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Homework answers / question archive / CASE STUDY: Peggy Vizente, a clinical nurse on a 57-bed internal medicine ward at a medium-sized teaching hospital in Pittsburgh, Pennsylvania, has  identified a problem of wasted nursing time spent acquiring supplies for client care

CASE STUDY: Peggy Vizente, a clinical nurse on a 57-bed internal medicine ward at a medium-sized teaching hospital in Pittsburgh, Pennsylvania, has  identified a problem of wasted nursing time spent acquiring supplies for client care

Nursing

CASE STUDY: Peggy Vizente, a clinical nurse on a 57-bed internal medicine ward at a medium-sized teaching hospital in Pittsburgh, Pennsylvania, has  identified a problem of wasted nursing time spent acquiring supplies for client care. She notes that at least 30 minutes per day are spent gathering supplies for clients. Nurse Vizente identifies a list of those items that she most frequently has to acquire to perform care. Systematically, she begins to develop a plan to present to her nurse manager to correct this situation. Nurse Vizente designs a nurse server-a container built into the room-to hold essential supplies. She also develops a procedure for how the supplies will be stocked and by whom. She takes her ideas to the nurse manager and proposes a change in procedure and in equipment (nurse server).

1. a) Would you describe Nurse Vizente's proposed change as radical or systematic? b) How would you relate her process to the concept of "organized abandonment"?

2. This change is going to require some adjustments, of course, by not only Vizente's supervisor, but by all the nurses affected. Identify key stages they will most likely experience if they are to agree to and successfully adjust to this new system.

3. Nurse Vizente's nurse manager likes the idea and encourages her to present it at the next staff nurse meeting. She does and for the most part, it seems to be well received, with a couple of questions raised: "How can we test this out, though, before we have to say yes or no? I mean, tha container-the nurse server-has to be built in each area first, right? So what happens if we pay to have these things installed and then find that we don't likr the system?" This is a valid question. Which of Rogers' five factors (for determining a successful planned cjange) does this nurse's question reflect?

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