You are a nurse manager in an agency that is experiencing financial difficulties, and this problem affects more than just your agency. You are located in a county that is economically depressed, and unemployment is high. You have just received the budget for the next financial year and note that you have lost one full-time position, meaning you must lay off one of your full-time nurses. Because of a poor economic situation, it is not possible to transfer within the agency, and the layoff will most likely be a permanent one. Also, no other agencies in the area are hiring, although some jobs may be available through a staffing pool or on a contingency basis. You must decide which of the following three employees to lay off. This is a nonunion agency, each of the nurses has the same number of years of service with the hospital, and all three have had very similar performance evaluations for the past 3 years.
Nurse A: Nancy is 50 years old and entered nursing later in life after raising a family of four. She is married to the hospital’s chief of staff, and some of the younger nurses on the unit resent her “country club” attitude. They think she is not really serious about nursing and works only to escape being bored. Nancy does a good job, but she does have some difficulty working with other staff nurses. You personally like Nancy a great deal. She is closer to you in age and life experience than the other staff nurses, and you find yourself turning to her for advice and support. Nancy has confided in you that she really enjoys her newfound career. She says that for the first time in her life, she has an identity of her own instead of always being somebody’s daughter, spouse, or mother. Nancy has missed 4 days of work in the last 6 months: 2 days to take her mother to the doctor for evaluation of Alzheimer’s disease, 1 day because her husband unexpectedly told her that she had to accompany him to an important hospital social event, and 1 day for calling in sick.
Nurse B: John is 35 years old and the only male nurse on your unit. He has suffered a number of personal crises and losses in the past 2 years. His 2-year-old son has Down syndrome, and his 10-year-old son was killed in an automobile accident last year. About 6 months ago, his father died unexpectedly from a heart attack. John has confided in you that he is really struggling with these personal losses. He is especially having difficulty with losing his son because he says he will never be able to do all the “father and son things” with his 2-year-old son that would have been possible with the older son. John says he just doesn’t feel the same kind of bond with either his 2-year-old son or his 6-year-old daughter. John also states that he’s having difficulty with his wife. Their relationship is very strained and stressful. He’s not sure if the marriage will survive. He says that he has been very depressed over all of these crises and has sought professional counseling. He also tells you in confidence that the psychiatrist has him on antidepressants to help him cope. John has missed 4 days of work in the last 6 months. All of them have been on Mondays. He says that the depression at times has made it difficult for him to start another week.
Nurse C: Carrie is 33 years old and is very well liked by her peers. She is an informal leader in the group. You personally don’t like Carrie very much. She was working on the unit before you became manager, and she has constantly challenged you since you arrived. She is argumentative and resistant to change, but she always ends up doing what you ask her to do. You worry about the effect that she has on unit morale, yet none of the staff nurses has ever reported having difficulties working with her. About 9 months ago, Carrie seriously injured her back when a patient she was ambulating started to fall. Carrie saved the patient from injury, but she was on medical leave for 6 weeks because of the incident. Her recovery may have been hindered by the fact that she is 40 pounds overweight. Because of her back injuries, she often requests that she be assigned to charge (desk) duty. Other staff nurses have offered to give her their charge duty or volunteered to help her with patient care if she needs any assistance. Carrie has missed 4 days in the past 6 months: 2 days on two separate instances, both for complaints of back pain.
Which nurse will you lay off? List two reasons to terminate or retain each of the nurses.
Case Study 2
Susan, a new graduate nurse, is assigned to a general medical/surgical unit. After an extensive orientation, she is assigned to the night shift. She has worked hard and demonstrates considerable learning and an effective transition into her role as a nurse. She arrives at work one Saturday evening, receives her assignment, and begins her work. After rounds, she is in the nurses’ station and strikes up a conversation with the other, more experienced nurse. As she draws closer, she notices an unusual smell. It smells like beer. She watches the other nurse more closely and notices a slight unsteadiness in her hands and slower speech. Susan knows that this more experienced nurse is her only co-worker for the shift. Susan asks where the experienced nurse was before coming on shift. The nurse says she was with friends.
1. How should Susan proceed?
2. In spite of the reassurances, Susan is concerned about the nurse. What would the next steps be?
3. How might this action affect Susan’s reputation on the unit and her relationship with the experienced nurse?
Case Study 3
Carlos, a new professional nurse graduate, has been asked to participate in the hospital-wide initiative to go live with an electronic medical record (EMR). Carlos understands that nurses and physicians at his institution have long resisted technologic advances, and this conflict has taken 10 years to progress to the point of implementing the EMR with computerized physician order entry (CPOE). Some work has been completed by the committee to gain buy-in, in an attempt to reduce resistance and reluctance, and plans are now needed to effectively manage conflict after implementation.
1. What strategies can Carlos and the EMR implementation team employ to address conflict management before the go-live date?
2. What strategies can Carlos and the EMR implementation team use to address conflict management after implementation?
3. What conflict-handling techniques will be of particular importance during the implementation?
Case Study 4
Sandra recently began to question her decision to become a nurse and was considering leaving the profession after only 6 months of licensure. Orientation had left her in tears at least once per week, and she began to question her ability to be a safe and competent nurse. Sandra felt belittled by her preceptor and unsupported by her co-workers, who all seemed too busy to help her. She frequently observed her preceptor roll her eyes and sigh loudly when Sandra asked a question; she observed the same thing from the preceptors of the other two new graduates. Sandra understood that her preceptor was experiencing conflict in her own life because she commonly overheard her preceptor on the phone arguing with her husband.
1. What strategies can be implemented to reduce lateral violence on Sandra’s unit?
2. What can Sandra and the other new graduates do to improve the work environment?
Capital and Corporal Punishment: Argumentative Essay Disclaimer: This work has been put together by an understudy. This isn't a case of the work composed by our expert scholarly authors. You can see tests of our expert work here. Any assessments, discoveries, ends or suggestions communicated in this material are those of the writers and don't really mirror the perspectives of UK Essays. Distributed: Wed, 15 Aug 2018 What is implied by the death penalty? The death penalty, or capital punishment, is the murdering of a man by legal process as a discipline for an offense. England has utilized capital punishment since its initial history. More than 200 violations could be rebuffed by death inside the eighteenth century, these comprise of such insignificant offenses like taking a thing in a shop which was worth in excess of 5 Shillings, sending debilitating letters and notwithstanding chopping down a tree. In the 1820's this rundown off offenses which could prompt capital punishment was revoked because of a developing helpful development against the death penalty and the perspectives of the general population which couldn't help contradicting this type of discipline. Likewise juries turned out to be more unfit to convict respondents of generally little offenses if the offense implied they needed to get capital punishment as they felt excessively remorseful, making it impossible to end the life of someone else. This happened increasingly regardless of whether all proof indicated the respondent of the wrongdoing to be liable In 1861 parliament passed The offenses against the people demonstration 1861 which built up that murder could be the main offense in which a capital punishment could be connected to amid harmony time. The main acception to this standard was if the litigant was to request that the Home Secretary apply benevolence, generally this sentence was required to anybody indicted by a jury of homicide. 1868 saw the abolishment of hangings being an open exhibition and from that point onwards hangings and such sorts of the death penalty would exist just behind the dividers of jail grounds. Anyway it is contended by Henry Fielding that despite the fact that this activity was to make capital punishment a more edified strategy, the feeling of awfulness and dread inside general society was expanded as the manner by which the death penalty was presently managed was currently more a mystery and private undertaking. The beginning of the twentieth century saw the introduction of another political power the Labor Party. The Labor party among its individuals felt adversely towards the death penalty and in January the gathering distributed a proclamation on the death penalty. The annulment of capital punishment was unequivocally upheld and 27 critical work government officials marked this declaration. Anyway once the Labor party was chosen into power they were not able sanction standards in which they had shown and they appeared optimistic. In 1930 a select panel report recommended that a multi year test period ought to be utilized to suspend capital punishment anyway the thought was unachieved. The House of Commons passed a bill in 1948 which incorporated an alteration to abrogate the death penalty. This reason much shock and stun among the general population and the House of Lord vanquished the thought and the 1948 Criminal Justice Act was passed without the huge segment included. The Royal Commission was set up in 1949 to help pacify the publics feeling and help examine conditions when a homicide probably won't pull in a capital punishment. It was expressed that a homicide which was unpremeditated or murder which was submitted by the rationally precarious ought to stay outside of the organization of capital punishment. It was just later that decreased obligation was perceived as a barrier to kill. A litigant of homicide which could be appeared or turned out to be crazy according to the legitimate rules of the Mcnaghten principles could anyway escape execution. Derek Bentley a man with the psychological age of a youngster was assistant to a homicide and was hanged in 1952 anyway his co respondent Christopher Craig circumvented hanging. An appeal to for benevolence was marked by more than 200 MP's and additionally a significant part of the overall population anyway Sir David Maxwell Fyfe the home secretary at the time was unconvinced and Bentley was hanged in 1953. The Gowers Commission of 1953 revealed that the change of the law of homicide ought to incorporate the abrogation of the death penalty anyway the Government gave careful consideration to this guidance. Ruth Ellis was hanged in 1955 in Holloway jail for the homicide of her past darling. It created the impression that murder had happened however the condition of enthusiastic desire in which she was profoundly bothered by. Therefore her case pulled in much open consideration, discussion and attention and hangings were suspended for a long time. A Labor MP Sydney Silverman sorted out a national crusade against hanging which made immense discussion among the media and parliament. In 1956 Britain's most senior executioner Albert Pierpoint surrendered because of individual soul. A bill was on the other hand made to cancel hanging anyway was tossed out by the Lord when gone through the place of house. In 1957 the Homicide Act was passed in which acquainted three fractional resistances with homicide. These comprised of: incitement, decreased duty and suicide agreements. These three safeguards offered an elective decision of deliberate homicide in which a jury could apply on the off chance that they were influenced by the barriers fittingness to the case in which they were included. This at that point empowered the judge to sentence at his prudence and in this manner abstain from forcing the obligatory capital punishment for homicide. There was 87 hangings somewhere in the range of 1950 and 1956 anyway in the accompanying 8 years past 1957 there were just 29, and to this end there has been no perceptible ascent in the rates of crime. In 1964 another Labor government was chosen and the individuals who were supportive of the annulment where urged to reestablish their convictions and expectations through crusades. A private individuals bill was presented by Sydney Silver man which increased much help and was passed by the Commons and Lords with around 66% in lion's share of the two houses. In the wake of picking up the illustrious consent the Murder (abrogation of capital punishment) Act 1965 was passed. The demonstration incorporated a conciliating statement to its rivals that the demonstration would terminate in 5 years except if parliament casted a ballot to hold it, anyway it appeared that the nation was currently calm with the demonstration and in 1969 James Callaghan moved a movement through parliament to expel the condition and consequently hold the demonstration. It has been contended for a long time whether the death penalty ought to remain nullified or ought to be restored, here are a few contentions for and against the death penalty: Contentions for the death penalty: Debilitation of the criminal: The death penalty for all time expels the most exceedingly terrible lawbreakers from society and ought to demonstrate significantly more secure for whatever remains of us than long haul or lasting detainment. It is plainly obvious that dead hoodlums can't perpetrate any further violations, either inside jail or subsequent to getting away or in the wake of being discharged from it. Cost: Cash isn't of an unending supply and the UK could be in an ideal situation if the administration spent our (restricted) assets on the old, the youthful and the debilitated and so forth as opposed to spend our cash on the long haul detainment of killers, attackers, and so on. Reprisal: Execution is an undeniable discipline and perhaps the most noticeably bad discipline which can be controlled to a person. Types of rehabilitative treatment lawbreakers are made to endure in extent to offenses in which they may have submitted appear to be just uncompensational. Despite the fact that whether there is a place in an advanced society for the antiquated chief of tit for tat involves sincere belief. Retaliation is seen by numerous individuals as a satisfactory purpose behind capital punishment as per my study results. Prevention: Does the death penalty dissuade people from carrying out wrongdoing. This is a hard issue to demonstrate in light of the fact that in many nations the quantity of individuals really executed every year in contrast with those condemned to death is typically a little extent. Anyway it seems that in those nations (e.g. Singapore) which quite often complete capital punishments, there is far less genuine wrongdoing. This persuades capital punishment deters hoodlums from carrying out wrongdoing however just where execution is a virtual assurance. Capital punishment is significantly more prone to be a hindrance when the wrongdoing in which a criminal executes requires arranging and the potential criminal has sufficient energy to consider the conceivable results. In the event that the wrongdoing is submitted seemingly out of the blue it is highly unlikely that any discipline will go about as a hindrance. Contentions against the death penalty: The primary shortcoming with the death penalty is that there is no supreme sureness that individuals have perpetrated the wrongdoing which they have been indicted for and truly honest individuals can be executed to which there is no chance to get of remunerating them for a mix-up of a sentence this way. Likewise a man indicted for homicide may have really executed an unfortunate casualty and may even concede having done as such yet does not concur that the slaughtering was murder and may trust that it was of no blame of their own or a mischance, for instance an auto collision could be viewed as a homicide. Regularly the main individuals who recognize what truly happened are the blamed and the expired. It at that point comes down to the expertise of the arraignment and barrier legal counselors with respect to whether there will be a conviction for homicide or for murder. Hence it is likely that individuals are indicted for homicide when they should have just been sentenced for murder. For instance the instances of James McNicol and Edith Thompson. A second shortcoming is the damnation the guiltless family and companions of lawbreakers should likewise experience in the time paving the way to and amid the execution. Usually extremely troublesome for individuals to deal with the way that their adored one could be liable of a genuine wrongdoing and no uncertainty significantly more hard to deal with their demise in this>GET ANSWER