Making a Decision
Security and Privacy
August 25, 2014
Professor Steve Kovak
Making a Decision
Making a decision for any problem is not an easy task. Using tools and techniques to assist can assist in this process. The purpose of this paper is to address a current issue facing my current issue, this issue is patients complaining about staff not having enough time for residents. I will be using the devils advicate and a visual add to show the possible solutions and what may occur if implemented. Current Issues
According to Fields (2011), 22% of healthcare professionals felt challenged by not having enough time with each patient to provide quality care. Additonally 57% of health care profesionals stated at his or her occupation the patient to healthcare profesionals ratio had gotten worse and not better in the last 12 months at his or her current facility. Nurses were asked this same question and 69% said the patient to health care provider had gotten worse, and only 4% stated at his or her facility it had improved (Fields, 2011). At my current job with Manila country home patients complain that staff is to busy to adiquitely assist with his or her personal needs to the fullest. Patients complain that staff will normally say he or she will be right back and will not return for more then an hour. Currently there is one provider per shift. There is also a cook on staff in the morning, however the cook may not assist with any certified nursing assistant responsibilities. Devils advacate
There are many tools and techniques that aid in decision making. The tool and technique that will be used to determine the best solution to solve or imporve this problem will be the devils advocate technique. When using this tool and technique normally additional information is used to aid in the decision process. But for this paper the information that is already been presented is what will be used. Considered opionion or possible solutions will be as follows. Hiring more staff is a possible solution. Furthermore, A shift in shift responsabilities can also assist in patients having more attention. Another possible solution is to overlap shifts. Additionally cross traing of staff may also be a solution to this problem.
The diagram below indicates the problem in the center and possible solutions in the bubbles around it.
Hiring more staff, why this would not work. This solution may not be a good fit for a possible solution because one person to take care of seven patients and this would not be very cost effective. Staff would on most days would run out of things to do. The increase in staff may also make patients have to pay more to cover the costs associated with hiring more staff. On the other hand having two people will allow staff to give all patients the time and attention he or she needs, this idea will be put on the back burner. Overlapping shifts, why this could go wrong, at the end or beginning would be the most logical way to over lap staff. However it is through the day that is the problem not early morning or a few hours after lunch. The solution needs to be something that will allow patients the time and attention he or she will need during the middle of shifts. However, having an over lap in shifts may mean the two providers on shift can team up and get all the odd end responsibilites done before leaving or coming on shift. This may free up time during that persons shift to give patients one on one time. Cross training staff. If staff was cross trained then the cook could help out when needed. However, families may not like the idea of a cook helping someone to the bathroom during cooking time, so this may not be a solution that is very ideal. Shift responsibilities explained in further detail. Every shift has a certain chore to be completed before the end of shift. These responsibilies are chores...
References: Fields, R. (2011, April 5). The Top 10 Challenges Facing Healthcare Workers.
Retrieved August 8, 2014, from http://www.beckershospitalreview.com/hospital-
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