As the unit manager, you spend a day performing direct patient care and work with a new system that is designed to capture patient documentation at the bedside
During discussions with staff while giving care, you discover that the number of screens that need to be opened during documentation makes charting more complex and time-consuming than traditional manual charting approaches. On the basis of this feedback, you:
a. Assume that the system is doing what it needs to do.
b. Provide reassurance to staff that the unit has achieved its goals in implementation of the system.
c. Ask some of the staff if they have had similar experiences with the system.
d. Consult chart audit data and end user consultation reports to determine if errors and problems are occurring.
ANS: D
In Kotter's eight-step change model, removing obstacles means keeping alert for barriers in structure and processes that limit the ability to change and then removing those barriers once they have been found.
You might also like to view...
After experiencing two workplace accidents in which he fell asleep, a 30-year-old construction worker has been diagnosed with narcolepsy
The patient admits that he is embarrassed to receive this diagnosis and is adamant that no one find out about it. The nurse should respond to the patient by explaining what aspect of the etiology? A) "This is the result of neurological factors over which you have no direct control." B) "In a lot of cases, making improvements to your sleep habits can resolve narcolepsy." C) "This is something that runs in certain families, and it's not your fault that this has happened." D) "This usually stems from suppressed emotions, so counseling usually helps greatly."
An obese male patient has sought advice from the nurse about the possible efficacy of medications in his efforts to lose weight. What should the nurse teach the patient about pharmacologic interventions for the treatment of obesity?
A) "Medications are usually reserved for people who have had unsuccessful bariatric surgery." B) "Medications may be of some use, but they don't tend to resolve obesity on their own." C) "Medications are an excellent option for individuals who prefer not to exercise or reduce their food intake." D) "Medications have the potential to reduce hunger but they rarely result in weight loss."
When helping the mother, father, and other family members actualize the loss of the in-fant, nurses should:
a. Use the words lost or gone rather than dead or died. b. Make sure that the family understands that it is important to name the baby. c. If the parents choose to visit with the baby, apply powder and lotion to the baby and wrap the infant in a pretty blanket. d. Set a firm time for ending the visit with the baby so the parents know when to let go.
A patient reporting a "dragging" sensation in her groin and a backache over the sacrum is likely experiencing:
1. Pelvic inflammatory disease 2. Uterine prolapse 3. Abnormal uterine bleeding 4. Polycystic ovarian syndrome