Reverse case study 3 why can i not keep staff reverse case stud

1. REVERSE CASE STUDY 3: Why Can I Not Keep Staff?
REVERSE CASE STUDY 3:
Why Can I Not Keep Staff?
Primary Character:
Nurse manager
Scenario:
A nurse manager is having to hire one to two new nurses every
month. The average length of stay for his/her nurses is only
about 6 months, costing the unit a lot of money through
constantly orienting new nurses. The nurse manager is told by
the chief nursing officer that he/she has 6 months to address
nurse staffing issues on the unit.
Instructions:
Create a history of the problem that could lead to this scenario,
including the experiences and actions of the primary character
involved; a list of other persons/characters (nurses, staff,
patients, etc.) involved, including their roles and previous
actions that led to the scenario outcome(s); and future actions
the primary character may take to address the situation, as well
as evaluation criteria for determining the effectiveness of these
actions. This information may be presented in a concept map or
narrative form, or in any form of the student’s or group’s
choosing. A concept map template has been provided below. A
narrative template begins on the next page.
Concept Map Template
Narrative Template
Primary Character:

2. Nurse manager
Primary Character Actions:
Secondary Character(s):
Chief nursing officer
Secondary Character(s) Actions:
Scenario:
A nurse manager is having to hire one to two new nurses every
month. The average length of stay for his/her nurses is only
about 6 months, costing the unit a lot of money through
constantly orienting new nurses. The nurse manager is told by
the chief nursing officer that he/she has 6 months to address
nurse staffing issues on the unit.
Additional Assessment or Other Data:
Primary Character Interventions:
Evaluation Criteria and Expected Outcomes:

3. Lippincott CoursePoint for Marquis and Huston: Leadership
Roles and Management Functions in Nursing
© Wolters Kluwer Page 1
Lippincott CoursePoint for Marquis and Huston: Leadership
Roles and Management Functions in Nursing
© Wolters Kluwer Page 2
Week 6 Assignment: Sentencing Decisions
State of Florida vs. Bryon Bell (Fictitious case, based on a true
story)
Scenario: On Sunday, October 17, 1981 at 10:05 PM, Bryon
Bell entered the Sunny Way Liquor Store with a
loaded shot gun. The store manager was the only person on the
premises. Bell demanded the money from
the register and the safe. The manager of the store panicked
and grabbed the end of the shotgun. The
shotgun discharged, and the manager was killed. Bell collected
the $126.00 from the register, could not
open the safe, stole a six pack of beer and fled the scene on
foot. A patron found the scene at 10:11 PM
and called 911.
Bell was found by the Orange County Sheriff's Department at
10:28 PM. He was three blocks from the store,
intoxicated; and in possession of the discharged shot gun, the

4. stolen money and the unopened six pack of
beer. Bell was arrested and taken into custody without incident.
Bell was given a breathalyzer test, and his
blood alcohol measured at .14. He was clearly intoxicated. Bell
admitted to police that he had been drinking
all day, was kept in police custody and was not released. Bell
was charged with First Degree Murder and
Armed Robbery. Bell reported that he was unable to pay for
counsel and would be using a Public Defender.
Bell was transferred to the Orange County Correctional Facility
and held without bond.
Bell was arraigned in the Orange County Courthouse on
Monday, October 25, 1981, pleaded innocent and
requested a trial by jury. The judge then ordered a
Psychological Evaluation. Bell was then referred to a
forensic psychologist, Sandi Smith, for a Psychological
Evaluation. It was determined by the Psycho-social
Evaluation that Bell was mentally fit to stand trial and
understood the charges. Bell’s diagnosis was Bipolar
One Disorder (most recent episode mixed) and Alcohol
Dependence. It was also recommended by Smith
that Bell be given the Jail Screening Assessment Tool (JSAT).
The assessment and report Smith produced
showed that Bell was not a suicide risk, and his violent behavior
was attributed to his substance
abuse. Bryon Bell awaited his trial. On December 10, 1981,
Bell chose to plea bargain, as the State’s
Attorney’s office offered one charge of Second-Degree Murder
with a sentence of life with possibility of
parole. Bell agreed with the plea and was sentenced to life.
On January 11, 1982, Bryon Bell began his sentence, and was
transferred to Wakulla Corrections Center in
Raiford, Florida. As Bell was diagnosed with Bipolar Disorder,
it was suggested, by Smith, that he see the

5. medical staff at the Wakulla Corrections Center for further
diagnosis, a treatment plan, and a medical exam.
Smith also referred Bell to seek out Alcoholics Anonymous
when incarcerated. Bell was placed on medication
for the Bipolar Disorder and was placed in the general
population at the correctional facility. Bell took
advantage of all the programs right away. He sought out the
twelve step programs and began going to
religious services twice a week. He sought out religious
education and began taking classes.
In 1987, Bell continued his current programs and started to
work on a GED program that was held at the
prison. In 1989, Bell earned his GED. Bell was a model
prisoner and was given a job in prison to collect and
deliver laundry. Bell was active as much as he could be, and
he planned to petition to get parole in 1992.
In October of 1992, Bell petitioned for parole, and he was
denied. In November of 1992, Bell had a physical
altercation with his cell mate. Bell was placed in solitary
confinement for four weeks. Upon Bell’s release
back into the population, he was assigned to see the
psychologist in the prison.
Currently, Sandi Smith was again working on the Florida
Corrections team. Smith diagnosed the outburst as
a symptom of Bell’s bipolar disorder. She spoke to the medical
team on staff, and Bell’s medications were
adjusted. His prison record was cleared, and he once back on
his tasks at the prison. When Smith went to
speak to the corrections officers about allowing Bell to see the
medical staff, the corrections officers resisted.
They explained to Smith that they were afraid to allow Bell near
them, as he had become unpredictable, and
they were concerned for their safety. Smith assured them that

6. Bell’s outburst was a medication issue and
his behavior would even out. The correction officers were still
difficult and curt with Bell, Smith, and the
medical staff for many weeks.
Bell was assigned to start anger management classes in addition
to his job, religious groups and twelve step
programs. Bell, once again, was a model prisoner at Wakulla
Corrections Center. Bell completed the anger
management program in 1993 and started his continuing
education. Bell was diagnosed with COPD and
began a smoking cessation program. His extensive cigarette
smoking caused the illness, and Bell took the
measures to take care of himself.
On December 4, 2000, Bell petitioned for parole. He was
granted a hearing. His hearing was scheduled on
January 8, 2001. On December 21, 2000, Sandy Smith was
called in to speak with the Bell and do a
Psychological Evaluation. Smith’s assessment showed that
Bell’s desire to be a law-abiding citizen was
evident. Although Bell’s Bipolar Disorder was under control,
he was now also diagnosed with Post Traumatic
Stress Disorder, and Alcohol Dependence in Remission. Smith
was called to present to the parole board; as
well as other mental health professionals, correction’s staff, and
Bryon Bell, himself. Bryon Bell was granted
parole, with many conditions. Bell was to be released on
January 24, 2001.
Bryon Bell was released from Wakulla Corrections Center at
11:15 AM on January 24, 2001. He then had to
report to the Volusia County Parole Office in DeLand, Florida

7. by January 25, 2001, as well as register with
the Daytona Sherriff’s Department as Felon and Parolee living
in Volusia County Florida the same day. His
restitution payment is $7350.00 for the prison term, $10,000.00
for restitution, $75.00 a month for parole,
$200.00 a month for Alcohol and Mental Health Treatment.
Bell’s parole would be for a term of 19
years. That placed Bell at a deficit of $351.10 a month before
he started work.
Bryon Bell’s parole had stipulations that he pay the prison term
off monthly, pay for parole monthly, see the
parole officer monthly, attend weekly alcohol and mental health
meetings, remain alcohol and drug free,
refrain from socializing with other felons, submit to random
drug testing, submit to random home visits
from parole, have a phone number and work a job that parole
can verify. Bell also had to pay $15.00 a test
for random alcohol and drug testing, in the event there was a
concern that he was using alcohol or
drugs. Bell got a part time job as a landscaper doing work on a
crew in the Florida heat for $8.00 a hour,
Bell also sold his plasma for another $250.00 a month, and Bell
mowed local lawns for another $300.00 a
month.
Bell saw Parole Officer, J. Parrish, in Deland for 19 years. Bell
showed up every month, even if he had to
walk or take the bus. Bell was a model Parolee, but Bell hated
going into Parole once a month. The other
Parolees were loud, the sheriffs were always there arresting
violators, and it reminded him of prison. Bell
lived in a small house without air conditioning or hot water.
His random home visits from Parrish were
strained, as his living space was unorthodox, and Parrish
seemed nervous. At some point, Parrish just

8. started beeping the horn or calling on the phone, and Bell would
come to the vehicle. After 19 years, Bell
was released and paid up.
Bell now lives in Volusia County, he bought the small home he
was living in, and has obtained two air-
conditioners and a hot water heater. He is still employed, has
married, and is doing well. Bell’s son,
Patrick, is currently serving a 10-year sentence for armed
robbery.
You’re a criminal justice intern shadowing the forensic
psychologist in your local police station, county
courthouse, prison, and parole office.
She has asked you to do some research to help prepare for a
workshop she’s hosting about the
psychological aspects related to policing, the judicial process,
the prison process, and parole to help the
community understand the value a forensic psychologist and
what they can bring to the criminal justice
system.