Highlight your answers in the following case

Highlight your answers in the following case study. The nurse manager on a medical surgical unit has recently identified a substantial increase in medication errors, which have created much concern about patient safety. She has determined that this is a unit-wide problem not related to any one nurse. 1. How would she have discovered that this is a unit-wide problem? SATA A. look at the incident reports generated by medication errors B. ask patients who were affected C. confront new and “marginal” nurses D. ask the UAPs for their observations E. perform your own medication count each shift 2. Please explain (briefly)why the answers above were either correct or incorrect: A. B. C. D. E. The nurse manager approaches the solution to this problem very methodically. She begins by looking at the current policies and procedures manual to research their accuracy and appropriateness and walks through each of them on the unit, as if she were passing meds herself. She reviews the mission, vision and philosophy statements of the organization and of the unit and looks forward to leading a unit that exemplifies the highest order of nursing care. To do this, she plans to provide education, training and opportunities for promotion. 3. The nurse manager is demonstrating which type of change? *reactive *inactive *pre-active *proactive 4. Why did you answer this way? 5. Select the mission statement from the following * Best care Hospital bases its care on the social justice model, serving everyone who comes to us in need * Best care Hospital is a regional hospital that serves its community with a goal of promoting social justice. The purpose of the hospital is to improve the health of the surrounding communities through high quality, responsive care that is holistic and culturally sensitive. *All employees will demonstrate respect for each patient regardless of social, economic or cultural status * Each employee of Best care Hospital will complete cultural sensitivity and social justice trainings within 60 days of hire 6. When you (the nurse manager) consider how your unit could look with some further education and training, you are demonstrating _________________________ strategic planning visioning the use of a balanced scorecard and metrics her unit philosophy The nurse manager schedules meetings with the nurses on each shift, she even brings in nurses on their day off to participate, paying them for their time. As they all gather, the nurse manager describes the problem that she has identified. The nurses do not seem to see a problem the deny that medication errors have increased. They look at her without speaking, arguing or asking questions. Some even accuse her of making up problems. She continues without reacting to their comments, and presents the data that she has gathered… 7. Which stage of the Stages of Change Model are the nurses demonstrating? Why do you say this? 8. What is the next stage and how might that look in this scenario? What is this next stage called? 9. Which of the behavioral strategies should the nurse manager use to help address this problem? Describe (in about two sentences) what the nurse manager might do within the strategy you identified. 10. If the nurses on the unit remain resistant to change, how should the nurse manager proceed

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