Here is a detailed response addressing each aspect of the question:
a) Different leadership styles would approach this issue in various ways:
- Autocratic leadership would mandate nurses respond to call lights within 5 minutes, without staff input. This directive approach risks further alienating staff.
- Democratic leadership would gather staff input on acceptable response times and collaboratively set a new policy. This empowers staff in decision-making.
- Laissez-faire leadership likely wouldn't intervene much, leaving nurses to self-manage response times. This could perpetuate the problem.
- Transformational leadership would inspire nurses to view prompt call light response as integral to quality care. This motivates change through shared vision.
b) Resistance could stem from nurses feeling overwhelmed/understaffed. Leadership should have 1-on-1 discussions to understand concerns. Increased staffing and training on time management could help overcome resistance.
c) Specific actions:
- Gather staff input on challenges through anonymous survey
- Develop response time policy collaboratively
- Increase staffing/adjust assignments if needed
- Provide time management/prioritization training
- Celebrate improvements with rewards
- Track progress with audits and feedback to staff
d) Improper delegation could contribute if nurses feel certain tasks aren't their responsibility. Leadership should clarify roles/responsibilities and provide delegation training.
In summary, transformational leadership to inspire change, collaborative policy-making, increased resources/training, and role clarity through proper delegation could improve call light response times.