- Implementing a new, complex communication software.
- Modeling good communication skills herself.
- Punishing staff for communication errors.
- Cancelling all team meetings to save time.
Category: BS Nursing
- Avoidance
- Competition
- Accommodation
- Collaboration
- A lack of clinical skills.
- Chronic understaffing and a stressful work environment.
- Having to wear a uniform.
- Patients who are too friendly.
- Operational planning
- Strategic planning
- Contingency planning
- Crisis planning
- Retaliate with equal force.
- Ensure your own safety and the safety of others first, and then call for help according to hospital protocol.
- Try to handle the situation alone to show you are capable.
- Ignore the aggression.
- The doctors make all the decisions for the nurses.
- Nurses at the bedside are formally included in the decision-making processes about their practice and work environment.
- The government runs the hospital directly.
- Patients share in the governance of the hospital.
- Followership
- Informal leadership and proactivity
- Insubordination
- A violation of policy
- Identify who is to blame for an error.
- Understand the fundamental, underlying reasons why an adverse event occurred.
- Analyze the financial cost of an error.
- Quickly fix the surface-level problem without further investigation.
- In an email to the entire team.
- In a public setting so others can learn.
- Privately and respectfully.
- During a busy and stressful time.
- The nurse's personal feelings about the family.
- The principle of patient/family confidentiality in this specific situation.
- The hospital's policy on visiting hours.
- The need to finish her shift on time.
- Communicate frequently, provide support, and manage any problems that arise.
- Announce the change and then disappear.
- Revert back to the old system if there is any resistance.
- Focus on punishing those who are slow to adapt.
- Urgency and Importance
- Difficulty and Time Required
- Cost and Benefit
- What you like to do vs. what you dislike
- Punish any nurse who suggests a new idea that fails.
- Encourage critical thinking and create a safe environment for staff to pilot new, evidence-based ideas.
- Stick rigidly to all old procedures and forbid any changes.
- Wait for the administration to mandate all innovations.
- Use the grapevine to spread official hospital policy.
- Try to eliminate the grapevine completely.
- Listen to the grapevine to understand staff concerns, but use formal channels for official communication.
- Believe everything she hears on the grapevine.
- Strictly enforce the policy and have security remove the family.
- Understand the cultural importance of family, and work to find a compromise, such as allowing one or two family members to stay on a rotational basis.
- Ignore the policy and allow the entire family to stay, causing disruption.
- Tell the family their cultural practices are wrong.
- Leaders are made, not born.
- Anyone can be a leader with the right training.
- Leaders are born with innate heroic qualities.
- Leadership depends entirely on the situation.
- Spend all the money as quickly as possible.
- Advocate for adequate resources while ensuring they are used efficiently and effectively.
- Hide the budget details from her staff.
- Refuse to spend any money to get a bonus.
- Isolate the complainer from the rest of the team.
- Agree with all of their complaints to pacify them.
- Address the complainer privately, listen to their specific issues, and redirect them toward constructive solutions.
- Fire the complainer immediately.
- Giving staff the authority, resources, and autonomy to do their work effectively.
- Controlling all aspects of the staff's work.
- Making staff feel powerless.
- Withholding important information from the team.
