Ellen is a novice nurse on your unit. As her supervisor, you notice Ellen's knowledge and skill deficiencies. These deficiencies have been noticed by her peers as well. Which of the following is likely to be the greatest asset to Ellen in improving her performance?
Ignore Ellen's errors until she has more experience.
Ask Ellen to complete a self-assessment, using a standard skills checklist.
Instruct staff to avoid working with Ellen until she learns to do things herself.
Encourage staff to report every behavior of Ellen's that is different from theirs.
The Correct Answer is B
A. Ignoring Ellen's errors does not support her development and may lead to continued mistakes that could affect patient care and team dynamics.
B. A self-assessment using a standard skills checklist allows Ellen to reflect on her skills, identify areas needing improvement, and take ownership of her learning process. This approach encourages self-directed learning and accountability.
C. Instructing staff to avoid working with Ellen can foster isolation and hinder her development by denying her opportunities for mentorship and guidance.
D. Encouraging staff to report Ellen’s behaviors can create a negative environment, fostering distrust and discouraging collaboration rather than supporting her growth.
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Correct Answer is A
Explanation
A. Advocating for patients involves utilizing resources effectively while ensuring that patient care is not compromised, aligning with ethical standards of nursing.
B. Limiting resources at the expense of patient outcomes contradicts the nurse's ethical responsibility to provide high-quality care.
C. Focusing solely on seeing more patients to boost revenue can lead to burnout and decreased quality of care, which is not sustainable or ethical.
D. Reducing the volume of services without considering patient needs can compromise care quality and negatively impact outcomes.
Correct Answer is A
Explanation
A. A decrease in actual nursing staffing hours compared to planned hours indicates a negative variance, as it suggests that staffing was not at the desired levels, potentially impacting patient care.
B. A surplus of available nurses could suggest efficient staffing; thus, it does not represent a negative variance.
C. A decrease in the cost of medical supplies would typically indicate a positive variance, reflecting better financial management.
D. An increase in patient satisfaction scores is a positive outcome and does not relate to negative variances in budgetary terms.