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 ["A","C","D"]
Explanation
A. It is crucial that staff members perceive the change as beneficial; otherwise, they will resist adoption. Clear communication of the advantages of the new device can foster acceptance.
B. A successful change process often involves negotiation and collaboration, allowing staff to express concerns and participate in the transition, enhancing buy-in and ownership.
C. The relationship between the nurse manager and the staff significantly impacts the change process; a positive relationship can lead to greater trust and willingness to adapt.
D. Involving staff in identifying the problem for the change promotes ownership and commitment, making them more likely to embrace the new device.
E. While sharing ideas and reactions is beneficial, discouraging the expression of fears can lead to unresolved issues and resentment, which could hinder the change process. It is essential to create an environment where all feelings and concerns can be shared openly.
Correct Answer is B
Explanation
A. This scenario involves the UNP providing education and re-teaching, which is beyond their scope of practice. Delegation should involve tasks that are within the UNP's competency.
B. This scenario appropriately delegates a task that is within the UNP's role, providing clear instructions and ensuring safety with non-slip socks. It maintains accountability by requiring a report afterward.
C. This scenario requires assessment and nursing judgment, which are tasks that should not be delegated to UNP, as they need to be performed by a licensed nurse.
D. This scenario suggests a lack of support and guidance for a new employee, which is not appropriate. Delegation should provide clear instructions and ensure safety rather than placing the burden of learning on the UNP without proper support.