I think you have the best response because this is something you have personally dealt with in the working profession. With that said, it gives a lot of insight into handling issues like this when we ourselves get into the workforce. This question sort of goes back to another discussion board where we talked about what makes a team. If something as simple as a tray is forgotten, it makes the team as a whole look bad. It also starts a sort of trickle affect with other team members. If a patient is unhappy about the forgotten tray, not they may be upset and take it out on another member of the team that was not directly apart of it. Overall, something like this should not happen and needs to be taken care of right away. In order for a team
In the hospital environment there are several resources for the nurse to partner with to address nursing sensitive indicators and ethical issues that may arise. In this scenario, to help resolve the issue with meal trays a partnership with dietary could be made to come with an appropriate solution for the correct delivery at meal time. The nurse could have brought this information forward and apologized to the patient and his daughter rather than trying to keep it quiet. The nursing supervisor
You’re correct by making the apology and patient meal the top priority. By making their meal the number one priority at that point you would have shown the patients that they are not an afterthought which they may fell that they are at that point. By speaking with the kitchen staff supervisor you’ve made a decision based upon the kitchen supervisor following up with the discipline of the department, but in most instances as the DTR you’ll be expected to have some supervisory role over the kitchen staff especially the staff that has patient interaction. I believe just mentioning it to the patient doesn’t display the importance of not forgetting meals. Meals in the national care department are vital as they we know that a person’s nutrition will
c. There are several resources I could use to resolve the ethical issue. I would schedule a consult with dietary to find a solution to insure patients receive the correct food tray. Collaboration with the education department to retrain staff to round on patients at meal time, checking that proper food trays are given, while performing safety and comfort checks on each patient, could greatly improve patient satisfaction and outcomes. Staff cannot rely on patients to confirm or recognize whether they are given the correct tray, especially in this case were the patient is demented. In the case described, the patient received the wrong tray which was not a medical issue but a cultural issue, equally as important. The mistake warrants an immediately apology to the patient and family. The best approach to this apology may be to have the Patient Advocate present during the conversation, along with the Nurse Manager. I would also privately speak to the nurse and educate her on proper communication techniques that were more appropriate in this instance. I would have the education department create an education assignment for all staff to
Several resources exist in the hospital in order to address the nursing sensitive indicators. In this scenario as a nurse I could partner with dietician in order to address the tray issue and deliver the correct tray to the correct patient. To resolve any misunderstandings I would apologize to the daughter of the patient for the incident. I would speak to the nurse who commented inapprotely to the
The first example occurred when roles were handed off to relieve coworkers for breaks. One nurse had noticed that two sponges were packed behind the patient's liver, and one had been removed. This observation was written on the board, but there was a failure to communicate to the relieving nurse that there was one sponge remaining. The remaining sponge was the one left unaccounted for at the end of the surgery (CDPH). The handing off of roles seemed to increase the possibility of missing or retaining important information. Other examples of inadequate communication were previously mentioned in the breached processes. These include failure to notify the surgeon of the discrepancy, and verbally confirming the count when it had not yet been
To be perfectly honest, I didn’t have a clue as regards “Forbidden Island” and wasn’t too familiar with many board or card games. My initial
On night shifts at my job, I am the only registered nurse with two LPNs and five CNAs. I am responsible for the first floor unit, which is where I am assigned to work every night with anywhere from 20 to 35 patients, and I am also responsible to respond to the second floor when they need an RN to be present. In my unit, I am responsible for doing med pass, assessments whenever necessary, transfer patients out, put out calls to the doctors, and delegation to the rest of the team. Sometimes if we are short on the staff, I have to adjust staffing. Working in the staff is very stressful to everyone, which is where communication comes to be very important. “Communication, a key to successful teamwork, is a complex process that should never be ignored.
My response to a worker who is extremely angry is to approach this person in a calm manner. Ask the person if they would like to take a walk with me or come in to my office for a quiet chat. Let them know that you have observed that there is something wrong. This way they know that at least you have identified that there is a problem. I would then ask what they are angry about. Why they are angry, is there anyone in particular they are angry with or are they angry with themselves and what outcome they would like to see. If the person is angry with a colleague then I would ask these questions. What is the colleague doing to make you angry? Are they not listening to you or are they not being a team player?
The fact that a tray was never brought to a patient is a serious issue. Nutrition for patients should be a top priority along with their medical care. If a patient is dissatisfied with the care they are receiving, future business and reputations could be destroyed. The first step would be to take care of the patient. Ask the patient what they would like to have and immediately have the tray for them. It would be best to bring the tray to them yourself and personally apologize for the inconvenience and assure them that you will look into why the tray was never brought to them. Once the patient has been taken care of and hopefully calmed down, the next step would be to follow up with everyone involved in the tray delivery, especially the employee
Please remember that we should all be working on team work. This should be implemented on a daily basis. We should be calling each other to see if anyone needs help when you are done with your work.
Teamwork can be complex and challenging given task and interpersonal issues, level of group motivation and expected performance standards. The concrete experience spoken about in this reflection piece is in reference to the effectiveness of myself as a group member and the group, working to write a report outlining the organisation and structure of Volkswagen. Dennison (2009) applies Kolb’s learning cycle (1981, 1984) which suggests that learning moves through a continuous cycle, between having an experience, and then reflecting on that action. This cycle has been developed from Lewin’s (1951) model for experiential learning. Reflection termed by Boud, Keogh and Walker (1985) ‘is a forum of response to the learner to experience’(p. 18). On reflection, the early set group dynamics was a defining factor in the experience, and how the team conducted themselves throughout the task. Meyerson, Wick and Kramer (1996) note that ‘such rapidly converging groups require methods for developing “swift trust”’ (p. 8), which can explain why initial group dynamics are so important. I took on multiple team roles, including group leader, which could be translated into the team not performing collectively on a high level, however, I could view this as a personal ineffectiveness of my leadership style.
Almost two months since receiving our brief, I have come to the conclusion that there are many aspects to which I have contributed and there are certain things I need to improve.
Hoegl & Gemuenden (2001) observed that the definition of teamwork is a social system including more than three people in an organization or context. These members identity others as one member of the team and they have the same goal. Robbins (2001) stated that the factors influencing teamwork are relation of leadership, roles, principles, status, size, composition and the power of agglomerate.
What are the advantages and disadvantages of working in teams? By reference to relevant theory show how can the disadvantages be reduced or avoided.
“Group work is a form of voluntary association of members benefiting from cooperative learning that enhances the total output of the activity than when done individually”.