NAME: JOHANNAH ALEXIS M.

GUILO DATE: 10/16/2020

BSN-4TH YEAR

LEADERSHIP AND MANAGEMENT

CASE ANALYSIS 1:
1. Nurse Ginalyn who just finish her job orientation is working with a patient for whom a
surgical consult has been written. The unit clerk and longtime nurse on the unit remarked
that Dr. Reyes, the Physician doing the surgical consultation, should be named Dr. Reyes
of the jungle because he often humiliates new nurse to try to put them in their place. He
yells at them even at the tiniest mistake. Based on previous reports by other nurses on the
unit, Ginalyn knows Dr. Reyes has the reputation of being demeaning and inappropriately
demanding when on the unit and ask to see the nurse who did the surgical admission
sheet. What would you do if you were Ginalyn? How would you approach Dr. Reyes?
Use your new found knowledge and concepts.
Answer:
- In this situation we should know how to adapt the environment by adjusting your time
management, knowing your co-workers and client’s attitudes and we should really
need to have a lot of patience especially to the toxic people. If you already heard that
Dr. Reyes has already a history of humiliating new nurses you should be ready
physically and mentally so that for you to easily to handle the situation like this. You
need to be calm when she/he’s mad or yells at you and move on easily but when Dr.
Reyes is already below the belt that’s the time you need to decide whether you will
report her/him to your superior or just quit the job.

2. A nurse is making rounds on her new postoperative kidney transplant patient. As she
enters the room, the patient begins to bleed from his side incision. The nurse applies
direct pressure with one hand and calls for assistance. Help arrives and the patient is
taken to surgery with the nurse still maintaining pressure on the bleeding site. The patient
lives and goes home a few days later. What leadership characteristics does this nurse
demonstrate? Why is leadership important at all levels throughout a health care
organization? How can a nurse develop this type of leadership skill?
Answer:
- In this case the leadership characteristics does this nurse demonstrate is the Laissez Faire
leadership. Laissez-faire leadership is the direct opposite of autocratic leadership. Instead
of a single leader making all decisions for an organization, group or team, laissez-faire
leaders make few decisions and allow their staff to choose appropriate workplace
solutions.
 - Leadership in nursing profession is really important among the nurses to keep motivated
and setting goals to their client/patient.
- It can develop this type of leadership skills with the strong leadership and collaboration
of the entire team and it can results successful and inspire motivate and communicating
each other.

3. You belong to an institution that has a culture of being judgmental towards each other
and has a high rate of turn over because of that employee’s attitudes. Although the
institution has the highest salary in your locality no one stays longer 2 years. The top
management are beginning to worry that the institution will ran out of old and
experienced employees to run its day to day operation. Using Argyris double loop
learning theory make a concreate critical judgment on the problem and why do you think
salary in not a motivational for most employees.
Answer
- In this case, most employees who already stayed longer than 2 years have already used to
adapt and accept the learning method or techniques that support their management practices
of the company. Those employees who do not stay longer less than 2 year due
mismanagement of the company leaves the company and find a suitable company for them to
work and not to be toxic. Salary is a great motivational factor but having an open minded
environment that aims to improve will help the employees stay because of proper
management of the company.
CASE ANALYSIS 2:
You are a nurse-manager of medical unit. Recently, your unit admitted a 16-year-
old Igorot boy who has been newly diagnosed with insulin-dependent diabetes. The nursing
staff has been interested in his case and has found him to be delightful young man – very
polite and easygoing. However, his family has been visiting in increasing numbers and
bringing him food that he should not have.
The nursing staff has come to you on two occasions and complained about the
family’s noncompliance with visiting hours and authorized food. Normally, the nursing staff
on your unit has tried to develop a culturally sensitive nursing care plan for patient with
special culture needs so there complains to you have taken you by surprise.
Yesterday two of the family members visited you and complained about hospital visitor
policies and what they took to be rudeness by two different staff members. You spent time
talking to the family and when they left, they seemed agreeable and understanding.
Last night one of the staff nurses told the family that according to hospital policy
only two members could stay and if the other family members did not leave, she would call
hospital security. This morning the boy’s mother and father suggested that they will take him
 home if this matter is not resolved. The patient’s DM is still not controlled, and you feel that
it would be unwise for this to happen.
Leadership needs to be this situation from deteriorating further. Based on the
above premise answer the following.
a. How would you divide the management functions and leadership roles on the above
situation? (Example you might say that having the nurse-manager adhere to hospital
policy was a management functions and that counseling staff was a leadership role).
b. Formulate 3 objectives based on the above scenario and its corresponding strategies to
achieve the objective.
Answer:
A. In this situation, being as a disseminator manager is having a different roles to manage the
implementation of the hospital policy. Being a good disseminator you need to know how to
relate the situation and share ideas and information to your co-workers/co-nurses and also to
your patient and S.O in order to avoid conflict and understanding in any situation. You should be
able explain further information by using therapeutic communication so that the client or S.O
will able to understand the protocols and follow the rules according to hospital policy.

B.
 Determine the nurses who are being rude as reported. Strategy to understand if the
situation needs to be reported to the counseling staff.
 Observe the culturally sensitive nursing care plan if properly executed. Strategy,
recognize and strengthen the plan for proper health care.
 Proper follow hospital policy. Strategy; understand where the problem weighs more to
proceed whether to lead the nursing staff properly or make sure the patients understand
the policy to control the patient’s condition