The QI nurse, with the help of the new unit manager, developed a standardized shift-to-shift hand-off report with a one-page tool to be used for each patient. The intent of this tool is to provide a comprehensive, structured approach to providing critical information on new and recovering postoperative patients. The new tool was introduced by the new manager at a monthly staff meeting and was scheduled for immediate implementation. At the next monthly staff meeting the nurse manager reported that only a third of the nurses were using the tool consistently. Most of the nurses voiced that the tool was time-consuming and rarely completed by the time the report was given. Respond to the following in your initial post: Identify potential problems in the implementation of this QI strategy. What change strategy or combination thereof (rational-empirical, normative-reeducative, or power-coercive) do you believe has the greatest likelihood of increasing the nursesâ compliance with the new hand-off tool? How would you use this strategy and who would be involved in the change effort? What efforts might you use to increase the unfreezing so that the unit nurses are more willing to actively participate in using the hand-off tool? Respond to two peers by offering new perspectives, added steps or problem areas, and encouraging further discussion and critical thinking.
The QI nurse, with the help of the new unit manager, developed a standardized sh
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