Term Paper Case Study: Barbara Norris, Leading Change in the General Surgery Unit
Term Paper Case Study
Hodges University
HAS 3129
Professor Mary MacLaughlin
12/10/15
Table of Contents
Introduction to the Case Study…………………………………………………………………………………………..1
Statement of the Problems………………………………………………………………………………………………..2
Generating Alternatives and Analyzing the Data……………………………………………………………….2
Selecting Decision Criteria…………………………………………………………………………………………………..3
Analyzing and Evaluating Alternatives and Action………………………………………………………………4
Recommendations and Implementation Plan…………………………………………………………………….6
Conclusion……………………………………………………………………………………………………………………………9
References………………………………………………………………………………………………………………………….10
Term
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These include relationships with the director of nursing, senior nursing staff, newer nursing staff, patient care assistants, physicians, and administrators. We will explore some of these relationships and the problems and issues associated with them, followed by recommendations and a plan of action that Barbara can implement to achieve her goals.
Statement of the Problems As nurse manager Barbara is responsible for managing the staff, scheduling and budgeting for the unit. Her staff includes twenty-five registered nurses and eight patient care assistants (PCA’s). The unit is known for its culture of confrontation, blaming, and favoritism. The staff is dissatisfied, unmotivated, and not functioning as a team to deliver quality patient care. In Barbara’s first month she has lost two RN’s and due to a hiring freeze at EMU Barbara was not able to replace the positions. The unit is short staffed, stress levels are high and employee morale is low. Barbara meets individually with twenty or so staff members and comes to the conclusion that no one is happy and she has a lot of work to do. There are multiple groups that Barbara has identified issues with and she must come up with an action plan to manage the discrepancies. She has found issues in downward management which involves senior nurses, newer nurses, and patient care assistants, and in upward management including administrators and physicians,
When a new resident is admitted, their family provides a history of the resident’s life: their loves, their fears, and their tragedies. As a physician assistant collects and analyzes the medical history and symptoms of a patient with an undiagnosed illness, I analyze the personal histories of the residents at my facility so that I am able to understand the best way to care for them. As a physician assistant collaborates with their supervising physician to provide high quality healthcare to patients, I collaborate with the director of nursing and the other nursing assistants at my facility to improve our residents’ quality of life. As a physician assistant is trusted by their patients and their supervising physician, I am trusted by the families of the residents I care for as their loved ones adjust to life as it changes with the loss of their memory.
It is no secret that communication is key when providing direct patient care in a skilled nursing facility. However, there is a noticeable lapse in the communication between the care team when providing care to the individual or groups of individuals. Two main parts of any care team are the registered nurse and the certified nursing assistant, as these are the two people whom have the most direct and impactful roles with residents in a skilled facility. The Registered Nurse and the Certified Nursing Assistant play similar roles in providing patient care, but have different roles in its entirety. The role of the Registered Nurse (RN) is defined as having the competency and skill to provide direct and indirect health care to individuals, their families, and communities around them. Services are also provided designed to give out medications, to promote comfort or healing, promote healing, and to also provide the dignity of their patients and patient’s families (American College of Rheumatology, 2015).
On November 1st, 2016 I had the opportunity to conduct an interview with Katherine M. Sawyer RN, BSN of Owosso, Michigan. Katherine, a female nurse who has worked in the nursing field for thirty-six years began her nursing career at Ingham Medical where she was a full-time staff-nurse for three years; then worked as a per-diem staff-nurse for eleven years. After working at Ingham for a total of fourteen years, Katherine obtained a position at Memorial Healthcare in Owosso where she worked as a nurse educator for fifteen years. Shortly after this she became a Basic Life Saving (BLS) instructor as her main role as a nurse educator was to provide nursing orientation and this additional role fit in perfectly. After some time she became involved in Quality Improvement for four years, and she has now switched back to the nurse educator role where she once again has the role of nursing orientation for Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Patient Care Techs (PCTs). The number of staff she teaches and orientates each month varies between one and ten individuals. She also teaches BLS and First Aid at Baker College of Owosso. Her contact information is as follows: Phone number (989) 413-1974 and e-mail address kmsawyer521@gmail.com. The purpose of this paper is to inform the reader of Sawyer’s role in the nursing profession as a nurse leader. Individuals will learn of Sawyer’s many different roles, responsibilities, and the organizational structure of Memorial
Mindy Alternot is an administrator at Seaside Convalescent Care Center (SCCC). She has begun to have major issues at this facility and the longevity of this company is at a crossroad. Mindy was hopping that she could turn this facility around; however, it proved to be much more difficult than she thought. SCCC has a fine of $3000 a day for noncompliance because they were dined payment for a new admission. Mindy has begun to blame her nurse’s aides (NAs), because they account for more than 90% of the hands-on patient care. Mindy cannot find good NAs and is having well over a 100% a year turnover rate. She tried to motivate and improve training her NAs so that they would find new meaning and purpose for their jobs. Her intensions was
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I was particularly impressed by way this meeting dissected critical issues. The participants of this gathering welcomed openness and honesty from all. This meeting investigated ethical issues regarding patient care, and scenarios in which one’s discretion licensed him/her to question a patient’s judgments. This gathering also addressed the issue of productivity, in terms of sustaining it and enhancing it amid a taxing and demanding environment. The participants then proceeded to address common relational issues, which involved disagreements among nurses, and conflict mitigation. After witnessing the dynamics of this meeting, it became readily apparent that conflict
Dr. Barbara Shaw heads the Center for Professional and Continuing Education at Pacific with the title of Associate Provost. Dr. Shaw leads15 employees divided into three small teams: Programs & Development, Enrollment & Registration, and Marketing & Events. CPCE operates in a modern building about a three-minute drive from the main campus, and the work environment and culture within the department can be categorized as teamwork oriented. There is a lot of emphasis on collaboration and camaraderie among staff members, which ultimately creates a thriving environment for all employees.
3) Almost two-thirds of all surgical procedures are now performed in ambulatory surgery facilities. Discuss the reasons for this shift of surgery from the inpatient setting and its effect on hospitals and
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Barbara has the benefit of knowing what good management looks likes with Betty Nolan her old mentor people /