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Discussion

case study

Case study The chief nursing officer has announced that the health system intends to seek recognition as a Magnet facility and therefore will be implementing a shared governance structure. As a staff nurse with 3 years of experience on a busy medical-surgical unit, Letitia wonders what this will mean for her and her unit.

What steps can Letitia take to gather the information she needs?

Once Letitia has collected and evaluated the information, she feels that these changes are consistent with her personal and professional goals. She decides that she wants to become an active participant in the process. What factors should she consider in deciding what she wants to do?

Once she has decided how she wants to participate in the development of the shared governance model, what should she do next?

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    • Featured Replies

    Answer it yourself.

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    I have the answer to this.

    Chat me in private. 

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    OP hasn't been back since joining & posting the one time only.

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    • Experts

    Isn’t there a header somewhere that asks students to tell us what they’ve done or tried on their own before asking us to do their homework for them? 
    There are many good teachers here, but I’d bet most of them would like some evidence that a student has tried to work out a problem or concept before soliciting something to cut-and-paste into a care plan or term paper. We can help more if we can see where you got stuck or went wrong. 

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    Been a member here since 2012 and it seems that's all that a lot of student posters want - the quick answer that someone else does for them. No independent thinking before or after posting. Many are one-time posters - the hit & run types. Occ someone does post their ideas and will then respond back for further info. Those are the nurses who I believe will make the best cut.

    Then there are the ones who request questionnaire/interviews. Now we know that covid has impacted the ability to conduct en face interviews, but the detailed LENGTH of the expected/requested answers is tooo intense for someone here to just shoot off a quickie response.

    The best ones are the panicked posters facing deadlines who've hesitated a bit too long.

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    • Experts

    The ones asking for interviews who expect their Q&A will satisfy the objectives of the assignment and fail to understand that part of the point is searching out local resources and steeling themselves for a face to face meeting. Somehow the idea of a conversation, not just a fill-in-the-blank, is foreign.
    Yet so much of nursing requires exactly that: a human connection where you ask questions of a stranger, look at their body language and fluency, observe their surroundings, judge their reliability, evaluate how well they understand you.
    I wish more people here would resist the temptation to answer these interview requests and instead encourage the actual dialogue these students must master to be the professionals we need them to be. 

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    HB - for the most part, many 'regular' posters here DO decline & resist the urge to answer those type posts.

    What does SURPRISE me is when graduate level students post those similar requests. I try to give them a little more benefit of the doubt, esp when you can tell which student truly 'hit the wall'. And then there's still the 'phishing' student.

     

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    On 4/22/2021 at 4:32 PM, amoLucia said:

    Then there are the ones who request questionnaire/interviews

    I just always predict the research will yield no dependable outcome. Just a convenience sample is no way to really practice research. Fruitless efforts with poorly designed questionnaires can really give someone a feeling they accomplished something but alas..."Garbage in Garbage out" as the saying goes.

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    • Experts

    Oh, I know most regular posters do the right thing to try to draw the student along towards learning on his/her own. I did say, " ... more..." ?  As ever, sometimes when we post something here it's aimed at more than one readership. When I started posting in AN back when Florence was a probie, I tried to be maximally helpful and answer all those students until somebody more experienced c the platform gently gave me a better model. Just trying to pay it forward, in my own poor way.

    I do yearn for the days when "student assistance" questions were on labs, surgery, acid/base and ABGs, assessment, and actual, like nursing, and not "how do I get into XYZ program?" or "did XYZ send out their letters yet?" I have a lot of those archived, ready for updating and sharing. I expect you do too-- the late departed Daytonite and Esme were my mentors. "Look at your patient."

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    16 minutes ago, Hannahbanana said:

    ..... I do yearn for the days when "student assistance" questions were on labs, surgery, acid/base and ABGs, assessment, and actual, like nursing, and not "how do I get into XYZ program?" or "did XYZ send out their letters yet?" I have a lot of those archived, ready for updating and sharing. I expect you do too-- the late departed Daytonite and Esme were my mentors. "Look at your patient."

    I, too, feel like I started nsg back when humans were starting to write with charcoal somewhere on cave walls in France. You forgot all the other repetitive topics that mean nothing to so many of us. I understand all the students' and newbies' angst. Was there myself a long time ago. I guess that social media makes everything so-in-your-face.

    I don't recall Daytonite, but so many here truly respected Esme, our poster doyenne emeritus. She is sorely missed whenever there's nsg dx questions.

    "LOOK AT YOUR PATIENT' meaning stop relying on those dang diagnositic toys, esp pulse oxmeters!

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    • Experts

    Oh, pulse ox meters are fine, so long as when they use them they realize that it's only a small part of the assessment, and they have a clear understanding of the very real difference between SpO2 (percent of RBCs carrying oxygen, ought to be 95-100%) and PaO2 (partial pressure of oxygen as measured by ABGs, normal 80-100mmHg or torr).

     

    BTW, the new NANDA-I 2021-2023 is available now. Students should get it even if their faculty forgot to put it on the bookstore purchase list.

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