Leadership-Ethical Issues Clinical Judgment |

Leadership-Ethical Issues Clinical Judgment

A manager is not granting pay to someone who worked overtime.

I would first investigate the matter to determine whether the manager and the employee being denied overtime payment have a conflict. I would then talk to the manager to confirm the issue and get information on why the employee is not getting the overtime payment. If the manager has a valid reason for not paying the employee overtime pay, such as poor performance, I would talk to the employee and explain why he or she is not being paid and what he or she should do to get paid. If the manager has no valid reason, I would suspend the manager and order him or her to pay the employee the total amount owed.

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A nurse manager tolerating verbal abuse of another nurse

I would talk to the nurse manager tolerating the verbal abuse to gather facts on the different instances he or she has been abused. I would then present the facts to the nurse abusing others and suspend him or her.

Constantly short-staffing the unit when there is a high census.

I would address this issue by organizing employees into teams and dividing tasks among teams to ensure that they are completed on time. I would also allow volunteers from the community to assist in completing various tasks such as cleaning the hospital, helping patients walk around the hospital, and delivering food to the patients admitted in different wards.

A nurse not providing all of the patient’s information during shift report

I would talk to the nurse to determine the reason for failing to provide all of the patient’s information during the shift report. I will then monitor the nurse’s activities through his or her supervisor to determine if there is any misconduct during the nurse’s shift. The feedback provided by the supervisor would help determine whether the nurse is hiding anything and decide whether or not he or she should be fired or suspended based on the magnitude of the discovered misconduct.

Favouring one staff over others

I would set up a shift schedule outlining what every staff member should do at a particular time and ensuring that tasks are equally distributed among all staff. I would also ensure that the schedule is displayed so all employees can see it and encourage them to raise concerns about how tasks are divided.

Making a hiring or firing decision based on friendship

I would set up an external board to be consulted on hiring and firing decisions and ensure that the human resource management communicates directly with the board whenever an employee is hired or fired.

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