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...ease hospital volume and understaffing. Lack of staff development in critical care units. High patient to nurse ratios, especially on the weekends. Poor internal communication and a centralized structure of hospital administrations is perceived by the employees. The inability to attract and retain nursing staff are the one of the largest threats to the organization due to increase competition among other hospitals in the area. Economic strain will continue to remain a threat attributed to reduced reimbursement rates and more penalties. High rate of job dissatisfaction and burnout among staff is another identified threat with nurse’s intent to leave and take positions elsewhere. Identified opportunities would include obtaining Magnet designation in meeting clinical and nursing excellence and the development of a mentorship program and nursing residency programs.
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