Question

You meet with the nurse administrator responsible for improvement when issues in the process of care are identified by those on the wards. She listens carefully to your concern, but in the end says she can only try to help improve nursing issues, and not those that extend to pharmacy or transport. The primary reason your meeting is unlikely to lead to an adequate solution is:

(A) No one is identified as responsible for improvement when abnormalities in the process of care are identified.
(B) The responsible individual belittled the nurse reporting the problem.
(C) The nurse administrator did not have the appropriate span of responsibility to engage the system components needed to solve the problem.
(D) Since things have been going along without a serious adverse event for several months, it appears that the current work-around is effective.

Answer 1

The primary reason your meeting is unlikely to lead to an adequate solution is that the nurse administrator did not have the appropriate span of responsibility to engage the system components needed to solve the problem. Option c.

Step-by-step explanation:

The primary reason your meeting is unlikely to lead to an adequate solution is (C) The nurse administrator did not have the appropriate span of responsibility to engage the system components needed to solve the problem.

In the given scenario, the nurse administrator states that she is only able to help improve nursing issues, not those that extend to pharmacy or transport. This indicates a limited span of responsibility, preventing her from engaging the necessary system components to effectively address the identified issues in the process of care.

Without the appropriate span of responsibility, the nurse administrator cannot coordinate and collaborate with all the relevant stakeholders, such as pharmacy and transport, to implement comprehensive solutions that address the identified problems. Therefore, it is unlikely that the meeting will lead to an adequate solution.