Complexities in Leadership

At your hospital, the Committee on Medical Ethics is a medical staff committee. It answers to the Medical Executive Committee and the medical staff president, and its members are jointly appointed by the president of the Medical Staff and committee chair.

Although it is a Medical Staff Committee, its membership is multidisciplinary, including physicians, nurses, social workers, lawyers, and members of the lay public (for community representation).

Most members of the committee have received training in clinical ethics consultation, and were chosen because of their interest in resolution of ethical issues and their interpersonal qualities with patients and staff.

The hospital administration has engaged a consulting firm to “modernize” its structure. The consultants have advised converting the “old” social worker approach to the contemporary position of case manager. The consultants note that three social workers sit on the Ethics Committee.

The social worker members of the Ethics Committee were advised that they will no longer serve on said committee, and that their place will be taken by the manager of case management, who has no experience in ethics consultation, nor does she know anything about the history of Ethics Committee activities at your hospital.

The chair of the Ethics Committee is informed that three of his committee members are “out.” The chair is livid, and there is also an immediate reaction from all the rest of the committee members, most especially the medical staff members of the committee— something about separation of powers is mentioned.

You have been assigned by the hospital administrator to “handle this mess.” How would you go about doing so? If you had been told to handle the proposed committee reconfiguration from the very beginning, what would you have done differently from what was done? What change management practices would you have implemented to have these adjustments be handled better?

Describe your answer in detail, write in a response to each case scenario. Your Journal entry should be at least 500 words.

Imagine that you were asked to conduct a study similar to Milgram’s study of obedience, using adolescent participants. Point out at least one ethical issue present in Milgram’s study and explain what you would do differently to address that issue with your study on adolescent obedience. Would you address that ethical issue differently if you were conducting a study among a particular race or ethnicity? What about with elderly participants? Explain your reasoning.

readings for this week;

Fisher, C. B., & Vacanti-Shova, K. (2012). The responsible conduct of psychological research: An overview of ethical principles, APA ethics code standards, and federal regulations. In S. J. Knapp, M. C. Gottlieb, M. M. Handelsman, & L. D. VandeCreek (Eds.), APA handbook of ethics in psychology, Vol 2: Practice, teaching, and research (pp. 335–369). Washington, DC: American Psychological Association.
Retrieved from the Walden Library databases.

McLeod, S. (2007). The Milgram experiment. Retrieved from http://www.simplypsychology.org/bobo-doll.html

Society for Research in Child Development.(2007). Ethical standards in research. Retrieved from http://www.srcd.org/about-us/ethical-standards-research

Walden University. (n.d.). Social change. Retrieved from

Read the following article:

Community Health Center Efficiency: The Role of Grant Revenues in Health Center Efficiency (OPEN THE ATTACHED DOC)

Complete a detailed case study analysis of the given case, using the process described in Analyzing Strategic Health Care Cases in your course textbook Strategic Management of Health Care Organizations.

Your completed case study analysis report will include the following sections:

Executive summary
Key issues
Situational analysis
Strategy formulation
Recommendation
Implementation strategies
Benchmarks for success and contingency plans

To support work, use your course and textbook readings . Cite sources used in the work and provide references for the citations in APA format.

Assignment should be addressed in a 2- to 3-page document.

APA FORMAT AND REFERENCE PAGE

1. Describe a situation in which the nurse manager would use problem resolution in the workplace. Describe a situation in which the nurse manager would use negotiation to resolve a conflict (or potential conflict) in the workplace.

2. Compare and contrast strategies for resolving a conflict, using first the informal negotiation method and then the formal negotiation method.

3. Explore the American Nurses Association website for information on collective bargaining for nurses. Which states have nursing unions? Debate the issue of joining a union with another group of students.

4. PART 1: Log onto the website of your state nurses association and search for information on collective bargaining. Search for news articles, union websites, and other recent information on collective bargaining for nurses in your state. Is there a great deal of collective bargaining activity in your state? If not, why? If yes, what are the primary issues under discussion?

PART 2: Review the pros and cons of becoming part of a collective bargaining unit. If you were a full-time staff nurse, would you want to join a union? Why or why not?