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…
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
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.
For this assignment I decided I would first describe to you what a typical day on the Medical Surgical floor at Decatur County Hospital looks like. As I was observing our day I was able to see a variety of nursing models all incorporated into how we provide care for our patients. Each shift has a CNL (Clinical Nurse Lead) how will be the charge nurse for the day. This person makes the assignments and is the “go to person” for any questions or concerns on the unit. Staffing for the unit typically consist of one or two R.N’s depending on our census, one CNA and one Ward Clerk. While the nurses are in report, the CNA takes vital signs and makes sure people are ready for breakfast. When breakfast arrives she delivers and sets up the trays. If the nurses are done with report they help too. In general the CNA has certain tasks that
...’s video. The Registered Nurse inappropriately uses technology that restricts communication between the patient and nurse. It is seen that the RN picks up his mobile phone for a personal phone call midway through a health assessment and is also on Facebook while the patient expressed his concerns. These actions were unprofessional and from a legal standpoint, the RN did not comply with the ANMC standard 9.2. This standard reports that Registered Nurses should communicate effectively with patients to facilitate individualized care. Its importance to individual patient needs lies within research suggesting that lack of patient communication is related to decreased levels of patient compliance in their own care (Clickner, & Shirey, 2013). Effectively this leads to an attitude of mistrust towards nurses and inhibits their ability to facilitate individual patient care.
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.
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.
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,
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,
Becoming 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.
The purpose of this paper is to broaden the reader’s perspective on effective communication, from a nurse’s point of view. The style of patient communication, interdisciplinary communication and patient safety is a complex infrastructure comprised of many disciplines to achieve higher levels of patient outcomes. I will define the seven principles of communication, and discuss how three of these principles are used in my interactions. Next, the three methods that improve interdisciplinary communication will be discussed, as well as which method is used within my healthcare setting. Moreover, I will define and describe three methods being used to improve interdisciplinary communication with an example of implementation
There are a lot of other healthcare professionals in the patient care team that you have to collaborate with to ensure that the patient receives continuous care. But sometimes, it can’t be helped when the hospital is short of staff or they're unavailable when they’re needed. This is not an ideal situation but nurses still get things done and they do it well.
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
Martin (2015) looks at the effect that nurse staffing has on quality care of patients. Using numerous studies, the article reviews nurse under-staffing in hospitals and how it not only impacts the care the patient receives but also the nurse’s well-being. This article supports that staffing has a direct impact on patient care and safety and
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.
Mrs. K identified the problem as being a dangerously low nurse to patient ratio and the inability to care for all of the patients the way they should be cared for. Mrs. K states “if you do not get another RN for this unit, I am going to quit this job”. In this statement she has clarified her perspective of the way the unit and hospital is managed. Her personal opinion and verbal expression clearly identifies the need for change. Mrs. K suffers stress and angst from workin...
These demands and expectations can vary from career to career. For example, RN’s are the primary point of contact between the patient and the doctor. RN’s perform patient evaluations such as monitoring vital signs, procedures such as inserting IVs, draw blood and administer medications. Where as a Head Nurse, nursing supervisor will set schedules, assign duties to the nursing staff, and make sure nurses are properly trained. Nursing supervisors must ensure supplies are well stocked and that the end-of-shift work is completed to prepare for the next team of nurses. There are a wide varieties of nursing options, a nurse should not get stagnant in one