Question

In: Nursing

          Communication Conflict Management Activity Case 1: Nurse to Physician Conflict: The Attending, MD, arrived at...

          Communication
Conflict Management Activity

Case 1: Nurse to Physician Conflict:

The Attending, MD, arrived at the desk very angry and venting his frustrations in front of the patients, family, and staff. The nurse attempted to calm him down and took him somewhere quiet away from the desk and the patient care area to discuss the situation, without success. Keeping in mind, there are patients, visitors and staff everywhere. What would you do? (33 points)















Case 2: Nurse to Nurse Conflict:

The PACU nurse is trying to give report to the floor nurse that the patient is ready for discharge from the Post Anesthesia Care Unit (PACU). This means that the patient is signed out by the anesthesiologist and the floor nurse has received a 30 minute heads-up by pager that the patient is ready to be admitted to the floor. The floor nurse refuses to take report on this call. What would you do as the PACU nurse? (33 points)













Case 3: Nurse to Patient/Family Conflict:

Michelle is a seasoned LPN with many years of experience who is taking care of Mr. Cahill. The patient is currently on the Med/Surg floor with multiple non-life threatening stab wounds. The patient had multiple family members at his bedside, including a toddler. This patient was involved in a fight and was stabbed several times. His situation as mentioned above, was not life threatening. The nurse had asked the visitors to leave the bedside, but could return to visit later on. Not one family member left the bedside. The nurse came to the charge nurse and asked for assistance. The LPN wants to call security, because the family would not leave upon her request. What would you do? (34 points)

Solutions

Expert Solution

ANSWER :

CASE 1 : NURSE TO PHYSICIAN CONFLICT

  • Firstly , a nurse should understand and must learn to accept that not all the people including physicians will act according to their standards because every individual has a unique personality that might clash with another.
  • Don't be hurt if you are new and doctors criticize you openely for your mistakes and take you granted most of the time.Master your craft ,study hard and prove them you are a nurse to keep and respect.
  • Don't fan the fire : Heated confrontations during a stressful moment aren't smart.
  • Just like family i will try to deal with the physician by keeping my temper in check and wait until he calms down to bring it up.
  • Managing your tone is key for productivity.
  • Avoid disclaimers while being direct and calm,build bridges and negotiate to ' yes'.
  • I will not gossip about the situation to all our co workers which weakens our position and leads to the passive aggressive behaviour that form a toxic workplace.
  • I will understand what our workplace policies are ,before taking any action -so that i can follow the guidelines.
  • Collaberation : Its better to keep nurses and doctors on joint committees to discuss working relationships or get them together informally.
  • After cooling down myself and him and knowing the policies , i will start with a simple conversation.
  • I will simply say " you are a great physician , but the way you deal with me and patients makes me and others feel badly. We are here to really try and help you."
  • Information conveyed at right place and right time may sometimes be successfull.
  • The other thing you can do is excusing this behaviour by letting it go unacknowledged - that simply enables it.
  • A hospital wants peace and uninterrupted revenue flow more than justice and equity for all so we should deal the situation accordingly.
  • Nurses are socialized to be non confrontational and to acheive consensus and physicians are socialized to make decisions.
  • Health care reform has added stress , anger and burnout to the mix ,as the physicians must adapt.
  • So we should try to understand  the physicians behaviors , taking the time to listen to their needs and concerns , providing appropriate training , counseling and support ,and soliciting their input and involvement which can help in a long way.
  • You can also include in your confrontation of the person some acknowledgement of their stresses ,"I understand we are all under pressure ."
  • Continuous disruptive behaviour of physician may need individual counselling in conflict management, communication skills ,customer satisfaction help.
  • Call in trained expert if needed in some situations.
  • A nurse-doctor relationship should always be a team work founded on mutual respect and open communication.
  • Always learn to own your choice and stand for what you think is right.

Nightingale answered 2 years ago
Next > < Previous

Related Solutions

         Communication Conflict Management Activity Case 2: Nurse to Nurse Conflict: The PACU nurse is trying...
         Communication Conflict Management Activity Case 2: Nurse to Nurse Conflict: The PACU nurse is trying to give report to the floor nurse that the patient is ready for discharge from the Post Anesthesia Care Unit (PACU). This means that the patient is signed out by the anesthesiologist and the floor nurse has received a 30 minute heads-up by pager that the patient is ready to be admitted to the floor. The floor nurse refuses to take report on this...
Case 1-1 LOCATION: Inpatient, Hospital PATIENT: Mike Bahs ATTENDING PHYSICIAN: Loren White, MD CONSULTANT: Timothy Pleasant,...
Case 1-1 LOCATION: Inpatient, Hospital PATIENT: Mike Bahs ATTENDING PHYSICIAN: Loren White, MD CONSULTANT: Timothy Pleasant, MD REASON FOR CONSULTATION: Rule out neck injury. HISTORY: This patient is a 17-year-old male who was involved in a motor vehicle accident last night. He remembers driving down the road and the next thing he remembers was trying to reach for his cell phone at a stop sign after the accident. He does not remember any of the details. The car apparently went...
LOCATION: Inpatient, Hospital PATIENT: Simon Sulten ATTENDING PHYSICIAN: Gary Sanchez, MD SURGEON: Gary Sanchez, MD PREOPERATIVE...
LOCATION: Inpatient, Hospital PATIENT: Simon Sulten ATTENDING PHYSICIAN: Gary Sanchez, MD SURGEON: Gary Sanchez, MD PREOPERATIVE DIAGNOSES 1. Colostomy for obstructing colon cancer. 2. Cholelithiasis. POSTOPERATIVE DIAGNOSES: Same as Preoperative. PROCEDURES PERFORMED 1. Takedown colostomy with end-to-end colorectostomy. 2. Open cholecystectomy. ANESTHESIA: General. PROCEDURE: The patient was brought to the operating room, placed under general anesthesia, and prepped and draped sterilely. The previous midline was reopened with the #10 blade, and we excised the old scar. We carried our dissection...
LOCATION: Inpatient, Hospital PATIENT: Melissa Houtena ATTENDING PHYSICIAN: Andy Martinez, MD SURGEON: Andy Martinez, MD PREOPERATIVE...
LOCATION: Inpatient, Hospital PATIENT: Melissa Houtena ATTENDING PHYSICIAN: Andy Martinez, MD SURGEON: Andy Martinez, MD PREOPERATIVE DIAGNOSES 1. Three prior cesarean section deliveries. 2. Voluntary sterilization. POSTOPERATIVE DIAGNOSIS: Same as Preoperative. PROCEDURES PERFORMED 1. Repeat lower segment transverse cesarean section. 2. Bilateral Pomeroy tubal ligation. ANESTHESIA: General. PREAMBLE: The patient is a 30-year-old woman, gravida 4, para 3, at 36 weeks and 2 days gestation who presented initially to her hometown obstetrician in spontaneous labor. Because of her previous cesarean...
what is your persobal views and how you resolve the conflict? The attending physician. for a...
what is your persobal views and how you resolve the conflict? The attending physician. for a ptient with terminal AIDS refuses to order increasing doses of pain medication because of her concern that it may cause a repeat episode of respiratory depression. The patient pain is unrelieved, and he begs you for medication. "Please help me I know Im dying." what would you do?
Case 6-2 LOCATION: Inpatient, Hospital PATIENT: Tim Luther ATTENDING/ADMIT PHYSICIAN: Frank Gaul, MD SURGEON: David Barton,...
Case 6-2 LOCATION: Inpatient, Hospital PATIENT: Tim Luther ATTENDING/ADMIT PHYSICIAN: Frank Gaul, MD SURGEON: David Barton, MD PREOPERATIVE DIAGNOSIS: Fluid overload state, no urine output, acute renal failure. POSTOPERATIVE DIAGNOSIS: Fluid overload state, no urine output, acute renal failure. PROCEDURE PERFORMED: Temporary dialysis catheter placement. PROCEDURE: This 77-year-old patient was brought to the emergency room. The right femoral vein was selected. This was tried with the left IJ vein earlier without success. I reserved the right IJ for a central...
The nurse calls the physician using the SBAR communication approach. The nurse states, I am calling...
The nurse calls the physician using the SBAR communication approach. The nurse states, I am calling about the patient Mrs. Smith, on Two east, University Hospital. I am concerned because her blood pressure is 210/98 and she is complaining of a headache. She was admitted yesterday and was alert, but becoming lethargic, will follow commands and respond appropriately. She is pale, extremities are cool. O2 saturations is 92% room air. She had atenolol one hour ago with no change in...
When distinguishing care management from case management, the nurse realizes that case management is primarily: 1.A...
When distinguishing care management from case management, the nurse realizes that case management is primarily: 1.A tool for health maintenance organizations. 2.Targeted toward a specific segment of the population 3.Implemented with individual clients 4. Used to measure health care.... 4. Used yt 3.Used to measure the health status of the aggregate population
Discuss the nurse-physician conflict where ethical duties and rights are concerned. < They have different roles...
Discuss the nurse-physician conflict where ethical duties and rights are concerned. < They have different roles and operate out of different models!!!
Discuss the nurse-physician conflict where ethical duties and rights are concerned. < They have different roles...
Discuss the nurse-physician conflict where ethical duties and rights are concerned. < They have different roles and operate out of different models!!
ADVERTISEMENT
Subjects
ADVERTISEMENT
Latest Questions
ADVERTISEMENT