An organization is developing a strategy to address recent staffing shortages. Which of the following interventions BEST secures patient safety and reduces cost?
Recruiting volunteers to assist with collecting vital signs and providing basic care needs
Developing a centralized staffing pool of float nurses.
Assigning nurses from less busy units to understaffed ones, regardless of differences in patient acuity.
Implementing a mandatory overtime policy compelling nurses to cover staffing shortages.
The Correct Answer is B
A. Recruiting volunteers might seem like a cost-effective solution, it can be problematic in terms of patient safety and quality of care. Volunteers generally lack the clinical training required to perform medical tasks safely and competently. Their involvement in direct patient care could pose risks to patient safety and may not effectively address staffing shortages in a meaningful way.
B. Developing a centralized staffing pool of float nurses is a strong intervention for addressing staffing shortages while securing patient safety and managing costs. Float nurses are experienced and can be deployed to various units as needed. This strategy ensures that staffing needs are met in a flexible and efficient manner, without compromising patient care. It also helps to balance the workload and prevents burnout among regular staff.
C. Assigning nurses from less busy units to understaffed ones can be effective, but it must be done with consideration for patient acuity. Nurses need to be assigned based on their skills and the needs of the unit to ensure that patient safety is maintained. If nurses from less busy units are assigned to areas with higher acuity patients without proper training or experience, it could compromise patient care and safety.
D. Implementing a mandatory overtime policy can address short-term staffing shortages but often leads to staff dissatisfaction, burnout, and decreased quality of care. Compelling nurses to work extra hours can negatively impact their well-being and job satisfaction, potentially leading to higher turnover rates and increased costs associated with recruiting and training new staff.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This is a primary responsibility of case management services. Case managers coordinate various aspects of a client’s care, including arranging for home health care services. They work with healthcare providers and agencies to ensure the client receives the necessary services and resources, such as nursing care, physical therapy, or other supportive services at home.
B. Writing prescriptions is the responsibility of licensed healthcare providers such as physicians or nurse practitioners, not case managers. Case managers do not have the authority to prescribe medications; instead, they focus on coordinating care and ensuring that clients have access to the necessary resources and services.
C. Performing specific nursing skills, such as dressing changes, is within the scope of practice for registered nurses or other licensed nursing professionals. Case managers typically do not provide direct clinical care or perform nursing procedures. Their role is more focused on coordinating care and ensuring that clinical needs are met through appropriate services and providers.
D. Providing education about medication adverse effects falls within the role of healthcare providers who prescribe and manage medications, such as physicians, nurse practitioners, or pharmacists. While case managers may assist in coordinating educational resources and facilitating communication between the client and healthcare providers, they generally do not provide direct medication education.
Correct Answer is A
Explanation
A. Assessing the parents' preferences regarding the amount and type of information they want is crucial because it helps tailor the communication to their needs and emotional state. This initial step ensures
that the information provided is appropriate for the parents’ level of understanding and readiness. By understanding their preferences, the nurse manager can offer information in a manner that is most supportive and useful for the family.
B. Arranging for a specialist to speak with the family might be necessary. However, it is not the first step in the process. This step would be more relevant after understanding the family’s needs and preferences, as the specialist can then provide more targeted and relevant information based on the family's specific questions or concerns.
C. Directing the family to online resources might be useful, but it is not the first priority. Providing online resources should come after assessing the family's needs and preferences to ensure that the resources are relevant and appropriate.
D. Having patient education brochures available is important but it should come after assessing the family's preferences. The brochures alone might not address the family's immediate concerns or preferences for the amount of information they wish to receive.
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