Free Essay

Six Caps Case Study

In: Philosophy and Psychology

Submitted By chewittt
Words 1255
Pages 6
Six Caps Case Study

University of Phoenix

Undergraduate Nursing Studies

Introduction In the words of Albert Einstein, “the world we have created is a product of our thinking; it cannot be changed without changing our thinking.” Today more and more nurses have to change their thinking process to ensure clients receive quality care. Therefore, clinical judgments cannot be based on speculation but on outcome, directed thinking. As the client health status changes, the nurse must be able recognize, assess, and evaluate all the presenting information to make an outcome decision that is best for the client and client’s family. To make appropriate decisions require nurses to put on their thinking caps. Edward de Bono’s six thinking caps integrates knowledge, comprehension, application, analysis, and evaluation allowing the nurse to make quality, outcome based decision. The purpose of this paper will focus on a case study using six thinking caps to critically analyze and make clinical decisions in promoting client safety and quality care.
White Cap Thinking Looking at the case study with the White, Ms. Marianne first presented with a severe headache. The nurse uses her knowledge base about hemorrhagic stroke to decide what additional information is needed. Since information cannot be obtained from the patient, the nurse ask the patient’s family questions about the patient’s health problems, family health problems, medical history, medication regimen and dietary habits. Lunney (2003) states “the nurse uses information seeking to collaborate with the client’s family on what is the diagnosis, to consider whether collaboration is also needed with another health care provider” ( para 23). The nurse empathetic attitude tells her that the client may have had other predisposing factors. She may have been non compliant with her medication and dietary regimen. She may have been suffering with headaches for awhile.
Red Cap Thinking Using the red cap, the nurse looks at the “decision with intuition, gut, reaction, and emotion.” The nurse also tries to think “how people will react emotionally and try to understand the intuitive responses of people who do not fully know your reasoning (mind tools, 2009). According to the case study, Ms. Marianne spouse wants the medical staff to “try everything. The children believe that their mother would not want to undergo surgery if her prognosis is poor: she will be kept alive with poor quality of life, which they agree is the likely outcome.” Applying the red cap, the nurse knows that the prognosis of hemorrhagic stroke may be fatal. People who have a hemorrhagic stroke usually die within a few days. However, if Ms Marianne survives she may have lost some brain function. The nurse can assume that the husband does not want to lose his spouse; they were probably married for many years since they have grown adult children. In regards to the children the nurse can safely presume that their mother may have had a very active life and visualizing their mother as a dependent person is something they believe she would not like or want. Ms. Marianne has no advance directive or no health care proxy therefore her significant other, her husband, would make all the decision about her care unless he appoints someone else.

Black Cap Thinking According to DeBono’s theory “Black cap thinking helps to make your plans tougher and more resilient. It can also help you to spot fatal flaws and risks before you embark on a course of action. Black cap thinking is one of real benefits. Many successful people get so use to thinking positively that they often cannot see the problem in advance leaving them under prepared for difficulties.” Applying black cap thinking to the case study, Ms Marianne spouse presently is not thinking of the responsibility of taking care of his spouse for a prolong indefinitely period of time. If Ms. Marianne has surgery, she maybe disabled secondary to brain damage. The after effects of the surgery can place client at risk of developing respiratory, neurological, musculoskeletal and elimination disorders. The black cap enables the nurse to think of the various complications that can arise by embarking on the course of surgery.
Yellow Cap Thinking “The yellow hat helps you to think positively. It is the optimistic viewpoint that helps you to see all the benefits of the decision and the value in it, and spot the opportunities that arise from it. Yellow Hat thinking helps you to keep going when everything looks gloomy and difficult” (De Bono). Ms. Marinna spouse can look forward to his wife communicating her needs adequately, no contractures, continent of urine , breathing independently, no infections, independence with personal care, compensating for her sensory deficits, and walks without assistive device. The nurse would educate the patient and family about risk factors for stroke and how they can be avoided. She should also provide information on stroke prevention and suggest a nutritionist for dietary consultation
Green Cap Thinking Green hat thinking indicates growth or creativity. Individuals try to find alternative solutions to the problem. If Ms. Marianne survives her stroke and has lost of brain function, her family may consider providing 24 hour care at home to help them cope with the change in their family. The medical staff should encourage the family to seek counseling, provide them information about stroke, peer groups and stroke clubs her long term treatment may include occupational, physical and speech therapies.
Blue Cap Thinking Blue hat thinking focuses on control. It utilizes all of the other thinking hats to avoid arguments or disagreements. In the case study, Ms. Marianne’s husband appears to have his mind made up as to the course of treatment she should receive. If the client is returning home with her spouse, the family should be thought the relationship of her medical history to her hemorrhagic stroke. She should be given information of home care, outpatient and inpatient therapy. On the other hand, the patient may need long term placement. The nurse can reassure the family that all the patient needs will be met while at the facility. The nurse knows that the patient dietary regimen will be adhere to, her medication will be given as ordered, precautions to prevent another recurrence will be maintained.

According to Lunney, “development of critical thinking abilities for diagnostic accuracy is important because accurate interpretation of patient’s data is a challenging task that requires high levels of thinking abilities and intelligence.” Critical thinking is goal oriented. Before a course of treatment is implemented all the information and family input should be assessed and evaluated. Therefore all personal prejudices, problems, experiences, biases and emotional factors should be harness in order for the nurse to focus on the patient and family’s needs. The nurse must be open minded, honest, objective, confident, and courageous to be able to think critically.

References Hoch, D. (2008 September 16) Re: Hemorrhagic Stroke: MedlinePlus Medical Encyclopedia. Retrieved from

Heaslip, P (1993) Re: Critical Thinking: To Think Like A Nurse. Retrieved from

Six Thinking Hats - Decision Making Techniques from Mind Tools - 6. (1995 – 2006) Retrieved from

Daly, W. M. (1998, August). Critical thinking as an outcome of nursing education. What is it? Why is it important to nursing practice? Journal of Advanced Nursing, 28(2), 323.

Lunney, M. (2003, July-September). Critical thinking and accuracy of nurses' diagnoses. International Journal of Nursing Terminologies and Classifications, 14(3), 96.

Similar Documents

Premium Essay

Cap Study Guide

...CAP study guide – 1. Who is responsible for establishing the rules for appropriate use and protection of the subject information (e.g. rules of behavior)? a. System owner 2. Who has the authority to formally assume responsibility for operating an information system at an acceptable level of risk? a. Accrediting Authority 3. Who is responsible for ensuring that the appropriate operational security posture is maintained for an information system and in many organizations is assigned responsibility for the day-to-day security operations of a system? a. Information System Security officer 4. Who is responsible for conducting a comprehensive assessment of the management, operational, and technical security controls employed within or inherited by an information system to determine the overall effectiveness of the controls? a. system owner, and/or the senior agency information security officer 5. Who is the highest-level senior official or executive within an organization with the overall responsibility to provide information security protections commensurate with the risk and magnitude or harm? a. The head of agency (or chief executive officer) 6. The six steps of the Risk Management Framework and what occurs on each step. a. Step 1: Categorize i. Categorize the information system and the information processed, stored, and transmitted by that system based on an impact analysis. b.......

Words: 5295 - Pages: 22

Premium Essay

Case Study of Six Caps

...Personal Goals Tammy L. Lindsey HCS/301 December 10, 2012 Lynda White Personal Goals Lately, with a look into the mirror, slight lines or creases in my face have begun to appear. Not sure what to think about this, I have decided lovingly to call them my battle scars. Then I think, if these are battle scars, there must have been a battle. One can suppose life delivers tiny personal battles to each of us in a way. I have recently begun a journey that will give these little reminders more meaning. I have embarked on a pursuit of personal and professional improvement. As a wife and mother, I have delayed some personal goals to be an active participant in the lives of my children. Although I have desired more education, working full-time while raising a family has been demanding. A daily routine would include helping the girls get ready for school, including hair do’s and breakfast. Off to work I would go, only to return home to help the girls with mountains of homework. I used to ask them what they learned in school because it seemed like all the work was done at home. There were occasional after-school activities to attend, as well as special events throughout the years. These activities were followed by dinner every night. Our meals almost always included potatoes and corn because of the cost and the belly filling factor. Chicken, steak or Hamburger Helper was usually the entre’. This was followed by baths and off to bed. I would, however, still have to make...

Words: 1098 - Pages: 5

Premium Essay

Six Sigma Case

... |W.James McNerney |Former CEO of 3M | | |George Buckley |Current CEO of 3M | |Facts | |What: |McNerney implemented Six Sigma approach to process and business improvement companywide: for existing process- the five step | | |DMAIC Model; for new product development- Design for Six Sigma; laid off 8000 workers (11% of the workforce); slashed capital | | |expenditures | | |Buckley continued Six Sigma in manufacturing and administrative areas but reduced in R&D; invested more in R&D and new | | |manufacturing plants | |Why: |McNerney: | | |Decrease production defects and increase......

Words: 1017 - Pages: 5

Premium Essay

Finance Case Study

... FIN 6310 Case Studies Purchase Case Studies (4) • Harvard Case Studies (2) o Courses available at o • Ivey Case Studies (2) o Register for an account at Ivey Cases o Put the following two cases studies in your cart. Make sure Digital Download is selected which will cost $3.40 per case. o Burgundy Asset Management: The Wescast Investment Decision o Valuing Wal-mart 2010 o Download the Wal-mart case spreadsheet for free. o Valuing Wal-mart 2010 – Spreadsheet for students Case Report Guidelines 1. Place case title at top of first page with team member names (maximum four members per team). 2. Answer questions in numerical order. 3. Include graphs and tables if appropriate. 4. Print out case report and hand-in at the beginning of class. Harvard Management Company (2001) Questions 1. Is HMC’s recent payout policy consistent with the goal of preserving the real (adjusted for Harvard’s expense growth) value of the endowment and its distribution into perpetuity? 2. Could payout be raised to meet recent budget pressures without changing the risk-return profile of the portfolio? 3. What value has the HMC’s policy......

Words: 1092 - Pages: 5

Premium Essay

Six Sigma Case Study

...Chapter 1: 1. Changed the European logistics structure from a local viewpoint to a greater overall European level. To improve the company’s logistics, they began structuring for a centralized European planning function. With the new function, the process would begin by obtaining sales forecasts from each local market, monitor finished goods stock levels at each DC and develop production plans and stock movement schedules to drive the flow of finished goods to DCs to ensure a higher service level. The ERP and web-based systems needed to have a common system throughout the entire distribution function. 2. Cons of a centralized system is the willingness of the local customers and distribution aspects are not too favorable about the switch and contracting to third parties for tasks like cross-docking do not always have Shavers best interests at heart. Pros are being able to forecast production levels more accurately, decrease overhead by eliminating unnecessary DCs, and an overall reduction in purchasing prices. 3. With the centralization of the logistics structure information was shared more easily with a common system that made the access similar from one facility to another within the system. The ability of forecasting improved with an increase in products, and no change for inventory levels. The organization of the data and information needed to be developed to accommodate the European structure and business “attitude”, which cost a great deal of money for......

Words: 583 - Pages: 3

Free Essay

Case Study

...VELEZ COLLEGE F. Ramos St., Cebu City College of Nursing A CASE ANALYSIS REPORT ON PATIENT N.M.C., 47 YEARS OLD, FEMALE, DIAGNOSED WITH UTERINE LEIOMYOMA (s/p TOTAL ABDOMINAL HYSTERECTOMY and BILATERAL SALPINGO OOPHORECTOMY), BILATERAL OVARIAN NEWGROWTHS, METABOLIC SYNDROME, AND HYPERTENSION Submitted By: Villavelez, Carmina Anne Z. BSN III-C Submitted to: Mrs. Miraluna Echavez, RN, MN March 2013 UTERINE LEIOMYOMA/ UTERINE FIBROIDS Uterine fibroids are noncancerous growths of the uterus that often appear during your childbearing years. Also called fibromyomas, leiomyomas or myomas, uterine fibroids aren't associated with an increased risk of uterine cancer and almost never develop into cancer. As many as 3 out of 4 women have uterine fibroids sometime during their lives, but most are unaware of them because they often cause no symptoms. Your doctor may discover fibroids incidentally during a pelvic exam or prenatal ultrasound. In general, uterine fibroids seldom require treatment. Medical therapy and surgical procedures can shrink or remove fibroids if you have discomfort or troublesome symptoms. Rarely, fibroids can require emergency treatment if they cause sudden, sharp pelvic pain or profuse menstrual bleeding. Symptoms In women who have symptoms, the most common symptoms of uterine fibroids include: * Heavy menstrual bleeding * Prolonged menstrual periods — seven days or more of menstrual bleeding * Pelvic pressure or pain ......

Words: 25843 - Pages: 104

Free Essay

Case Studies

...IM for Lovelock & Wirtz, Services Marketing 6/e Teaching Notes for Cases - Section 5 45 CASE 6 AUSSIE POOCH MOBILE OVERVIEW After creating a mobile service that washes dogs outside their owners’ homes, a young entrepreneur has successfully franchised the concept. Her firm now has more than 100 franchisees in many parts of Australia, as well as a few in other countries. In early 2002, she and her management team were debating how best to plan future expansion. STUDY QUESTIONS How did Christine Taylor succeed in evolving the local dog-washing service she developed as a teenager into an international franchise business? ________________________________________________________________________ Note: All financial data are in Australian dollars (AUD), whose exchange value in 2003 at the time of the case was USD 0.57 = EUR 0.58 = GBP 0.41. [More recent exchange rates reflect a sharp drop in the value of the U.S. dollar against the Australian dollar, euro (EUR), and pound sterling (GBP). By late 2006, AUD 1.00 = USD 0.76 = EUR 0.60 = GBP 0.40). These changes in exchange rates would not affect decisions by APM on expansion within Australia but could have an impact on the relative attractiveness of future investments in, say, the UK versus the U.S.] 1. © 2004, 2007 Christopher H. Lovelock 2. Compare and contrast the tasks involved in recruiting new customers and recruiting new franchisees. From a franchisee’s perspective, what are the key benefits of......

Words: 9755 - Pages: 40

Premium Essay

Case Study on Six Sigma at Wipro Technologies: Thrust on Quality

...Case study On Six Sigma at Wipro Technologies: Thrust on Quality Wipro Technologies is a global services provider delivering technology-driven business solutions that meet the strategic objectives of clients. Wipro has 40+ ‘Centers of Excellence’ that create solutions around specific needs of industries. Wipro delivers unmatched business value to customers through a combination of process excellence, quality frameworks and service delivery innovation. Wipro is the World's first CMMi Level 5 certified software services company and the first outside USA to receive the IEEE Software Process Award. Wipro has one of the most mature Six Sigma programs in the industry ensuring that 91% of the projects are completed on schedule, much above the industry average of 55%. Six Sigma provides the tools for continuous improvement on existing processes thereby helping sustain the SEI-CMM Level 5 and CMMi certifications. This case focuses on the initiatives taken by Wipro Technologies to implement the Six Sigma Quality tool to achieve sustained strategic business results. It explores the implementation procedure at Wipro Technologies and the benefits reaped by the company on account of adopting Six Sigma. The case also throws light on the recent developments in the Six Sigma concept including Wipro’s Six Sigma Skill base and consulting experience and explains how the company intends to build its expertise and experience '' to bring continuous process improvement to the organization. ...

Words: 2613 - Pages: 11

Free Essay

Case Study

...Section 5 School Examples, Student Case Studies, and Research Examples • School Examples, page 5.3 – School-Wide Screening, page 5.4 – Progress Monitoring, page 5.5 – Tiered Service Delivery, page 5.9 – Data-Based Decision Making, page 5.13 – Parent Involvement, page 5.16 – Resources, page 5.22 August 2006 Overview In November 2002, the United States Department of Education requested that the National Research Center on Learning Disabilities (NRCLD) identify, describe, and evaluate the implementation of responsiveness to intervention (RTI) in elementary schools throughout the United States. The NRCLD staff worked with the six Regional Resource Centers (RRCs) to identify potential sites and solicit school participation. More than 60 schools across the country initially were considered, and information from 41 of those schools was submitted. The NRCLD research staff reviewed the extensive amount of information submitted and judged that 19 of those schools were engaging in one or more commendable RTI practices based on a review of the following six components of an RTI service-delivery model: • School-wide screening. Screening is a type of assessment characterized by quick, low cost, repeatable testing of critical academic skills or behaviors and can be administered by individuals with minimal amounts of training. A screening measures whether a student should be judged at risk. If a student meets the criteria for at-risk status, he or she is considered for more......

Words: 15342 - Pages: 62

Free Essay

Study on Six Successful Leaders

...“Study on Six Successful Leaders in Bangladesh” i Report on “A study on six successful leaders in Bangladesh” Prepared For MD: Shibli Shahriar. Assistant Professor. Department of Business Administration. Faculty of business and Economics. Daffodil International University. Prepared By Name Subrata Saha Mithun Smita Paul Shamima Akhter Sanjida Sultana Joytee Dey ID 133-14-1216 133-14-1231 121-14-677 132-14-1096 132-14-1095 Remarks December 12, 2013 ii Letter of Transmital December 12, 2013 MD. Shibli Shahrir Assistant Professor Department of Business Administration Faculty of Business and Economics Daffodil International University Subject: Submission of Report Dear Sir, Following the successful completion of our report we are gladly submitting it for your inspection. The report is prepared as titled “A Study on six successful leaders in Bangladesh”. We gratefully acknowledge your assigning us this topic to work on and your guidance in completing the report. Sincerely yours Subrata Saha Mithun iii Acknowledgement First and foremost, I thanks to my God. Besides we would like to thank to our honorable teacher and supervisor of this report MD. Shibli Shahrir for the valuable guidance and advice. He inspired us greatly to study in this project. His willingness to motivate us contributed tremendously to our report. We also would like to thank him for showing us some example that related to the topic of our report. Besides...

Words: 3520 - Pages: 15

Premium Essay

Case Study

...Grant’s first mistake was that he was trying to accomplish too much too quickly. Tom was absolutely determined to turn the business around, and to lead it to grow and prosper as it once did. He began his focus on changing internally, and did so through the Competitiveness Achievement Plan and re-engineering. But soon after implementing both of these things, he thought it pertinent to begin transforming externally, and changed his focus on how entities outside of the business viewed them.  He believed that the SLP would give the company a competitive advantage in the market. But, implementing both changes simultaneously proved to be detrimental. Derek Hoffman, the Vice President of finance, explained it was difficult to get his division’s CAP approved because many of his key talents were out of the office in training instead of working on the plan. He believed that this program was not the best use of resources. Another wasteful decision and one that contributed heavily in the poor implementation of the SLP was hiring Richard Breeze and his team. Richard was not fully committed to the company, working for it only two weeks out of the month. He clearly did not understand what Tom and the other executives wanted and needed in an analysis and plan of their position in the market. This is most likely because he is an outsider, and doesn't fully grasp the strategy and culture of the company. His ideas about creating new product lines and discontinuing core products spread through...

Words: 1478 - Pages: 6

Premium Essay

Six Sigma - Bg Red Cases

...Principles And Practices of Six sigma Project Defect Reduction in offer release for BG red cases Mahindra Satyam-SHR-2011 Presented by- Vandana Halaharivi PavanKumar Yanamadala Defect Reduction in offer release for BG red cases Abstract : Offers are released to candidates who had earlier worked in black listed companies were joining satyam. A detailed analysis was undertaken and after the causal analysis the team decided to create a list of black listed companies. This list would be used by the recruiter while recruiting any candidate and also would be used by the offer desk before generating offer for any candidate. In this way the team was successful in ensuring that candidates from the black listed companies cannot join satyam. Business problem: BG check process in satyam would help us to identify the candidates who are joining satyam from blacklisted companies. This would be done only after the candidates get recruited and join satyam. Upon finding that the candidate has joined from the black listed company satyam representative terminate the new joinee. This leads to unnecessary time consumption, legal issues and more work load. Statistical Problem: Data has shown that the sigma value is currently at 4.2. There are close to 25+ associates recruited from the black listed companies. Statistical Solution: Root Causes are: 1) Offer desk has no provision to check the companies list 2) Recruiters don’t carry the list of blacklisted......

Words: 746 - Pages: 3

Free Essay

Thinking Caps Case Study

...As a student trying to support myself through college years, I started working in an Oil and Gas company called Jacobswell. This is not an easy busy because of the challenges such as pricing, difficult customers, as well as the lack of oil supply at time. At times all the staffs in the office are so distressed due to the lack of oil to supply the paying customer. So during meetings we always sit and discuss the issues involved. The best way to manage the stress and problems are by using the six thinking hats by Edward de Bono. By using the white hat which is by running through facts we can learn that in order to produce oil and sell it to the market we first need crude oil. And from the available facts we also know that there is 2 trillion barrels of oil available in total but in recent years there are information that half of the 2 trillion barrels of oil has been used up. People use oil for everything. For power generators, for transformers, for vehicles etc. This also means that oil will be continuously used up until there is no more left. It is predicted that by 2020 there will be major decrease in oil production. This means our company should not accept all orders and if we do not have the oil we should not over promise as this would only put us in a difficult situation. Then by using the red hat we find solutions to every staff’s worries and main concerns as some may feel distressed, helpless, disturbed and scared. This all happens due to us being unable to deliver on...

Words: 620 - Pages: 3

Premium Essay

Case Study

...Nonprofit Organization Case Study – Community Action Program of Lancaster County Pennsylvania Melissa G. Hartman Liberty University – HLTH 635_B01 June 16, 2016   Nonprofit Organization Case Study – Community Action Program of Lancaster County Pennsylvania Introduction/Background Imagine not having a job or having a job that pays minimum wage or less, food insecurity, and a home in a neighborhood that is run down and considered unsafe. This is the scenario of what millions of Americans are living each and every day with some wondering what can they do to make their lives better. Poverty is defined as a state of being extremely poor and is determined by the federal poverty guidelines established by the U.S. Department of Health and Human Services.1,2 For a family of four, the federal poverty guideline to apply for federal assistance is $24,250.2 According to the nonprofit organization, Feeding America, which helps feed America’s hungry through a network of food banks, 46.7 million people are living in poverty in the United States.3 Specifically in Pennsylvania, 13.7 percent of people are living in poverty.4 Poverty in the United States is very real and unimaginable as because we are considered one of the wealthiest nations in the world. Although poverty in the United States is happening at rates that are hard to understand, it seems poverty in America is more about lack of basic necessities and lack of security to include food and housing.5 It is estimated......

Words: 5973 - Pages: 24

Premium Essay

The Six-Step Case Analysis Framework

...THE SIX-STEP CASE ANALYSIS FRAMEWORK STEP 1 : ANALYZING THE COMPANY’S HISTORY, DEVELOPMENT AND GROWTH • A list of company’s past strategy and structure • The most essential development in today business • Functional competencies to pursue new business and main lines of business STEP 2 : SITUATION ANALYSIS (SWOT) INTERNAL ANALYSIS • Outcome Analysis : sales analysis (brand; geographic area ; market segments ; specific of distribution ) • Input Analysis : track the cost and level of human resources; expenses and activity in all areas of the marketing mix to generate outcomes EXTERNAL ANALYSIS • General Analysis : environment analysis (take place at the corporate, business unit, long-term trend, product/market level, political/legal, regulation, cultural trends, economy) • Industry Analysis : (actual and potentia industry size; industy growth; industry structure; cost structure; distribution systems; industry trend and developments; identification pf key success factors) • Customer Analysis : (what are our customers ?; what do our customers do with our product(s) ?; Where do our customers make their purchase ; when do our customers make their purchase ?; Why do our customers select our products ?) • Competitive Analysis : (identifying primary (brand), secondary (product and generic), and potential competitors; understanding competitors by ascertaining their size, growth, profitability, objectives, and strategies; assesing competitor’s on......

Words: 587 - Pages: 3