Leadership and Teamwork Case for Chapters 2 and 13 Jihan Mahmoud " air. has is a nursing supervisor at a surgical I of a private health care center. Currently, ray is chairing a project committee that is plan ,llning the implementation of an evidencebased pain management protocol across different 1". departments of the center. This committee includes four other members: Sandra, the head \"nurse of the emergency department; Samu- zein, nursing clinical supervisor at the medical ..' department; Rose, charge nurse at the surgical department; and Ioe, a senior physician at the 5 surgical department. The committee is in the planning phase and just had their budget planning meet ing last week. During that meeting, Charles proposed dedicating a certain percentage of the budget toward incentives and financial rewards for super-users and those who vole unteer to be on a departmentlevel project committee, a committee that will promote the implementation at a departmental level. When asked to vote on this suggestion. two of committee members, Sandra and Samuzein, voted \"yes\" while Rose abstained, and Ioe Voted \"no.\" Joe was very opinionated in his responses, stating "This is too much money to spend on nurses to do their job! I also con- tinue to think that there is no need for depart- mentrlevel committees 3' loe has previously opposed the idea of department~level committees. Even though Charles and other committee members tried to explain that the involvement of these committees in the implementation process will enhance the team members' engagement, [0e continued to reject this idea as he stated in another meeting, \"I don't think that making the nurses follow this one-page pain-management algorithm needs this much involvement of nurses and committees.\" \"All nurses have to follow it and those who dorft should be repri- manded\" Ioe added. Charles has noticed, through multiple committee meetings, that whenever Ioe votes against a proposed idea, Rose either abstains or votes against that same idea. One night. Rose is working, and Charles is the clinical supervisor of that shift. While having dinner in the breakroom, Charles initiates a collegial discussion regarding ideas that may enhance team members' engagement. Rose becomes emotional and starts crying. \"I want to vote for what I believe is the best for this commit- tee, but i am unable to do so.\" Charles asks Rose to nish her dinner and come talk to him at his office when she is ready to. Rose meets with Charles and shares with him that she feels intimidated by ]oe, consider- ing the fact that Ioe is a senior physician at her department. \"He once told me that the last person who said 'no' to him lost their job.\" Charles thanks Rose for her honesty and advises her to do what is best for her department and to discuss this concern with her department chair to plan for counseling regarding this matter. 534 Chapter 18 Health Care Management Case Studies and Guidelines Discussion Questions and what possible solutions would you propose to resolve them? 1. What are the major conflicts in this 5. What should be done about Joe? How case might his behavior and issues be 2. If you were the chair of this commit- addressed? tee, what actions would you take to 6. Charles has tried to manage the conflicts improve the work dynamic of this in this case; however, these conflicts committee? continue to exist. Charles finally decides 3. Charles is working hard on incorpo to submit a formal report detailing rating strategies that enhance team the conflicts of this case to the Chief members' motivation and engage- Nursing Officer (CNO). In preparation ment, but he is faced with certain or an in-person meeting with the CNO, challenges. What alternative direc- Charles needs to develop a management tion would you propose that Charles plan detailing proposed solutions to take? the conflict and what actions might be 4. You are the direct supervisor of Rose taken. What proposed solutions can be and will be meeting with Charles soon included in this plan? What supportive to discuss Rose's concerns and involve- actions and resources would Charles be ment in the pain-management com- expecting to receive from the CNO to mittee. What are Rose's main issues, manage these conflicts