Question 1

Sarah,RN,is one of your most enthusiastic staff members and has been to a workshop on preparing educational materials for patients.On the basis of this workshop,she would like to develop an information Website for patients who are being admitted to the ward.An appropriate response to Sarah's suggestion would be:

Accepted Answer

Involving Sarah with others who enjoy new ideas and who are able to try out new ideas in pilot projects enables her to remain on the cutting edge and to try out innovative solutions with the least amount of disruption.

Question 2

You anticipate that your region will soon move towards an e-health record system.You begin to discuss this with your staff and are disappointed that you receive little positive response from the staff about this possibility.One staff member,in particular,seems to sum it up by saying "e-health? Won't happen in my working life! There are too many problems with it,like privacy issues." This response is most likely motivated by:

Accepted Answer

For leaders to inspire change,they must have intimate knowledge of what matters to the people they manage.Kotter (2012)characterizes this as establishing a sense of urgency,and this involves overcoming complacency.This is especially hard when there doesn't seem to be any visible crisis,or the crisis seems irrelevant to the people being asked to change (Kotter,2012).

Question 3

Which of the following are examples of application of the Leadership Rounding Tool? (Select all that apply.)

Accepted Answer

The Leadership Rounding Tool suggests establishing and maintaining rapport and asking what is working well,what was a barrier,and who should be recognized,as well as answering tough questions.

Question 4

Edith has been vocal about her negative concerns related to a new charting system and frequently expresses the view that keeping the "old system" would have been "just fine." In facilitating change,your best approach to Edith would be to:

Accepted Answer

Laggards prefer keeping traditions and openly express their resistance to new ideas.Having a group of change agents and innovators on board to champion an idea builds what Patterson et al.call "social motivation" and "social ability." This group can help staff,such as laggards,who are less adept at change.

Question 5

As the unit manager on the unit that is leading changes to heparin locks,you find that Elizabeth is very valuable in terms of her observations about other units and her knowledge of organizational processes,and now in discussing the new procedure with others.Elizabeth might be considered an:

Accepted Answer

Informal change agents are those who do not have formal,positional power but who have credibility through expertise and can model the new way of thinking,or who offer suggestions,ideas,and concerns.

Question 6

As the unit manager,you spend a day performing direct patient care and work with a new system that is designed to capture patient documentation at the bedside.During discussions with staff while giving care,you discover that the number of screens that need to be opened during documentation makes charting more complex and time-consuming than traditional manual charting approaches.On the basis of this feedback,you:

Accepted Answer

In Kotter's eight-step change model,removing obstacles means keeping alert for barriers in structure and processes that limit the ability to change and then removing those barriers once they have been found.

Quiz 17: Leading Change

Which of the following are examples of application of the Leadership Rounding Tool? (Select all that apply.)

Edith has been vocal about her negative concerns related to a new charting system and frequently expresses the view that keeping the "old system" would have been "just fine." In facilitating change,your best approach to Edith would be to:

As the unit manager on the unit that is leading changes to heparin locks,you find that Elizabeth is very valuable in terms of her observations about other units and her knowledge of organizational processes,and now in discussing the new procedure with others.Elizabeth might be considered an: