New grad nurses often feel overwhelmed, isolated and unsure just like Rosemary and being the only registered nurse on the floor only makes it worst creating room for unsafe practice. Having very experienced aides and LPN’s on the floor can be a great asset to Rosemary but can also be a little intimidating knowing that she is the RN and has seniority.
I believe that the nurse manager has failed as a leader. It states that Rosemary has tried reaching out to her but has been unsuccessful. “management, is the ability to plan, direct, control, and evaluate others in situations where the outcomes are known or pre-established.” (Yoder-Wise, 2015). The nurse manager needs to be accessible for the night staff, especially a new graduate who is to be in charge of the unit.With what little information is given in the case study, it appears that the leadership style is laissez-Faire. laissez-Faire leadership style is permissive, nondirective, or passive. Little to no planning along with lack of involvement, which is what we are seeing in the nurse manager (Catalano, 2015).
Rosemary is also displaying a laisser-faire leadership style. She is letting things that should be addressed pass by which is creating room for poor quality of care. My advice for Rosemary is to speak up for herself and to take further steps to receive the appropriate tools she believes that will make her career flourish . The shift assignments should not be left in the staff lounge by an assistant the charge nurse or manager should be doing this which can inadvertently create time for her to interact with other employees like Rosemary.
Catalano, J. T. (2015) Nursing Now! Today’s Issues, Tomorrow’s Trends. [Bookshelf Ambassadored]. Retrieved from https://ambassadored.vitalsource.com/#books/9780803643932/
Yoder-Wise, P. (2015). Leading and Managing in Nursing. St. Louis: Elsevier Mosby.