You have been an obstetrical nurse for 25 years.  The OB unit census has been abnormally low lately

You have been an obstetrical nurse for 25 years.  The OB unit census has been abnormally low lately, although the patient census in other areas of the hospital has been extremely high.  When you arrive at work today, you are told to float to the thoracic surgery critical care unit.  This is a highly specialized unit, and you feel ill prepared to work with the equipment on the unit and the type of critically ill patients who are there. You call the staffing office and ask to be reassigned to a different area.  You are told that the entire hospital is critically short staffed, that the thoracic surgery unit is four nurses short, and that you are at least as well equipped to handle the unit as the other three staff who are also being floated. Now your anxiety level is even higher. You will be expected to handle a full RN patient load.  You also are aware that more than half of the staff on the unit today will have no experience in thoracic surgery.  You consider whether to refuse to float.  You do not want to place your nursing license in jeopardy, yet you feel conflicting obligations. Assignment:  To who do you have conflicting obligations?  You have little time to make this decision. Outline the steps that you use to reach your final decision. Step 1: Identify the decisionYou realize that you need to make a decision. Try to clearly defi­ne the nature of the decision you must make. This fi­rst step is very important. Step 2: Gather relevant informationCollect some pertinent information before you make your decision: what information is needed, the best sources of information, and how to get it. This step involves both internal and external “work.” Some information is internal: you’ll seek it through a process of self-assessment. Other information is external: you’ll find it online, in books, from other people, and from other sources. Step 3: Identify the alternativesAs you collect information, you will probably identify several possible paths of action, or alternatives. You can also use your imagination and additional information to construct new alternatives. In this step, you will list all possible and desirable alternatives. Step 4: Weigh the evidenceDraw on your information and emotions to imagine what it would be like if you carried out each of the alternatives to the end. Evaluate whether the need identified in Step 1 would be met or resolved through the use of each alternative. As you go through this difficult internal process, you’ll begin to favor certain alternatives: those that seem to have a higher potential for reaching your goal. Finally, place the alternatives in a priority order, based upon your own value system. Step 5: Choose among alternativesOnce you have weighed all the evidence, you are ready to select the alternative that seems to be the best one for you. You may even choose a combination of alternatives. Your choice in Step 5 may very likely be the same or similar to the alternative you placed at the top of your list at the end of Step 4. Step 6: Take actionYou’re now ready to take some positive action by beginning to implement the alternative you chose in Step 5. Step 7: Review your decision & its consequencesIn this final step, consider the results of your decision and evaluate whether or not it has resolved the need you identified in Step 1. If the decision has not met the identified need, you may want to repeat certain steps of the process to make a new decision. For example, you might want to gather more detailed or somewhat different information or explore additional alternatives. https://www.umassd.edu/media/umassdartmouth/fycm/decision_making_process.pdf Identify the legal and ethical ramifications that may result from your decision.  Are they in conflict? Health Science Science Nursing HEALTH 0012 Share QuestionEmailCopy link Comments (0)

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