CASE STUDY

Question1. The setting of the current scenario in a surgical unit of a reputable teaching hospital in the local area. At this large tertiary hospital, which now holds more than 2000 beds due to the outbreak of the novel COVID-19, hospital administrators have devised a series of work policies. The night shift policy, one of the most important policies in the hospital, states that no member of the staff can sleep while on duty. The nurse manager of the surgical unit assumes a leadership role in this scenario. She is responsible for the management of registered nurses, medical assistants, office staff, performance evaluations, budgets, shifts, and attendance for this unit. One day, she was informed a nurse often slept on her night shifts and sometimes not punctual to work. To her surprise, the nurse not only took a nap at the nurse station on the night shifts and not been punctual to work but also slept on the examining table in the examining room after midnight instead of attending to COVID-19 patients. Obviously, the nurse was neglecting her duty, exhibiting poor attitude towards work, and violating the night shift policy as well.

In this case, if the nurse did not recognize her mistakes and did not know that sleeping on her night shifts and coming to work late was against policy, patient safety would be ignored, and quality care would not be provided, not to mention diminished patient satisfaction and negative outcomes.

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Examiners: Mr. Noah Darko-Adjei

Hence, the unit director had to act. The biggest challenge for the unit director was getting the nurse to acknowledge the mistake and subsequently change her behaviour.

Required: The goal in this scenario, however, is to prevent the nurse from sleeping on her night shift, and to take her job more seriously, as well as encouraging her to exhibit a positive attitude toward her work. Using the motivational, control, and leadership approach, as well as theoretical perspectives, discuss ways to remedy the issue? (20 Marks).

Question 2. In management, delegation is considered as a double edge sword, with practical real-life examples discuss (15 Marks).

Question 3. Herzberg disagrees with Maslow to the extent that while Maslow believes the first three-level needs such as physiological, safety, and social needs are motivators, Herzberg believes these are hygiene factors and not motivators. Which side of the coin do you side with and why?