A nurse is caring for a client diagnosed with lung carcinoma and scheduled for a left pneumonectomy. The nurse should prioritize which nursing Intervention in the immediate postoperative period?

A. The number of medication errors committed by another nurse. Quality improvement focuses on systemic issues rather than individual performance. Addressing medication errors should involve evaluating factors such as workflow inefficiencies, high workloads, or unclear protocols rather than singling out a specific nurse. Identifying system-wide improvements enhances patient safety more effectively.
B. Systems that make it difficult for the nurses to do their job. Quality improvement initiatives aim to identify and correct systemic barriers that hinder nursing efficiency and patient care. Issues such as inadequate staffing, poor communication, or outdated technology can lead to errors and inefficiencies. Addressing these barriers can improve workflow, reduce mistakes, and enhance patient outcomes.
C. Collective bargaining activity at a nearby hospital. Discussions about union activities or labor disputes are not directly related to quality improvement. While working conditions can impact patient care, this topic is more relevant to human resources or labor relations than a quality improvement committee focused on systemic patient safety issues.
D. How unhappy the nurses are with their current pay. While job satisfaction is important, a quality improvement committee focuses on patient safety, workflow efficiency, and care outcomes. Salary concerns are best addressed through administration or labor negotiations rather than a committee designed to implement clinical and operational improvements.

A. Supportive feedback: This term refers to positive, constructive input that aims to help a colleague improve their practice or decision-making. Nurse Taylor's behavior does not reflect supportive feedback; rather, it is negative and undermining, contributing to a hostile work environment.
B. Lateral violence: This term describes aggressive or bullying behavior exhibited by colleagues at the same hierarchical level. Nurse Taylor's sarcastic remarks and belittling comments toward Nurse Jordan are clear examples of lateral violence, as they create a toxic atmosphere and negatively impact team dynamics. This behavior can lead to increased stress and decreased morale among team members.
C. Workplace violence: While Nurse Taylor's behavior can be considered a form of workplace violence in a broader sense, it is more specifically classified as lateral violence. Workplace violence generally encompasses physical threats or harm, while lateral violence focuses on verbal and emotional abuse among coworkers.
D. Constructive criticism: Constructive criticism involves providing feedback aimed at improving performance while maintaining respect and professionalism. Nurse Taylor's sarcastic remarks do not meet this definition, as they are not aimed at helping Nurse Jordan but rather serve to belittle and undermine her. Therefore, this behavior is not constructive and instead falls into the category of lateral violence.