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Mai Tran is the nurse manager of a​ 20-bed medical-surgical unit in a large university hospital. Her nursing staff is diverse in experience and educational background. Working in a teaching​ hospital, Mai believes that nurses should be open to new methods and work​ processes, with an emphasis on​ evidence-based practice.

Ken​ Robertson, RN, has worked for 2 years on the unit and is in his final semester of a​ master’s program focusing on geriatric care. Eileen​ Holcomb, RN, has worked on the same unit for the past 28 years and is a graduate of the​hospital’s former diploma program. Ken recently completed a clinical rotation in dermatology and has worked with the skin care team at the hospital to develop new protocols for preventing skin breakdown. During a recent staff​ meeting, Ken presents the new protocols to the staff. During the presentation Eileen comments that simply getting clients out of bed and making sure they have adequate nutrition is easier and less​ time-consuming than the new protocol.​ “All these new protocols are just a way to justify all those credentials behind a​ name,” Eileen​ says, gathering a chorus of chuckles from some of the older nurses on the staff. Ken frowns at Eileen and​ responds, “As nurses become​ educated, we need to reflect a professional​ practice.” Mai notices that several staff members are uncomfortable as the meeting ends.

Ken and Eileen continue to exchange sarcastic comments and glares over the next two shifts they work together. The obvious disagreement is affecting their​ coworkers, and gossiping is decreasing productivity on the unit. Mai schedules individual meetings with Ken and Eileen to discuss their perspectives. After reviewing the situation and determining that the issue is simply one of personality​ conflict, Mai brings Ken and Eileen together for a meeting in her office. Mai reviews the facts of the situation with them and shares her opinion that both have acted inappropriately. She states that their actions have affected not only their work but also that of the unit as a whole. She informs Ken and Eileen that they must act in a professional and respectful manner with each other or disciplinary action will be taken. She then works to facilitate a conversation during which both parties can express their​ concerns, with the goal of finding common ground.

Write potential positive and negative outcomes of the situation.

What conflict responses can Mai Tran use to ensure that other nurses drawn into the dispute between Ken and Eileen will not continue to hold oppositional​ stances?

What strategies can be used in the situation?

SCIENCE
HEALTH SCIENCE
NURSING

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