100%(10)10 out of 10 people found this document helpful
This preview shows page 1 - 3 out of 13 pages.
HNSC 4300Week 3: ExerciseChapter 41.For a hospital to operate efficiently and effectively, the three important influences in its governance, medical staff, board of trustees, and administration, must work together in reasonable harmony. What factors might contribute to tensions among these groups? Hospitals have an extremely complex structure. Some factors that increase the tension between different hospital groups are: financial pressures, conflicting roles, lack of communication, differences in cultural backgrounds, increased medical specialization and technological advances. When insurance companies entered the hospital arena they added conflicts between its governance, medical staff and administration. Financial pressures from insurance companies, and managed care restrictions, are central to the interactions between the different hospital components. Uncontrolled reimbursement rates added stress to hospitalsand influenced its governance strategies. From DRG’s to vertical and horizontal integrations, reforms have caused changes to medical staff and administration goals. These goals are sometimes conflicting and the balance between them is frail. Physicians aim to concentrate on the individual patient, while hospital administration views the hospital as a whole system functioning within the community. Increase in physician’s restrictions, administrative tasks and pressures to cut costs, cause great frustration. Lack of communication between the different groups is understandable due to the complexity of the system, however that also increases tension. 2.As nursing profession has expanded through advanced degrees, specialization, and clinical practice, nurses’ salaries and responsibilities have also increased. Now, hospitalssubstitute non-nurses for nurses to perform all but the most technical tasks. What are
the implications for the nursing profession? Have nurses lost their traditional role of hands-on patient care and, if so, is that to their advantage or disadvantage? Hospital ongoing reforms caused a decrease in the amount of nurses working. These changes have shifted the traditional role of nurses from maintaining patients quality of care to preformingtechnical tasks. These fundamental changes in the role of nurses encouraged individuals to seek other career options, and nurse shortage in hospitals occurred. Research has showed that the role of nurses is crucial for the patient’s outcomes. Substituting non-nurses for nurses may directly affect patients healing. Anonymous caregivers, that are placed to do nurses job, do not hold the necessary knowledge about their patients. (Sultz & Young, 2014 p.144). Nurses have a more holistic approach to health. When nurses become exclusively involved in technical practice they overlook important aspects of their patients health. In the past few years, more people are encouraged to go into nursing and many become nurse practitioners, a role that replaces primary care physicians. In my opinion, the traditional role of nurses is extremely important for patients’