The nurse manager stated that anyone who continues to use the old paper system for documentation will be required to come in to help with the hospital-based fundraiser on their weekend off of work
Which of the following planned change strategies is the nurse manager most likely attempting to use?
1. Normative-reeducative strategy
2. Nonintervention
3. Empirical-rational strategy
4. Power-coercive strategy
Answer: 3
Rationale: There are three change strategies that can be used during a planned change: empirical-rational strategy, power-coercive strategy, and normative-reeducative strategy. The normative-reeducation strategy is the most appropriate to apply to nursing. This philosophy is based on the idea that nurses have their own set of norms and values and they will support or resist change based upon alignment between the change and their values. Nonintervention is an example of an unplanned type of change that occurs when some process is allowed to die a natural death through neglect. This scenario is an example of the empirical-rational strategy. The empirical-rationale strategy is based on the philosophy that people respond well only to changes that are in alignment with their self-interests. When people are inconvenienced, they will resist the change effort. The nurses who choose to continue to use the old system for documentation will be inconvenienced when they are required to come in on their day off of work to assist with the fundraiser. This strategy does not work well when applied to nursing. The power-coercive strategy is used when a leader uses his or her power to plan and direct change. Loyalty is given to the person with the most power. This strategy does not work well when applied to nursing.
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