Case Study #1 Instructions for Discussion 1. 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
Case Study #1 Instructions for Discussion
1. 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 has
been an increasing level of changes in technology and clinical practice in the past 5 years. This
new technology has created a different way of treating patients and has called clinical providers
to 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 increased
and the revenue margin has tightened.
Staff have been reasonably responsive to the demand for change. However, there is a large
number 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 it
hard to determine whether she needs to take a decisive lead and direct the staff to address these
new changes or if she should take the additional time required to engage them in dialogue and
group process so that together they might determine the best methods of action. Time is of
the essence, yet all must be involved.
A group of the critical care staff has been meeting informally over lunch to talk about some of
the issues in the service and to discuss matters of concern with regard to changing practice and
new patient care demands. They have come up with many creative suggestions and are eager to
begin implementing them as soon as possible.
Sandra appreciates their contribution but is beginning to feel as though she’s losing control and
now 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 of
goals and objectives for the health system. Each department has fully participated in the
development of the strategic process and now must begin to incorporate the strategic goals into
the operation and activity of the department. Every department must give evidence of advancing
the strategic goals of the organization, a part of which is departmental competition for advancing
quality and service excellence. Sandra must begin to build this initiative in her department. She
is feeling challenged and is unsure how to manage all this work and still implement new sets of
priorities and actions in her department.
Solution Report Questions
1. Identify the problems in the above case. Explain and support why they are
problems.
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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