The nurse manager feels that changing the unit's method of assigning break times would benefit the flow of client care. What should be the manager's first action associated with this idea?

1. Tell the staff that a change is coming, but that it is positive and they should not be worried.
2. Collect and analyze information about how the current system is working.
3. Mention in a staff meeting that the current system is causing a lot of trouble.
4. Identify how the manager would know if the change is benefiting the unit.


2
Rationale 1: It is not a good idea to indicate that a change is coming until further planning is completed.
Rationale 2: Assessment is the first step of the change process, just as it is the first step of the nursing process.
Rationale 3: Planting the seed of discontent with the status quo occurs after the problem has been assessed.
Rationale 4: Operational indicators of success are developed when the planning phase is near completion.
Global Rationale:

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