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).
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…
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).
Communication is cited as a contributing factor in 70% of healthcare mistakes, leading to many initiatives across the healthcare settings to improve the way healthcare professionals communicate. (Kohn, 2000.)
In the nursing profession, communication is a tool to be used effectively in shift-to-shift report to ensure continuity of care and patient safety (Matic, Davidson, & Salamonson, 2010, p. 184). Benson, Rippin-Sisler, Jabusch, and Keast (2007) explain “for a report to be meaningful, the information passed along to the receiver must be done in a way that is effective and efficient; otherwise, the point of communicating the information may be lost” (p. 80). The Joint Commission (TJC) defines barriers in communication as a leading threat to patient safety (Matic et al., 2010, p. 185). Patient safety and continuity of care can be maintained by implementing a handoff communication tool and bedside nurse-to-nurse handoff.
J.G. and Mrs. D.J. with the following questions concerning the issues of staffing and nursing shortage. How long has the organization tried to address the issue of staffing and nursing shortage? “Nursing shortage has always been an issue for the Lexington Medical Center. I have been employed here for almost five years and there continues to be a struggle with staffing the unit. We have to utilize agency nurses to fill in the needs on the unit” (J. Gudvangen, personal communication, April 30, 2016). What measures have been taken to address the issue of staffing shortage? “There are incentives being offered to attract new employees to work at the facility. A sign on bonus is offered to the nursing staff for up to fifteen thousand dollars, depending on what area of nursing you specialize in. Also during the peak season when the census is really high in the hospital, a bonus incentive program is offered for medical staff in a twelve weeks span. If the employee works a certain amount of extra hours, in addition to their regular schedule, at the end of the twelve weeks a bonus is paid to the employee. The bonus can range from twenty-five hundred dollars to twelve thousand dollars. This is used a method to attract the staff to work extra hours during the busiest time of the season" (J. Gudvangen, personal communication, April 30, 2016). What future steps have been planned to address the issue of staffing shortage? “The hospital is
Over the past years, there has been a nursing shortage which has led to the need of more registered nurses in the hospital setting. This is the result of higher acuity of patient care and a decrease in their length of hospital stay. In order for the patients to get safe and quality care, the staffing, education and experience of the nursing staff needs to be made a priority. Because of the lack of nurses, patient quality of care has suffered.
stationed staff in one area of a hospital ED to treat patients presenting to the ED" (Minott, 2008). This results of this experiment stated that "28 percent of patients diverted back home and avoided hospital readmission" (Minott, 2008). Another study showed that "greater registered nurse hours spent on direct patient care were associated with decreased risk of hospital related death" (Kane, Shamiliyan, Mueller, Duval and Wilt, 2007). This shows that there is a correlation between direct care between healthcare providers and a better outcome amongst patients.
The need for nursing staff is at an all time high than it has ever been. In the United states nursing is at a shortage and is affecting the current nurses as well. It can not be resolved by just hiring more staff, they need to be qualified as well. This article states the shortage is based on the age of RN workforce, the declining enrolment, the change in work climate, and the poor treatment towards the nurses.
Communication encompasses a wide range of processes such as the exchange of information, listening, posing of questions (Fleischer et al., 2009) or use of body language. In a healthcare environment where there are constant interactions among nurses, doctors, patients and other health professionals, professional and effective communication is important in ensuring high quality healthcare standards and meeting the individual needs of patients.
Identifying and maintaining the appropriate number of mixed nursing staff, RN/LPN/CNA, is critical to the delivery of quality patient care. Many studies reveal an association between a higher level of experienced RN staffing and lower rates of adverse patient outcomes (“Nurse staffing plans,” 2013). The nurse-patient ratios will in turn improve the nurses working conditions, decreasing the risk of errors to patients.
In spite of the shortage among nurses, there are number of options and recommendations that can better help to maintain an adequate staff level and provide greater strategies needed to increase nursing. The choices open to cover for insufficient staff range from reallocating and postponing work, relocating staff within unit or from other units, to employing temporary additional nurses according to Buchan and Seccombe (1995). In health care, some of these options may not be available because ...
If you had been called by Lincoln’s president to help resolve the problems described in the case, how would you have carried out the contracting and diagnosis stages? Considering this is a large organization with so many levels, this case requires preliminary data. The preliminary data are necessary to get a better insight of all the issues that is plaguing the hospital. This entailed probing hospital records and conducting interviews with the chief of staff, Don and OR director, Mary. I will also interview everyone from the president, vice presidents, administration, doctors, and nurses. The staff all plays a central role in the case. I will need preliminary data to provide with a clear picture of what I am dealing with and to pinpoint
Demonstrates effective communication utilizing clear, concise and effective verbal, written and electronic communications. Possesses the ability to work effectively with all levels of personnel and collaborate with other professional disciplines to ensure effective patient care delivery and achievement of desired patient outcomes. Continuously exercises informed judgment based on current level of education and uses individual competence and qualifications as criteria in seeking consultation, accepting responsibilities and delegating nursing activities to others. Demonstrates caring and concern for patient and their families. Demonstrates honesty and integrity in all aspects of conduct. Accustomed to fast-paced environments where competence,
One of the problems that faces most health care facilities are being able to recruit and retain their nurses. Nursing shortage and turnover are a complex issue that is affecting healthcare delivery. Nurses form the majority in healthcare and mostly direct caregivers, its deficit poses a dangerous effect on the care of the sick and the disabled. Curbing the nursing shortage and turnover is important for facilities to hire and train their leaders and managers. A good leader or manager should be creative, effective, committed, initiative, motivated, and can handle stress (Huber,
Despite the frequency of verbal interactions, miscommunication of patient information occurs that can lead to patient safety issues. . . . ‘Effective communication occurs when the expertise, skills, and unique perspectives of both nurses and physicians are integrated, resulting in an improvement in the quality of patient care’ (Lindeke & Sieckert, 200...
Part 1: In the first part of this assignment you will write a case study based on your personal organizational experiences. Case studies are written accounts of specific organizational events that can be used to understand problems and issues within an organization. Your case studies should meet the following requirements
Yin, R 2009. How to do Better Case Studies. In L. Bickman and B. Rog. (eds.) The Sage Handbook of Applied Social Research Methods, Los Angeles, CA: Sage.