Critical thinking question
Feedback
Some signs of an unsafe and non-nurturing workplace
- Gossip—Speaking poorly about others
- Culture of disrespect—reprimanding people in an open office
- persistent poor communication
- Lack of trust—feeling that people should not be trusted
- Taking credit for others’ work
- No work/life balance—crazy hours and doing things that you shouldn’t be doing
- Incompetence leadership
- Demands that are demeaning or outside of your scope/assignment
- Bad/narcissistic bosses
- Gaslighting–doing great until its review and raise time … then you’re barely meeting expectations
- High turnover
- Open discrimination
- Toxic workplace—workers are unhappy, anxious, dread work, losing sleep
Introduction
You are the new NP on the unit. Welcome and meet your colleagues:
Dr. Baird
Physician Neonatologist/Pediatrician
Dr. Baird has been a practicing physician for the past 10 years. He is well known, liked, and respected in the area.
Ena
Nurse practitioner
Ena has been working as a nurse practitioner for the past 7 years. She is also the only nurse practitioner representing advanced practice providers on the Medical Board at the hospital.
Arlette
Registered Nurse
Registered nightshift charge nurse who has worked in all areas of women’s services with over 15 years of bedside experience. Has been on vacation since before the new director was announced.
Rahul
Registered Nurse
Dayshift charge nurse with additional administrative roles, such as auditing for compliance.
Melinda
Graduate nurse
In Week 3 of training on the unit. She hopes to return to school to become a midwife after obtaining a few years of nursing experience.
John
Director of Respiratory Therapist
Has over 20 years of experience as a respiratory therapist. Leads a few committees to provide a voice to the respiratory therapy profession.
Niveda
Director of Occupational therapy
Has served in several leadership roles and has been the director of occupation therapy at this hospital for the past 3 years.
Chantal
Administrative Assistant
Has been working within the organization for 5 years and loves her work.
Darla
Director of Women’s & Children’s Services
Newly appointed Director in charge of Women’s and Children’s Services
(L&D, Post-Partum, Nursery, NICU, Pediatrics, and Women’s Abdominal Surgeries/Med/Surg)
Video 1
Video 1 transcriptCritical thinking question
Video 2
Video 2 transcriptCritical thinking question
Video 3
Video 3 transcriptCritical thinking question
Video 4
Video 4 transcriptCritical thinking question
Feedback
After hearing this, Dr. Baird and Ena step into the office and ask to speak with the CNO. The CNO asks what they’d like to discuss, to which they state the situation on the unit. Darla becomes very defensive and begins gaslighting (a form of psychological manipulation in which the aggressor attempts to create self-doubt and confusion regarding what is known to be true—it distorts reality and forces others to question their own judgement and intuition). Darla asks why such a strong drug was prescribed to a patient in the same room as an infant. She blames everything that occurred on the prescribers and Melinda, while denying any fault in the occurrence or the new initiatives that led up to this issue.
Critical thinking question
Summary
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