Nursing Administration Specialist
Dr. M's dilemma
Strengths
The hospital has a very strong reputation within the community and an over hundred-year history.
The hospital has just been purchased by a university hospital system with an equally stalwart reputation.
The new management seems committed to changing the hospital for the better and restoring it to its former glory.
There is a commitment to change amongst Dr. M.
Patients desire change.
Weaknesses
The hospital has rapidly grown in size from 50 to 300 beds and its standard operating procedures have not kept up with the current needs of patients.
It is losing money.
There are serious delays in transferring patients which could lead to a compromise of overall quality of patient health and also to inaccuracies in paperwork when patients are in a state of limbo. Not only do the transfers take place late at night, but the documentation is left to late night staff that has been working longer hours and is more apt to make errors.
4. Patient dissatisfaction is increasing overall.
5. The hospital is getting a great deal of negative press in the media.
6. There is a lack of cohesion on the unit amongst the nurses and upper-level staff members are continually being called in to 'put out fires.' The staff as a whole seems unable to come to agreement over minor issues. Assistant...
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