Exam 19: Workforce Engagement and Collective Action

Government and third-party payers announce reduction of compensation for the delivery of patient services.Hospital STV has a flat organizational structure.After the funding announcements,senior officials at the hospital meet and make decisions regarding cost containment of new revenue streams.This action is consistent with:

Collective action is effective in:

Martin,the unit manager,receives complaints from community agencies that patients who have been discharged from his unit seem to lack understanding about their disorder and immediate strategies for managing elements of their care.Martin checks the patient teaching sheets and notes that the sheets are initialed by staff.He calls the agencies and indicates that teaching has been done.Potential outcomes of Martin's actions include (select all that apply):

In Hospital STV,senior administration is strongly oriented toward fiscal and social conservatism.The nursing department is deeply concerned with the provision of quality to the community,which includes a high number of poor and unemployed.To accomplish the goals of the nursing department,resources need to be allocated that administration is not able to allocate.Nursing and administration:

In a nurse managers' meeting,strategies for ways to help retain staff are discussed.One strategy for assisting nurses in developing collective action skills is:

Sandra,an RN on the surgery unit,is assisting with a procedure in the patient examination room.The physician orders a medication to be given through IV.Sandra questions the order,based on her knowledge of the patient's history and of other medications that the patient has been given.The physician reiterates the order and Sandra refuses to give it.In this instance,Sandra is demonstrating: