[Solved]: I am a unit-based nursing educator, and in this…

I am a unit-based nursing educator, and in this role, I have seen certified nursing assistants (CNAs) struggle with the demands of their work. Here is Nancy’s story, which is representative of many in her position. I set out to improve the work environment for Nancy and her colleagues. Nancy loves her work as a nursing assistant, but she is very concerned about recent events. The unit has been in a period of transition with an interim nurse manager who is relatively new to the institution. Although there are several experienced nurses on the unit, most of them were hired after Nancy, and Nancy is not sure whom she can trust. She is getting tired of all of the changes, and she is skeptical about the new nurses who are younger than her own daughter. To make matters worse, rumors are flying about the candidates for the nurse manager position, and it is difficult to know fact from fiction. Nancy has attended staff meetings and heard about patient satisfaction scores, quality initiatives, and budget concerns, but what do those have to do with her? It was a typical 12-hour workday, and Nancy had a seven-patient assignment. Morning report was always a challenge. With “Partnership Rounding,” the nurses gave report at the bedside, but Nancy was working with two nurses today, which meant that she would miss part of report. She decided to take report with Jess, and she would have to catch up with Meghan later. The problem was that one of Meghan’s patients had to be transferred to the special care unit, so Nancy would not get Meghan’s report until later in the morning. That was typical; the nurses never seemed to have the time to keep Nancy updated. Luckily, Nancy had seen the night certified nursing assistant (CNA) and got a brief update. Nancy’s morning routine included daily weights, morning baths, helping her patients order breakfast, and obtaining blood glucose testing and vital signs. She had a patient on strict bed rest and another who was recovering from abdominal surgery. Patients were calling for assistance to the bathroom, and she was being paged to get someone on a stretcher for a CT scan. She looked around for help, but the nurses said they were too busy. It infuriated Nancy to see one of the nurses take a seat at the desk and sign on to the computer. Training programs for CNAs provide a total of 150 hours of classroom, skills laboratory, and supervised clinical practice. CNAs learn the necessary skills to perform tasks under the direct supervision of a registered nurse, but their linear training does not necessarily prepare them to practice in a complex adaptive system such as an adult oncology unit in an acute care setting. –The nurse educator embodies qualities and actions of the complexity leader as well as congruence. Identify some of these qualities. What are some of the indicators that Nancy was in cognitive dissonance? How did the educator help move Nancy and her colleagues toward congruence?