Question

A nurse practitioner at the Osceola Regional Medical Center was asked to do wound care on a complicated comatose patient. He knocks as he enters the room, introduces himself, informs the patient why he is there, verifies that he has the right patient, and then describes what he is doing as he places a barrier under his leg, and takes off the old bandage. Just as he states, “I am about to put a cold solution to clean your wound. You will feel a stinging sensation,” the Chief Resident enters the room with his crowd of junior residents, medical students and nurses.

The Chief Resident points out in a condescending tone that the patient is in a coma and there is no need to speak to him. The Nurse Practitioner replies that hearing is the last sense to go—even for people in a coma. The Chief Resident laughs and says, ‘You’d better be able to speak Portuguese, because he is from Brazil!”

The Nurse Practitioner thanks the resident and then speaks to the patient in Portuguese. The crowd bursts into laughter and the crimson-faced Chief Resident storms out of the room.

_______________________

Borkowski (2016 on page 307) states “Negative or unconstructive conflict can be counterproductive for an organization by diverting efforts from goal attainment.” Patient care is certainly the goal in this situation/case.

In this situation demonstrating conflict and stress, answer the following questions in your 2-page paper.

1. Discuss the negative effects of conflict and stress from both an organizational and individual perspective?
2. Intrapersonal contflict ethical dilemma attempts to shame the nurse chief resident seniority over the nurse pract sets the tone orcretes cultue of disrespect lack of respect teamwork civility question your abilities tension btw team quality safety culture of instability
3. Individual more so for chief resident bc he now has a self respect issue

4. How should the different characters in this above situation behave differently so the employees experience less stress? Employees successful staff engagement inslusivity connected to quality and safety

5. For the Nurse Execs students: As the Nurse Practitioner reports to the Patient Care Services under your direction, what are your thoughts as to how this situation could or should have been handled? If any, what organizational factors need further exploration? Are there are they being followed communication in front of the patient interacting in front of the patient investiagate the situation investigative interviewing If not an isolated situation, what collaboration may need to occur with the medical staff concerning this reoccurring situation?

Answer 1

Truancy- Unscheduled nonappearances drive up managers' expenses through advantages costs, the utilization of substitution laborers, higher feelings of anxiety among representatives and a reduction in by and large worker execution.

Turnover. At the point when representatives doubt the executives or see the association as acting unreasonably, turnover may increment. This can prompt enlisting and preparing costs for new contracts and the costs inferable from a slippage of execution until new workers become completely capable in their occupations.

Unionization. At the point when workers see their managers as uncalled for, they are increasingly disposed to look for outside assets, for example, an association to help ensure them and to consult for their sake on issues, for example, business, remuneration and advantages.

lawSuit-A representative who can't accomplish a goals of a work environment struggle may look for outside lawful assistance, which can make an association mount an exorbitant safeguard or consent to a costly settlement. Claims settled in a worker's support can bring about huge money related punishments for the business and can even create criminal or common authorizations.

Proceeded with struggle brings about focused on employees. Consequently. interpersonal strife has been noted as one of the significant wellsprings of worry for attendants. Focused on individuals have lessability to center, memory slips, slow mending, and diminished wholesome take-up . Stress can produce psychosomatic ailments, for example, stomachache,headache, wretchedness, and tension. Struggle evokes fear,repugnance, and fractiousness. It can eventually undermine a person's confidence and certainty level. Some particular clash results may involve neglecting to return phone messages or messages from patients or associates, propensity to confine oneself, charting by wrote to maintain a strategic distance from analysis, taking everything individual, and victim depiction

Communication:-

Communication as a majorcause of relational clash among healthcare services, . inadequate communication as a forerunner, a component that compares with a significant part of the writing point to the style of the correspondence inside the social insurance field as loaning to the advancement of contention. That style could surely comprise of absence of correspondence, however can likewise include verbal or non-verbal correspondence. A high-stress workplace, for example, a working room fits strife delivering verbal correspondence. This sort of communication can incorporate tattle, brutal language, rumor spreading, reprimanding, squabbling, and corrupting remarks

Organization should make a policy that include principle of following

• Respect every individual.
• Respect every race ,community, sex etc.
• Less hierarchy system to avoid discrimination