Montgomery College Nursing Simulation Instructions- Managing Incivility PDF

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Required for clinical hours! Answers to Montgomery College Nursing Simulation for Managing Incivility. Answers came from simulation video....

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Montgomery College Nursing Simulation Instructions: Managing Incivility

1. History: Charge nurse and prior preceptor to primary nurse. Ogama has been working at this hospital for over 20 years. Ogama works 12 hour shifts, has an elderly parent at a nursing home, is a single parent of 2 adolescent children. Ogama has precepted many times, and is frustrated with her overwhelming number of duties as a hospital administrator and preceptor. In addition, Ogama is frustrated with the new graduate nurses that Ogama believes do not believe they need to start at the bottom and work their way up the ladder. Ogama believes that new nurses do not want to work hard, and think everything should be given to them. Ogama believes that most new graduates have no institutional loyalty and often leave after a mere 2 years of free training. 2. Time: 0645. The primary nurse is a recent graduate who completed her 6 months of preceptorship 2 weeks ago on a busy telemetry unit. Her preceptor is now the charge nurse. The primary nurse has a particularly heavy patient load and the charge nurse has just notified her that she will be receiving a new admission form the ED. Feeling overwhelmed, the primary nurse approaches the nurses’ station to address this with the charge nurse.

3. Watch the Managing Incivility video simulation 4. Click on the DESC Communication Tool and read #1 & #2 5. Answer the following questions:  What can a nurse manager do to prevent such behavior on the unit? o She can leave her home problems at home and focus on what needs to be done on the unit o She can be more patient and understanding of new grads and be more welcoming to questions from new grads  How can a nurse manager intervene when conflict arises on the unit? o She can intervene by using the DESC communication tool when conflict between employees come up.  What factors have encouraged uncivil behavior in the profession of nursing? o Believing that others don’t want to work hard, believing that your problems are more important than others, not being patient or understanding of others  How can workplace incivility affect patient care? o It can cause more missed nursing opportunities causing poor patient outcomes. Nurses can be rushed and miss key signs of deteriorating patient status.  Does it feel comfortable to have a conversation concerning conflict? Review and practice the DESC tools. o Conversations about conflict are never easy but DESC tool makes these conversations go smoother and make the speaker feel more confident  What are the consequences to nurses personally who may be affected by lateral violence? o They feel unwelcomed to their floor, they feel worthless and unknowledgeable about their nursing skills. By feeling this way they may underperform and unintentionally affect their patients.

Does your institution have a zero-tolerance policy for uncivil behavior? Is it enforced? What can you do as an individual to reinforce and promote civility in the workplace? o Saint Luke’s Hospital does have a zero-tolerance policy for uncivil behavior, and it is enforced by nurse managers and charge nurses on each floor. o As an individual I can comply with the zero-tolerance policy and I can stand up for other staff members who may be a victim to uncivil behavior  What did you feel the nurse did well? o I thought that the primary nurse did good to help the patients family member when she requested someone go check on the patient. The video didn’t tell us if that was her patient or not, but the nurse did not hesitate and she went in to help. 6. Take the conflict styles assessment: http://www.buildingpeace.org/conflict-styles  What is the style of conflict you most gravitate to using? o Competer  What do you think is the style of your o a) significant other  Competer o b) co-workers?  Problem solvers  How do you think this could affect your interactions with them? o I can sometimes overlook others decision making styles and therefore make them seem not as important. I can strengthen interactions with others by listening to their point of view before trying to make a final decision. ...