Which type of consultation model did Nurse Ann use? Explain your answer.

CASE # 8: ABOUT THE NURSE LEADER IN THE COMMUNITY

Ann T. is the state school nurse consultant. Nurse Ann provides guidance for school nurses across the state and organizes policy development for school nursing. Many of Nurse Ann’s hours are spent communicating by phone, face-to-face, or by e-mail with nurses and families who have questions regarding health services in the schools.

Terry L. contacts Nurse Ann. This is Terry’s first year as a school nurse, and she is working in a rural high school. She is worried about delegating medication administration to unlicensed personnel. “What exactly can be delegated, to whom, and how should I document it?” asks Nurse Terry.

Nurse Ann explains to Terry that some state laws specify who may delegate tasks, and the State Board of Nursing gives advice on which nursing tasks can be delegated. Nurse Ann tells Terry where on the Internet she can find these laws along with advisory opinions, and she e-mails copies to Terry. Nurse Ann shows Terry how to use the delegation decision tree and discusses some of Nurse Terry’s more challenging delegation issues. Nurse Terry must then use the materials to decide what she is comfortable delegating. Nurse Ann also gives Nurse Terry some sample training materials and documentation forms that other nurses in the state are currently using.

Questions

1. Which type of consultation model did Nurse Ann use? Explain your answer.

2. What can Nurse Ann do to reduce for other school nurses the confusion that surrounds delegation in school nursing?

3. What should Nurse Ann do to communicate effectively with the nurses and families whom she encounters?

Sample Solution – Snippet

1. Nurse Ann used the prescriptive model of consultation in this case. The prescriptive model is a directive approach where the consultant provides specific advice, recommendations, and guidelines to the consultee. In this case, Nurse Ann provided Nurse Terry with specific information on the laws and regulations regarding medication administration and delegation. She also provided her with a decision tree and sample materials to use. Nurse Ann’s approach was focused on giving Nurse Terry clear guidelines and tools to make decisions regarding delegation.
2. Nurse Ann can create a delegation protocol that outlines the legal requirements for delegation and provides clear guidelines on how to delegate tasks. This protocol can be distributed to school nurses across the state, along with relevant laws and regulations, decision trees, and sample forms. This can help reduce confusion and provide a standardized approach to delegation in school nursing.
3. Nurse Ann should communicate clearly and effectively with the nurses and families she encounters. She should use plain language and avoid using technical jargon. Nurse Ann can also use visual aids and other resources to help explain complex information. It is also important for Nurse Ann to listen actively and respond empathetically to the concerns of the nurses and families she encounters. By doing so, Nurse …NEED A COMPREHENSIVE ANSWER? POST YOUR ORDER