In case scenario number one, the psychiatric nurse was being aggressive. Her choice of words and communication style were inappropriate, unprofessional, and rude. This situation required intervention from management including counseling with psychiatric nurse on respectful and tactful communication. The staff RN clearly does not value the input of the CNA and has no respect for his position or duties. Without teamwork and collaboration of all staff, there will be a breakdown in communication resulting in poor patient care. Rashad was trying to clarify his role and responsibilities through passive communication. Due to the aggressive response made by another team member, Rashad likely felt unappreciated and angered by the lack of respect and condescending commentary from his team member. Rashad should discuss this with management and express his concerns and feelings regarding the inconsideration and demeaning behavior from staff RN. Rashad’s after thoughts of sabotage and insubordination are passive aggressive. This type of communication is indirect and ineffective in problem solving. Aggressive communication can create a hostile work environment, untrusting relationships, and low morale. This type of communication creates a vicious cycle of arrogant dictatorship and indirect antagonism. When there is lack of collaboration and listening, there is little chance of a productive working relationship (Hansten & Jackson, 2009).
In case scenario two, Pamela was being nonassertive. Instead of asking Brigite to clarify how the test results were obtained, Pamela retested the students. This situation could have been avoided if Pamela would have given clear concise instructions and allowed the volunteer to ask questions. This would have allowed for collaboration and direct, step by step instructions to be given. If this instruction were given Pamela would have felt