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The more outputs the NICU has, the more revenue is generated for payment received from the
SYSTEMS THEORY3patients. Negative feedback is used to determine how the system is functioning (Katz & Kahn, 1978). This feedback serves as an indicator of quality performance. The events cycle is when continuous services are available to be provided when revenue can buy additional inputs to fund the NICU.Identified ProblemThe identified problem in the NICU is the staffing of nurses because there is not a set schedule for holidays and weekends. Many nurses have not worked a holiday or weekend in years, and there are some that work most holidays because that is how they are scheduled. The lack of rotation develops an input upset with systems theory. Nurses are needed to maintain service output by providing service. There is a great impact on throughput and output when thereis not staff available and also results in negative feedback for the unit.Desired Outcome and GoalsThe desired outcome for the identified problem would be to provide adequate continuous staffing for holidays and weekends. To facilitate the desired outcome there needs to be a policy created for nurses to work rotating weekends and also rotating holidays. Many nursesat facilities that have rotating holidays favor it because it allows staff to know the holidays the are working years in advance (DeWolf Bosek & Savage, 2006, p. 436).In order for the organization to continue providing superior care, the staffing issues in theNICU must be addressed. When there is inadequate staff, there are adverse effects on nurses, patients and the organization as a whole. Amongst other negative consequences are decreased patient safety and desired outcomes, nursing happiness, and an increase nurse burnout.
SYSTEMS THEORY4The issue needs to be addressed to a steering committee that will help create the policies and procedures. The council will also help to develop strategies and alternatives to get the desired outcome and maintain the utmost professionalism at all times. When nurses are