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?
Involve affected staff in the decision-making process.
Focus the assessment on the unit and do not consider the hospital as a whole.
Create a mandatory policy to force workers to participate in problem-solving solutions.
Select a management approach that does not change.
The Correct Answer is A
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.
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Related Questions
Correct Answer is A
Explanation
A. Depersonalization: Depersonalization involves feeling detached from one’s work and treating patients as objects rather than individuals, which matches Rama's behavior of ignoring patient requests and being rude.
B. Role ambiguity: Role ambiguity occurs when there is a lack of clarity about job responsibilities and expectations, which does not align with the described behaviors.
C. Depression: Depression involves persistent sadness and loss of interest in activities, which may not directly explain the specific behaviors of ignoring and being rude to patients.
D. Hardiness: Hardiness is a personality trait that involves resilience and the ability to endure stressful situations, which contrasts with Rama's negative behaviors.
Correct Answer is C
Explanation
A. Practice failure: Practice failure refers to the inability of a practice or intervention to be successful in a clinical setting, but the issue described is specific to the difficulty of implementation rather than complete failure.
B. Efficacy: Efficacy refers to the ability of an intervention to produce the desired outcome under ideal conditions, but it does not address real-world application challenges.
C. Effectiveness: Effectiveness refers to how well an intervention works in real-world settings, considering factors like ease of use and patient understanding. The feedback highlights difficulties in real-world application, indicating an issue with effectiveness.
D. Comparative error: Comparative error would refer to errors in comparing two different interventions, but the problem here is related to the usability of the new scale.
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