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At a staff meeting, a nurse manager introduces a new, cutting-edge voice communication device that the staff will be required to use in the upcoming months. The staff is hesitant to the change, expressing that the device is too difficult to use. Which of the following strategies and principles should the manager consider to assist with the successful adoption of the proposed change? Select all that apply.

A.

Recipients of change must perceive that the change will be beneficial.

B.

The nurse manager should remain firm and not negotiate the change goal and process of change with the staff.

C.

The nature of the nurse manager's relationship with the group is a significant factor in accomplishing change.

D.

Recipients of change must participate in identifying the problem warranting the change.

E.

The manager should promote the sharing of ideas and honest reactions, but discourage the sharing of fears to preserve team morale.

Question Solution

Correct Answer : A,C,D

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.


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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. While some nurses may eventually support the change, it is unlikely that immediate disagreement will lead to intergroup cohesiveness without addressing the underlying concerns and communication issues.

B. The division among staff regarding the policy change can lead to distractions and decreased collaboration, ultimately impacting patient care and overall effectiveness within the unit.

C. Although conflict can lead to identifying shared values, this typically requires constructive dialogue and resolution, which is not currently occurring in this scenario.

D. While the policy change may be justified, the lack of staff support and trust can hinder the implementation process, making it unlikely that overall unit outcomes will improve without addressing staff concerns.

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