Responding to Leadership Challenges in Nursing: A Case Study Report

This report examines leadership challenges in a nursing context, specifically addressing a case study involving a nursing student's experience with a patient who suffered a stroke. The report explores the ethical considerations of patient care, particularly when the patient cannot communicate, and the importance of respectful treatment. It analyzes the challenges faced by the nurse in advocating for the patient and the strategies employed to address these challenges. The report also includes the student's personal understanding of the situation, key insights gained, and conclusions regarding the importance of ethical conduct and effective leadership in healthcare settings. The student reflects on the importance of performing duties efficiently and adhering to the code of ethics.

Responding to leadership
challenges

Table of Contents
STEP 1.............................................................................................................................................2
STEP 2.............................................................................................................................................2
Introduction to the case study......................................................................................................2
Challenge and strategy experienced............................................................................................2
Personal understanding................................................................................................................3
Key Insights.................................................................................................................................4
CONCLUSION................................................................................................................................4
REFERENCES................................................................................................................................5
1

STEP 1
The RN short stories in Gordon's when chicken soup isn't enough is in this regard chosen to be if
the patient can hear you by Clarke Doty. This is being chosen in this regard in order to move
ahead with the circumstances of responding to leadership challenges.
STEP 2
Introduction to the case study
The entire story that is opted in this regard will revolve around a nursing student who is at the
earliest medical surgical clinical practice comes. The nurse was put into a hospital where she
came across a patient who had a stroke. Notices that the patient cannot speak and was totally
paralyzed (D’Auria, G., & De Smet, A. (2020). She did it all kinds of activities upon entering
into the patient's room like that of cross checking her with the Stethoscope and was in two
random thoughts thinking about the patient. While she was assessing the patient there she came
across a man who was in his seventies and was properly dressed who entered into the room. She
followed all the gestures that work made by the men in assessing the patient. She asked her
doubts to the men about how could we assess the patient without even talking to her. To which
he explained every criteria that he has been through. The entire scenario took place in a room
where the patient is kept and the nurse which was put into practice upon her internship.
Challenge and strategy experienced
In this entire context a nurse was opted to was put into a patient room that does not respond. The
patient in this regard is suffering from a stroke since long time and the nurse was put into her
practice such that she will get to examine all the possibilities that you will have to in order to
pursue a good conduct (Starr, (2020). The biggest challenge in this regard that is faced by nurse
which is put into the patient room is that the patient cannot respond to whatever the nurse says
and that seems to be a difficult aspect because without communication there cannot be proper
assessment. The challenge that is listed in this criteria is that the nurse was defending for patient
who is paralyzed. In this context the readers will come across an old man who is in his early
seventies that has approach the patient in order to examine her. After a quick examination the old
man did not take a minute in order to describe what she was undergoing and histone was in a
totally disrespectful manner (Naicker, (2020). There is no particular critical strategy that is being
employed by the nurse but she took over a step, in order to be the advocate of a patient at that
instance by defending her saying that although the patient is not responding to the matters of the
2

room yet it is a necessity to be respectful is what is being highlighted by the nurse. The strategy
here is very simple where we consider the patient to be a little respectful and that is being
conveyed by her to her practitioner. The person centred care is important and is a mandatory
even though the patient does not respond to the practitioner. It is a minimum basic in the code of
Healthcare industry where the nurses for the Healthcare professionals will have to address the
patient in a respectful tone. This is usually not practiced by the old man who has entered into the
room to examine the patient and therefore the nurse which is a practitioner in the room
highlighted the fact that patients are to be given proper respect and will have to be addressed in a
good tone (Li, L. (2020). She defended her patient then and there which is a person centred care.
The point of fact that the patient who is suffering from Stroke in this particular assessment was
treated like a normal patient by the nurse keeping in mind that the ethics will not go in vain in
treating the patient equally like others.
Personal understanding
If I am in any case put into a medical practicing service where I was offered an internship in
health care centre and when I come across such incident where the patient is being treated in a
disrespectful manner I would first analyse the situation. I would always follow the code of ethics
that are in regard to treating a patient is suffering all the they can hear or they cannot even have
an access to go through the situation that is happening around. All the dealing with a respectful
situation is something that is really empathetic and I would take an opportunity to defend the
ones that are right. I would start to determine the situation whether it is necessary to respond in
that particular time or to design a particular space to address the situation (Lutfia,. (2021,
February). In most of the scenarios of this kind that is happening in the case study where the
person is addressing the patient in a disrespectful tone in front of the patient and in conditions of
this kind I would feel that responding then and there will be worthwhile because defending
patient that is not in a situation to defend herself will therefore be justified as code of ethics.
Even if the situation is relatively hard or mild I would take an opportunity to go with explaining
the situation and the practices in a very respectful manner because going against an official
might also result in my bad conduct during the practice session (Weber, P. C., & Long, R. F.
(2021). I will first explain the entire scenario that the patient is going through and will try to
explain the clause and the code of ethics in a more convenient and a professional manner because
going in a disrespectful tone might lead to conflict at that particular area. I would always try to
3

ask for a clarification such that people will not consider my point in a wrong sense. The point
will have to be clear while defending a person because this respect is something that is not
encourage anywhere. Although confronting other people's mistake is not an empathetic approach
yet it is I will be in charge of my own reaction because if I go beyond that I will have to address
then I will probably be into problem of going into misconduct during my practice session.
Therefore, I will be probably monitoring my speech every now and then and will also convey the
same towards the other person who is usually behaving in a respectful manner.
Key Insights
The two key insights that I have learnt from this assessment are as follows:
Doing job perfectly: this is my table on the point that whether the patient is responding to our
practice or not we will have to perform our job in a correct and an efficient manner. The nurse in
this context has fulfilled all her duties of assessing the patient with a stethoscope which is not
known to anybody and she might take advantage of the situation and would have sit in an ideal
manner. She took an opportunity to do her duties in a perfect manner and she made a good
approach towards the patient. Through this commitment I have learnt that whatever the situation
is job will have to be carry forwarded in a perfect manner (Manda, M. I., & Ben Dhaou, S.
(2019, April).
Obeying code of ethics: whatever be the situation it is a mandatory aspect in order to defend the
one in need. And that with regard to the code of ethics in a Healthcare Centre is to defend the
patient when is being treated disrespectfully. Although the nurse in this regard is addressing the
patient in a more respectful manner also defending by not crossing the limits in addressing the
person in an official manner. Through this I have learnt the fact that whatever be the situation it
will have to be handled in a more respectful manner such that there will not be a room for
conflicts. The nurse in this scenario has dealt with the condition in a more efficient manner
where she address the person who is disrespecting the lady in a professional manner without
hurting the feelings of the professional and also not staying quiet.
CONCLUSION
The entire report concludes upon highlighting the fact of leadership challenges that are to be
responded in a more convenient manner. Through this report a case study is being highlighted
explaining the nursing challenges as well as the person centred care that is depicted. The inside
4

that were learnt in the assessment are being portrayed in the report with a precise options that are
being taken from the approach. The outline of the story is expressed in a manner that would
highlight every entity that is needed in responding to leadership challenges. The aspect of taking
advantage of the situation and defending the ones that are in need is being portrayed in the
report.
REFERENCES
Books and journals
D’Auria, G., & De Smet, A. (2020). Leadership in a crisis: Responding to the coronavirus
outbreak and future challenges.
Li, L. (2020). Challenges and priorities in responding to COVID-19 in inpatient psychiatry.
Psychiatric Services, 71(6), 624-626.
Lutfia,. (2021, February). Servant Leadership: Responding the Challenges for Change in Higher
Education. In 4th International Conference on Research of Educational Administration and
Management (ICREAM 2020) (pp. 203-206). Atlantis Press.
Manda, M. I., & Ben Dhaou, S. (2019, April). Responding to the challenges and opportunities in
the 4th Industrial revolution in developing countries. In Proceedings of the 12th
International Conference on Theory and Practice of Electronic Governance (pp. 244-253).
Naicker, (2020). Responding to school funding challenges in no-fee and fee-paying schools:
Lessons from South African principals. South African Journal of Education, 40(4).
Starr, (2020). On Leadership: Responding to COVID-19: Short-and long-term challenges. Phi
Delta Kappan, 101(8), 60-61.
Weber, P. C., & Long, R. F. (2021). Responding to Change in Higher Education: The Case of the
Nonprofit Leadership Studies Program at Murray State University and Program Identity.
The Journal of Nonprofit Education and Leadership, 11(1).
5

6