Week 3
Decision Making
Watch this video on decision-making in Nursing:
https://www.youtube.com/watch?v=5Z3pliTis7wLinks to an external site.
For your initial post, complete the following:
Read the entirety of Chapter 13. Use the Decision-Making Format in Box 13.1 on page 291 in the eBook to answer “The Challenge” (below) practice example found on page 291 (Chapter 13). You can copy and paste the box into an MS Word document to begin working on your answers.
The Challenge
Vickie Lemmon, RN, MSN Director of Clinical Strategies, Operations WellPoint, Inc., Ventura, CA
Healthcare managers today are faced with numerous and complex issues that pertain to providing quality services for patients within a resource-scarce environment. Stress levels among staff can escalate when problems are not resolved, leading to a decrease in morale, productivity, and quality service.
This was the situation I encountered in my previous job as an administrator for California Children Services (CCS). When I began my tenure as the new CCS administrator, staff expressed frustration and dissatisfaction with staffing, workload, and team communications. This was evidenced by high staff turnover, lack of teamwork, customer complaints, unmet deadlines for referral and enrollment cycle times, and poor documentation.
The team was in crisis, characterized by infighting, blaming, lack of respectful communication, and lack of commitment to program goals and objectives. Because I had not worked as a case manager in this program, it was hard for me to determine how to address the problems the staff presented to me. I wanted to be fair but thought that I did not have enough information to make immediate changes.
My challenge was to lead this team to greater compliance with state-mandated performance measures.
How would you do if you were this nurse?
Using critical thinking and the textbook resources, Define your options for the solutions to this problem. There may be many in this scenario.
Complete the table using the Decision-making Format in Box 13.1, page 291. Post your table by copy/paste into your initial 200 + word response.
State Your Objective: ______________
Add more rows where needed. Rank the priority of options, with “1” being the most preferred.
Decision-Making Table Format
Options Advantages Disadvantages Ranking
What is your implementation plan?
What is your evaluation plan to see if your plan worked?
Reference:
Yoder-Wise, P. S. & Sportsman, S. (2023). Leading and Managing in Nursing. (8th Ed). Elsevier.
• Chapter 13: Solving Problems & Influencing Positive Outcomes