NR 510 Week 5 Conflict at the Office Discussion

Paper Instructions

You are a family nurse practitioner working in an outpatient primary care office of a large hospital system. The practice has been operating for over 15 years, and many of the administrative and clinical staff were hired when the practice opened. You have been in the practice for less than 3 months. In that short amount of time, you have witnessed several of the clinical staff engaging in heated arguments with each other, sometimes in patient areas.

You overhear an argument occurring today between two staff. You pick up a patient’s chart and notice a very low blood pressure that the medical assistant failed to notify you about. When you confront the MA, she states that she was going to report the vital signs to you when she became engaged in the heated argument you overheard and forgot to notify you.

Unfortunately, this pattern of behavior is not unusual in this practice. Working with staff who cannot cooperate effectively can negatively influence your ability to spend time with patients, can impede the flow of patients through the office, and could impact patient safety.

Discussion Question

  • What is your response to the medical assistant? What actions do you take to redirect the flow away from arguments and back to patient care?
    Provide rationales and evidence to support your decisions.

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The answer to this question has to be addressed based on the type of person with whom I am going to engage. Much of what I say to the MA will be based on my prior knowledge of the person and my perceptions about how they think and act. The problem revolves around losing sigh of why we are here and what our priorities must be. When we allow our own personal feelings of problems interfere with our work it can become a source of concern. in this situation is could have well compromised the well being of a patient.

My goal would be to make the MA understand the importance of maintaining focus and how this can be a safety issue as well as affecting the unit as a whole (Yang &Treadway, 2016). Personal interactions can be difficult but maturity dictates that there is an appropriate time and place to resolve personal issues and an acceptable manner in which to conduct yourself. These expectations must be met or there will be consequences. I would remind the MA that they are a professional and that they must maintain that status or risk losing the respect of co workers and patients.

  • Yang, J., & Treadway, D. C. (2016). A Social Influence Interpretation of Workplace Ostracism and Counterproductive Work Behavior. Journal of Business Ethics, 148(4), 879-891. doi 10.1007/s10551-015-2912-x

 

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