Week 2.docx - NURS 6053 Interprofessional Organizational and Systems Leadership Week 2 Initial Post Care facilities have different staffing models to

Week 2.docx - NURS 6053 Interprofessional Organizational...

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NURS 6053: Interprofessional Organizational and Systems Leadership Week 2 Initial Post Care facilities have different staffing models to choose from it comes to providing nursing care to their patients. Nurse staffing studies have traditionally given crude estimates of the amount of nursing resources available for care, for example, hours per patient day (HPPD) assumes a standard time per occupied bed, whereas nurse/patient ratios are based on average nurse capacity (Meyer & O’Brien-Pallas, 2010). Profit and money, generally, are not in the mission or vision statements of most facilities, but all too frequently dictate the innovate staffing balance enforced upon care facilities (Mensik, 2016). Currently, Registered Nurses are caring for the same critical and specialized patients in shorter hospital stays (Mensik, 2016). Changes made, at the federal and state levels, regarding pay for services have impacted care facilities, causing budget cuts and staff reductions to compensate. Staffing, patient outcomes, and nurse satisfaction go hand in hand (Mensik, 2016). Reimbursement based on patient satisfaction and health outcomes make staffing a struggle. Health care systems are described as complex and adaptive (Johnson, Miller, & Horowitz, 2008). Change should be viewed as a challenge or a chance to do something new, but it is often viewed as a threat (Marquis & Huston, 2015). Because change disrupts the climate within an organization, resistance should be expected and is a natural part of the change process (Marquis & Huston, 2015). There needs to be a balance of education and innovation in care delivery models of today, that also prepare for tomorrow. The Nursing Services Delivery Theory (NSDT) examines the work of nurses, at the point of care, and not just the work conditions or the structures of the role (Meyers & O’Brien-Pallas, 2010). The NSDT offers managers new insights on prioritization and evaluation of concurrent organizational initiatives that increase nursing efficiency, effectiveness, and sustainability (Meyers & O’Brien-Pallas, 2010). This offers a new theory for examining and managing key ideas to influence the delivery of nursing services, at the point of care, in large health care organizations (Meyer & O’Brien-Pallas, 2010). In conclusion, with the ever-changing financial needs of an organization, paired with the ever-increasing demands of health care, changes to staffing in health care facilities is vital. Long gone are the days when budget dictates minimal nursing staff to provide care. It is far easier to change a person’s behaviors or views than that of an entire group, as well as a person’s knowledge versus attitudes (Marquis & Huston, 2015). Positive change, however small, must start somewhere, why not with you? References Johnson, J.K., Miller, S.H. & Horowitz, S.D. (2008). Systems-based practice: Improving the safety and quality of patient care by recognizing and improving the systems in which we work. Retrieved
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from: - Johnson_90.pdf Marquis, B. L., & Huston, C. J. (2017). Leadership roles and management functions in nursing: Theory and application (9th ed.). Philadelphia, PA: Lippincott, Williams
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