A nurse on a neurologic unit is working on performance improvement with a stroke-management team. The nurse identifies a gap between the time a client enters the emergency department (ED) and the time that client is admitted to the intensive care unit (ICU) for aggressive treatment. The nurse's meeting with the team to develop a change strategy using indicators. Which statement by a team member indicates a need for further teaching regarding performance management?

The options of this question are missing; here is the missing section:

Which statement by a team member indicates a need for further teaching regarding performance management?

A. "We can collaborate with staff from the ED and the ICU to formulate strategies and implement change."

B. "We can review ED staffing to see if shortages affect ICU admission."

C. "We can discipline the ED staff for not getting the clients to the ICU fast enough."

D. "We can use statistics gathered in the ED during triage to determine the average time for admission to the ICU."

The answer to this question is C.  "We can discipline the ED staff for not getting the clients to the ICU fast enough."

Explanation:

Appropriate performance management involves meeting effectively goals in an organization, which includes conducting analysis to find the cause of a problematic situation and creating strategies or possible solutions for these. In this context, in the case presented strategies such as collaborating with staff from other departments or using statistics to understand the problem are appropriate.

However, disciplining the staff is not an appropriate action because this is not an appropriate strategy that can solve this problem. Also, one of the elements in performance management is to make all people involved to participate actively in finding strategies and by discipline staff, their cooperation can decrease.