Preview

FINAL CASE STUDY

Powerful Essays
Open Document
Open Document
1746 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
FINAL CASE STUDY
Case Study: Barbara Norris: Leading Change in the General Surgery Unit

Candy Burke
University of La Verne

Authors’ Note
Candy Burke Department of Health Services Management, University of La Verne
Correspondence concerning this article may be addressed to candy.burke@laverne.edu.

Executive Summary
The newly hired nursing manager in the General Surgery Unit (GSU) at Eastern Massachusetts University Hospital (EMU), Barbara Norris, makes an effort to address the problems she inherited with her new position. The GSU is facing the lowest rate of employee satisfaction and the highest employee turnover within all of EMU. In order to combat the current economic crisis the hospital is facing resource reduction measures were introduced throughout the hospital. The lack of motivation caused by a hiring freeze and the inability to provide quality patient care that is teamwork based has affected patient satisfaction scores, which have continued to decline over the past couple of years. The Director of Nursing is relying on the new nurse manager, to change the status of the GSU. After holding an off-site meeting with the GSU staff nurses, Barbara struggles with the difficult task of successfully turning around the GSU staff.

Table of Contents
The Role/Position Taken 4
Problem Statement 4
Analysis of the Facts 4-5
Structural Assumptions 5
Personal Assumptions………………………………………………………………..…............5
Problem-centered Assumptions 5
Formulation of Alternatives to Solve the Problem 6
Seek To Attain More GSU Staff ……………………………………………………...……….6
Establish Culture Reliant On Team/Collaborative Work Environment 6-7
Develop A New Performance Review Process 7-8
Develop Acknowledgement/Recognition Program 8
Evaluation of Solutions 8
General Criteria 8
Decision Criteria 9
Plans for Implementation 9-10
Plan for Evaluation 10

The Role/Position Taken During the process of this analysis, the analyst takes the role of the Director of Nursing at Eastern



References: Groyseberg, B., Nohria, N., & Bell, D. (2009, March 13). Barbara Norris: Leading change in the general surgery unit. Retrieved from http://harvardbusinessonline.hbsp.harvard.edu/b01/en/common/item_detail.jhtml?id=409

You May Also Find These Documents Helpful

  • Powerful Essays

    Busn 319 Marketing Plan

    • 3752 Words
    • 16 Pages

    The spot café is a new food serving establishment located in the Pelham bay area of the Bronx, NY. After conducting a very meticulous survey Robinson Paulino came with the idea of a café restaurant that can provide a healthy and tasty menu.…

    • 3752 Words
    • 16 Pages
    Powerful Essays
  • Satisfactory Essays

    By taking samples of hair from the victims and comparing it to the hair samples found at the Lope De Vega ranch instigators were able to conclude that the victims were held there. Investigators used the hairs from the known victim as a control and compared it to the unknown hairs found in the various rooms. Each sample matched one of the victims and lead to investigators to set up a crime scene.…

    • 354 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Case Study 3

    • 711 Words
    • 3 Pages

    4. If GearUp were to use FBA, what business procedures would it not need to develop? What costs would it save?…

    • 711 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Case Study week5

    • 463 Words
    • 2 Pages

    What does this case imply about the supply of and demand for employees and the implications for businesses?…

    • 463 Words
    • 2 Pages
    Good Essays
  • Better Essays

    • An annual report prepared for the chief of surgery of each medical center, comparing local outcomes with those of other (anonymous) VA hospitals and to the performance of all VA hospitals combined.…

    • 1351 Words
    • 6 Pages
    Better Essays
  • Best Essays

    Case Study, Care Plan

    • 3343 Words
    • 14 Pages

    This essay will include a case study about a patient nursed with the supervision of a registered nurse during a clinical placement. It will demonstrate the ability to assess and develop a care plan for this patient. For this case study, the patient’s name will be changed to Paul and confidentiality will be kept at all times. The nursing process will be described and used to develop a nursing care plan for the above patient.…

    • 3343 Words
    • 14 Pages
    Best Essays
  • Powerful Essays

    Case study:

    • 1806 Words
    • 8 Pages

    1. Nursing requires the use of this process day in and day out. The process is based on theories and practices taught in nursing school. It is a form of problem solving. The nursing process is made up of a series of stages that are used to achieve the objective - the health improvement of the patient. The nursing process can stop at any stage as deemed necessary or can repeat as needed. This process is inclusive of physical health as well as the emotional aspects of patient health.…

    • 1806 Words
    • 8 Pages
    Powerful Essays
  • Best Essays

    “A shortage of nurses has been shown not only to limit access to health care services, but also to diminish the quality of care and to endanger patients, putting them at risk for increased illness, disability, and even death” (Heller, 2004). Each stakeholder has a vested interest in the cost, patient assess and quality of care. This analysis will identify five stakeholders who will have the most and least influence to the solutions identified in this proposal. This proposal offers two solutions that will improve quality care and increase patient satisfaction ratings at Renfrey Memorial Hospital. Implementing lift teams will have positive effect on the nursing staff and improve working conditions. This will not be an easy fix to the nursing shortage but it will alleviate the nurses from the physical demanding part of the job. Also, these strategies will keep the nurses more focused to providing care to their patients. The marketing team will recruit new grads and offer incentives such as partial loan reimbursement. They would have to commit to working for 2years at the facility while nurses prepare to retire. The primary stakeholders: Patients, nurses, physicians and administrators. Secondary stakeholders: Human Resources and marketing. Patients are the most important stakeholder who has voiced concerns that without an adequate number of…

    • 2803 Words
    • 12 Pages
    Best Essays
  • Best Essays

    The disparity and distrust between management and work force is a common causative factor when a proposed change fails. The feeling by nursing staff that their unit manager is out of touch with patient care or only considers administrative consequences is common in hospital settings. Staff nurses often fail to commit to change because they feel their opinions and work load are not appreciated by their managers. One strategy to overcome this barrier is to have management reflect on their leadership styles. Engaging staff and becoming less authoritative can help to build trust. Providing opportunities for everyone to participate in the process and help tailor the implementation will help employees become vested in the change. It is also helpful to identify and recruit informal or opinion leaders among the staff. Educating opinion leaders on the implementation gives other staff members someone to go to with questions and opinions that does not intimidate…

    • 2177 Words
    • 9 Pages
    Best Essays
  • Satisfactory Essays

    Hospital administrators have their work cut out for them in attracting and retaining quality nurses ultimately to provide optimal care for patients through best practice. This will not be an easy process or a quick fix however acknowledgment that the nurse-two-patient ratio and nursing shortage go hand-in-hand contributing to the outcome of how patients, employees, and hospital organizations will be affected. The nurse-two-patient ratio guidelines has been a revolving door that has impacted nurses, patients, and hospitals throughout the country resulting in an increases in poor patient outcomes, increased dissatisfaction and complaints from patients, increased nurses dissatisfied with their job, and a decrease hospital pay…

    • 289 Words
    • 2 Pages
    Satisfactory Essays
  • Best Essays

    The constant and rapidly changing health care environment dramatically affects nursing practice today. Health care leaders are faced with the problem of achieving their strategic goals while balancing finances, productivity, quality outcomes and employee and patient satisfaction. The health care environment is competitive and chaotic which means constant organizational change to meet the challenges. Today’s changes occur frequently in every organization and to handle and motivate change is one of the leader’s main tasks (Sellgren, Ekvall, & Tomson, 2008, p. 579). The challenges in health care today place pressure on the relationship of nursing leader behavior and staff nurse job satisfaction. The style of the manager can be important for employees’ acceptance of change and in motivating them to achieve a high quality of care (Azaare & Gross, 2011, p. 672).…

    • 2196 Words
    • 9 Pages
    Best Essays
  • Good Essays

    Barbara faces a bewildering array of obstacles to success in the General Surgery Unit (GSU) at Eastern Massachusetts University Hospital. Based on reputation alone, it was clear that her new unit had serious issues long before she took her position as Nurse Manager of its 33 member nursing staff. Having held an informal, off site meeting with her nurses, she has identified 9 of their chief complaints. These complaints can be mostly categorized under three of the most common stressors: incivility, work overload, and lack of task control.…

    • 1924 Words
    • 8 Pages
    Good Essays
  • Good Essays

    Nurse

    • 409 Words
    • 2 Pages

    As the nurse manager of a 30-bed medical-surgical unit, you have just received the results of the quarterly patient satisfaction survey. The satisfaction scores for your unit show an ongoing decline over the past three reporting periods. You also look at your unit’s satisfaction scores as compared with other units in the hospital and realize that the scores for your unit are now lower than those of most other units in the hospital. As you begin to ponder the meaning of these data, you receive a call from the office of the vice president of nursing to schedule a meeting with you to discuss your plan to improve patient satisfaction on your unit.…

    • 409 Words
    • 2 Pages
    Good Essays
  • Better Essays

    The purpose of this paper is to discuss the causes of nurse turnover and shortage, find out ways nurse leaders and managers may resolve this problem, and also to discuss the writer’s own personal and professional philosophy of nursing regarding this issue.…

    • 1122 Words
    • 5 Pages
    Better Essays
  • Satisfactory Essays

    case study 3

    • 665 Words
    • 3 Pages

    IgG – funtions in neutralizing, opsonation, compliment activation, antibody dependent cell-mediated cytocity, neonatal immunity, and feedback inhibition of B-cells and found in the blood.…

    • 665 Words
    • 3 Pages
    Satisfactory Essays