Final answer:
The nurse manager's statement that shows understanding of what initiated the development of STEPPS is the need for a teamwork system focused on improving communication and teamwork.
Step-by-step explanation:
The statement by the nurse manager that shows understanding of what initiated the development of the team Strategies and Tools to Enhance Performance and Patient Safety (STEPPS) is 'c. A need for a teamwork system focused on improving communication and teamwork.'
STEPPS was developed to address the need for a systematic approach to improve communication and teamwork in healthcare settings in order to enhance performance and patient safety. It is a strategy that aims to reduce medical errors and improve patient outcomes by promoting effective collaboration among healthcare professionals.