A nurse manager approaches the nursing supervisor with a request for approval to incorporate 12-hour shifts into scheduling. The supervisor denies the request, stating this staffing pattern was used previously with poor outcomes. Which responses by the nurse manager may positively influence the supervisor? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
A) "I agree it was not effective years ago, but other units have now had success with it."
B) "What were your specific concerns about the 12-hour shifts?"
C) "I think it is unfair to refuse my unit this opportunity based on the past."
D) "Why are you always so opposed to change on my unit?"
E) "If we don't offer alternative staffing patterns, we aren't going to be able to attract new hires."

Question

Quizplus · Accepted Answer

1. This is an example of using "fogging," or agreeing with part of what is said. This technique may make the supervisor rethink the decision by offering some new information.
2. Asking about previous concerns is a type of negative inquiry. It helps the nurse manager understand the supervisor's position, but also requires the supervisor to rethink the issue.
3. Telling the supervisor it is unfair is the same as calling the supervisor unfair and is confrontational.
4. This approach is confrontational.
5. Threats, even veiled threats, are confrontational and should not be used.

A Nurse Manager Approaches the Nursing Supervisor with a Request