system. Open-systems work better in hospitals organizations by allowing staff and
leaders to work cohesively together. In an open-system, the hospital organization will
look at the external environment for help with the nurse to patient ratios. With retaining
nursing staff or hiring, entropy must be counteracted (Myer & O’Brien-Pallas, 2010).
One of the ways this hospital organization is trying to prevent entropy is by using travel
nurses. Travel nurses can help decrease the nurse to patient ratios and help boost staff
morale. As a travel nurse, myself, I’ve been on units where nurse retention is high due
to high acuity and increased patient loads. Travel nurses can decrease the patient
loads. Travel nurses are also able to see if a hospital organization is right for them, thus
staying on full-time at a hospital organization.
References
BusinessDictionary. (2017). Entropy. Retrieved from

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 from
Marquis, B. L., & Huston, C. J. (2015).
Leadership roles and management functions in
nursing: Theory and application
(8th ed.). Philadelphia, PA: Lippincott, Williams &
Wilkins.
Meyer, R. M., & O’Brien-Pallas, L. L. (2010). Nursing services delivery theory: An open
system approach.
Journal of Advanced Nursing, 66
(12), 2828–2838.

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- Summer '16
- Elvira Phelps
- Management, Nursing, Nursing Shortage, hospital organization