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You are assigned as the charge nurse for the emergency department (ED) at the small Native American Medical Center with limited healthcare services on a United States Indian Reservation. You assign a 22-year-old Native American who identifies as a male patient to one of the ED nurses. The patient has no previous hospitalizations or illnesses and takes no medications. He attends college full-time and works at a local casino part-time. He lives on the reservation with his family and plays soccer on an undefeated team. The patient received the second dose of a PFIZER-BIONTECH COVID-19 VACCINE 36 hours ago and presents with chest tightness, shortness of breath, nausea, dizziness and hypotension. The ED physician diagnoses the patient with myocarditis and plans a transfer to a larger cardiac specialty center in a nearby city. The physician states that it takes too long to fill out the Vaccine Adverse Reporting System (VAERS) and the government is not going to do anything about the covid vaccine anyway. The nurse you assigned the patient privately tells you that the ED physician has not completed VAERS in the past when patients have presented with adverse reactions to influenza or covid vaccinations. 

Questions for Case Study

Explain what effective leadership style the charge nurse may use when dealing with the conflict presented in the case study? What approach could the charge nurse use to resolve the conflict? (Use your Marquis textbook, Chapters 2 and 3 and 21 or an article to support the answer).
 What next steps should the charge nurse take to deal with the situation presented? Please explain your rationale for the steps.
Are there any potential ethical issues involved in the provided scenario? Please use Chapter 4 in your Marquis textbook to support your rationale.
Are there any potential legal issues involved in the provided scenario? Please use Chapter 5 in your Marquis textbook to support your rationale.
What is the policy/procedure your facility follows when there is a possible adverse reaction to a vaccine? Using the guidelines, what should the charge nurse do in the provided scenario? (If you are not currently working at a healthcare institution, visit https://vaers.hhs.gov/reportevent.html  and https://vaers.hhs.gov/resources/infoproviders.html and read about the process for healthcare providers to report an adverse reaction to a vaccine. Summarize what you found and use that information to support what the charge nurse should do).
There is vaccination hesitancy in the local Native American tribal community. As a nursing leader, what educational information could you use to help decrease the hesitancy? Include the references.
Choose one peer-reviewed nursing or healthcare journal article that you could use to help decrease vaccine hesitancy in the tribal community. Explain how you could use the helpful information you found from the article? Include the reference. 
SCIENCE
HEALTH SCIENCE
NURSING
NRP 477

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