The nursing staff on the surgical unit complains to the manager that they do not have enough time to ...

C
The most appropriate action by the nurse manager is to assess the issue through establishing some quality improvement/quality care activities. There may be a need to look at nurse-patient ratios and there may be a need to provide an in-service session on time management. However, these are not known until some assessment is completed and data are obtained. Totally Quality Management (TQM) or Continuous Quality Improvement (CQI) projects assist in looking at all aspects of quality and safe care practices. Reporting the complaint to the director of nurses may be indicated, but this will not immediately address the concerns of the staff.