Question: Choosing the Most Appropriate Resolution Approach Choose one of the following situations and write a one-page essay, discussing which conflict resolution strategy is most appropriate for this situation. Explain why other conflict resolution strategies were rejected. Situation 1 You are an RN on a surgical unit. MJ is an orthopedic surgery patient who is 2 days postop. Her physician has ordered patient-controlled analgesia (PCA) using morphine, as well as prn IM injections of Demerol every 3 to 4 hours. The patient has continued to verbalize a significant amount of pain. Today, Dr. Jones writes an order for you to give MJ an additional 100 mg Demerol IM now, even though she had 100 mg less than 1 hour ago as well as her PCA. The dose he ordered is contraindicated in your drug handbook. You approach Dr. Jones with your concerns about the safety of such a dose as well as your questioning of the patient's pain level.
Dr. Jones interrupts you shortly after you begin and says in a curt, hostile tone, "I am the doctor and I write the medication orders. You are the nurse and your responsibility is to implement my care plan. Give the medication now or I will see that you are fi red." Situation 2 Today is Wednesday. Julie, a long-time employee on your unit where you are a manager, believes she is entitled to certain privileges regarding scheduling. You have told her to review the policy concerning weekends and days off. Julie believes she deserves every other weekend off, with Friday and Monday off on the weekends she works. You have been able to meet Julie's request for the last 3 years because other employees preferred working weekends. Your recent employee turnover, however, means that meeting this request is no longer possible. Julie was scheduled to work Monday because of low staffing, but she refused, stating that Monday is her regular day off. You believe you can guarantee no employee any regular day off other than having 2 days off each week. Julie is scheduled to work on Friday.