Hartland Memorial Hospital Case
analytical Essay
583 words
Purpose The purpose of this case study is to investigate and bring new insight to situations and behaviors within an organization. Case studies are learning tools which utilize social science research to identify and resolve individual and organizational challenges (K. Mariama-Arthur Esq., 2015). Setting Hartland Memorial Hospital, located in Westfield was established eighty-five years ago. The hospital is accredited for a full range of medical and surgical services. Elizabeth Parsons is the vice president for Nursing Services at Hartland Memorial Hospital. Within her seventeen months of employment, she was instrumental in finding innovative ways to create a self-scheduling system, a compressed work week, and a performance appraisal system …show more content…
In this essay, the author
- Explains that case studies are learning tools that utilize social science research to identify and resolve individual and organizational challenges.
- Explains that elizabeth parsons is the vice president for nursing services at hartland memorial hospital. she created a self-scheduling system, compressed work week, and performance appraisal system for the organization.
- Analyzes how elizabeth's absence resulted in multiple nursing errors, poor communication between physician and nursing staff, and a lawsuit.
- Explains that patient safety and quality of care are weighed on the quality environment where care is being delivered. staphylococcus and pseudomonas infections in the operating rooms are on a steady rise.
- Explains that nurse staffing absenteeism is a daily nurse management affair. employee illness, dissatisfaction with institutional conditions, and inadequate interpersonal relationship are key factors.
Engaging employees and families in healthy work programs, regular check-ups and illness prevention strategies are smart investments. Regular nursing staff replaced by outside nurses – outside nursing staff make up the required numbers for Hartland Memorial Hospital. Nursing supervisors may need to take on patient care – nursing supervisors can use this time to evaluate the nursing team and the outside nurses for possible recruitment to Hartland Memorial Hospital. Outside nurses can have negative impact on patient outcome due to unfamiliarity of unit culture and Hartland Memorial Hospital vision – regular nursing staff can mentor outside nurses giving them the confidence to provide safe and optimal patient care. Poor Communication between Physician and Nursing – To optimize nurse-physician communication both need to apply patient centered cultural change; in particular, to use structured communication tools such as Situation, Background, Assessment, Recommendation (SBAR), and supportive technology that is system wide, for example electronic medical record (EMR). (B. Schmidt, 2012). Financial
Related
- explanatory
- comparative
- opinionated
- Nursing Change Modelexplanatory essayMy position as a casual nursing supervisor often allows me to be an active listener for staff nurse concerns. Because I am not present for the everyday challenges of patient care issues, work schedules, hospital environment issues, and other stressful nursing issues, the nurses view me as an objective party. Moreover, since my position entails both clinical and administrative duties, it enables me to see issues from various perspectives, and often stimulates open discussions about solutions for improvement of their work environment. The recent concerns about fragmentation of care, decreased nursing satisfaction, increased staff turnover resulting in a large percentage of new nurses, combined with low patient satisfaction scores,
In this essay, the author
- Explains that their position as a casual nursing supervisor allows them to be an active listener for staff nurse concerns.
- Describes the hospital's medical surgical unit, which serves a lower-income service area, and provides all clinical services except maternity care.
- Explains the current staffing resources for the unit, which includes 20 fulltime registered nurses, 9 casual rns, 6 float pool and 2 contracted agencies. the nurses and nursing assistants work eight and 12-hour shifts.
- Opines that proper communication is paramount for the success of this change project, since fragmented communication was a specific complaint from the nurses on this unit.
- Explains that the unit director's support is critical for the effectiveness of this change. she would assume responsibility for identifying nurses with the skills, training, and experience necessary to provide strong leadership and communication.
- Explains that the change process involves the implementation of the team-nursing model of care for a trial period of 90 days.
- Explains that all unit staff will receive education and training individually, in staff meetings, and through electronic and written communication. training will include instructions regarding the pairing of new nurses with more experienced nurses, the responsibilities/roles of the team leader to team members and the charge nurse.
- Explains that the implementation of the team-nursing model will occur over a 90-day period. ongoing evaluation will include weekly staff meetings to obtain feedback and identify barriers.
- Explains kotter's eight-step change theory, which centers on creating a climate for change. low patient satisfaction scores and high nurse dissatisfaction create the urgency for the change process.
- Explains the steps five through seven of the change model, including enabling the action, awarding successes, and evaluating changes and continuing to move forward.
- Explains the herzberg two-factor motivation theory, which proposes that individuals have intrinsic and extrinsic needs, such as recognition, responsibility, and opportunities for personal growth.
1532 wordsRead More - Essay On Delegation In Nursingexplanatory essayStudies have shown that an ideal patient care setting would be an all RN staffing, where the “safest care is delivered by the most-educated bedside nurse” (Bellury, Hodges, Camp, & Aduddell, 2016, p. 345). However, “Driven by competitive market practices hospital administrators are embracing restructuring. They are radically altering the skill mix… and thinning the ranks of their skilled registered nurses (RNs), often substituting cheaper, inexperienced, personnel and minimally trained unlicensed assistive” (Orne, Garland, O’Hara, Perfetto, & Stielau, 1998, p. 101). Hence, delegation of task has become a common practice where as cited in Learning House (2007), some aspects of care delivery are shared that
In this essay, the author
- Explains that the ideal patient care setting would be an all-rn staffing, where the best care is delivered by the most-educated bedside nurse.
- Explains that delegation frees the nurse from performing tasks that do not require nursing expertise. this allows her to more effectively interact with the patient and other professionals.
- Explains that delegation is a complex process in professional practice requiring sophisticated clinical judgment and final accountability for patients' care, and is considered to be one of the difficult responsibilities of an rn
- Explains that delegation is the ability to get the work done through the efforts of others.
- Explains that rns need to match staff skills with the needs of the patient and family. this principle came handy when they were assigned to care for a car accident patient.
- Explains that the difference between responsibility and accountability helped clarify what tasks they could and could not delegate to the nursing assistant.
- Explains how they delegated tasks to ancillary personnel and stayed within the five rights of delegation. the partnership enables rns to perfect their delegation skills.
887 wordsRead More - A Nurse Manager's Role in Reducing Musculoskeletal Disorderscomparative essayA nurse manager plays an important role on a hospital unit. Evans defines the role of a nurse manager as one who makes sure all the needs required on a daily basis are accomplished (Evans, 2011). Evans goes on to say that one primary responsibility of a nurse manager acting in the position of a leader is to “raise the level of expectation and help employees reach their highest level of potential excellence” (Evans, 2011). With this said, it is important to identify potential barriers and problems that a nurse manager would face on a given unit and create or adopt evidence-based interventions to eliminate these problems. When this is accomplished, it will help to foster a work environment that maintains safety to patients as well as staff.
In this essay, the author
- Explains that jane smith, rn, believes that the primary cause of the increase in call-ins is directly related to musculoskeletal disorders and injuries caused by improper lifting techniques.
- Explains that jane smith must do some research and collect data on her unit. she can do this by creating a document that allows nurses to answer how they were injured, if it is related to work, and whether or not they know how to use the lift devices.
- Recommends that jane conduct a literature review of previous research to come up with the most feasible, practical evidence-based intervention that will work on her unit.
- Explains the occupational safety and health administration's guideline on ergonomics for the prevention of musculoskeletal disorders.
- Explains how christiana care health system created a program called patient, environment, equipment, posture, safety (peeps) to reduce the amount of injuries to nursing personnel and decrease the number of lost-time injuries.
- Explains how jane smith decides to implement the evidence-based intervention that she deems appropriate on her unit. the 8-hour intensive course will help train staff on how to properly lift patients and use lift devices in an appropriate manner.
- Explains that nurse managers have the important job of making sure that nurses and nursing personnel on their unit are working to the best of their ability in order to maintain patient and hospital staff safety.
- Explains that a nurse manager's primary responsibility is to raise the level of expectation and help employees reach their highest potential excellence.
- Explains that a safe patient handling program called "steps" can reduce staff injuries related to improper lifting techniques. garb and kapellusch propose an ergonomics program that includes safe-patient handling devices.
- Explains that the nurse manager, jane smith, is a transformational leader and democratic manager. change theories can be used to bring about any kind of change.
- Recommends that jane smith come back after a certain amount of time and evaluate whether the intervention is successful. the cost of adding the steps program outweighs the costs of treating musculoskeletal disorders.
- Explains that donohue, m.a.t., evans and kapellusch, j.m. (2011), developing the role of leader.
- Explains the long-term effects of safe patient handling program on staff injuries.
3035 wordsRead More - Effects Of Nurse Staffing In Nursingexplanatory essayWest (2012) stated that currently, nurse staffing is defined in many ways- as the “presence” of staff, as total nursing care hours per patient per day, or as nurses’ expertise level or educational level (p. 24). These three factors strongly impact the way a patient is cared for. Without enough nurses there are not enough to go around to each patient and spend enough time caring for them. Hospital nurse are often forced to work short staffed, providing care in environments that place patients and even nurses themselves at risk (West, 2012, p. 24). Nurses with a lower education sometimes cannot provide the best care to patients due to the fact that they are not at that skill level. Studies have shown that hospitals with lower proportions of RNs have higher rates of death overall, death following complications, and other adverse events. (West, 2012, p. 24). It is really important that every hospital, nursing home, and other health care unit has enough staff on duty, and that a majority of those staff have a bachelor’s in nursing or higher.
In this essay, the author
- Explains that nurse staffing is defined as the presence of staff, total nursing care hours per patient per day, or nurses’ expertise level or educational level. hospitals with lower proportions of rns have higher rates of death.
- Describes how the military nursing outcomes database looked into the effects of staffing levels and skill mix on the probability of patient falls, medication errors, and needle stick injuries to nursing staff.
- Illustrates how nurses' education is important in patient care. in the icu, there are 10 nurses scheduled, of which seven are rns and three are not.
- Illustrates how experience affects patient care on the stepdown unit. five of those nurses have an average of five years of experience being military nurses and the rest are federally employed civilian nurses.
- Explains that the above scenarios illustrate how various factors such as staff calling in sick or an unanticipated increase in patient volume can affect patient safety.
705 wordsRead More - Standardized Patient-Nurse Staffing Ratios Case Studyopinionated essayInadequate levels of registered nurse staffing for patient care in hospitals and acute care facilities are having a negative impact on nursing professions and patient outcomes.
In this essay, the author
- Thank you for taking time out from their busy schedule to review this policy proposal. we are nurses practicing in the galveston area.
- Explains that inadequate levels of registered nurse staffing for patient care in hospitals and acute care facilities are negatively impacting nursing professions and patient outcomes.
- Explains that hospitals and nursing homes with unsafe nurse-patient staffing ratios experience higher than normal mortality and morbidity.
- Explains that decreasing patient-nurse staffing ratios results in a 7% decrease in in-house hospital mortality.
- Explains that several states have introduced mandated nurse-patient staffing ratios, notably california, with the goal of reducing in-house mortality attributed to failure to respond by overworked nursing personnel.
- Explains the introduction of state-mandated nurse-patient ratios similar to that of california and the seventeen other states where the federal regulation on nurse patient levels is in effect.
- Explains that staffing ratios would be tailored to the specific care setting, using best-practice evidence, to elucidate a proper staff ratio for the setting.
- Describes the benefits of being cost effective in the long run by lowering the risk of litigation, training of nurses and staff, and reducing length of stay of inpatients.
- Opines that a standardized patient-nurse ratio would positively affect nursing practice, healthcare delivery, and health care consumers.
- Opines that increased and standardized patient-nurse ratios would reduce work fatigue and improve job satisfaction as nurses would have more time with patients.
- Argues that the proposed solution would decrease nurse turnover and burnout rate, which would lead to a retention of staff and decrease dependence on costly supplemental nurses. nurses would spend more time educating and caring for their patients.
- Opines that mandatory patient-nurse ratios will optimize patient outcomes, minimize complications due to error, and decrease hospital morbidity.
- Opines that with this policy, we can positively improve the work environment for nurses and decrease inpatient deaths due to overworked nursing staff.
446 wordsRead More - Personal Statement: A Career As A Nurseexplanatory essayIt was a great honor when I was invited to work with an elite select group of nurses considered to have specialized critical clinical skills and knowledge called the Resource Nurse at Stamford Hospital. As a Resource Nurse, I became expert in clinical policies, procedures, and protocols of the hospital. My teaching skills were enhanced as I performed teaching needs on the spot to patients, patient family members, nurses, nursing aides, and medical doctors. I directly responded to medical emergencies occurring within the various units including traumatic codes in the emergency department. Assisting in multiple complex emergent bedside procedures and performing difficult venipunctures are among the many other roles as a
In this essay, the author
- Opines that the role of a nurse anesthetist has captivated them the most. they have grown and matured humbly appreciating the changing world of nursing.
- Describes how their aspirations to become a crna did not become certain until nine years into their nursing career.
- Describes how their nursing skills were first molded in the telemetry unit in stamford hospital and greenwich hospital, supplemented by further education in fairfield university.
- Describes the intense calling to become a nurse anesthetist at stamford hospital.
- Explains that they retook the necessary classes required for admission for the crna program for fairfield university. they firmly believe that everything happened for a reason.
- Describes how they were privileged to work in the operating room at greenwich hospital as a crna. this experience validated their ambition and will to become crna even more.
- Opines that they want to become a certified registered nurse anesthetist. they hope to utilize their nursing degree, experiences, and love for continuing education to positively impact the future generations as an educator.
1154 wordsRead More - Case Manager: A Career As A Hospital Nurseexplanatory essayIn 1979, Nancy Huggett obtained her Associates Degree in Nursing (ADN) though Norwalk community College. She currently works as a registered nurse (RN) in a local acute care center in Arizona as an Ambulatory Case Manager. The Case Manager (CM) position requires the candidate to be a RN, have five years clinical nursing experience, and two years of case management experience. Through her 35 years of working in the medical field, Nancy gain experience as a hospital nurse is areas as the medical-surgical unit, special procedures, neurology, obstetrics, and orthopedics. Her current professional credentials are as a RN and include management experience. Nancy has 19 years experience as a clinical nurse, 16 years experience as a CM, in which
In this essay, the author
- Explains that nancy huggett obtained her associates degree in nursing (adn) through norwalk community college. she currently works as an ambulatory case manager in a local acute care center in arizona.
- Explains nancy's role as a hospital case manager was to evaluate and coordinate the nursing staffs' plan of care of patients with the unit, and to screen the patient cases before discharging from the hospital.
- Describes nancy's role as the case manager in the healthcare interdisciplinary team on her unit, which includes the medical director, physician, social worker, psychologist, pharmacist, nurses, dietitian, various types of therapists, and spiritual counselor.
- Describes the interdisciplinary team in which nancy was a part of on the telemetry unit.
- Explains that nancy's goal was to make sure the patient had a safe discharge at the appropriate time and that continued care was set up to meet the needs.
- Opines that nancy's information about her position as a cm and about the idt team demonstrated the importance of the team on patient outcomes and supported the hospitals part in the healthcare service.
1299 wordsRead More - Personal Narrative: A Career As A Registered Nurseexplanatory essayAs a Registered nurse for 29 years, I have worked in many areas during my career. I have worked at the Veterans Affairs Outpatient Clinic for 12 years as a staff registered nurse, in the specialty care with various experience in the clinical and leadership. During these years, I continue to expand my skillset in all areas of nursing using good clinical judgment when assessing, planning, implementing, documenting, and evaluating nursing care, based on ANA Standards of Nursing Practice. Areas I have supported are Pulmonary (bronchoscopy & thoracentesis), Cardiology, Urgent Care Center, Vascular, Orthopedics, Eye Clinic (fluorescein Injections), and currently the renal department. I continue to serve as a Patient Service level advocate of
In this essay, the author
- Describes how they have expanded their skillset in all areas of nursing using good clinical judgment when assessing, planning, implementing, documenting, and evaluating nursing care based on ana standards of nursing practice.
125 wordsRead More - Nursing Staffing Issues In Healthcareexplanatory essayBecoming an active member of the American Nurse Association and a member of the HSCRC to support in advocating for nurse needs will be the first initiation. My mission will be to address the difficulties that nurses are facing in my facility about staffing issues on each unit. The importance of improving patient safety and outcome, nurse burnout and job dissatisfaction. Joining this organization to support nurses and to be the voice is an essential role in advocacy. There must be a stop to this vicious cycle or decades that is becoming a serious problem in the healthcare industry throughout the nation.
In this essay, the author
- Opines that every nurse's role is to take care of patients and advocate for a safe and healthy work environment. the paper examines various issues in nursing staffing in the hospital and the impact of this issue on patient care.
- Explains that the nursing profession is becoming challenging to nurses nationwide, when the health care system is constantly changing. patient acuity in hospitals and long term care facilities is growing rapidly.
- Explains that the hospital skill mix required nurses aides to care for patients, which put the registered nurses in the supervisory role.
- Explains that nurses will characterize a unit that patients are well taken care of as one with adequate staffing, good administrative support, and outstanding relationship between doctors and nurses. nurse burnout affects patients' overall delivery of care, resulting in emotional exhaustion.
- Explains that the telemetry unit consists of 32 patients with cardiac issues, which require constant monitoring, nursing care, constant medicating for pain with pain management, and patient safety.
- Explains that patient satisfaction is a result of good staffing patterns, which would contribute to retention of staff and stability.
- Explains that nurses are taught to take care of patients regardless of illness or the acuity of care, thereby creating burnout to nurses and dissatisfaction to patients.
- Explains that most nurses are leaving the profession entirely due to increased job related stress, burnout, job dissatisfaction, and unwillingness of young women to consider registering nurse shortage in hospitals and long term care facilities.
- Opines that unit managers should be educated on how the budget is formulated and managed on their unit. nurses should join the american nurse association or hscrc to have a voice and become an advocate for nurses.
- Opines that the nursing shortage in hospitals and long term care facilities needs immediate attention to protect nurses from burnout and job dissatisfaction and improve quality of care and patient outcomes.
- Opines that hospitals must improve patient safety and quality of care by initiating government involvement to improve both the structure and processes on how care is delivered to the patients.
- Explains that the state of maryland has a program to support nurses, known as nurse support program 1&11 (nsp).
- Explains that becoming an active member of the american nurse association and hscrc to support in advocating for nurse needs will be the first initiation.
1458 wordsRead More - Inefficient Communication Essayexplanatory essayImplementation of different tools, such as SBAR, bedside shift reports, and safety huddles where the nurses are playing the essential role, facilitating the effective communication between nurses and patients. As an example, SBAR model is the structured format for sharing critical clinical information between any providers, where situation, background, assessment, and recommendations addressed during communication process (Cornell, P., 2014). Moreover, implementation of the daily multidisciplinary rounds, where the information shared among all members at the same time, are demonstrating improvement in communication and patients’ satisfaction, allow clarifies all necessary information, and provide feedbacks. “Rounds and bedside reporting can be key communication strategies to engage patient involvement in care and exchange information among providers and patients. Patient engagement and communication with providers can mitigate safety errors
In this essay, the author
- Explains that the poorly organized health care system is raising numerous concerns in the nation and problems with cost, quality, and access are leading topics for public discussions today.
- Explains that the communication gap in the health care system is evident, resulting in delays of care, discoordination, and life-threatening medical mistakes.
- Explains that disparities in health services use and outcomes have been attributed to differences in access to care. ineffective communication during the medical interaction is remediable etiology.
- Opines that effective communication must be an essential component of professional practice. the health care providers must continue to work in collaboration when investigating challenges and creating new strategies.
- Explains that the joint commission lists the effectiveness of communication among caregivers as the goal number two, in the national patients’ goals list.
- Explains that nurses as the last of defense can enhance the safety and prevent errors, and their roles are critical to the process of communication improvement.
1148 wordsRead More