A floor manager discovers widespread dissatisfaction and a high turnover rate amongst LPN and certified nursing assistants (CNA). Which of the following strategies might motivate the staff and lead to enhanced job satisfaction?

Allow LPNs and CNAs to perform tasks beyond their scope of practice.

Establish a rewards program to recognize achievements of the staff.

Hire additional staff so individual workloads are lessened.

Improve the working conditions of the unit by investing in ergonomic chairs.

Answer and Explanation

The Correct Answer is B

A. Allow LPNs and CNAs to perform tasks beyond their scope of practice: This approach can lead to legal and ethical issues, compromising patient safety and putting staff at risk for disciplinary action.
B. Establish a rewards program to recognize achievements of the staff: Implementing a rewards program acknowledges and values the hard work of the staff, boosting morale and job satisfaction, which can lead to decreased turnover rates.
C. Hire additional staff so individual workloads are lessened: While this can reduce stress and burnout, it might not directly address the need for recognition and motivation, which are crucial for job satisfaction.
D. Improve the working conditions of the unit by investing in ergonomic chairs: Enhancing physical work conditions is beneficial, but it does not address the core issues of motivation and recognition that significantly impact job satisfaction.

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Correct Answer is A

Explanation

A. Involve affected staff in the decision-making process: Involving staff in decision-making aligns with complexity principles, which emphasize collaboration and the consideration of multiple perspectives to address complex issues effectively.
B. Focus the assessment on the unit and do not consider the hospital as a whole: Ignoring broader organizational factors may limit the effectiveness of adaptations and does not fully consider the complexity of the hospital environment.
C. Create a mandatory policy to force workers to participate in problem-solving solutions: Mandating participation without engagement may lead to resistance and does not align with complexity principles that value collaboration and buy-in.
D. Select a management approach that does not change: Maintaining the status quo may fail to address the unique needs of older adults and does not reflect the adaptive nature of complexity principles.

A. Searching the literature for a systematic review. B. Applying strategies that aid in adoption of research in practice. C. Providing the results of research studies to practitioners. D. Conducting an integrative review of the literature.

Correct Answer is B

Explanation

A. Searching the literature for a systematic review: Searching for systematic reviews is part of evidence retrieval but does not encompass the broader concept of TRIP, which focuses on applying research.
B. Applying strategies that aid in adoption of research in practice: TRIP involves implementing strategies to incorporate research findings into clinical practice, which aligns with this option.
C. Providing the results of research studies to practitioners: Simply providing research results does not address the broader process of translating and applying research into practice.
D. Conducting an integrative review of the literature: An integrative review involves summarizing existing research but does not focus on the application of research findings to practice.

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A floor manager discovers widespread dissatisfaction and a high turnover rate amongst LPN and certified nursing assistants (CNA). Which of the following strategies might motivate the staff and lead to enhanced job satisfaction?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse manager of a 20-bed medical unit finds that 80% of the patients are older adults. She is asked to assess and adapt the unit to better meet the unique needs of the older adult patient. Using complexity principles, what would be the best approach to take for implementation of this change?

Correct Answer is A

Explanation

The chief nursing officer at a local hospital seeking Magnet® status creates staff development classes concerning translation of research into practice (TRIP). What best describes TRIP?

Correct Answer is B

Explanation

Feedback from staff suggests that the new scale is too difficult for patients who have limited language skills and who are already under duress to understand. The difficulty in implementing the new scale refers to testing:

One of your staff nurses asks for your advice because a patient refuses to sign a consent for surgery. The patient says that he won't sign because he doesn't understand the nature of the surgery. You advise that: (Select all that apply.)

Which of the following is an effective approach in the appraisal of research studies?

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