Paper presented at the 55th Annual Meeting of the International Society for the System
WEEKLY DISCUSSIONS6Sciences, Hull, United Kingdom. Retrieved from Hayajneh, Y. (2007). Management for health care professionals series: Systems & systems theory. Retrieved from Khanna, S., Sier, D., Boyle, J., & Zeitz, K. (2016). Discharge timeliness and its impact on hospital crowding and emergency department flow performance. Emergency Medicine Australasia, 28(2), 164-170. doi:10.1111/1742-6723.12543Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application(8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.----,Kudos to your organization for continuing to make changes after a failure. It shows that they are committed to improving patient satisfaction and outcomes. The open system theory works when all the subsystems, managers, andstaff work together. Leadership has the skills of problem-solving, decision-making, and good interpersonal skills which make it successful with numerous changes (Marquis & Huston, 2015).Reference:Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: theory and application(8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.Response #1Angela, it is terrible your organization, uses staffing ratios based on numbers calculated by an algorithm, instead of basing care on acuity. I’ve had patients in restraints requiring every 15-minute charting, along with a team of six others. Nursing care can become involved at times, and during those times I appreciate my "easy patients" with minimal care. If you think about it, nurses with a team of six patients only get ten minutes per hour or 120 minutes in a 12-hour shift to spend with a patient, assessing, administering medications, documenting and meeting care needs. One method to correct the staffing issues at this organization would be to adopt and follow practices of an open system theory view. Open views tend to evaluate continually the organizational policies and practices based on feedback systems (Meyer & O’Brien-Pallas, 2010).ReferencesMeyer, R. M., & O’Brien-Pallas, L. L. (2010). Nursing services delivery theory: An open system approach. Journal of Advanced Nursing, 66(12), 2828–2838. Retrieved from the Walden Library databases.
WEEKLY DISCUSSIONS7Angela Celentano To fix problems in large organizations we need policy and procedures n place to set standards of care. An issue that I will discuss is one we all deal with as a nurse and that is staffing to provide adequate care to our patients. Being on a psych unit we are often doing what our unit needs to get by. The medical units have their own standers of patient/ nurse ratio. The nurse managers on that unit will determine the care needed on their patient’s and decide how many nurses to patients. When I worked on the surgical unit, one RN would have 4-6 patients. These patients’ came out of surgery and had some complex care. On my current unit which is in-patient psych, one RN to up to 10 patient’s. Now we need to keep in mind that some of these patients are 1:1 care due to being in
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- Summer '16
- Elvira Phelps
- Nursing, Open Systems