PARTICIPATIVE MANAGEMENT (Script)

SCENARIO:

Cindy is one of the resident dr. at MGV hospital. She is handling 6 pt. at OB Gyne ward. One of
her pt. is experiencing pre eclampsia, and that is very dangerous since the pt. is only 17, and on
her 22 weeks of pregnancy. She decided to gather all the staff and member of the health care
team to have a meeting. She need to consult them about the plan that she is going to do, so
that they can provide the necessary care needed by the pt.

Cindy (Dr.): I called this meeting because one of our pt. is experiencing pre eclampsia. She is
only on her 22 weeks of pregnancy, that is too early for her to give delivery, that is not the best
thing for the baby. One more thing, she is only 17 and that is also a problem. I am planning to
admit her here so that we can carefully monitor her and her baby. May I know what are your
suggestions, so that we can assure their safety and we can make the best alternative way to
replace early delivery.

Paula (Nurse): I agree with that dra., that is very dangerous for both of them. And since I am
one of the OB Gyne nurse in duty for today, I will be the one who monitor her V/S esp. her BP
and HR from time to time. Because accurate BP reading is very important.

Cindy (Dr.): That's good. How about the others? What do you think? Any suggestions or ideas
on how we are going to take care of our pt.?

Norribel (Dietrician): I also agree with that dra., I know that pre eclampsia often causes
problems. One of that is in circulation, because it can reduce the amount of nutrients that the
baby is getting. It is very important for the pt. to eat a nutrient-rich food. So, I am going to give
her healthy foods like fish, fruits, vegetables, whole grains and dairy products po. I know that it
could be a big help for her condition po.

Mica (Nurse 2): Umm, although the pt. is pregnant, medication such as low dose of aspirin may
help to prevent it dra.

Wilma (Nurse 3): That is right po, and dra. since the pt. is very young I will take the
responsibility of giving her an advice and mental support, and also to educate her on how to
use relaxation technique such as breathing exercises. It could help her lessen her anxiety.

Patrick (Medical technologist): I will collect all the specimen that will be needed for her lab
tests, like blood, for liver and kidney function tests, and also to measure her platelet. Then
urine for the measurement of the amount of protein in her urine. That is very important in her
condition dra.
Anthea (Ultrasound technician): Ultrasound is also necessary in her condition dra., to carefully
monitor the baby’s health and development, and also to estimate fetal weight and the amount
of amniotic fluid in the uterus.

Tricia (Radiologist): As a radiologist, all I can contribute to her treatment is to give the accurate
reading of her ultrasound result.

Cindy (Dr.): That is very good. Now that I heard all your ideas on how are we going to keep the
baby and the pt. safe, I can now finally decide and make the plan of care that is going to be
implemented to that pt. I know that with all your help and support we can provide the quality
care that is needed by our pt. Thank you everyone, you can now all go back to your area. Have a
nice day.

EVERYONE: Thank you dra. Anytime.

END!

Narrator (Jam): Participative management requires the cooperation or the involvement of the
employees. The scenario shows the types as well as the strategies that needs to implement in
participative management. In consultation style the doctor consult her co-worker on how they
will assure the patient safety, because the patient experiencing pre-eclampsia and at risk due to
early pregnancy. Joint decision making also shows through collaboration, suggestions, and
exchanging of ideas. Strategies to implement participative management including considering
multiple options (the doctor do not decide on her own, instead she solicits her co-workers
feedback), providing information (informing co-worker regarding patients condition), also
encourage creative solution( asking the employees about their insights regarding patients
condition)

Than you……

THEORY X AND Y

Tricia: Nurse Patrick, we have a new co -worker today. I want you to supervise him first
regarding the jobs here at the hospital as well as the policy of this hospital.

Patrick: Uhmm… Ma’am Tricia, can Nurse Thea be the one to assist her. (My job will only
increase without additional salary)

Tricia; Hmm .. If you don’t follow me, I will be forced to extend your duty shift.
Patrick: Where is the new co-worker ma’am, I will assist her.
Mica: Hello, ma’am I have finished your spreadsheet for upcoming meeting, I had stayed up all
night working it and I had gone through it carefully.

Tricia: hmp.. I don’t like the look of it and I want you to change it, Bye..

Mica: Okay po ma’am. Grrr… Her response makes me not to work hard for her. Grrrr

Meanwhile in the other ward:

Tricia: Cindy, here's Paula a newly hired nurse, I want you to supervise her first regarding here at the hospital,
explain to her the rules and regulations of this hospital.

Cindy: Noted ma'am. Let's go, Paula, I will explain to you all the things that you need to know.

Paula: Okay ma'am

For the meantime Wilma approached Jamila about their program…

Wilma: Good morning Jamilla, Are you aware that were doing “Bida Solusyon sa covid campaign?”
Jamilla: Yes, ma’am Wilma: I need you to do a radio ad done.
Jamilla: I’ve already got that ma’am.
Wilma: That’s great but I need you to also work on the flier.
Jamilla: I’ve already got that one too, yesterday.
Wilma: Very good, “Keep up the great work”. By the way, can you contact thea to get these program to be advertise
over the social media?
Jamilla: sure ma’am will rely it to Ms. Nori since she’s teamed up with thea.

On the other hand Jamila called nori…

Jam: hello ! Ms. Nori would mind if I ask you to tell thea about the social media ad of our campaign and
regarding the radio ad and the fliers, it’s all done!
Nori: Oh! That’s great to hear anyway thanks for catchin’ up and will surely rely it to thea,
NORI AND THEA TALKING ..
NORI: hey thea!

Thea: oh hi Nori

Nori: Jam mentioned me earlier regarding the social media ad that will be needed for the upcoming
program. And she told me to remind you about it. But I already contacted the social media expert that
you’ve mentioned before and she said that she’ll give us an update once its up.

Thea: Wow! You’re so nice for reaching her out. That’s perfect! Then I guess this program will gonna be
great and because of that I will be requesting an incentive and a day off for all of you guys who works
hard and made things easier on each part just to push through this program.