Case Study #1 Instructions for Discussion1. Read the case study and complete all sections of the Solution Report
Case Study:Sandra has been the clinical manager in critical care for 10 years. She has noticed that there hasbeen an increasing level of changes in technology and clinical practice in the past 5 years. Thisnew technology has created a different way of treating patients and has called clinical providersto adjust the way in which they deliver care for those patients. Because of the new technology,patients who are more seriously ill are now receiving higher levels of complex and intense care.At the same time, the demand to reduce the length of stay has accelerated as costs have increasedand the revenue margin has tightened.Staff have been reasonably responsive to the demand for change. However, there is a largenumber of staff members who are finding it difficult to let go of past practices and patterns of clinical behavior. At the same time, there is a large number of staff members who are eager to embrace the challenges of new practices and to incorporate them more quickly on the service.Sandra notes that this diversity of behavior is present in the medical staff as well. She’s finding ithard to determine whether she needs to take a decisive lead and direct the staff to address thesenew changes or if she should take the additional time required to engage them in dialogue andgroup process so that together they might determine the best methods of action. Time is ofthe essence, yet all must be involved.A group of the critical care staff has been meeting informally over lunch to talk about some ofthe issues in the service and to discuss matters of concern with regard to changing practice andnew patient care demands. They have come up with many creative suggestions and are eager tobegin implementing them as soon as possible.Sandra appreciates their contribution but is beginning to feel as though she’s losing control andnow is no longer the source of providing direction in her department.Administration, using a future-search approach, has developed a new strategic plan and set ofgoals and objectives for the health system. Each department has fully participated in thedevelopment of the strategic process and now must begin to incorporate the strategic goals intothe operation and activity of the department. Every department must give evidence of advancingthe strategic goals of the organization, a part of which is departmental competition for advancingquality and service excellence. Sandra must begin to build this initiative in her department. Sheis feeling challenged and is unsure how to manage all this work and still implement new sets ofpriorities and actions in her department.
Solution Report Questions1. Identify the problems in the above case. Explain and support why they areproblems.2. Determine the information you need to develop a solution for the problems.3. Identify possible assumptions and biases that you and the patient might have which could affect the problems and solutions.4. Identify and explain at least 3 different solutions to the problems including the negative and positive solutions. Evaluate the solutions and determine the best possible solution.5. Explain how your chosen solution effectively utilizes 3 different leadership styles, characteristic and behaviors. Include any conflict resolution, change, communication, prioritization, workplace violence, critical thinking and
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