Cristen Calahan is a nurse manager of a 36-bed orthopedic unit in a community hospital. Within the past 2 weeks, two full-time RNs who work evening shift have turned in their resignations and given Nurse Calahan a 6-week notice of intent to leave. Staffing on night shift typically is composed of two RNs, and there are only three full-time and one part-time RNs employed. Nurse Calahan feels pressured to replace the two RN vacancies on the 11 PM to 7 AM shift immediately. She knows that the other RNs on the 7 AM to 3 PM and 3 PM to 11 PM shifts do not like to rotate to the 11 PM to 7 AM shift. In addition, pulling from the other shifts will create RN shortages on all shifts. Nurse Calahan contacts the human resources department, places the appropriate position vacancy information and has the positions advertised appropriately. She contacts the human resources department and discovers that two new graduate RNs are interested in the openings.
Nurse Callahan decides to screen and interview these two and any other applicants using a targeted selection process.
Why might she choose this interview method? How does this choice affect the types of questions she is likely to ask?
Are there some questions that should not be asked in these interviews? How does the targeted selection process influence her ability to ask the “wrong” questions?
Sue Nugyet, the nurse manager for Six North, does not enjoy reviewing budgetary information and puts off her review until her monthly report is due to her director. The following report is a partial revenue and expense report for her cost center.
Cost Center: Six North Report for May 2005
This Month’s Budget
Account Number and Description
Year to Date Budget
500 Supply Expenses
015 Medical Supplies
Case Study Questions
Is Nurse Nugyet over or under budget on each of the items? What additional information would be helpful when explaining variances?
Nurse Millie Adams is a nursing administrator at Good Care Hospital, a facility that serves as an educational training hospital. Nurse Adams has noticed several trends recently: nurse turnover has been higher than usual; sick leave has increased; student nurses frequently request transfers to other facilities. In searching for answers, she hears a lot of talk about nurses being threatened or verbally confronted of violent incidents has not increased.
What are the problems?
What are the potential sources for these problems?
What are some possible explanations for the problems?
What information does Nurse Adams need, and how should she gather this information?
What could be done to resolve the problems?
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