Finkelman, Leadership and Management for Nurses: Core Competencies for Quality Care, 3e
Chapter 6 – Case Study Questions
This activity contains 4 questions.
Healthcare Delivery Systems: Changing
You have been chosen to be on a committee that will plan the implementation of critical
new changes within a hospital. Administration and medical staff have decided to open up
some new positions: two intensivists and four clinical nurse specialists. You are serving
on the newly formed interprofessional planning committee. The plan is due in three
months and should include critical implementation issues. This is the first time the
hospital has had an interprofessional team work on descriptions of new staff roles within
the hospital. You are not sure why you are on the committee. Although you have worked
on a number of units over the past seven years, you still lack confidence in this type of
setting (a committee, especially one that is interprofessional). The first meeting is used to
discuss purpose and plan the work of the committee.
1.
Why would the new roles of intensivist or clinical nurse specialist be helpful to the
hospital and its staff?
2.
What might be some reactions from medical and nursing staff about these new roles?
3.
What needs to be done to prepare staff for the change?
4.
Describe the critical elements that need to be clarified before staff is hired into these
positions.
Finkelman, Leadership and Management for Nurses: Core Competencies for Quality Care, 3e
Chapter 6 – ANSWER KEY Case Study Questions
1.
[Answers may vary]
Hospitals use clinical nurse specialists (CNSs) in a variety of areas to assist staff and
work to improve care. Some hospitals are using advance care nurse practitioners
2.
[Answers may vary]
3.
[Answers may vary]
Understanding and participating in the changing healthcare environment requires an
appreciation of the importance of the continuum of care and its relationship to acute care.
4.
[Answers may vary]
Nurses in hospitals are members of the system, and they need to learn to be more
assertive to ensure that nursing care is recognized as critical to successful acute care.