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You are the nurse manager on a busy telemetry unit at a teaching hospital. You have a very varied skills/experience mix among your staff members, which allows them the potential to be good resources for each other. Even though care is provided in a thorough and timely manner, your staff is not always kind and supportive toward one another. This troubles you as a manager, as you realize that this has the potential to turn into a safety issue, as well as having the potential to affect patient satisfaction.
One of your nurses comes to you and tells you that a more senior nurse was acting rudely and condescendingly toward one of the new graduate orientees on your unit. The new graduate that was involved has not come to you to mention this, and you did not hear the exchange for yourself- it was only reported to you by the concerned nurse. Please consider the following questions and note your responses:
1. Which ethical principles have been violated here? How?
2. What should the manager's next steps be?
3. How would the manager go about creating a more positive culture on the unit, so this does not happen again?
4. What type of leadership/management style would be most effective in dealing with this situation?
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