Question NUR345 – Procedures For Dealing With Conflict Incidents

Introduction : NUR345 – Procedures For Dealing With Conflict Incidents . This Case study based on the procedures for dealing with conflict incidents as described below.

Shannon Doe is a third year undergraduate nurse on clinical placement at Charles Darwin University Hospital Emergency Department (ED).

Day 1. Mon 07/05/2018. Shannon’s preceptor, Jennifer Lee, says “Hi. You are with me. We are short staffed and there is a poor skill mix on today. I will get you to orientate yourself to ED today by doing this ‘search and find’. Once you have done that, if you sit in the tea room here and log into this computer with these generic log in details (hands you piece of paper with log on and password), you can work through the self-directed learning modules on WHS, infection control, mandatory reporting and aggression management. That should fill in your first shift”. Shannon replies “OK then.” Shannon’s preceptor then walks away. She did not approach Shannon for the rest of the shift.

Day 2. Tues 08/05/2018 . At morning handover the team leader asks “Who is working with the student today?” Shannon’s preceptor, Jennifer, says “I’m stuck with her” then laughs and says “Nah… Joking!” Shannon smiles and giggles, but inwardly she feels embarrassed.

Case Study On NUR345 – Procedures For Dealing With Conflict Incidents

After handover Jennifer advises Shannon that she will be looking after two patients. Bed 1 has an 11 year old girl with Leukemia. Jennifer asks Shannon “Where should you look for bleeding?” Wanting to demonstrate her knowledge Shannon advises “Platelets release thromboplastin, which converts prothrombin to thrombin in the first step of the coagulation process; if the girl has low platelets she may bleed and one of the first places to look for signs of bleeding is the gums and mucous membranes”. Jennifer replies “What are you, a walking text book?” and smiles. “Well done” she adds. Shannon gives an awkward smile back but does not respond verbally. Inwardly she are questioning whether she just received a compliment or a criticism.

Bed 2 has a two year old boy with croup. Shannon can hear his barky cough and inspiratory stridor.  Jennifer says “Can you recite what you know about croup?” Just as Shannon was about to respond, Jennifer says “Nah, don’t worry about that, just go in and make sure the parents have some breakfast. Hear that? (pauses to listen) We need to get the family up to Paeds as soon as possible”. Shannon feels a bit dismissed but understands that the clinical need is a priority over her clinical education at that time.

Day 3. Wed 09/05/2018. Shannon and Jennifer are allocated to cubicles 1 to 4. After handover Shannon walks into cubicle 1 to do a set of vital signs on a male patient admitted with pneumonia. He is non-responsive. Shannon pushes the emergency call bell, checks his airway for blockage, checks his breathing using ‘look, listen, feel’. He is not breathing. Shannon commences CPR. Jennifer arrives at the same time as Dr Tim Coloton and RN Anna Roberts.

Jennifer asks ” What have you done?” Just as Shannon is about to respond Jennifer says “Finish that cycle of compressions then step back, we’ll handle this”. Shannon completes the cycle of compressions and stands back and observes the resuscitation. Later in the day Jennifer goes to the clinical debrief. Shannon notes that Jennifer did not invite her.

Day 4. Thurs 09/05/2018 . Shannon calls the Nursing Unit Manager, John Matthew, and advises “I am not coming in today. I feel like I am being bullied”.

Task : Question NUR345 – Procedures For Dealing With Conflict Incidents

  • Complete the incident report in the template provided as the worker (Shannon) in the case study provided.
  • Discuss procedures for dealing with conflict incidents as described in the case study above.
  • Critically analyse what has occurred in the case study provided.
  • Draw on the literature to provide recommendations to foster Shannon’s resilience in future placements.

When writing this assessment refer to the task, presentation guidelines and marking rubric. Last name_student number_NUR345_ Assessment 3.doc

Presentation guidelines

  • Use the assessment template provided – incident report and marking rubric included.
  • Complete the footer as prompted i.e. lastname_studentnumber_NUR345_ Assessment 3
  • Format your assessment with size 12 point Arial font, single spacing in incident report; 1.5 line spacing for essay; 1.5 line spacing for end-of-text reference list.
  • Complete spelling and grammar check using English (Australia) default.
  • A minimum of 10 peer reviewed journals or texts no more than 5 years old.
  • Use APA 6th referencing.
  • 2000 word limit (incident report; essay). The end-of-text reference list is NOT included in the word count.
  • Incident report should be written in the first person; worker’s perspective.
  • Essay should be written in the third person.
  • Use headings to signpost your work.
  • Save the final version of your paper using the filename of lastname_student number_NUR345_ Assessment 3

APA 6th referencing Download guide from the CDU library