Nursing Leadeship and Management
Nursin" rel="nofollow">ing Leadeship and Management
Order Description
What management style did each of these three charge nurses (Sherrie, Lin" rel="nofollow">inda, and Tracy) display?
Give a rationale for your choices.
Case Study:
As a recent graduate nurse, you accepted a position on an in" rel="nofollow">intermediate care unit.
At your first unit meetin" rel="nofollow">ing, Cathy Jones, unit manager, in" rel="nofollow">informs the nurses that the patient satisfaction ratin" rel="nofollow">ing fell two poin" rel="nofollow">ints from the previous month. She asks everyone to reflect over the past month and submit their top three concerns to their charge nurses by the next unit meetin" rel="nofollow">ing. Cathy states, "This is unacceptable. It is your problem, and it concerns me. We will in" rel="nofollow">increase our ratin" rel="nofollow">ing at least three poin" rel="nofollow">ints by the next quarter. I want reasons for this problem and expect each of you to submit your ideas to your charge nurses promptly." Three charge nurses, one from each shift, were asked by Cathy to make sure that the nurses addressed the issue.
Sherrie, the day shift charge nurse, decided to ask each nurse in" rel="nofollow">individually over the next month for her ideas on the problem. To encourage a higher response rate, Sherrie had pizzas brought in" rel="nofollow">in on the day she presented the fin" rel="nofollow">indin" rel="nofollow">ings. She compiled the responses and reviewed them with the day shift nurses with a consensus on the top three responses. Sherrie was able to obtain" rel="nofollow">in a 100% response rate by in" rel="nofollow">includin" rel="nofollow">ing all in" rel="nofollow">individuals in" rel="nofollow">in the decision.
Lin" rel="nofollow">inda, the evenin" rel="nofollow">ing shift charge nurse, made a list of possible reasons and selected the top three. She then told the evenin" rel="nofollow">ing shift nurses what the three reasons were and that she would submit the list to Cathy for them. She spoke only to the nurses workin" rel="nofollow">ing on a particular evenin" rel="nofollow">ing and, when questioned by the absent staff, Lin" rel="nofollow">inda told them that they could speak to Cathy in" rel="nofollow">individually. She added, "Like she said, it's your problem. Do what you want, but I'm not responsible for whatever happens with Cathy."
As the midnight shift charge nurse, Tracy let the nurses decide on reasons and submit the responses in" rel="nofollow">independently. She thought that the nurses had the right to accept or refuse participation and to be accountable as in" rel="nofollow">individuals. Tracy stated, "The responses might be personal. I believe we have the right to stand up for our own conclusions and I will stand behin" rel="nofollow">ind each of you." Tracy also achieved 100% participation by the nurses.