Troubled General Surgical Unit - Running Head TROUBLED...

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Running Head: TROUBLED GENERAL SURGICAL UNIT Troubled General Surgical Unit Megan Heath EMBA 774 James Lineberger Creighton University June 22, 2019 Executive Summary
TROUBLED GENERAL SURGICAL UNIT 2 Barbara Norris, registered nurse at Eastern Massachusetts University (EMU) elects to accept a challenging new role as nurse manager of the most troubled department, General Surgery Unit (GSU). This is Barbara Norris first job as a manager and had been warned not to even consider the job. The GSU is notorious for significant problems from high turnover and low retention rate. The staff’s morale is low and lack motivation to their job daily. The GSU also has a culture of confrontation, blaming, and favoritism. EMU has eliminated overtime to cut costs, reduced differential pay, and placed the organization on a hiring freeze. The budget cut leads to adequate staffing, especially in the instance of personal or vacation leave. Barbara’s only option is to assist on the unit and rely on nurses from general float pool to cover the staff during leave. Ultimately, this has damaging effects on staff dynamics because the substitute nurses are not familiar with the GSUs policies or procedures. The key issues of GSU that Barbara Norris display resilience and overcome the lack of collaboration and teamwork amongst staff, lack of reward for job performance, and the lack of feeling supported within the GSU team. The position and obstacles would prove to challenge the most experienced leaders. Troubled General Surgical Unit Eastern Massachusetts University (EMU) is a large healthcare organization that is
TROUBLED GENERAL SURGICAL UNIT 3 encountering issues within their General Surgery Unit (GSU). The healthcare organization is facing an economic crisis, deep cost cutting measures have been implemented throughout the hospital, and if action is not taken soon within one of the largest units, GSU, the overall success of the organization is at risk. At EMU, the General Surgical Unit manager announced her retirement and the organization needed to find a suitable replacement. Barbara Norris, a well- respected and successful nurse for many years at EMU went through numerous interviews before being selected for the position as the GSU nurse manager. Barbara Norris accepted the position and challenge to turn the unit around while having knowledge of some of the issues at hand. Within the first month into her position, Norris identifies a wide variety of problems that directly affect GSUs staffing and productivity. Barbara Norris grew up with a strong appreciation for nurses that helped her choose a career as a registered nurse. At the time of case study, Barbara Norris has many years of experience as a staff nurse in a few other units at EMU and was aware of the GSU’s problems.

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