A large health-care corporation recently purchased a small, 50-bed rural nursing home. A new director of...
Fantastic news! We've Found the answer you've been seeking!
Question:
Transcribed Image Text:
A large health-care corporation recently purchased a small, 50-bed rural nursing home. A new director of nursing was brought in to replace the former one, who had retired after 30 years. The new director addressed the staff members at the reception held to welcome him. "My philosophy is that you cannot manage anything that you haven't measured. Everyone tells me that you have all been doing an excellent job here. With my measurement approach, we will be able to analyze everything you do and become more efficient than ever." The nursing staff members soon found out what the new director meant by his measurement approach. Every bath, episode of incontinence care, feeding of a resident, or trip off the unit had to be counted, and the amount of time each activity required had to be recorded. Nurse managers were required to review these data with staff members every week, questioning any time that was not accounted for. Time spent talking with families or consulting with other staff members was considered time wasted unless the staff member could justify the "interruption" in his or her work. No one complained openly about the change, but absenteeism rates increased rapidly. Personal day and vacation time requests soared. Staff members nearing retirement crowded the tiny personnel office, overwhelming the single staff member with their requests to "tell me how soon I can retire with full benefits." The director of nursing found that shortage of staff was becoming a serious problem and that no new applications were coming in, despite the fact that this rural area offered few good job opportunities I 1. What evidence of resistance to change can you find in this case study? 2. What kind of resistance to change did the staff members exhibit? 3. If you were a staff nurse at this facility, how do you think you would have reacted to this change in administration? 4. Why did staff members resist this change? 5. What could the director of nursing do to increase acceptance of this change? What could the nurse managers and staff nurses do? A large health-care corporation recently purchased a small, 50-bed rural nursing home. A new director of nursing was brought in to replace the former one, who had retired after 30 years. The new director addressed the staff members at the reception held to welcome him. "My philosophy is that you cannot manage anything that you haven't measured. Everyone tells me that you have all been doing an excellent job here. With my measurement approach, we will be able to analyze everything you do and become more efficient than ever." The nursing staff members soon found out what the new director meant by his measurement approach. Every bath, episode of incontinence care, feeding of a resident, or trip off the unit had to be counted, and the amount of time each activity required had to be recorded. Nurse managers were required to review these data with staff members every week, questioning any time that was not accounted for. Time spent talking with families or consulting with other staff members was considered time wasted unless the staff member could justify the "interruption" in his or her work. No one complained openly about the change, but absenteeism rates increased rapidly. Personal day and vacation time requests soared. Staff members nearing retirement crowded the tiny personnel office, overwhelming the single staff member with their requests to "tell me how soon I can retire with full benefits." The director of nursing found that shortage of staff was becoming a serious problem and that no new applications were coming in, despite the fact that this rural area offered few good job opportunities I 1. What evidence of resistance to change can you find in this case study? 2. What kind of resistance to change did the staff members exhibit? 3. If you were a staff nurse at this facility, how do you think you would have reacted to this change in administration? 4. Why did staff members resist this change? 5. What could the director of nursing do to increase acceptance of this change? What could the nurse managers and staff nurses do?
Expert Answer:
Answer rating: 100% (QA)
1 Evidence of resistance to change is associated with new implements in the hospital management and ... View the full answer
Related Book For
An Introduction to Statistical Methods and Data Analysis
ISBN: 978-1305269477
7th edition
Authors: R. Lyman Ott, Micheal T. Longnecker
Posted Date:
Students also viewed these medical sciences questions
-
In Chapter 9 we will be able to show, under certain assumptions, that the velocity v(t) of a falling raindrop at time t is where t is the acceleration due to gravity and is the terminal velocity of...
-
In Chapter 9 we will be able to show, under certain assumptions, that the velocity v(t) of a falling raindrop at time t is V(t) = v* (1 - e-gt/v*) where t is the acceleration due to gravity and v* is...
-
Graham Bell has just retired after 30 years with the telephone company. His total pension funds have an accumulated value of $300,000, and his life expectancy is 16 more years. His pension fund...
-
(1) How Does Strategy Respond to Environmental Factors Imprima Corporation is based in the United States and is examining the prospects for expanding into international markets with its main product,...
-
Refer to the financial statements and related disclosure notes of PetSmart in Appendix B located at the back of the text. Required: 1. What amount of depreciation and amortization did the company...
-
Find two systems of linear equations that have the ordered triple as a solution. (There are many correct answers.) 1. (2, 0, 1) 2. (5, 3, 2) 3. (1/2, -3, 0) 4. (4, 2/5, 1/2)
-
The Foreign Corrupt Practices act can levy fines of more than five hundred million against companies our size that do not eliminate corruption in their operations abroad. Can you understand why the...
-
Refer to P22-22A. Requirements 1. Prepare the schedule of budgeted cash collections from customers for April and May. 2. Prepare the schedule of budgeted cash payments for purchases for April and...
-
Following are the ledger balances of Titas Pvt. Ltd. as on the date 31 December, 2022. Prepare the Trial Balance using the following balances. Account Name Tk. Bank Overdraft 40,000 Cash 20,000...
-
In a typical month, the Monk Corporation receives 80 checks totaling $113,000. These are delayed four days on average. What is the average daily float? Assume 30 days in a month.
-
A helical compression spring has a scale of 400lbs/in, an inside diameter of 2.25 inches, a free length of 8 inches, and squared and ground ends. The material is to be chrome vanadium steel. For a...
-
How is organizational philosophy reflected in the measurement of nurse workload?
-
Think about your own experience or that of a family member in receiving healthcare services. To what degree was the healthcare provider customeroriented? Why? What lessons can you derive from that...
-
Describe and discuss future-oriented job analysis and generic job analysis. How may each be used to help healthcare executives cope with a rapidly changing and competitive environment? What are some...
-
What are the advantages and disadvantages of recruiting through the Internet? What advice do you give to a hospital that is considering using the Internet for recruitment?
-
How is nurse workload related to nurse staffing?
-
(10 pts) Find the Minimum Spanning Tree of the following Graph using (a) Prim's Algorithm and (b) Kruskal's Algorithm 5 9 6 2 14 1 6 6 3 11 10 15 2 4
-
Draw two scatterplots, one for which r = 1 and a second for which r = 21.
-
The seizure data for the study of Exercise 18.25 are shown here. We have baseline seizure rates, as well as seizure rates for 5 months while on therapy. a. Plot the mean seizure rates by month for...
-
Many people purchase sport utility vehicles (SUVs) because they think they are sturdier and hence safer than regular cars. However, preliminary data have indicated that the costs for repairs of SUVs...
-
A manufacturer of cases for sound equipment requires that holes be drilled for metal screws. The drill bits wear out and must be replaced; there is expense not only in the cost of the bits but also...
-
On which areas do governing boards focus?
-
What are the six principles of good governance?
-
Why is diversity important in the composition of a governing board?
Study smarter with the SolutionInn App