As the nurse manager, describe how you would decide whether this is a systems problem, or a problem related to the individual nurse.

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In my role as nurse manager, the first thing I’d do is gather all the relevant details about the incident. Assessing if changes to protocols or processes could have affected this specific nurse’s performance is part of the assessment. Also, external factors like staffing shortages and increased demands for patient care may have contributed to the current situation.

It is important to compare data from other nurses that perform the same tasks in order to distinguish between an issue that affects one person and a larger system. It is important to note that if there are similar patterns of behavior among different staff, it may indicate a systemic problem. Hence, adjustments should be made. If only one individual is showing these behaviors, then further discussions are needed about their performance in comparison to other people doing the same work. Finally, by carefully analyzing the internal data and external information it will be possible to decide whether there is a problem with an individual’s performance or one that needs attention.