1. You are a family nurse practitioner working in an outpatient primary
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
assistantNurse PractitionerMedical DirectorPracticeWhat 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.A scholarly resource must be used for EACH discussion question each
week.Expert Solution PreviewIntroduction: In this case study, a family nurse practitioner
working in an outpatient primary care office of a large hospital system has observed several
clinical staff members engaging in heated arguments, potentially impacting patient safety.
The NP also discovers a medical assistant failed to notify them of a patient’s low blood
pressure due to being distracted by a prior argument. This paper will analyze the case for
potential issues for the healthcare team, discuss potential ethical and legal implications for
each practice member, strategies to prevent further episodes of dangerous patient
outcomes, and leadership qualities to implement positive change.1. Analyze the case study
for potential issues for the healthcare team from office conflict.The potential issues for the
healthcare team from office conflict include decreased communication and collaboration
resulting in lower quality patient care, decreased job satisfaction and increased stress for
the members, increased risk of medical errors, and ultimately jeopardizing patient safety.2.
Contrast the potential effects for each member of the healthcare team based on the required

2. readings from the week. Discuss the potential ethical and legal implications for each of the
following practice members: Medical assistant, Nurse Practitioner, Medical Director, and
Practice.Medical Assistant – The medical assistant’s failure to report vital signs can lead to
ethical and legal implications, as failing to report vital signs is considered to be malpractice.
Also, not following the standard protocols may lead to legal charges. The medical assistant’s
attitude towards their work, which includes distractions from a heated conflict with
colleagues, may jeopardize patient safety.Nurse Practitioner – Nurse Practitioner can face
ethical implications. They are responsible for the safety of the patient, so failure to fulfill
their duties may result in malpractice charges. They need to ensure that their team
members are working efficiently and precisely. Neglecting to report vital signs due to
distractions from conflicts can result in legal complications.Medical Director – The Medical
Director can encounter ethical issues as they bear the responsibility of ensuring that their
team works together efficiently. Failing to implement steps to correct the conflict within the
team can result in ethical and legal complications.Practice – The Practice can face severe
legal implications if any patient safety incidents were to occur due to team conflicts resulted
in neglect of their responsibilities.3. What strategies would you implement to prevent
further episodes of potentially dangerous patient outcomes?The following strategies can be
employed:● The implementation of effective conflict resolution training.● Encouraging
leadership dedication towards teamwork, collaboration, and continuous improvement.●
Developing ethical and professional standards, including protocols for reporting vital
signs.● Encouraging an open-door policy to enhance cooperative communication between
staff members.4. What leadership qualities would you apply to effect positive change in the
practice? Focus on the culture of the practice.Nurse Practitioner and Medical Director can
employ the following leadership qualities to effect positive changes in the practice:●
Encourage team-building activities to encourage trust and collaboration among team
members.● Foster a culture of innovation and continuous improvement, appreciating and
recognizing new ideas to enhance patient care.● Emphasize accountability and
responsibility, ensuring that all personnel understand the importance of patient safety.●
Communicate clearly and frequently, maintain open channels of communication to avoid
misunderstandings, encourage the reporting of vital signs, and avoid conflicts.● Encourage
professional development, skill, and knowledge enhancement through allowing learning
opportunities for team members.#family #nurse #practitioner #working #outpatient
#primary