Nursing Change In Nursing

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Introduction My 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, prompted me to look at how the workplace environment affects the nurse’s perceptions of job satisfaction and ultimately patient satisfaction. These issues mentioned above are greater on the medical surgical unit than on the other units of the hospital. After several discussions with nursing management, I decided to select a change project that focuses on changing the model of care delivery from a functional model to a team-nursing model of care for this specific unit. Research has shown an increase in nurse’s job satisfaction with a team model of nursing related to the support available to them from team members (Cioffi & Ferguson, 2009). Patient satisfaction is also greater with the team-nursing model than with the functional model of care (Tiedeman & Lookinland, 2004). The development of a closer nurse –patient relationship and a decrease in the fragmentation of care fosters the increase in patient satisfaction. (Tiedeman & Lookinland, 2004). The expected outcomes of this project are t... ... middle of paper ... ...cognition, responsibility, and opportunities for personal growth, while hygiene factors involve things such as pay, organizational policies and physical working condition (Mitchell, 2013). During this change process, the unit director and team leaders will be encouraged to give praise and feedback to the staff. Positive patient comments should be shared with the staff for their encouragement and understanding of the effects of changes. A likely outcome of meeting intrinsic motivation needs is the increased job satisfaction and improved cooperation, which has a ripple effect on patient satisfaction. If nurses are satisfied, that behavior can be contagious and has the ability to be reflected in patient satisfaction. The shared workload arrangement among a team also can help to decrease stress, fatigue and burnout, and improve the overall physical working condition.
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