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Specific strategies: interventions for identified problem behaviors.

Negativism, complaining, underachievement, game playing, passive-aggressive behavior, and workaholism constitute a repertoire of problem employee behaviors that impact on the productivity and morale of the work environment. Responding appropriately to the employee who presents with any of these behaviors is a formidable challenge to the nurse manager. Understanding the etiology of unmet needs, psychosocial dynamics (as discussed in Chapter 1) and variety of interventions can empower the nurse manager to achieve success in these difficult interactions.

Attitude of Health Personnel↗

Abuse of persons with mental retardation: characteristics of the abused, the abusers, and the informers.

Data from confirmed incidents of abuse in public residential facilities were analyzed. Among the findings were that the number of confirmed incidents of abuse were relatively small, that direct care staff members committed and reported most incidents of abuse, and that most incidents of abuse occurred on the second shift. Abused residents were similar to the general resident population on basic demographic variables, but more abused residents were in the upper IQ and adaptive behavior levels. Abuse committers were more often males than females. Some tentative recommendations were given for reducing resident abuse in public residential facilities.

Adult↗

The effects of a policy change on three types of absence.

Nurse executives use many strategies to manage nurse absenteeism. Nurses in this study voiced dissatisfaction with a policy requiring progressive disciplinary action after three absence incidents. To alleviate this dissatisfaction, supervisors were allowed to use their discretion in deciding when to initiate disciplinary action regarding the use of sick leave. The authors discuss the effect of the policy change on use of absence time and excused and unexcused leave.

Absenteeism↗

Confronting the employee who fails to accept responsibility.

1. When confronted with dependent or blaming behavior, persons who blame others may react with hostility. 2. Others who cope by blaming accept feelings of dependency and try to satisfy these feelings through attachment to strong protective figures who provide security. 3. When blaming is used in an interpersonal interaction, the manager should carefully assess the dynamics of the situation. 4. Techniques that help the employees to focus on the real difficulty can help deal with the underlying crisis and gain stability.

Administrative Personnel↗

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Employee Discipline↗