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Question: You are a new charge nurse working on a surgical unit and have a recently hired Filipino travel registered nurse working on your unit. This is the end of her second week of orientation on the unit. She also received a month of classroom orientation and enculturation when she was first hired. Today, you assign her as one of your team leaders, responsible for a team of licensed vocational nurses (LVNs)/licensed practical nurses (LPNs) and certified nursing assistants. She has been working with another team leader for more than a week, but this is her first day to have the team to herself.
You check with her several times during the morning to see how things are going. She speaks shyly without making eye contact and says that "everything is okay." At about noon, one of the LVN/LPNs comes to you and says that the new nurse has not delegated tasks appropriately and is trying to do too much of the work herself. In addition, some of the other members of the team find her unsmiling behavior and lack of eye contact unsettling.
Do you feel that you made an appropriate assignment? Because things do not seem to be going well, what should you do now? In a small group, develop a plan of action with the goals: (a) ensure that patient care is accomplished safely, (b) build self-esteem in the Filipino nurse, and (c) be a cultural bridge to staff.
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