In this case, that power dynamic was only exacerbated by the fact that the entire MSICU nursing team had never received training in management of the type of clinical issues presented and by the fact that they were excluded from any consultation in connection with a post-operative management plan.
Therefore, it is recommended that the institution immediately implement a policy of "see something, say something" according to which all members of healthcare teams are encouraged to speak up irrespective of power differentials. Furthermore, that protocol must include a statement of policy insulating any member of a healthcare team who does voice a legitimate concern in good faith from any retaliation or other negative response that could conceivably deter such telephone or other media besides face-to-face interactions where relative seniority and authority are obviously apparent to all involved.
Bosk, Charles L. (2003). Forgive and Remember: Managing Medical Failure.
Gawande, Atul. (2008). Better: A Surgeon's Notes on Performance.
Groopman, Jerome. (2008). How Doctors…
Women's Health -- Focused on prevention and care for breast health, mammography, etc. Transplant Programs - Swedish is one of seven kidney transplant centers and one of just four liver transplant centers serving the entire Pacific Northwest. The Organ Transplant Program at Swedish is at the forefront of new advances in transplantation surgery, including pancreas transplants and transplants between unrelated living organ donors and recipients (Swedish Medical Center, 2011). Service design, operational
Psychopharmacology Possible etiologies Generalized anxiety disorder (GAD) GAD or as it is known in full generalized anxiety disorder is a widespread anxiety complication that is characterized by worrying chronically, tension and nervousness. This is different from a phobia; which is characterized by fear of something specific or situation. GAD diffuses a feeling of dread and unease spanning all aspects of one's life. The anxiety is not as intensive as a panic attack but
Total Rewards Program Evaluation: Case Study of Geico Total rewards are all available tools that employers can use to motivate, attract and retain employees. In other words, rewards are the compensations that organizations provide to employees for the services rendered to the company. However, rewards are not simply to offer payments or direct currencies for employees; however, rewards are the other form of non-financial benefits that can be converted to currencies,
Nursing Case Study Managing a possible Case of Gastroenteritis: A Nursing Case Study The effective delivery of optimal nursing care requires a comprehensive treatment plan that addresses both the patient's symptoms and the security of the immediate environment. This report presents a case study of appropriate evidence-based nursing practices in treating an elderly female patient presenting with abdominal discomfort in a residential care setting. The client presents with new onset faecal incontinence, diarrhoea
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