Midterm managements and leadership nursing
Directions: Please read Narrative and answers the 5 questions based on information in the Narrative:
Stan has been a staff nurse on a medical-surgical unit in a large urban hospital since graduating with his BSN 2 years ago. He has thrived on this unit under the leadership and mentorship of his nurse manager, Linda Green. She hired him and assigned a preceptor for his first 6 months on the unit, a nurse who had 3 years of experience in nursing and on the unit. Stan and his preceptor worked on the same shift, and the preceptor was invaluable in helping him to become acclimated to the unit, to the policies and procedures, and to caring for four to six patients on the 7 PM to 7 AM shift. Since the preceptorship ended, he has maintained a very positive relationship with his preceptor and goes to this person when he needs assistance with practice questions.
Stan meets with Linda Green regularly, and she has helped him to develop and to plan for meeting his career goals. Stan is interested in moving into a critical care unit as a staff nurse and later considering anesthesia school or a management role. He wanted to stay on the medical-surgical unit for a couple of years, which he has now accomplished, and he feels ready to move to a critical care unit. Ms. Green has even arranged for Stan to shadow a charge nurse on the unit to gain exposure to a management type of role. He has received very positive performance evaluations from Ms. Green, who has regularly solicited his feedback on his perceptions of his practice, the unit, and how his experience could be even better.
Stan became aware of an open position in the cardiovascular ICU, requiring 2 years of experience in a medical-surgical setting. With Linda Green’s full support, he interviewed for the position yesterday with the nurse manager, Erica Jones. He did not feel that Ms. Jones communicated well with him; she spent most of the time in the interview telling him about the rules in the unit and what would happen if staff did not follow the rules. He asked about opportunities to gain exposure to management in the unit after acquiring clinical experience.
Ms. Jones told him he was interviewing for a staff position, not a management position, and she was not open to discussing that. Stan was very disappointed in the interview and with the job opportunity in the ICU that had seemed so exciting.
You are the nurse who was Stan’s preceptor during his first 6 months. He asks for your advice in making this decision about accepting a possible invitation to move to the cardiovascular ICU if it is offered to him.
1. What might be the positive aspects of Stan’s moving to this position if he receives an offer?
2. What are some negative aspects of Stan’s moving from the unit he works in now?
3. What would you say if Stan asked for your candid assessment of what you would do if given a similar choice
Thomas, a new nurse graduate, is assigned to practice on a unit where practices are physician centered. He is working on the night shift and knows that eventually he will have to call a physician for advice about a patient. He dreads this experience because he has heard so many tales about how much physicians dislike being awakened in the middle of their sleep. He asks a more experienced nurse how to present information, how to convey the importance of needing an answer, how to remain calm if the physician is disturbed with him, how to document his oral interchange with the physician, and what the nurse’s first experience was like.
4. Is it true that physicians dislike being awakened at night?
5. Is asking a more experienced nurse about how to present information a good strategy?
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