The nurse manager believes that the nurses who work in the department are working overtime more often than necessary. Which of the following steps by the nurse manager has the highest priority when preparing for change?
1. Develop a list of interventions to implement to reduce overtime paid to staff members.
2. Develop a list of allies to assist with the change process.
3. Attempt to minimize anxiety related to the change process.
4. Collect and analyze data surrounding overtime and client acuity levels.
Answer: 4
Rationale: The most important thing to do prior to planning a change is to collect and analyze data that support the need for a change. People affected by the change will need this information to understand the rationale for the change. This information will assist the nurses to psychologically adapt during the change process. It is important for the nurse to develop a list of nursing staff members who might serve as allies for the change, after the need for a change has been identified. It is important for the staff members to actively participate in developing a list of ways to alleviate the problem, after they understand the problem. During the change, it is important to help minimize staff members' anxiety to help them adjust.
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