Create 1–2 page outlines of your response plan for three intervention scenarios.
Nurse leaders need to quickly identify a strategy for evaluating a nursing leadership problem and the dynamics related to the problem, in order to orchestrate intervention efforts and put together a plan of action that leads to stakeholder cooperation.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Kelly, P., & Tazbir, J. (2014). Essentials of nursing leadership and management (3rd ed.). Clifton Park, NY: Delmar.
Nurses may employ multiple leadership styles. When thinking about an appropriate leadership style, take into consideration the personal style, the situation being addressed, the environment in which the situation is taking place, and the other people who may be involved. Anticipating potential situations you are likely to encounter in your professional life, as well as devising an effective strategy in advance to handle them, can reduce stress and promote confidence on the job.
The following resources are required to complete the assessment.
Directions: Choose three scenarios and develop a Response Plan, in the form of an outline.
Scenario One: Inpatient nephrology unit
You are the new nurse manager for a busy nephrology medical/surgical unit in a large university medical center. The renal physicians have complained that daily weights and intake/output records are not being completed. This lack of documentation affects the patient’s plan of care and is resulting in an increased length of stay for the unit. The night-shift nurses think the day-shift nurses need to do the daily weights since they have more staffing. The day-shift nurses think the night-shift needs to do the weights since breakfast arrives during report most days. No one is consistently recording the intake/output records. How will you handle this problem?
Scenario Two: Outpatient chest pain/stroke unit
You have just been promoted to the nurse manager position in a 12-bed chest pain/stroke outpatient center. The hospital is at 18 months of the 36-month Joint Commission accreditation cycle, so you are expecting a survey sometime within the next 18 months. You are reviewing the Joint Commission Core Measures for Outpatient Departments.
You discover an issue with the administration of aspirin on arrival for the chest pain/acute MI patients not being documented 50 percent of the time. Also, the time to CT scan for ruling out acute ischemic stroke patient is 75 minutes, which is 30 minutes above benchmark time of 45 minutes. Who needs to be involved in examining these processes in order to improve compliance prior to the survey? Would you develop one team to work on both issues or two teams so that each works on one issue? Why?
Scenario Three: School nurse
You are the only school nurse in a high school (grades 10, 11, and 12). The school is located in a small rural conservative town. There has been a 15 percent increase in students contracting sexually transmitted diseases and three girls in the junior class are pregnant. The community insists that the area schools only teach abstinence to the students. The school board does not want to anger the parents. While you respect the culture of the town, you realize this is a huge community health problem. Where do you start to address this issue?
Scenario Four: Inpatient psych unit
You are the nurse manager of an inpatient psychiatric unit and are preparing a report for a Joint Commission survey. An epidemic of bath salts abuse has struck the community. Following initial treatment in the intensive care unit, violent psychiatric patients are being admitted to the unit. You reviewed the Joint Commission guidelines and discovered deficiencies in several categories of the patient discharge records and your seclusion hours are increasing.
Who will you involve in the interdisciplinary team to work on the discharge issues? How will you work on decreasing seclusion hours in these patients?
Scenario Five: Pediatric vaccinations.
You are the nurse manager in a large pediatric practice. It is late summer and parents are bringing their children in to get their “blue cards” filled out for school. Several parents have been asking for medical exemptions because the local news has been reporting on a rash of adverse reactions to vaccinations, even linking an incident relating a child’s recent diagnosis of autism to an MMR vaccine. How will you proceed in obtaining the best evidence to help work with the parents?
Access the following resource by clicking the link provided. Please note that URLs change frequently. Permission for the following link has been either granted or deemed appropriate for educational use at the time of course publication.
Use the Capella library and the Internet to research change theory, leadership, and communication strategies. Use the Suggested Resources to research leadership and communication concepts and change theory.
Rationale for this assessment:
Nurse leaders solve problems or resolve conflict on a daily basis. Understanding how change theory can be applied to a situation and examining various types of interventions in advance can relieve pressure on the nurse leader and improve the workplace environment and outcomes. Rehearsing potential interventions provides a mental toolkit on which to rely during stressful times.
Your management training workshop continues:
The second day of HR’s Nursing Leadership Workshop is designed to help you identify and practice effective responses and interventions to common problems and situations. Participants are presented with three scenarios and must create a response plan for each scenario, in the form of a 1–2 page outline.
Deliverables: Submit three Response Plans to complete this assessment.
Analyze each Intervention Scenario and describe the leadership, communication, and management strategies you believe would be most effective for each situation.
Use the following subheadings to organize your Response Plan outline for each situation.
CRITERIA | NON-PERFORMANCE | BASIC | PROFICIENT | DISTINGUISHED |
---|---|---|---|---|
Explain concepts of change theory and how it can be used as a tool to manage situations. | Does not explain concepts of change theory and how it can be used as a tool to manage situations. | Explains concepts of change theory, but does not explain how it can be used as a tool to manage situations. | Explains concepts of change theory and how it can be used as a tool to manage situations. | Explains concepts of change theory and how it can be used as a tool to manage situations’ provides an example from experience. |
Describe an effective leadership style to address a problem. | Does not describe an effective leadership style to address a problem. | Identifies a leadership style, but does not explain how it best addresses the problem. | Describes an effective leadership style to address a problem. | Describes an effective leadership style to address a problem; explains the desired outcome and why the style is the most effective for the situation. |
Describe how outcomes or success of the style selected for each situation could be measured. | Does not describe how outcomes or success of the style selected for each situation could be measured. | Identifies the style selected for each situation, but does not explain how outcomes could be measured. | Describes how outcomes or success of the style selected for each situation could be measured. | Describes how outcomes or success of the style selected for each situation could be measured; examines a range of potential outcomes and how they could be measured. |
Explain how professional and legal standards guide the effective nurse leader when making decisions. | Does not explain how professional and legal standards guide the effective nurse leader when making decisions. | Discusses the legal requirements, but does not explain how professional standards guide the effective nurse leader when making decisions. | Explains how professional and legal standards guide the effective nurse leader when making decisions. | Explains how professional and legal standards guide the effective nurse leader when making decisions; explains how professional standards mirror legal requirements. |
Write content clearly and logically, with correct use of grammar, punctuation, and mechanics. | Does not write content clearly or logically, with correct use of grammar, punctuation, and mechanics. | Writes with errors in clarity, logic, grammar, punctuation, or mechanics. | Writes content clearly and logically, with correct use of grammar, punctuation, and mechanics. | Writes clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics; uses relevant evidence to support a central idea. |
Correctly format citations and references using current APA style. | Does not correctly format citations and references using current APA style. | Uses current APA style to format citations and references but with numerous errors. | Correctly formats citations and references using current APA style with few errors. | Correctly formats citations and references using current APA style with no errors. |
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