For the completion of this assignment, you’re going to review analyze 4 case studies and answer the questions relating to them. In this essay be sure to include a header for each case study, so it’s could organized and easy to follow. Devote atleast one detailed paragraph toward each case study. Please try to utalize the full 3 pages for the answers. There should be atleast 2 references for each case study, resulting in 6 references in all.
Case study: Ethical and Legal issues #1
Sally hired Steve 11 months ago on the surgical unit. His references at his previous place of employment were glowing, Sally notices that he works well with staff members, and his patients seem to be highly satisfied with the nursing care they receive from him. Brianne, one of the staff nurses, reports to Sally that Steve seems to be overly friendly with female patients. Sally asks Brianne to explain what she means. Brianne whispers to Sally, “I overheard Steve ask several female patients for their phone numbers, and he is spending extra time with female patients. Today, he asked me to switch patients with him, so he would have more female patients.” Sally has not received any patient complaints about Steve. As the nurse leader, Sally decides to wait until someone actually witnesses an event; after all, Steve is a competent practicing nurse.
1. Is this the correct decision? Why or why not?
2. If Steve is in fact engaging in sexual misconduct, would Sally be held legally responsible?
3. As the nurse leader, how would you to handle suspected sexual misconduct in the workplace?
Case study:Staffing Conflict #2
Gender, cultural, and generational differences add to the challenges of interpersonal communication, especially when mixed in a stressful healthcare environment. Many times the conflict progresses and may involve some level of bullying. You recently graduated from an RN-to-DNP program, you belong to the millennial generation (also called Generation Y), and you were just promoted to Director of Critical Care Services. It feels like you have been in school forever, but you still managed to work 20-30 hours/week as a charge nurse on a busy cardiovascular (CV) step-down unit throughout school.
1. The Nurse Manager from your CV ICU, who is a female and belongs to the Baby Boomer generation, has informed you she is closing four beds for the night shift due to inadequate staffing levels. When you object to her plan, she states, “You don’t know what you are talking about; this is what is done when you don’t have enough staff.”
Describe the type of conflict this represents and the source(s).
2. You present the staffing dilemma to your Chief Nursing Officer (CNO), who is a male and also belongs to the Baby Boomer generation. The CNO responds by stating, “Your nurse manager’s solution is not an option. I hired you for this job because of your education, clinical experience, and ability to bring new ideas to the department. Closing beds is not an option; figure it out.” Apply the best resolution strategy to address:
a) The staffing issue with your nurse manager.
b) The request made by your CNO to “figure it out.”
Case study: Effective Delegating #3
As a nurse leader, you recognize that everyone at all levels of the health care organization is being asked to do more and accept more responsibility. Therefore, it seems inappropriate to ask your Charge Nurse to take on another task or responsibility. However, you also realize that you must focus your efforts to be the most productive for the entire unit.
1. Discuss strategies to overcome the tendency to under delegate appropriate tasks to your charge nurse.
2. Reflect on a time when you delegated a task to an unlicensed assistive person.
a) Using the Kentucky Board of Nursing Decision Tree for Delegation to Unlicensed Assistive Personnel, deconstruct the events of your delegation experience.
b) Analyze what you learned from that experience.
Case study: Quality Patient Care/Time management #4
A poor outcome has occurred for a patient, Mrs. Earle, who was admitted for a routine cholecystectomy. An investigation is conducted to find out what happened and how the poor outcome could have been prevented. Maria Blanco, the RN who was on shift that day, must think back to her prioritization and organization of patient care.
The scene begins in the nurse manager’s office with nurse manager, Roxanne Jamison, prompting Maria, the staff nurse who was working that day, to recall her organization and prioritization of patient care. Flashback to Maria starting her shift, when the charge nurse gave Maria a change-of-shift report for her four patients. We see shots of each patient as they are described.
What could Maria have done differently in prioritizing patient care after receiving her assignments?
Are there any members of the health care team to whom Maria could have appropriately delegated any tasks?
