die out due to neglect, this is an example of nonintervention. A radical intervention can occur due to a product recall. A radical intervention is when a small number of people who are not directly influenced by a change make a decision that impacts a large number of people. Change happens more easily when the people who are impacted by the change assist in making decisions regarding the change. A nonlinear form of change occurs when people are not necessarily even aware of when the change began. The nurses self-organized as a result of a process that was not working well. Nonlinear changes are not formally planned changes.