In an effort to control costs and maximize revenues, the Rehabilitatio

QUESTION

In an effort to control costs and maximize revenues, the Rehabilitation Unit at Cross Hospital reduced the number of its managers and increased the number of units for which each manager was responsible.

Within a year, the number of adverse events on the units had doubled. This may be attributable to:

a. The overload of staff nurses.
b. Resistance to change by staff.
c. A change in reporting systems.
d. Fewer clinical leaders to remove barriers to care.

ANSWER:

ANS: D
Eliminating barriers to the implementation of best practices is the role of managers and leaders. When there are insufficient resources for leadership to encourage a culture in which evidence-based practice is embraced, frontline nurses recognize this as a stumbling block for delivering quality care.