Phillis Dukakis faces an internal conflict within herself as the experience she meets in her ten-day-old job puts her in a situation of either quitting or continuing working. While attending to her duties as a charge nurse, she encounters a horrifying experience resulting from the interactions she witnesses between the nursing supervisor and other charge nurses and nursing aides. She witnesses charge nurses and nursing aides being reamed out by the supervisor, despite the heavy workloads they have to deal with. An encouragement would boost their morale as opposed to being reamed out. She believes that is would be difficult for her and other staff to give out the expected care to their residents, including compassion and respect, since they do not receive the same. Therefore, the experience leaves her with two options. She either has to accept and face the challenge of remaining at work or quit. It further interferes with her work values.
The problem at hand involves the relationship between the care nurses and their aides with the shift supervisor. The treatment from the supervisor diminishes the morale of the nurses. The relationship creates a harsh work environment that interferes with the quality of service that the nurses offer to their residents. The consequences of abusive supervision and non-physical violence include annual losses in increased healthcare costs, work-place withdrawal, loss of productivity, and reduced nurse retention rates (Tepper, Moss, & Duffy, 2011). The relationship interferes with the values of the nurses, such as courage, commitment, and acceptance of responsibility and accountability. Besides, they fail to become compassionate and respectful towards their residents since they do not receive the same from their supervisor. Consequently, the principle of beneficence becomes less.
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In this case, the supervisor needs to realize that how he treats his staff affects the quality of their services. According to the nursing codes of ethics, nurses are expected to show compassion and respect for the inherent dignity of every resident, in addition to showing high levels of commitment to them (Winland-Brown, Lachman, & Swanson, 2015). The treatment the nurses get from the supervisor puts them in a situation in which they find it difficult to uphold the necessary principal codes of ethics. Consequently, the quality of services they provide becomes affected, which, in return, lowers the overall quality of service the healthcare facility offers. Therefore, two things need to happen. Phillis Dukakis has the option of quitting, but the problem at the healthcare facility would remain, or stay and help in making the situation better for herself and her fellow nurses. The correct judgment would be not to quit.
Citing the code of ethics of having the authority, accountability, and the responsibility for nursing practice, to make decisions and take any action consistent with the obligation to promote health and to provide optimal care, she needs to take the appropriate measures to help save the situation. There is a lack of a guarantee that her next work-place will be free of similar cases and so if that is the reason for quitting, then chances would be that she will quit even more jobs. Therefore, helping in making the situation better while working at the facility would be a better judgment. Her options to consider while doing this include having a face-to-face talk with the supervisor and letting him know how his reactions and treatment affect their work without making him feel intimated. If the discussion fails to bear fruit, then the nurses have an alternative of teaming up and using the right channel to inform the relevant authorities above the supervisor about their situation. The step would indicate Phillis' upholding of the very core values of nursing.
References
Tepper, B., Moss, S., & Duffy, M. (2011). Predictors of abusive supervision: Supervisor perceptions of deep-level dissimilarity, relationship conflict, and subordinate performance. The Academy of Management Journal, 54(2), 279-294. Retrieved May 8, 2020, from www.jstor.org/stable/23045081
Winland-Brown, J., Lachman, V. D., & Swanson, E. O. C. (2015). The new'Code of ethics for nurses with interpretive statements'(2015): Practical clinical application, Part I. Medsurg Nursing, 24(4), 268.
