1. Which of the following actions made by the nurse manager best exemplifies Lewin's Refreezing Stage?
Gathering anonymous data to gauge the opinions of the staff concerning an upcoming proposed change.
Conducting a systematic evaluation of forces that will facilitate or block change.
Hosting educational seminars to convince the staff a need for change.
Creating an incentive program rewarding staff who adhere to the recent policy changes.
The Correct Answer is D
A. Gathering anonymous data is part of the unfreezing stage, where awareness of the need for change is developed.
B. Evaluating forces for or against change also aligns with the unfreezing stage, as it involves understanding current dynamics.
C. Hosting educational seminars is focused on preparing for change, characteristic of the unfreezing stage.
D. Creating an incentive program to reward staff for adhering to new policies is part of the refreezing stage, as it helps to solidify the change and reinforce new behaviors within the team.
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Correct Answer is B
Explanation
A. While private compliments can be valuable, they may not have the same impact as immediate, specific feedback given in the moment.
B. Acknowledging the nurse's performance immediately after they provide exceptional care reinforces positive behavior and allows for specific feedback, which can enhance the nurse's confidence and motivation.
C. While sending an email is a nice gesture, it lacks the immediacy and personal touch that can significantly impact the nurse's morale at that moment.
D. Praising the nurse during a performance review is important, but it delays recognition of their hard work and may not provide the immediate reinforcement that can influence their practice positively.
Correct Answer is C
Explanation
A. The RN is responsible for the care provided but does not hold sole accountability, as overall accountability also lies with the charge nurse.
B. The RN holds responsibility and accountability for their assigned tasks but also shares accountability with the charge nurse for overall care.
C. The RN is accountable for their tasks, while the charge nurse retains overall responsibility for overseeing the patient's wellbeing in the context of team-based care.
D. Both responsibility and accountability are shared between the RN and the charge nurse, making this option incorrect.