What should Barbara do?
Barbara Wilson is a registered nurse who has been employed by Hope Regional Medical Centre for the
past eight years. For the first six years, Barbara worked as a nurse in the neurological ward. She
enjoyed working in this area, and particularly enjoyed her daily personal interaction with the patients.
After a few years of irregular schedules and long shifts, she decided she needed a change, and began
working as a theatre nurse in the operating room. Initially, Barbara was excited about the adjustment to
her normal routine and looked forward to slowing down a bit. However, one year into her job in the
operating room, Barbara began to find her work monotonous, and was easily bored. She dreaded
getting up in the morning and going to work, and looked forward to her days off. She began to miss
her years of working in the neurological ward, and longed for a way to integrate all the knowledge,
skills, and abilities she had gained and enjoyed by being a nurse, in the job that suited her best.
In the neurological ward, Barbara was responsible for putting in and monitoring IVs; checking patient
charts; providing care, food and medication; dressing changes; bed baths; taking care of patients'
questions and concerns; and so forth. She would also participate in the entire after surgery care,
consult with patients on pain and symptom management, walking after surgery, and coordinated home
care. Patients would also convey words of gratitude to Barbara, and she would receive recognition
from the hospital for a job well done, which reinforced the work that she did. Barbara made decisions
for the patients based on her knowledge of the medical field. She prioritised patient care and worked
one-on-one with the patients. She received instant feedback from the patients in some cases, and knew
quickly whether patients were satisfied with their care and their experience at the hospital.
In the operating room, on rare occasions Barbara would put in catheters, position patients on operating
tables, and basically follow the doctors' instructions during surgery. Her tasks were limited to the time
spent in surgery. Patients were only in the operating room for limited periods of time, leaving little
time for Barbara to get to know them and to participate in their care. Barbara played an integral role in
the patients’ hospital experience, although on a personal level she felt that she did not contribute
enough of herself to the task at hand, as she mostly had to stand around and wait for instructions from
the surgeon. She also felt that there was a lack of communication between her peers. Barbara had to
take a back seat to the surgeons in the operating room, and her work was very rigidly decided by the
operating surgeon who made all the decisions on what was to take place, at what time. If no operations
were scheduled, Barbara had little (if any) work to do. Barbara received no feedback from patients for
her work, as they were sometimes even unaware that she was in the operating room. She also received
no feedback from her supervisor.