- Plan, Do, Study, Act.
- Patient, Diagnosis, Solution, Assessment.
- Problem, Decision, Strategy, Action.
- Plan, Delegate, Supervise, Achieve.
Category: Leadership & management in Nursing
- Making decisions based on tradition and "how it's always been done."
- Using the best available research, clinical expertise, and staff input to guide leadership decisions.
- Following the leadership style of the most popular person on the unit.
- Making decisions based on intuition alone.
- Blame the staff for the high infection rates.
- Implement and monitor adherence to an evidence-based bundle of care for catheter insertion and maintenance.
- Stop using urinary catheters for all patients.
- Reward the nurse who has the fewest patients with CAUTIs.
- Implementing the change immediately.
- Solidifying the change into the new normal.
- Creating awareness and a readiness for the change.
- Evaluating the effects of the change.
- Agreeing with everything the patient says.
- Protecting the patient from their family.
- Speaking up for the patient's rights and best interests, especially when they cannot speak for themselves.
- Making all decisions for the patient.
- A nurse makes a medication error.
- A clear right and wrong action is apparent.
- There is a conflict between two or more ethical principles, and there is no clear right answer.
- A hospital policy is violated.
- Loyalty to their friend above all else.
- Professional accountability and patient advocacy.
- A desire to get their colleague into trouble.
- A violation of the colleague's privacy.
- Making the decision for the patient if the patient is unsure.
- Signing the consent form on behalf of the patient.
- Acting as a witness to the patient's signature and ensuring the patient understands the information provided.
- Forcing the patient to sign the consent form quickly.
- Administer the transfusion anyway because it is medically necessary.
- Tell the patient he is making a foolish decision.
- Respect the patient's autonomy and right to refuse treatment, and notify the physician.
- Ask the patient's family to convince him to change his mind.
- Call the hospital's Chief Executive Officer.
- Inform her immediate charge nurse or team leader.
- Complain to the patient's family.
- Document her concerns and wait for the doctor's next round.
- Document a patient's full medical history.
- Structure communication between healthcare professionals for clarity and efficiency.
- Complete an employee performance appraisal.
- Plan the weekly nursing schedule.
- Provide all direct patient care herself.
- Focus solely on administrative paperwork and stay out of clinical matters.
- Facilitate communication, coordinate care, and ensure the team has the resources to provide safe care.
- Represent the interests of the doctors to the nursing staff.
- A nurse, doctor, and pharmacist meeting to discuss a patient's complex medication regimen.
- A nurse complaining to her colleagues about a doctor's orders.
- A pharmacist changing a medication dose without informing the doctor or nurse.
- A doctor refusing to listen to a nurse's concern about a patient.
- Trying to complete every task by herself to ensure it's done right.
- Prioritizing tasks based on urgency and importance.
- Responding to interruptions and requests in the order they are received.
- Focusing only on administrative tasks and ignoring clinical needs.
- Exerting absolute authority over the staff.
- Monitoring performance and taking corrective action to ensure goals are met.
- Limiting the autonomy of professional nurses.
- Staffing the unit with the minimum number of nurses to save costs.
- Avoidance
- Competition
- Accommodation
- Compromise
- Creating the annual budget for the unit.
- Interviewing candidates for a vacant nursing position.
- Guiding and motivating staff to achieve the unit's objectives.
- Comparing the unit's infection rates to the hospital benchmark.
- Watch every single task the new nurse performs.
- Assign the most difficult patients to the new nurse to test her skills.
- Be available as a resource and provide regular, constructive feedback.
- Assume the new nurse knows everything and provide no supervision.
- Right Task, Right Circumstance, Right Person, Right Direction/Communication, and Right Supervision/Evaluation.
- Right Patient, Right Drug, Right Dose, Right Route, and Right Time.
- Right Plan, Right Organization, Right Staff, Right Direction, and Right Control.
- Right Leader, Right Follower, Right Situation, Right Motivation, and Right Outcome.
