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Case 1- Dialysis Access

Discussion Questions

1. What are the facts in this situation?

2. What could have been done to avoid this confrontation?

3. What are three organizational issues this case illustrates?

4. Should the nurse have attempted to cancel the surgery without speaking to the surgeon?

5. What steps should be taken in the future to prevent this problem from occurring again?

6. Should other people have been involved in resolving this dispute? If yes, what roles could they have played in this resolution?

7. Have you ever been involved in an ugly confrontation with a coworker? Looking back at that incident, knowing what you know now, what might you have done differently? Provide your reflections and personal opinions as well as your recommendations and rationale for your responses.

Case 2- The Toxic Leader

Discussion Questions

1. What is going on in the case?

2. What is the nature of this organizational problem?

3. Which theory or theories best describe the behavior of the nurse manager?

4. How does Jackie's behavior affect workplace morale?

5. What kind of clinical and financial impacts do you think Jackie's behaviors might have on the hospital?

6. What further actions do you recommend for Kyle to manage the safety of this patient and the unit? What kind of data will Kyle need to collect?

7. How would you handle this scenario if you were Kyle?

8. Provide your reflections and personal opinions as well as your recommendations for addressing this problem.

Case 1- Case of the Reluctant Associate

Discussion Questions

1. What are the main concerns in this case?

2. Which organizational theories of management describe the behaviors of Dr. Simon's first practice experience? The second? Provide a rationale for your responses.

3. Is succession planning important for medical practices? Give examples of what techniques are available to recruit new patients.

4. Discuss the pitfalls of the new physician joining a practice. From the example in the case, outline what principles should guide a physician in taking on a new associate/partner.

5. How long should a physician be in a practice before he or she becomes partner? Should he or she ever become an equal partner?

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