module 2 assignment final.docx

Origin, Organization and Performance of Hospitals Giselle R. Mills Masters of Science in nursing education, Aspen University N502 – Health Care Systems Dr. Patrica McAfee June 1, 2021

A health care system takes proper management and support in order to be successful for the people it serves. It is absolutely crucial for all parties involved in the health system to tackle the challenges to make the organization a success. We will identify four factors that contribute to the tension between medical staff, board of trustees and the administration. Discuss the public’s readiness to view survey findings of hospital care and explore the advantages and disadvantages of free-standing diagnostic, treatment centers and speciality hospitals. For a hospital to operate efficiently and effectively, the three important influences in its governance: medical staff, board of trustees, and administration, must work together in reasonable harmony. What factors contribute to the tension that usually exists among them? For the management of hospitals to operate efficiently and effectively a well-founded administration is required. In order for the health care organization to function to the best of its ability, we can treat each influencer like Lego blocks. For example, to create a model using Lego blocks, each individual block must fit into the next block appropriately for it to stand on its own and become the model we desire. Therefore, we should be able to ensure that each influencer within the hospital system is on the same page, working towards the same goals and objectives to achieve smooth operation of the hospital. Unfortunately, the health care system has a diverse population and comprises of different background and cultures, hence, tension may develop and disrupt the well-being of employees. Factors that contribute to the existing tension among the medical staff, board of trustees and administration includes: Behaviour, communication, poor management and resistance to change.

Behaviour According to Arnwine (2002), board behaviour is operating in accordance with the set roles and responsibilities stipulated by the board. Behaviours also include pivotal characteristics which include respect, sincerity and honesty in board discussions and maintaining confidentiality. The medical staff, board of trustees and administration must be open to all ideas and all respect each other’s views. Tension between these members develops when there is lack of respect and unwillingness to be open to other ideas. In a study conducted by Stecker et al., (2013) typical disruptive behaviours include lack of team work, belittling statements, inappropriate use in tone of voice, not listening or being inattentive to information distributed. Others include sabotage (telling lies, exaggerating, gossips and spread rumours) and social media bullying. Communication Effective communication plays a key role in the success in any business. For communication to be functional it requires the source, message and destination (Schramm, 1954). Any barrier between these three elements results in failure and tension among those involved. Communication should be clear and concise. Poor communication skills may lead to retaliation in staff withholding vital information because of fear of outbursts (Ramsay, 2001). The U.S healthcare system is multi-faceted with diverse healthcare professionals from different background. Tension develops if staff is withholding information, staff are less willing to assist, and it may even lead to injury of patient, and even worse, lawsuits. In another study conducted by Panahi et al., (2019) unclear information, improper interpretation and disruption in communication channel also contribute to the probability of tension which may lead to poor staff performance or losing excellent staff.

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