Nurses on a surgical unit are concerned about a healthcare provider's treatment of clients during invasive procedures. What is the first action the nurses should take to resolve this problem?

• A. Talk to the healthcare provider as a group in a non-confrontational manner.
• B. Document concerns and report them to the charge nurse.
• C. Submit a written report to the Director of Nursing.
• D. File a formal complaint with the state medical board.

Answer: (A)

The main idea being tested is handling concerns about a coworker’s behavior by addressing the issue directly with the provider in a calm, professional way first, focusing on patient safety and teamwork.

Bringing the concern to the healthcare provider as a group in a non-confrontational manner is the best first step because it opens an immediate, collaborative dialogue. It signals that the team is united in protecting patients and it gives the provider a clear, specific account of what was observed and why it matters. This approach reduces defensiveness, allows the provider to respond, and creates an opportunity to adjust practice right away. Use specific observations, describe how the behavior could impact patient safety, and invite the provider to propose a plan or corrective steps. For example, the group can say, “During invasive procedures, we’ve noticed X, which could risk Y. How can we proceed to ensure patient safety and maintain sterile technique going forward?”

If this direct conversation doesn’t resolve the issue, then the team would document their concerns and report to the charge nurse and move up to formal channels as needed. The emphasis here is to address the concern at the lowest appropriate level first, prioritizing open communication and patient safety.