As human being we all think, feel, behave and perceive life in different ways as we all have different expectations. Conflict is part of life and it can be part of any situation. Especially in nursing field where working as a team is highly emphasized, every member of the team collaborate together in order to meet patient needs and improve patient outcomes. That being said, nurses have to collaborate with coworkers that have different social groups, ethnic, and educational backgrounds. This paper will give a synapsis about a disagreement that happens between a register nurse (RN) and a license practice nurse (LPN) in a forty bed medical surgical unit with sufficient staff coverage with RNs LPNs and UAPs. As the manager of this unit, while …show more content…
She make the assumption that LPN has “completely ignored” her. The issue was approach from a criticizing angle that immediately lead to a defensive response by the LPN. The RN did not asked the reason why this LPN was not able to help the patient but she jumped in the conclusion that the LPN was not helping her in purpose. Furthermore, in this tensioned situation it seems like there is process conflict between two of the nurses. Huber, 2015 defines process conflict as a “conflict pertains to issues of duty and resource delegation, such as who should what and how much responsibility different people should have” (p. 172). This confusion between the team members it is revealed sentences when the RN tells the LPN that “it was your job, you are assigned to Mrs. J. And the LPN responds to here that “I do my own work and part of yours.” To better assist patient in medical field, nurses might collaborate and work in team. The RN is fully competent in delegating the appropriate tasks to LPN or UAP, yet she has to make sure to transmit her tasks by using clear communication, being concise on what she wants to be completed, and within what time frame the task has to be completed. She can delegate certain tasks to other staff members such as LPN or UAP; however, she is accountable for what happens to the patient. Both the nurse delegator and the delegate must agree in the task and report back the completion
Q by taking vitals right away and report immediately, since the night shift reported elevated blood pressure at the end of their shift. This would help in determining the next step in delegating and treating Ms. Q. If her blood pressure remained elevated, the RN would delegate the LPN/LVN to proceed with the next step. After getting vitals for Ms. Q., the RN would ask the UAP to assist with Mrs. A, because she is scheduled for a Doppler flow study this morning and can help by bringing the machine to the room and by assisting the patient with morning care and ambulation prior to the study being done. The RN could have delegated Ms. Q vitals to the nursing student as well, but since the vitals were extremely high, the RN chose to have an experienced UAP report the vitals within a specific time frame. The RN has delegated these tasks because they are within the UAP’s scope of practice. They are trained to perform certain duties and tasks such as documenting and reporting information, and assisting patients with their activities of daily living. If the RN were to delegate the administration of medication they could possibly give it to the wrong patient and cause adverse reaction. The fluidity of the communication between the UAP and the RN team leader greatly impacts identifying what is expected from the UAP to communicate to the RN. Siegel and Young (2010) explain that the UAP needs clear guidelines and procedures,
When you find yourself wondering what is next in life after high school or even if you are in college and have a change in heart, but not everyone is cut out to be a nurse. Knowing what the different nursing degrees will help you in making intelligent choices as to which career path to follow. The differences between RN and LPN, you will notice the degree that suits your needs without regrets. It would be best to learn about the educational requirements, scope of duties, responsibilities and the career paths for both.
Nurses delegate task daily in order to provide quality care to patients. Delegation is difficult for new nurses, but as new nurses gain confidence the process gets easier. Delegation is based on three major things: responsibility, authority, and accountability (Yoder-Wise, 2015). This writer worked night shift on a nephrology unit, and the unit was short staffed due to call outs. This writer was a new nurse, but precepted during school on the unit. Orientation was 6 weeks but due to the unit was short staffed orientation was cut to two weeks. The third week a full patient load was given. At the end of the third week, the charge nurse got sick and needed to go home. The house supervisor requested that this writer be relief charge. After questioning
Was the patient’s best interest at heart? Or was the physician trying to avoid a negative outcome? This is where collaboration among healthcare teams is vital to patient care and upholding patient wishes. Ultimately it is a nurse’s responsibility to advocate for the patient not only in respecting their wishes but communicating all available knowledge so that all parties involved can make and educated decision.
The other challenge was different personalities among the nurses. Some nurses especially from the surgical units seemed to down look others from other units such as labor and delivery. However, this problem was solved by addressing the members on the need of putting all our differences aside and working as a team to help the patients (Cameron, Harbison, Lambert & Dickson, 2012).
I was particularly impressed by way this meeting dissected critical issues. The participants of this gathering welcomed openness and honesty from all. This meeting investigated ethical issues regarding patient care, and scenarios in which one’s discretion licensed him/her to question a patient’s judgments. This gathering also addressed the issue of productivity, in terms of sustaining it and enhancing it amid a taxing and demanding environment. The participants then proceeded to address common relational issues, which involved disagreements among nurses, and conflict mitigation. After witnessing the dynamics of this meeting, it became readily apparent that conflict
When nurses faced with such issues in work setting; it can possibly lead them to having a poor self-esteem, disconnectedness and subscribe to submissive-aggressive syndrome to affect change, which leads them to show their frustration towards other nurses specially the new nurses on the unit rather than confronting the issue. Submissive-aggressive
The Nurse in Scenario one made it clear to the patient that she was busy and had other patients to tend to. Effective communication is not demonstrated here because the Nurse has not respected or placed herself at the service of the client (NMBA, 2008). As observed in the video the Nurse speaks quickly and interrupts the patient.
When needed, nurses can ask for assistance from their peers or delegate patient care tasks to increase their productivity. Implementing either strategy requires an understanding that with either task there are specific responsibilities and accountability. Nurses must have an understanding
Watching the youtube video of how to effectively delegate had me realize even more so of the responsibility a registered nurse has. The video shows and states that a nurse is accountable for three aspects of delegation: decision to delegate, delegating tasks and client outcomes. Nurse’s need to take these roles seriously as it impacts them, the clients, employer, licensing board and the nursing profession. If I was in the scenario, caring for Mrs. Campbell would have been different by following the delegation process more closely. Multiple mistakes were made through the video, by inaccurately assessing the situation of how much care each patient needed and by providing the client with an individual that is not qualified
It is especially dangerous in healthcare settings where teamwork can make the difference between life and death. The ramification of bullying in healthcare has brought about the addition of sub-provision 1.5, relationship with colleagues and others within the American Nurses Association (ANA) Code of Ethics. This provision proposes treating everyone with whom they interact with respect. Nurses will vow to maintain compassionate and caring relationships with not only patients and their families but with colleagues as well. Nurses will commit to the fair treatment of others including patients as well as colleagues. Nurses will resolve conflict within their units with patients, families, and colleagues. Nurses will value the distinct contribution of individuals or groups. Nurses will commit to collaborate to meet the shared goals of providing quality health care (American Nurses Association,
Thank you, Jennifer, for sharing your experience. I could understand the frustration you might have undergone when there was a lack of understanding about the roles of the nurse and the technologist in your department. Lack of shared understanding is one of the disadvantages of working in a cross-functional team. The team should share the knowledge about their roles among the team members. This would enable them to perform optimally. Without this knowledge, there will be confusion and it could lead to task conflicts (Ghobadi, 2011). The team will exhibit the task conflict as disagreements, opposing perspectives, and suggestions. This would adversely affect their performance and could end up in a failure.
Nursing requires an understanding and person centred approach in order for a nurse to reach their full potential and provide the best possible care they can to a patient. Although there are many ways in which a nurse can provide person centred care, such as effective communication when forming therapeutic relationships with patients, it is also important we as nurses are able to work well in a team and not just as individuals. The Nursing and midwifery Council Code of conduct highlights the importance of teamwork and that nurses must “work in partnership with people to make sure you deliver care effectively.”(NMC 2015.) According to Leonard et al. (2004), when communication is lost among team members this is a common cause of patient harm
In the hospital, a team includes a CEO, managers, supervisors, charge nurses, medical doctors, nurses, nursing assistants, social workers and maintenance crews; it can also include many other members. In addition, a well-functioning team is led by a good leader; a leader does not necessary mean the CEO, but someone who is driven, knowledgeable, and a good communicator. Charge nurse and nurses are normally the one that handles the care of patients in the hospital. Both charge nurses and nurses can be considered leaders. It is why, it is very crucial that nurses are good communicators. One would say that nurses are the spoke person of a hospital to its patients. The nurses care for their patient closely, they communicate with the doctors regarding the care of the patient; they communicate with the pharmacies, nursing assistant, colleagues, and many more. Those
Conflict has been an issue for man since the dawn of civilization. In today’s fast paced world conflict, especially in the workplace, is a frequent occurrence. When that workplace is a health care environment where lives are at stake, emotions run high and collaboration with many different disciplines is required conflict often becomes a prevalent part of everyday life. Conflicts in the workplace can lead to reduced morale, lowered productivity resulting in decreased patient care and can cause large scale confrontations (Whitworth 2008). In the field of nursing whether a conflict is with a peer, supervisor, physician, or a patient and their family, conflict management is a necessary skill.