In the cardiac intensive care unit, a group of nurses is disgruntled by a recent policy change enacted by the new unit manager. The new manager insists that this decision is "right," and for critics to adopt the policy immediately. Though many nurses agree with the change, many others feel the decision was made without their consent, fostering mistrust of the manager and each other. Which of the following statements demonstrates the most probable result of this situation?
Upon noticing the positive outcomes of the decision, the disagreeing nurses will see the error of their ways, resulting in intergroup cohesiveness.
Patient care may suffer because attention and energy is being diverted.
The conflict will allow nurses to more clearly identify their shared values.
Overall unit outcomes will be enhanced since the policy change is the right decision.
The Correct Answer is B
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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Correct Answer is B
Explanation
A. Fidelity refers to the obligation to keep promises and commitments made to patients, but it does not specifically address the concept of causing harm.
B. Nonmaleficence is the ethical principle that emphasizes the importance of "do no harm." It focuses on protecting clients from harm and ensuring safety in their care.
C. Justice pertains to fairness and equality in the distribution of healthcare resources and services but does not directly address the issue of harm.
D. Beneficence involves actions that promote the well-being of patients and can include doing good, but it does not specifically emphasize the avoidance of harm as nonmaleficence does.
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.