Jane is a newly graduated practical nurse working in an acute rehabilitation center on the night shift (6:45pm-7:15am). Jane has three small children who she gets ready for school in the am and takes to the bus stop. She explained to her employer when she accepted her position that she must leave on time as she is the sole person responsible for her children. The Director of Nursing stated at that time that “overtime is prohibited. You should always leave on time unless there is a major emergency at change of shift. We are open 24 hours a day, and nursing is a fluid profession that moves from shift to shift.”
Jane has found that when she is being relieved by Joanna, she is always late. This has put a strain on Jane’s responsibilities at home, and her overnight babysitter has stated that if it happens again, she will need to look for another sitter. This has caused Jane great stress, and today Joana is scheduled to be Jane’s relief. Anxiety has been pulling at Jane all night.
At 6:45am. Jane has her report sheet prepared and has all her clients taken care of. She is prepared to give report and leave her duties for the day. It is now 7:00am, and unfortunately, Joanna has not arrived. Jane is becoming more anxious and concerned. Jane is concerned she will not make it home in time to relieve her babysitter as promised.
Joanna arrives at 7:01am. Jane asks Joanna to count narcotics first, and then get report. Joanna agrees. The following conversation then occurs:
Jane states: “Thanks, Joanna, for counting first. I really appreciate it. I am going to give you a brief overview of the clients who have had no changes, and then go in depth with those who are ill or have changes in condition. I have everything written on the report sheet, and I will answer any questions as we go, but I need to leave in 8 minutes.”
Joanna replies with a stern loud voice “Who do you think you are? I am not about to take over the unit without a fine tune report. I need to know about everyone, not just those who are sick or getting better. I do not have time to read report. Tell me or I am not taking over.”
Jane became very defensive and upset stating “My shift is over. It is 7:18am. If you wanted full report on all clients, you should have been on time. I wrote everything down. I am now leaving. We counted, you have the keys to the medication cart. I am leaving. Have a good day.”
Initial- write 1 page,and answer all 3 of the question
· How could Jane and Joanna both have handled this situation differently?
· What are examples of therapeutic communication present in the scenario? If there are not any examples, how would recommend incorporating therapeutic communication?
· What is Jane’s legal obligation to her clients and co-workers? Would this be an example of abandoning her clients or is the fact that she left a written report sufficient? Provide rationale for your response.
Response write one page
For your response, you will assume the role of the Director of Nursing. Jane and Joanna have both come to you for help resolving this conflict. How would you respond?
Jane is a newly graduated practical nurse working in an acute rehabilitation center on night shift
Please NO PLAGIARISM
· Standard American English (correct grammar, punctuation, etc.)
· Professional organization, style, and mechanics in APA format
NO PLEDGERISM
· APA format and in-text citation
· 4 References – must contain at least four professional references, published within the past 5 years
**Initial Response**
**How could Jane and Joanna both have handled this situation differently?**
Jane could have communicated her concerns to Joanna calmly and assertively without becoming defensive or upset. Instead of abruptly leaving, she could have reiterated her need to leave on time due to her childcare responsibilities and offered to provide a brief overview of the clients or written notes for Joanna to review. Jane could have also discussed the issue with her supervisor or HR department to find a solution to the ongoing problem of Joanna’s tardiness.
Joanna, on the other hand, could have shown understanding and empathy towards Jane’s situation. Instead of responding with hostility, Joanna could have acknowledged Jane’s need to leave on time and expressed willingness to work together to ensure a smooth transition. She could have requested additional information from Jane in a respectful manner and offered assistance if needed.
**What are examples of therapeutic communication present in the scenario? If there are not any examples, how would you recommend incorporating therapeutic communication?**
In the scenario, there are few examples of therapeutic communication. However, therapeutic communication could have been incorporated by both Jane and Joanna to improve the interaction. Jane could have used active listening and empathy when addressing Joanna’s concerns, validating her need for a thorough report while also asserting her own boundaries. Joanna could have practiced active listening and expressed empathy towards Jane’s situation, acknowledging her need to leave on time and offering support instead of confrontation.
**What is Jane’s legal obligation to her clients and co-workers? Would this be an example of abandoning her clients or is the fact that she left a written report sufficient? Provide rationale for your response.**
Jane has a legal obligation to provide safe and effective care to her clients until properly relieved of her duties. While leaving a written report can provide some information to the oncoming nurse, it may not be sufficient to ensure continuity of care, especially if there are critical updates or changes in the clients’ conditions. By leaving before providing a comprehensive verbal report, Jane could be viewed as abandoning her clients, which could have legal implications if patient safety is compromised as a result. Therefore, it is essential for Jane to ensure that her clients’ needs are adequately communicated to the next nurse before leaving her shift.
**Response**
As the Director of Nursing, I would address the conflict between Jane and Joanna by facilitating a constructive dialogue and finding a mutually agreeable solution. I would meet separately with both nurses to understand their perspectives and concerns, emphasizing the importance of effective communication and teamwork in providing quality patient care.
To Jane, I would acknowledge her commitment to her childcare responsibilities and the need for timely relief at the end of her shift. I would explore options to accommodate her schedule while ensuring patient safety, such as adjusting shift assignments or implementing a backup plan for relief coverage in case of unexpected delays.
To Joanna, I would emphasize the significance of respecting colleagues’ boundaries and supporting each other in the delivery of patient care. I would address her behavior during shift handoff, emphasizing the importance of professionalism, teamwork, and flexibility in adapting to changing circumstances.
Overall, I would work with both nurses to establish clear expectations for shift handoff procedures, including the provision of comprehensive verbal reports and mutual support in ensuring continuity of care. Additionally, I would provide ongoing education and support to promote effective communication, conflict resolution, and collaboration among staff members.
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