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You are a county public health coordinator. You have grown concerned about the behavior of one of the new RNs assigned to work in the agency. This new nurse, Sally Brown, is a recent graduate of a local BSN program. She came to work for the agency immediately after her graduation 6 months ago and for the first few months appeared to be extremely hard working, knowledgeable, well liked, and highly motivated. Recently, though, several small incidents involved Sally. The agency’s medical director became very angry with her over a medication error that she had made. Sally was already feeling badly about the careless error. Soon after, a patient’s husband began disliking Sally for no discernible reason and refused Sally entrance to his home to care for his wife. Then, 2 weeks ago, a diabetic patient died fairly suddenly from renal failure, and although no one was to blame, Sally thought that if she had been more observant and skilled in assessment, she would have detected subtle changes in the patient’s condition sooner. Although you have been supportive of Sally, you recognize that she is in danger of becoming demotivated. Her once-flawless personal appearance now borders on being unkempt, she is frequently absent from work, and her once-pleasant personality has been exchanged for withdrawal from her coworkers. ASSIGNMENT: Using your knowledge of new role identification, assimilation, and motivational theory, develop a plan to assist this young nurse. What can you do to provide a climate that will remotivate her and decrease her job dissatisfaction? Explain what you think is happening to this nurse and the rationale behind your plan, which should be realistic in terms of the time and energy that you have to spend on one employee. Be sure to identify the responsibilities of the employee as well.

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