Scenario You are working as a charge nurse on a medicalsurgical unit in an acute healthcare facility. One of the

Scenario
You
are working as a charge nurse on a medical-surgical unit in an acute
healthcare facility. One of the staff nurses who recently from
bereavement leave has been assigned to care for an elderly client, newly
diagnosed with stage IV pancreatic cancer. While you are visiting with
the client, the nurse is completing her assessment. The client requests
assistance to set up hospice care, complete an advanced directive, and
reach out to his estranged daughter. The nurse stated, “I can get you
the paperwork for the advance directive, but I can’t call your child for
you, I am not a social worker.” The nurse leaves the room and asks to
speak with you stating, “I can’t care for this client, I need my client
assignment changed now or else I will go home.
As
the charge nurse, you step in and change the nurse’s client assignment
and offer to assist the client with his requests. Later, you have the
opportunity to debrief with the nurse regarding her reaction and
decisions regarding the client’s requests and make some recommendations
on how the nurse could have responded differently. You write up a
summary of the events and include the follow-up conversation with the
nurse.
Instructions
Compose a written memo of the situation and debrief for the employee’s personnel file. Include the following in the summary:
Analysis of the internal and external cues impacting the responses of the staff nurse and the charge nurse.
Describe how these factors influenced the clinical decision making of both nurses.
Emotional intelligence action plan for the nurse based on interactions observed with the client and the charge nurse.
Include self-compassion and compassion toward others.
Include an alternative response from the staff nurse and charge nurse.

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