Case Studies to Promote Critical Reasoning
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Case I Joe Garcia has been an operating room nurse for 5 years. He is often on call on Saturdays and Sundays, but he enjoys his work and knows that he is good at it.
Joe was called to come in on a busy Saturday afternoon just as his 5-year-old daughter’s birthday party was about to begin. “Can you find someone else just this once?” he asked the nurse manager who called him. “I should have let you know in advance that we have an important family event today, but I just forgot. If you can’t find someone else, call me back, and I’ll come right in.” Joe’s manager was furious. She said, “I don’t have time to make a dozen calls. If you knew that you wouldn’t want to come in today, you should not have accepted on-call duty. We pay you to be on call, and I expect you to be here in 30 minutes, not 1 minute later, or there will be consequences.”
Joe decided that he no longer wanted to work in that institution. With his 5 years of operating room experience, he quickly found another position in an organization that was more supportive of its staff. 1. What style of leadership and school of management seemed to be preferred by Joe Garcia’s
manager? 2. What style of leadership and school of management were preferred by Joe? 3. Which of the listed qualities of leaders and managers did the nurse manager display? Which
behaviors? Which ones did the nurse manager not display? 4. If you were Joe, what would you have done? If you were the nurse manager, what would you
have done? Why? 5. Who do you think was right, Joe or the nurse manager? Why? Case II Sung Lee completed her 2-year associate degree in nursing right after high school. Upon graduation, she was offered a staff position at Harbordale nursing home and rehabilitation center where she had volunteered during high school. Most of her classmates accepted positions in local hospitals, but Sung Lee felt comfortable at Harbordale and had loved her volunteer work there. She thought it would be an advantage to already know many of the staff at Harbordale.
The director of nursing thought it would be best to place Sung Lee on a short-term unit. Most of the patients in the unit were recently discharged from the hospital and still recovering from an acute event such as stroke, injury, or extensive surgery. Sung Lee found her assignment challenging but satisfying. She admired her nurse manager, an experienced clinical nurse leader who became her mentor.
Six months later, the director of nursing called Sung Lee into her office. “Sung Lee,” she said, “we are very pleased with your work. You have been a quick learner and very caring nurse. Your colleagues, patients, and physicians all speak well of you.”
“Thank you,” replied Sung Lee. “I know there’s still a lot for me to learn, but I really love my work here.”
“You may not be aware of this,” continued the director of nursing, “but your nurse manager will be retiring next month. Our policy at Harbordale is to promote from within whenever possible, and I’d like to offer you her position. It’s a little soon after graduation, but I’m sure you can handle it.”
Sung Lee gasped. “I’m honored that you would consider me for this position. May I have a few days to think it over?”
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24 unit 1 ■ Professional Considerations
1. Why did the director of nursing at Harbordale offer the nurse manager position to Sung Lee? If you had been in the director’s position, would you have selected Sung Lee for the nurse manager position? Why or why not?
2. If Sung Lee does accept the nurse manager position, what do you think her first month will be like? Write a scenario that describes her first month as a nurse manager.
3. If Sung Lee declines this offer, how do you think the director of nursing will respond? 4. Write a list of typical nurse manager roles and responsibilities. For each one indicate how
prepared you are to assume each role or responsibility and what you would need to prepare yourself to assume this responsibility.
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chapter 2 ■ Manager 25
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