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Impact of culture on organisation's performance
Theories on the relationship between organizational culture and performance
Impact of culture on organisation's performance
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This paper provides an inside analysis of an interview conducted with a tenured Certified Nursing Assistant (CNA) of a nursing home. The details of the interview were structured within the framework of performance management best practices as described in the literature of the long-term care industry. It began by presenting the interviewee and her reasons for holding the job for 10 years. Emerging details exposed major challenges of the work environment that are confirmed by the literature. It also showed that some performance best practices had been part of her organization, such as adequate and competitive pay, employee input, a clear communication channel and a mentorship program. Offering financial and institutional support for further …show more content…
Although their training in basic nursing skills allow them to work in a variety of settings (Rondeau & Wagar, 2001)), this paper takes a closer look at performance management best practices that affect the CNA in nursing homes, as seen in the eyes of Dana Scott, CNA (real names concealed), who was interviewed for this project. In the analyses that follow, the reader will be provided insights as to why Ms. Scott has remained in her position for the last 10 years; whether her organization incorporates performance best practices; and how these tie with known performance best practices in the industry.
Meet Dana Scott, CNA Ms. Dana Scott is a 43 year-old Mexican-American, who immigrated to the United States 15 years ago. She has been working for the same facility upon her training as a CNA some 10 years ago. It is a 120-bed skilled nursing facility with specialized units for patients with Alzheimer’s and dementia, she said. She mentioned that her job was very demanding, entailed long hours required a lot lifting. She stated that she has considered quitting several times, but has found herself unable to do so.
A Faithful
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Although not to the level that meets her satisfaction, Ms. Scott stated in the interview that nursing leadership had regularly incorporated the ideas, preferences and suggestions of CNAs in making out work schedules, programs and unit function. This she mentioned had allowed her to create her work schedule around her family needs and vacation plans. This is in line with Rondeau and Wagar’s (2001) findings that better performing nursing homes had a more progressive human resource (HR) management practices, including the implementation of a workplace climate that gave greater opportunities for employee participation, empowerment, and accountability.
Other Performance Management Best Practices Employed by Ms. Scott’s Nursing Home
Apart from a good pay, being valued at work, Ms. Scott also mentioned that a clear channel of communication, and an employee retention program were other good CAN oriented performance enhancement programs.
A Clear Channel for Airing
Enthusiast historians within the leadership of professional organizations have commonly focused on the accomplishments of notable nurses and professional organizations in what became a narrative of professional and societal progress. This narrative, whole providing much rich historical data and analysis, ignores the vast majority of nurses’ experience and voices. In the mid nineteen eighties, as nursing was increasingly embattled in a growing health care industry, historians, some from outside the nursing profession, began to examine this history.
“Behind every great nurse there is a running CNA.” This statement is true, however only in the long-term care setting of nursing homes. Certified Nursing Assistants/Aides can be found in different settings, as well. Such as, hospice environments, and the homes of those seeking home healthcare. In each environment, CNA’s are important to the patients receiving their care.
Expect the best, prepare for the worst and capitalize on what comes (Zig Ziglar). The demand for talented, educated and experienced nursing home administrators is increasing, and filling this demand is becoming more challenging. In this paper, the qualifications, responsibilities, and duties of a nursing home administrator, professional staff, nonlicensed staff, and consultants will be identified. We will explore trends that are likely to affect assisted living in the future. We also will explore new changes in regulation related to the F490, the Facility assessment and how it will impact the role of the administrator.
The Robert Wood Johnson Foundation has been in operation for more than 40 years and has been instrumental in working to improve the status of health and the health care for all individuals within the United States of America. They hold a vision “as a nation, to strive together to create a culture of health enabling all in our diverse society to lead healthy lives, now and for generations to come” ("Robert Wood Johnson Foundation," 2014). The Foundations nursing programs has early initiatives that would improve the profession with the advancement of nurse practitioners, programs improving nursing academics, improved hospital nursing. Currently the foundation is developing leadership skills in advanced level nurses and transforming working conditions of nurses within the hospital setting. In support of nursing and in light of the nation’s severe nursing short...
A 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.
Who is going to care for our aging population when they are unable to care for themselves? A Certified Nursing Assistant, also referred to as a CNA will. A CNA has many responsibilities in the healthcare field. CNAs are the primary caregivers to residents in long-term care facilities and hospitals. CNAs help residents perform activities of daily living. A few examples of activities of daily living are feeding, bathing, dressing and toileting. With all the responsibilities CNAs have, their job can be stressful. The night shift for CNAs requires getting patients ready for supper and put to bed. Some people may think this is simple, but it is not. On average a CNA is responsible for twelve residents while toileting every resident, assessing their needs, and watching for the other residents call lights, CNAs need to have every resident to supper by six o’clock. Once all residents are at the table for supper, CNAs must give each resident their trays and then feed them. Once they are done feeding the residents, CNAs start taking residents to bed. While giving bedtime care CNAs toilet the resident, wash the resident, brush their teeth, put pajamas on them, and transfer them into bed. While giving night time care CNAs need to listen for the alarms of fall risk residents, answer call lights, and be patient with the resident they are giving care to. CNAs need to give quality care
Certified Nursing Assistants (CNA) are a vital element of the health team. Serving as a middleman between patients and other members of the health team nursing assistants play many different, yet equally important roles in patient care. Nursing assistants provide emotional, physical, and social support for patients, and residents. I will inform readers about the role of certified nursing assistants in long-term care centers (LTC) and their importance as a member of the health team.
Provision seven refers to nurse advancement of the profession through contributions of practice, education, administration, and knowledge development. Nurses serve by participation in the profession as mentors, on board of professional committees, and active leadership roles within their organization. While nurse educators promote the advancement of nursing through fostering professionalism and civic values; nurse managers and administrators are responsible for providing and environment which promotes ethical integrity and professionalism (ANA,
Not only does The Francis Report call for more compassionate care, but it also states that stronger leadership is required of all ward nurse managers. It also insists on a change with regards to the appraisal and support system for nurses. This appraisal system is a means of assessing the performance of nurses so that any shortcomings can be corrected through methods such as training and transfer. On the other hand, a positive assessment is to be rewarded by promotion.
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,
Spinks, N., & Moore, C. (2007). Nursing Leadership. The Changing Workforce, Workplace and Nature of Work: Implications for Health Human Resource Management, 20(3), 26-41.
In healthcare it is very important to have strong leaders, especially in the nursing profession. A nurse leader typically uses several styles of leadership depending on the situation presented; this is known as situational leadership. It is important that the professional nurse choose the right style of leadership for any given situation to ensure their employees are performing at their highest potential. Depending on which leadership style a nurse leader uses, it can affect staff retention and the morale of the employees as well as nurse job satisfaction (Azaare & Gross, 2011.) “Nursing leaders have the responsibility to create and maintain a work environment which not only promotes positive patient outcomes but also positively influences teams and individual nurses” (Malloy & Penprase, 2010.) Let’s explore two different leadership styles and discuss how they can enhance or diminish the nursing process.
In her current position, she is responsible for six RN’s, three licensed practical nurses (LPN), five CNA’s and two support staff members. They are currently looking to add several more positions to the payroll. Martinez joined this agency two...
The nursing field continually develops new skills to help nurses create positive changes within health care organizations, e.g., becoming future-oriented, seeing the “big picture,” communicating persuasively, viewing change as an opportunity, and being proactive rather than reactive. Understanding what these skills mean, as well as, how to apply them at our jobs can create positive outcomes within our working environment; even more, they can lead to improved quality of care to our patients. As you know, my back issues have prevented me from working for the last 16 months, therefore, my views on these skills may be different than a RN that is currently
...ntinually evolve, a certain degree of freedom must be felt by its members, bureaucracy represents and organization from which chaos has completely been eliminated. Nurse Executives, therefore, will need to encourage staff to challenge existing practice. Given the current environment, creative conflict will need to be supported in order for our continued growth.” (McGuire, 1999, p. 9) I believe that Capital Health is on a path for success. They have modernized there organization chart causing a more decentralized environment. This new atmosphere fosters empowerment of its nursing staff. This sense of ownership over their practice provides growth not only for individual nurse, but the entire profession. This positive proactive change of the organizational structure will allow the hospital to experience continued growth and development that is propelled from within.