Module 6.04

Last month, two nursing units were merged to save on staffing costs. The nursing manager is now inquiring among the staff about how the change is working and if any barriers remain. What stage of change is this? a. Plan b. Design c. Integrate d. Implement

Ans: C

What is the role of the change agent? a. Seeks to lead or create change b. Delegates the change process c. Allows others to identify necessity of change d. Allows resistance to change to occur

Ans: a

As the nursing manager of a unit, which key steps should be performed before implementing a change effort? (Select all that apply.) a. Encourage input from team members who would be impacted by the change. b. Investigate the magnitude and complexity of the intended change. c. Use a roadmap as a guide to complete the change. d. Keep track of the pace and stress of the change. e. Delay gathering input from team members.

Ans: a, b, c

A nursing staff member who is on a unit committee to bring about a planned change is currently in the integrating phase of change. What activities are associated with the integrating phase? (Select all that apply.) a. Assessing how well the new process is accepted and becoming the norm b. Asking a lot of questions, such as 'what can be done to overcome barriers? c. Investigating the magnitude and complexity of the intended change as it is implemented d. Assessing how well the change is working against an established measurement for success e. Brainstorming solutions by using your own skills and the skills of those who will be affected by the change.

Ans: a, d

A nursing staff member in the ED has noted where improvement of a procedure would bring about more efficiency. The staff member wants to share their idea with their supervisor. What would be the best option to facilitate the possibility of change? a. Minimize the use of grassroots support from other staff. b. Communicate within a vacuum. c. Take initiative and implement the change without approval. d. Schedule a meeting with your supervisor and submit a concise plan related to your idea for consideration.

Ans: d

The nurse leader is a change agent and needs to identify factors that lead to resistance of change. Identify the factors of resistance. (Select all that apply.) 1. Poor timing 2. Understanding of need for change 3. Lack of trust 4. Personal energy needed 5. Comfort with the current way of completing goals or tasks

Ans: 1, 3, 4, 5

A new nursing graduate has just started working in a hospital unit that has had difficulty in staff retention. Which type of resistance may be a result of changes that will occur despite the beliefs of the workforce? a. Political b. Technical c. Cultural d. Personal

Ans: C

It is important for nurse leaders to establish a trusting relationship with those involved in the change process. TRUE FALSE

Ans: True

Stages of change

Design: get feedback from your team Plan: use a roadmap and ask questions Implement: investigate complexities and stress Integrate: see if the change is working

The nurse is a member of the nursing staff at a hospital that is undergoing significant organizational change. Which factor is the greatest contributor to the resistance encountered with organizational change? a. Insufficient staff involvement in the process b. Poor organizational leadership c. Employee mistrust of management d. Ineffective organizational management

Ans: C

A nurse leader is working in the ER when a patient presents with a deep head laceration requiring immediate suturing. The nurse leader went to the medical supply area for antibacterial ointments, gloves, and bandages. However, the nurse noticed that the medical supply cabinet was extremely disorganized, so it took much longer than it should have to find the necessary supplies. The next morning, the nurse leader began to ask team members if they had any input regarding the organization of the medical supplies, and then began to brainstorm a few different ideas, such as rearranging the supplies and relabeling items. What is the next stage of change the nurse leader should address? a. Design b. Integrate c. Implement d. Plan

Ans: D

After attending a health care research seminar, a registered nurse who works in the transplant unit became very interested in the ability of 3D printing to help save lives. The nurse would really like to raise awareness and see the hospital invest in a 3D printer. What are the different technical reasons for resistance that the nurse may encounter? (Select all that apply.) a. Budget issues b. Unqualified personnel c. Lack of resources d. Power e. Public education

Ans: a, b, c

The charge nurse for a post-op treatment center believes that change needs to take place to make the nursing process smoother and the treatment center safer. The nurse's rationale for making change would include which reasons? (Select all that apply.) a. To solve an existing problem b. To fill work quotas c. To reduce unnecessary workload d. To improve staff productivity e. To establish leadership power

Ans: a, c, d

A few months ago, a new nurse leader at a hospital discovered via evidence-based practice that tablet computers improved accuracy of documentation and decreased patient wait time. The leader noted that these outcomes are beneficial to the facility, staff, and patients, as tablets provide portable access to patient electronic medical records. The nurse leader is currently in the planning stage. Which activities are part of planning stage? (Select all that apply.) a. Brainstorming the impact, pros and cons, and potential challenges to implementation with impacted teammates. b. Keeping track of the pace and stress of change. c. Anticipating resistance to the change by less tech-savvy staff. d. Evaluating how the plan unfolds in real-time. e. Determining the scope of the change project, a schedule for its implementation, and a budget to submit to administration for approval.

Ans: c, e