In: Nursing
Identify the types of conflict that were happening with in the meeting. Identify the decision-making models that were used. Scenario Care in this capacity can range from short term to long term based upon the changing needs of the patient. Patient age can range from pediatric to elderly. Care can be provided in the patient’s private home, group home, or assisted living setting. Medical homes fall into this category and are a new focus of Accountable Care Organizations through the Affordable Care Act of 2010. Standardization, process, attention to detail, and uniform adherence to policy are the most difficult concepts for Louis to impress on his managers. As a quality insurance director for a home health company, he continually finds errors that put the company at risk. More importantly, they put people at risk. There are three shifts and 27 managers. Most follow protocol well, but there are eight managers who have been with the organization for over 10 years who do not. When the process was revamped late last year, these eight managers rejected the changes and instructed their employees to continue charting as they had been doing in the past. This has created a great deal of confusion at shift change, as well as hostility with the other managers, who feel their teams will make errors because information was not charted within the scope of the new policy. The managers who refuse to follow the new charting process admit that they understand what is expected, but they state that the new process is cumbersome, increases error, and obscures vital data. The managers that refuse to comply with the new process are also some of the best in the organization. They say they are not objecting because they want to avoid change or work. Instead, they detailed a list of problems and risks that they identified as a result of the new process and gave it to the leaders of the home health company. This put the company in a bind. They had invested $750,000 in the new system and had service agreements for the next two years. However, they could not just dismiss the concerns or risks communicated by the eight managers. Louis’ job was a nightmare. Everything was at an impasse and people were at risk.
1. Conflict means disagreement between two or more person or two or more choices.
It is of four types :-
- Interpersonal conflict - in which conflict occurs within a n individual.
- Intrapersonal conflict - a conflict that occur in between two or more people.
- Intragroup conflict - a conflict which occur within a group
- Intergroup conflict - a conflict which occur between two or more groups.
Here ,in the case the conflict is within the same group - Intragroup conflict.
2. Decision making models are those models which help an individual to make a decision in various difficult situations.
There are four types of decision making models :-
a) Rational - in this ,information on alternatives can be gathered and verified. Decision making is important in this and you are trying to make the maximum outcome
b) Bounded rationality - in this , there is minimum information is available and the individual has less interest in solving the problem and not trying to make maximum outcome.
c ) Intuitive - in this ,goals are not clear ,less time is available and analysis part is costly and have an experience of same problem .
d ) Creative - solutions are not clear ,new solutions are generated and have enough time to get into the problems
In this case, rational decision making model is used because the change against individuals(8 managers) are providing data why they are not interested in the change and the problems related to theses changes that will occur in future. Louis as a quality insurance director was trying his best to resolve the issue for maximum outcome.