Bus 220
3-16-14
Case 11-B Welcome to the Barnes City Hospital
Summary
For almost four years Paula Meers has been the night shift supervisor of nursing at Barnes city
Hospital. Paula works from 11pm-7:30am supervising twenty four nurses. Seven of the nurses
have formed a bond, inside and outside of work. These seven nurses have been with the
hospital for over 20 years. These nurses are highly respected by the medical staff and
administration. One nurse in particular is an excellent nurse with a friendly and outgoing
personality which she is also well respected by these seven nurses, Bonnie Lin.
New nurses are assigned a mentor for the first three months on this shift. New nurses are also
hazed by the group of seven women with a welcoming routine of some jokes and some non
harmful tricks. Most of the new nurses have no problem with this, they see it as a right of
passage or induction. Three of the new hires on the night shift have left after only two weeks
and Paula is concerned that this form of welcoming may be the reason. Paula decides to have a
meeting with Bonnie to discuss her concerns. Bonnie believes that with the constant pressure
and tension of caring for the patients that the jokes and tricks help lighten the mood. She also
believes any nurse that cant take a joke shouldn't be working at Barnes City Hospital, Which I
disagree. Shortly after this conversation three newly hired nurses told Paula they didn't like the
jokes and tricks treatment and resigned. They stated nursing is a serious job and they couldn't
work under these conditions. They nurses also stated they would be discussing these concerns
with the hospital administrator.
Responding to the case
1. These seven ladies