1. INTRODUCTION
This report is a Tutor-Marked Assignment (TMA) in Fundamentals of Senior Management, submitted as part of the requirements for the Master of Business Administration (MBA) Degree program at The Arab Open University (Oman Branch). Specifically, it deals with a case study involving an analysis of the leading change in the general surgery unit. This report presents an analysis of the Leading change in the general surgery unit. Specifically, 1) We explain and analyze how well Barbara Norris done in her first month as a nurse manager and describe her management control approach to performance improvement. 2) We more specifically, evaluate the adequacy of changes Barbara Norris is trying to make. 3) We recommend an action plan for Barbara Noriss to improve staff 's performance.
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These three problems are: lack of collaboration and teamwork, staff conflict, and lack of transparent performance appraisal procedures. All of these three broad problems need to be addressed simultaneously to ensure that the unit performs as Barbara expected. As we read in the case, there is a conflict between junior nurses, senior nurses, and PCA 's which lead to ineffective collaboration among them. Junior nurses feels like they don 't get positive feedback from senior nurses. However, senior nurses feel that many junior nurses and PCA 's are in competent and feel overwhelmed to support them. To solve this issue Barbara needs to redefine a clear role among the nurses and make sure that the role is properly understand by all her staff. She must include advice from her staff to insure that the role definition fit within her unit. She also need to develop a transparent communication mechanism to solve any role
Any company or organizations need to analyze how its financial resources get used every time. The primary aim for this is to ensure accountability and maximum utilization of the resources available. From my calculations General Hospital is doing well in some sectors while it is performing poorly in others. For example the recommended SSP standards of accounts receivable recommends that it should be below than 46.2.The hospitals collections per years do not match up to their projected figures and thus they should cut down on expenses. The ratio of current assets to liabilities is favorable and up to the standards set.
Ms. Bitnar is registered nurse with an impressive background, with a master’s degree in Business Administration and has several certificates in the healthcare and occupational industries. Mr. Bitner responsibilities will not only include overseeing their five nurse case managers, but she will also be responsible for managing their medical vendor programs to ensure Protective is achieving the desired medical-disability management cost savings results. Ms. Bitnar will report directly to Mr. Ghesquiere. Protective believes the promotion of Ms. Bitner to Medical Manager will have a positive influence on their overall claims
Week One Discussion Two Response to O 'Neill The addition of nurse leaders in the executive suite is essential in facilitating the perception that nurses are critical decision makers in the health care industry. Furthermore, it is imperative that a formal succession plan is incorporated in organizations to assure strategic leadership, quality care, and operational effectiveness incorporate nursing at the uppermost level of decision and influence (Trepanier & Crenshaw, 2013). The Chief Nurse Executive role is evolving as a tactical authority in acquiring a major influence on our nation’s health care delivery systems and clinical outcomes (Bradley, 2014). As health care shifts and changes, nursing must be at the forefront to assure optimal influence
Management of Care Case Study Josepha is working on a medical surgical unit with three other RNs and one LPN. There is also a male and a female patient care tech. Josepha has been a nurse for four months, and after completing two months of orientation she takes a full assignment as a registered nurse. Josepha feels that the assignments she receives are not always fair, as she tends to get the most challenging clients.
Jennifer McClellan, RN, BSN is presently my Associate Service Manager, for the Urgent Care Emergency Department. She has been in that position since May, 2013. Her main responsibilities are to manage the flow in the unit, since our unit is a fast paced, and we have a high volume of patients. Also, if there is a problem, she has to go above and beyond to fix the problem. She also has to handle patient’s complaints which are something not uncommon in our unit.
(2008). I would like to challenges Chief Nurse Executives (CNEs) to lead the journey and highlights how patients, their families, and health care organizations would benefit immeasurably if CNEs stepped forward and accepted this leadership role, then and only then can the best practice changes begin to improve what we as nurses already know. The processes of leading are intended to enable more people to develop into leaders and more people to share the roles of leading, to enhance the quality and safety of patient care (Stone P. Hughes R, Dailey M.
There is also the challenge of having to become involved with quality improvement aspect because it involves having to deal with diverse aspects of the quality related to the patient. The accomplishments can come about in the sense when the head nurse would start recognizing the subordinate working under him/her (Cummings, 2013). This would make the subordinates feel that they are being appreciated owing to which they would start working in a more efficient manner. The skills required to support the performance role is to be able to be willing to work for extra hours. This way, the subordinates would take inspiration from the head nurse regarding work and may look up to him/her and might turn up early for work as well.
Nursing administration on a national level is best described by The National Center for HealthCare Leadership (NCHL). This is a non profit organization that exemplifies quality care and leadership in the 21 st century. The goal of this organization is to improve healthcare on a national level through efficient and effective management that is in accordance with it’s mission. In keeping with it ’s mission, NCHL embarked upon an ambitious initiative with the support of the Robert Wood Johnson Foundation, examining the role of the senior leadership team in promoting quality and safety in his/her organization (Disch, Dreher, Davidson, Sinioris, & Wainio, 2011).
Tuesday, March 29th, 2016: Montana State Hospital The day began with a care conference by an interdisciplinary team (psychologists, social worker, nurses, and psych techs). Every patient on the wing was discussed about their current situation, behavioral problems, or change in care plan. The nursing process seemed to be utilized when dealing with these problems. The problem was assessed by the entire team, the root cause was determined, a plan was established to implement, and then would be evaluated the next day.
n her Nytimes Op-ed article “we need more nurses” Writer Alexandra Robbins reveals that while nurses plays a very important role in improving the health care system of the country, most hospitals and medical establishments are understaffed with nurses. nurses are often one the least recognized group of people who are long due overstretched with the service they provide. Inadequate staffing has become one of the major problems across the country, with the exception of state of California, no other state has set up a standard minimum nurse to patient ratio.many studies has shown that when more patients are assigned to a nurse, the higher for the risk of death, infection,complication, falls and longer hospital stay. the author quoted
The nurse manager is committed to the job and focus on day-to-day operational
However, there are certain strategies that can overcome these barriers. For instance, the nurse’s resistance to change and poor communication of objectives is overcome by constant communication of the benefits of this leadership style not just through word, but also through actions until they understand its
The Organizational Review The organization Memorial Hermann Health System is a provider that strives for excellence. The Memorial Hermann mission is “To lead healthcare to superior patient outcomes through the creation of a high-reliability culture with evidence-based quality and patient safety as our core value. " Having a strategic plan with specific measures of Clinical Excellence, Do No Harm, Saving Lives” (Memorial Hermann Health System, 2013).
Among these are a positive working environment, high standards for quality care, respect for each employee and opportunities for professional growth. Place hires new staff on other units during orientation so they become familiar with how those units function. Additional strategies for boosting morale and keeping nurses on the job include:Recognize great work by demonstrate appreciation for excellent work by recognizing the efforts of outstanding nurses. Administrators always be available and proactive. Administrators should get out of the office and walk the units to observe what’s going on, and to show nurses that supervisors are there for them when needed.
He or she needs to learn to take control of issues and handle them as a good leader should instead to reporting all issues to the leader in charge. He or she assist the employees and protect them from being molested by both internal and external forces. They help to prevent unnecessary retrenchment of staff but rather redistribute them to other departments where their services are more useful. The nurse manager helps to motivate the workers by rewarding them financially and non-financially. He also inspire the nurses to provide a better patients care and become more productive and satisfied in their