A nursing manager has noticed increasing incidents of rudeness and lack of cooperation among co-workers. Which action by the manager is best?

a. Holding a staff meeting and reminding the staff of policies regarding behavior
b. Disciplining the "ringleaders" in order to make an example for the other staff
c. Having informal meetings to solicit staff opinions on the workplace
d. Announcing that raises will be withheld from staff members engaging in this behavior


ANS: C

A
Workplace incivility leads to poor patient outcomes and cannot be tolerated. However, people engage in this type of behavior because they feel stressed and powerless. Simply reminding staff members of behavioral expectations would make them feel more powerless.
B
Workplace incivility leads to poor patient outcomes and cannot be tolerated. However, people engage in this type of behavior because they feel stressed and powerless. Simply disciplining the "ringleaders" would increase their sense of powerlessness and would not solve the root problem.
C
Workplace incivility leads to poor patient outcomes and cannot be tolerated. However, people engage in this type of behavior because they feel stressed and powerless. Obtaining opinions about the working conditions could help the staff and manager pinpoint areas leading to the stress and powerlessness, which could then be addressed, increasing staff power and decreasing stress. This should lead to decreased incivility. The other options might need to be employed as well, but this option would hold the best chance of solving the root problem.
D
Workplace incivility leads to poor patient outcomes and cannot be tolerated. However, people engage in this type of behavior because they feel stressed and powerless. Simply withholding raises would increase feelings of powerlessness, hostility, and resentment.

Nursing

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