Nursing Admin Controlling Case Study

The FOCUS model requires the nursing administrator to find out what the main problem is, obtain information about this problem, communicate effectively with the nurses and patient, understand the needs of the nurses and the patient, and finally summarize these findings for the patient and nurses Dlugacz, 2009.Nursing Admin Controlling Case Study

In this scenario, the process to be improved is responsiveness and willingness of the nurses to help the patient’s situation.

Using the FOCUS model, the nursing leader should identify and clearly define the problem. To do this, they must recognize the role of the patient and the nurses in the situation and prioritize the potential improvements in the process Kreitner, 2008.

They also need to draft this problem statement in a clear way. The problem statement for this scenario is that the nurses feel inadequate in responding to the situation where the patient needs complex psychological, medical and social care. The patient has a need for control that they exhibit through aphasia, aggression, and anger.Nursing Admin Controlling Case Study

The next step is to organize a team that is knowledgeable about the problem and how to lead improvements. In this scenario, the nursing leader identifies a mental health professional, the nurses who faced the situation of Mr. X first hand, the ICU nurse, respiratory staff, physician and physician’s assistant and the hospital administrator. The mental health professional is the facilitator because they are well knowledgeable about dealing with behavioral emergencies. The leader of the team will be the nursing leader. The other team members are included because they would understand what they should have done differently to help Mr. X.

The third step would be to clarify the current knowledge regarding the problem. This is done by first analyzing and recording the events that happened during the time and asking the team members to identify critical points of care. They should also assess the legitimacy of the patient’s actions and views while maintaining a nonjudgmental view of the scenario. Following this analysis, the team should be asked to recognize important points where their actions could have been critical in providing care and what they should have done differently. This will allow them to recognize performance indicators.

The next step is to understand the causes of process variation by understanding the needs of the nurses and the patient. The nurses focused on their individual needs, which led them to fail to act in the situation. They did not want to risk getting hurt or harming the patient as they tried to do procedures. The patient, on the other hand, needed psychological, mental, and social care, which the nurses failed to provide. The hospital also did not have procedures and guidelines for dealing with patients with a behavioral emergency in a non-psychiatric setting.