You are a family nurse practitioner working in an outpatient primary care office of a large hospital system. The practice has been operating for over 15 years, and many of the administrative and clinical staff were hired when the practice opened. You have been in the practice for less than 3 months. In that short amount of time, you have witnessed several of the clinical staff engaging in heated arguments with each other, sometimes in patient areas. You overhear an argument occurring today between two staff. You pick up a patient’s chart and notice a very low blood pressure that the medical assistant failed to notify you about. When you confront the MA, she states that she was going to report the vital signs to you when she became engaged in the heated argument you overheard and forgot to notify you.
Unfortunately, this pattern of behavior is not unusual in this practice. Working with staff who cannot cooperate effectively can negatively influence your ability to spend time with patients, can impede the flow of patients through the office, and could impact patient safety.
Case Study Responses:
Analyze the case study for potential issues for members of the healthcare team from office conflict. Contrast the potential effects for each member of the healthcare team based upon the required readings from the week. Discuss the potential ethical and legal implications for each of the following practice members:
Medical assistant
Nurse Practitioner
Medical Director
Practice
What strategies would you implement to prevent further episodes of potentially dangerous patient outcomes?
What leadership qualities would you apply to effect positive change in the practice? Focus on the culture of the practice.
The healthcare sector is run by a number of rules, regulations, laws and ethical standards. Laws are designed to protect individuals when making decisions about their healthcare. In addition, they also set out the responsibilities of healthcare professionals. However, there are differences between legal and ethical standards. Whilst legal standards are set by governmental laws, ethical standards do not necessarily have a legal basis. Legal standards are useful as they help people to understand what they are not allowed to do, whereas ethical standards are primarily based on human principles of right and wrong. With legal standards in place, authorities are allowed to enforce rules when people do something illegal,
threatened, Shifu places himself at Tai Lung’s mercy when Tai Lung demands to be named the Dragon Warrior and rewarded the scroll. Shifu rebuffs him: “Dragon Warrior has taken scroll halfway across China by now. You will never see that scroll, Tai Lung. Never” (Stevenson, Osborne : ). Shifu finally acknowledges Po as the true Dragon Warrior. This moment is when the third generation of masters, Po, is finally recognized. After Po almost witnesses a “death of the mentor” moment, Po becomes the third wave of mentors and enters the “Master of two worlds” phase of Campbell’s monomyth. It is this three-generation set of masters that “flips the script” on the mentor narrative of the monomyth. Not only does Kung Fu Panda include Shifu’s “heroic” or mentorship development, but it also includes Po’s development from disciple to mentor as shown through the “Master of Two Worlds” threshold.
SECOND BODY:
When Po becomes the third generation of mentors, he enters the “Master of Two Worlds” stage. At this stage, not only is he figuratively able to navigate both the heroic realm and the quotidian, peasant, noodle-making one, but he is also literally a master of Kung Fu once named the Dragon Warrior. After defeating Tai Lung with the special Wuxi Finger Hold, Po returns to the Valley of Peace square. While the villagers applaud Po, his adoptive goose father emerges: “‘That’s my boy. That big, lovely kung fu warrior is my son!’” (Stevenson and Osborne, : ). Po has figuratively become the master of both his humble upbringing as well as his new-found prominence in Kung Fu. His adoptive father, proclaiming him as the Kung Fu Warrior, is his reconciliation with both worlds. Po’s father’s approval is a figurative gate into Po’s mastery of the ordinary world because in the beginning, like everyone else, he doubted Po’s ability to be a great Kung Fu warrior. Po’s father’s praise of Po and his mastery of Kung Fu symbolizes a harmonization of Po’s roles within both realms. Right after he is awarded his father’s admiration, Po is honored by his past idols, the Furious Five. Once his fiercest doubter, Tigress leads the other Five in granting Po respect: “‘Master.’ Tigress bows deeply. The others follow. ‘Master?’” (Stevenson and Osborne, : ). Po is now literally a master of both worlds. Po has gained respect within his Kung Fu world, but is also technically, as Dragon Warrior, the best kung fu warrior. This thus makes him a literal master of kung fu, and he is then supposed to train the Furious Five, which is why they proclaim him their “master”. By becoming a literal “Master of Two Worlds”, Po alters the original monomyth. In the general heroic monomyth, the Hero conquers both the hero world as well as the ordinary, domestic one. The regular hero, at the next stage “Freedom to Live”, is able to do as he pleases. Po has to learn that as Dragon Warrior, he must be a master of Kung Fu and he must teach others in the future.