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Case: Gender, cultural, and generational differences add to the challenges of interpersonal communication, especially when mixed in a stressful health care environment. Many times the conflict progresses and may involve some level of bullying. You recently graduated from an RN-to-DNP program, you belong to the millennial generation (also called Generation Y), and you were just promoted to Director of Critical Care Services. It feels like you have been in school forever, but you still managed to work 20-30 hours/week as a charge nurse on a busy cardiovascular (CV) step-down unit throughout school.
You present the staffing dilemma to your Chief Nursing Officer (CNO), who is a male and also belongs to the Baby Boomer generation. The CNO responds by stating, "Your nurse manager's solution is not an option. I hired you for this job because of your education, clinical experience, and ability to bring new ideas to the department. Closing beds is not an option; figure it out." Apply the best resolution strategy to address:
Question 1: The staffing issue with your nurse manager.
Question 2: The request made by your CNO to "figure it out."
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How is a systems approach beneficial in improving healthcare quality and safety? how the outcomes of one system level effect the other level?
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