Question

Guidelines for Case Management: Objectives: The main aim of this activity is to provide the student interpersonal and social responsibility by answering the questions in the assignment that is related in some issues concerning nursing leadership and management. Instruction: Read and understand the case situation regarding conflict management in the healthcare setting. Based from the below-mentioned criteria in resolving conflicts, create a conflict management and resolution document using a case study format. Please see attached rubrics for details. Case Situation: Workplace Violence in the Nurses Station Carlo is a newly-hired staff nurse at King Fahd Hospital of the University (KFHU). He is assigned in the Male Medical Ward, which is situated in the 3rd floor. Carlo had been in the area for less than six (6) months. Despite of being the newest addition to the roster of staff nurses in the ward, he was handling the most difficult cases in the area and increase number of patients per shift compared to other staff nurses on duty. Carlo never complained of the situation. Instead, he decided to keep silent and continue what he is doing. One day, Carlo had an argument with Marvin, his senior staff nurse on duty, about Carlo being the favorite of their unit manager and supervisors because he often gets good working schedules and been receiving a lot of excellent feedback from both the nurse managers and patients. After their confrontation, Marvin started creating malicious and negative issues towards Carlo. Since the staff nurses were convinced of Marvin’s wrong accusations and comments, they have started to dislike Carlo and been throwing unnecessary comments and jokes about him up to the point that Carlo had been the subject of their laughing stock verbally and through their social networking account like Facebook and Twitter. Carlo was outcasted every shift. He was alone all the time and started to be demotivated about his work. In 2 weeks’ time, Carlo had been absent five (5) times and been late most of the time, which is very unusual to him because he is known to be the early bird among the staff nurses in the ward. After a month, Carlo submitted a letter to the unit manager asking for a transfer of area or if not he will just resign from the hospital. If you are the unit manager of the Male Medical Ward, how would you respond with this kind of issue of workplace violence particularly with nurse bullying? Questions: 1. Based from the above-case situation, identify and define the main problem and/or main issue? 2. What are the relevant information that needs to be addressed that would help resolve the conflict in the area? 3. In addressing the issue, identify all the contributing factors & connecting relevant information required to solve the issues in the case. 4. In mitigating this case scenario, generate hypotheses & construct sound and coherent arguments related to the solving of the case problem(s). 5. Among all the alternatives you think of resolving the conflict, weight the alternative that will give the most impact and rank the best three (3) accordingly. Justify advantages of each alternatives. 6. If you will be the unit manager, how will you manage and resolve this conflict based from the alternative resolution presented above? What are your possible course of action (COA) and recommendations in this kind of workplace violence?

Answer 1

1) Bullying has been defined in this case. Bullying is insulting, threatening presented by the relatively powerful section of a group upon the weaker section. Here the bullying has been in the nursing profession.

2) Relevant information:-a) Consulting with previous patients about Carlo behavior. b) Consulting with other people who knows Carlo. c) Contacting with Marvin regarding what Marvin thinks about Carlo. d) Looking his previous reportsreports, work schedule. e) Check the posts in social media.

3) a) Workload on Carlo. b) Too much patient load on a single nurse. c) Praising one nurse, making the other jealous. d) Bullying has to be resolved in the hospital. c) Social media.

4) From various sources,it can be easily known that Carlo has been ruthlessly insulted.So the nurses involved should be suspended and given proper punishment.Proper and sound planning before deciding a schedule for a nurse should be made. Mental peace is also important. Regular check on the working pattern of the nurses. A plan has to be made to listen and solve the problems of the nurses. If these can be done, then nurse bullying can be avoided.

5) The alternatives can be:-a) suspending the nurses involved in bullying. b) discuss with the nurses about their problems and make them friends. c) Proper teaching of the involved nurses about the impact of bullying that can be on a person. The best will be the second option followed by the third and then first. Proper teaching is obviously helpful but before that it is necessary to make them friends. Firing them will just put a pressure on nurse shortage.

6) I will also resolve the problem in the similar way as above. Possible COA and recommendations can be to teach them and to always look after them whether they are involved in any such activities of bullying in their work place.