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Read and analyze the Case: The Long, Loud Silence
 
Use SBAR technique tool to prepare the case report (For example question #! ‘Describe in detail what you believe…. ….. ‘ That would follow “S” or Situation, etc., etc., of the SBAR). No need to respond to the questions at the end of the case and also put the information in the SBAR format. Only use the SBAR techniques to address the issues, facts, details of the case.
    Situation: What is going on with the patient?
    Background: What is the clinical background or context?
    Assessment: What do I think the problem is?
    Recommendation: What do I think needs to be done for the patient/case?
I will post material ASAP

CASE: THE LONG, LOUD SILENCE
Background

As the director of health information management who was recently hired from another organization, it did not take you long to discover that morale in your new department has been at low ebb for quite some time. As you undertook to become acquainted with each of your employees ou quickly became inundated with complaints and other evidences of discontent. Most of the complaints concerned problems with administration, the financial division, and the records-related practices of physicians, but there were also a few complaints by staff about other members of the
department and a couple of thinly veiled charges concerning health information services personnel who “carry tales to administration.”
In listening to the problems, it occurred to you that there were a number of common threads running through them and that a great deal of misunderstanding could be cleared up if the gripes were aired in open fashion w i t h the entire group. You then planned a staff meeting for that purpose and asked all employees to be prepared to air their complaintsexcept those involving other employees by nameat the meeting. Most of the employees seemed to think such a staff meeting was a good idea, and several assured you they would be ready to speak up.
Your first staff meeting, however, turned out to be brief. When offered the opportunity to air their gripes, no one spoke.
This resultsilencewas the same at your next staff meeting 4 weeks later, although in the intervening period you were steadily bombarded with complaints from individuals. This experience left you frustrated because you regarded many of the complaints as problems of the group rather than problems of individuals.
Instructions
1. Describe in detail what you believe you can do to get the group off dead center and to open up about what is bothering them.
2. Describe how you might approach the specific problem of one or more of your employees
carrying complaints outside of the departmentthat is, “carrying tales to administration.”
3. Describe several means of organizational communication at youi disposal that you believe
might be applied in helping to address this department’s problems.
4. Answer all questions in detail and support your statements with references. Follow APA guidelines and cite a minimum of 2 references in-text (only 1 can be the textbook).

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