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 are the potential ethical and legal implications for each of the following practice members?:

What strategies would you implement to prevent further episodes of potentially dangerous patient outcomes?

What leadership qualities would you apply to effect a positive change in the practice?  Be thinking about the culture of the practice.

 

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Required Resources
Read/review the following resources for this activity: Textbook: Chapter 7,8 Lesson Minimum of 2 scholarly sources in addition to textbook and lesson.

Instructions
While our focus in the lesson this week was on the concepts of conformity and obedience, we also studied group processes and dynamics in our readings for the week. For this assignment, select two specific groups to which you personally belong. This could be a church group, sports team, club, department at work, etc. In a slide presentation, address the following for each of the groups you selected: Describe the group (membership, purpose, etc.). Define the group roles, emphasizing your own role in that group. Describe the group norms. Analyze the group dynamics – How does the group communicate? How are decisions made? Who evaluates group members’ performance? Evaluate how dissension or conflict are managed within the group. Select two social psychology group concepts (for example: cohesion, groupthink, social loafing) and apply them to these two groups, comparing and contrasting how the group norms and dynamics impact how the group behaves.

Writing Requirements (APA format)
As you complete your presentation, be sure to: Use speaker’s notes to expand upon the bullet point main ideas on your slides, making references to research and theory with citation. Proof your work Use visuals (pictures, video, narration, graphs, etc.) to complement the text in your presentation and to reinforce your content. Do not just write a paper and copy chunks of it into each slide. Treat this as if you were going to give this presentation live to a group of middle school kids – be relevant, engaging, and focused.

Presentation Requirements (APA format)  Length: 8-10 slides (not including title, introduction, and references slides)   Font should not be smaller than size 16-point   Parenthetical in-text citations included and formatted in APA style   References slide (a minimum of 2 outside scholarly sources plus the textbook and/or the weekly lesson for each course outcome)  Title and introduction slide required 

 

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