Shannon Doe Conflict Incidents Scenario
Shannon Doe is a third year undergraduate nurse on clinical placement at Charles Darwin University Hospital Medical Ward.Monday Day 1.
Shannon’s preceptor, RN Tim Coloton, said “Hi Shannon. Welcome to the Medical Ward. My name is Tim Coloton. I will be your preceptor for the first 2 weeks of your placement here. I understand that this is your final undergraduate placement. I’ll do what I can to make it fun, but also to challenge you. I will introduce you around and then I will get you to start your orientation to the ward by doing this ‘search and find’ (handed Shannon a ‘search and find’ list). Once you have done that, if you sit in the tea room here and log into this computer with these generic log-in details (handed Shannon a piece of paper with log on and password), you can work through the self-directed e-modules on WHS, infection control, mandatory reporting and aggression management. These activities will take your first shift to complete. OK?” Shannon replied “OK then.” Tim introduced Shannon around, showed her where the staff amenities were and then advised that he would try to touch base again in double staffing. Tim did not approach Shannon rest of the shift.
Tuesday Day 2.
Tim greeted Shannon before handover and said “Sorry I didn’t get back yesterday during double staffing, I got caught up with the admission of a palliative patient and discussing his advanced care directive”. Then Tim asked “How did you go yesterday?” Shannon replied “I got through it all. I would like to discuss the placement, my scope of practice and placement objectives”. Tim replied “I am aware of your scope of practice but we will find time later today to discuss your placement and your objectives”. Then he added “Much to learn you have young Padawan” and smiled. Shannon smiled back but remained silent. Shannon didn’t know what a Padawan was, but ‘young’ sounded ageist.
After handover Tim advised Shannon that they would be looking after rooms 1 to 5. Room 1 had a 21-year-old woman with Leukemia. Tim asked Shannon “Where should you look for bleeding?” Wanting to demonstrate her knowledge Shannon described the coagulation cascade and stated that “If the woman has low platelets she may bleed and one of the first places to look for signs of bleeding is the gums and mucous membranes”. Tim replied “Wow, you’re a walking text book” and smiled. “Well done” he added. Shannon thought that although Tim’s tone and facial expressions suggested that he just have her a compliment, the term ’walking textbook’ might be a criticism. Shannon just smiled back to mask her uncertainty.
Wednesday Day 3.
Tim asked Shannon if she would like to handover her two patients. Shannon advised she had done bedside handover before and would be happy to handover. Shannon handed over her patients to the afternoon staff RN Jenny Lee, RN Elizabeth McGregor and EN Dorothy Mac. Tim added extra information for both patients. “Shannon forgot to tell you Ross Kantilla is on a 1000ml fluid restriction” and “Shannon didn’t mention Margarita Voulos is to fast from 24:00 tonight for her scope tomorrow morning”. After handover Tim took Shannon aside and advised Shannon that she needed to improve her handover. He suggested that she try the ISBAR communication tool as a framework. He also suggested that she dot point key points so as not to miss anything. Shannon replied “I forgot two things. I think you are just being picky”. Tim responded “I’m trying to give you constructive feedback Shannon”. Shannon said “OK then”.
Shannon thought ‘I’m not putting up with this. He’s bullying me’. Shannon advised Tim that she was going to use the computers. Instead, Shannon completed an incident report and took it down to the Nursing Unit Manager John Matthew. Shannon handed the incident report to John and said “I’m not coming in tomorrow. I am stressed and I am anxious. My preceptor Tim Coloton has been bullying me”.Task
- Complete the incident report in the template provided as the worker (Shannon) in the case study provided.
- Discuss procedures for dealing with conflict incidents as described in the case study above.
- Critically analyse what has occurred in the case study provided.
- Draw on the literature to provide recommendations to foster Shannon’s resilience in future placements.
- When writing this assessment refer to the task, presentation guidelines and marking rubric. NUR345_Assessment 3_template.doc