Marcia Forsyth is the director of nursing at a community health nursing agency in a large Midwestern

Marcia Forsyth is the director of nursing at a community health nursing agency in a large Midwestern county. Periodically, she meets with her two associate directors to discuss the budget for agency programs for the next fiscal year.  Together, they determine how the agency will allocate its nursing resources during the coming year and discuss the agency programs that will be initiated, terminated, or changed in order to meet the health needs of their community.      During the most recent meeting, one associate director Jann Beech, requested that the agency give her the resources to initiate a primary care clinical for adults that would be staffed by nurse practitioners. Her data in support of this program included an increase in the adult population in the community over the past 5 years and a decrease in the number of family physicians serving the county during the same time period.  She argued that care provided in adult care clinics had resulted in dramatic improvements in community health statistics where such programs had been tried. The other associate director, Susan Chinn, also made a request at this meeting.  She requested that the agency provide counseling services for pregnant teenagers.  Citing increased numbers of teenage pregnancies in the county during the last 3 years, she argued persuasively that counseling pregnant teenagers would help prevent future pregnancies in this age group and that both the mothers and their children are potentially among the most needy residents of their community.      Mrs. Forsyth reminded her associate directors that there is a ceiling on the amount of agency funds available for new programs.  Only one new program can be initiated this year and then only if the agency is willing to support the program for a minimum of 3 years. Therefore, she counseled the associate directors consider carefully the type of policies that might be formed as a result of the focus on specific programs and populations within the county. The amount of financial support that each program requests in order to be operative and the amount of nursing time and expertise that will be required by the residents of the county should also be carefully considered.  Identify the problems in the above case. Explain and support why they are problems. Determine the information you need to develop a solution for the problems.Identify possible assumptions and biases that you and the patient might have which could affect the problems and solutions.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. Explain how your chosen solution effectively utilizes leadership characteristics, styles and behaviors. Include any conflict resolution, change, communication, prioritization, workplace violence, critical thinking and budgeting concepts.  Health Science Science Nursing NURSING N100 Share QuestionEmailCopy link Comments (0)

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