COURSE  

NR506NP Healthcare Policy and Leadership

Preparing the Discussion

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.

Case Study Responses: 

1. Analyze the case study for potential issues for members of the healthcare team from office conflict. Contrast the potential effects for each member of the healthcare team based on the required readings from the week. Discuss the potential ethical and legal implications for each of the following practice members:
   • Medical assistant
   • Nurse Practitioner
   • Medical Director
   • Practice
2. What strategies would you implement to prevent further episodes of potentially dangerous patient outcomes?
3. What leadership qualities would you apply to effect positive change in the practice? Focus on the culture of the practice.
4. A scholarly resource must be used for EACH discussion question each week.

ANSWER  

Potential ethical and legal implications for healthcare team members

In the workplace, incivility, such as disrespecting others, and having unkind behavior, is not good (Bambi et al., 2017). It is a type of behavior that can lead to ethical and legal issues for clinics and individuals. The scenario in the case study of constant arguments between staff members is a perfect example of workplace incivility and can be described as unprofessional. In this case study, the nurse practitioner recognizes the vital patient signs were not reported to her because of a heated argument between staff members. This scenario presents the non- maleficence ethical issue that can lead to potential problems for medical assistant, nurse practitioner, medical director, as well as the practice. According to Hadd and Geiger (2020), non- maleficence occurs when healthcare professionals avoid patients, something that poses potential harm.……please click the icon below to purchase full answer at $10