Flat Organization Model Essay

Over the last decades both public and private hospitals have been experiencing severe financial situations (Everhart, Neff, Al-Amin, Nogle, & Weech-Maldonado, 2013). The financial shortage is associated with delay or even lack of governmental sponsorship and competition from their rivals. Enacting the policy will mount financial pressure on these hospitals that are on cost-cutting strategies. The salaries and wages of nurses are dominating the costs of operation in the hospitals and therefore adding more staff to correct the understaffing will be like creating another problem (Goddard, 2003). Contrary, Empirical studies prove that adequate nurse staffing produces better outcomes for both the staffs and the patients (Donaldson & Shapiro, 2010). These do not mean that the financial performance of the health centers will be at stake. Quality is associated with profitability. Understaffing leads to increased workloads, fatigue and job dissatisfaction. These situations that can be corrected on the implementation of proper staffing policies (Everhart, Neff, Al-Amin, Nogle, & Weech-Maldonado, 2013). The policy aims at offering quality service, reasonable patient-doctor ratios, reducing high mortality rates, improving the health of patients through proper examination and disease diagnosis among other

Julia, a registered nurse, has been run down all week making medication errors and recently one of her patient’s fell out of bed. Julia has eight patients assigned to her due to staffing shortage since the hospital decided to stop using LPNs. Julia is very overwhelmed and is unable to safely take care of her patients. Julia was required to report to her manager’s office the next morning due to her patient neglect and fall. The manager informed Julia the high nurse to patient ratio is not a problem as other floors and nurses are doing fine with it. Recently, I have seen this occur with in my own facility I work for. As of right now it is staffed with fifty percent locums or travel nurses, which leads to increased

A review of the nursing literature demonstrates that supporting nurse staffing ensures quality nursing care for patients and has been an ongoing challenge for nurse managers and administrators. Failure to ensure sufficient numbers and compassionate nurse staff has been demonstrated to negatively impact patient satisfaction and outcomes. The nurse staffing problem is not limited only to ensure adequate numbers of staff that are being lost in the acute care settings due to overwork, burnout, compassion fatigue and injuries; the nurse staffing problem also includes the impact to

Nurse-to-patient ratios is not a new topic of debate for all of us who deliver care to patients every day. Only lately it has been a big issue that have caught the attention of many. Demands by the medical community for changes concerning staffing, asking for the government interventions in minimum staffing laws. Registered nurses have long acknowledged and continue to emphasize that staffing issues are an ongoing concern, one that influences the safety of both the patient and the nurse. (ANA, 2015) .nowadays hospitals are running for profit and the emphasis is not put on job burnout, stress, and endangerment of patients. Nursing shortages is a very pertinent problem, it will be optimum to have laws in place to help with the issue, however meanwhile leadership and management methods to the matter can help to mend the nursing situation and avoid many of the damaging effects of unfitting nurse-to-patient ratios.

As one might predict from the articles reviewed not one eluded that the bedside nurse disagreed with an improved RN to patient ratio. At this point you may be reading this saying; so hospitals need more nurses, why don’t they hire them. The answer is hospitals do, but because of the growing number of patients in the hospitals, nurse burnout, and nurses moving from one department to another or quitting all together, there is a nursing shortage. The problem becomes how hospitals can retain nurses when there are so many opportunities elsewhere. The upper nursing management, often known as the VP of nursing, collaborate with the accountants and CEO’s of the hospitals and have pressure to save money

In the ever changing world of healthcare, healthcare organizations in order to be the most efficient in their delivery of healthcare, streamline their organizational structure to stay competitive, while providing the best patient care possible. This process can place increasingly undue stress onto its staff resulting in nurses having to do more with less available resources which ultimately increases their workload, has them working longer hours due to staff shortage, which contributes to an increase in the nurse burnout rates. This eventually filters down to the patient’s level of care and means less time spent on each

Understaffing has become a major problem throughout our country, being that it often results in leads to unsafe conditions,avoidable death and injuries, and the possibility of a nurse being unhappy with his or her job.At the point when nurses are compelled to work with such high nurse - to -patient proportions, patients are exposed to death ,diseases, harm, or get sent home too early without sufficient training about how to deal with their ailment. A major reason for the understaffing of hospitals and specialized care home is for the simple fact that it is more cost efficient.Laws regarding how many nurses should be required per unit varies from state to state.Studies have been undertaken to correlate nurse understaffing and nursing fatigue. Those studies have uncovered that these two issues adversely affect the nature of care given to an individual which is the, patient to nurse ratio and operational expenses in facilities such as hospitals and specialized care facilities.For an example a national study that was published in a recent JAMA-Pediatrics issue and funded by the Robert Wood Johnson Foundation Interdisciplinary Nursing Quality Research Initiative and the National Institute of Nursing Research reached the conclusions that an obscure amount of neonatal intensive care units, or NICU’s, throughout the country provide adequate quantities of nurses to meet national rules and that the units administering to the most children are additionally the most understaffed, putting the wellbeing of fundamentally sick infants at risk.One of the study authors were Eileen Lake, who is a nursing professor and associate director of the Center for Health

With the increasing injuries and errors in healthcare facilities, strategies must be implemented to combat this the battle of nursing burnout. Many issues in healthcare are a result of overwhelmed employees as a result of increased caseloads and staffing shortages. Many nurses are not able to maintain a healthy work life balance and it’s necessary to resolve these issues if nurses are to provide quality care to the patients. Staffing and schedules must be catered to meet the needs of the unit and at the same time not leave the nurses exhausted and stressed. Vacations could be honored with better use of the float RN’s by using temporary staffing for chronic long term vacancies. Meetings should occur during the shift and not before or after. Incentives need to be given to those employees that engage in healthy activities such as healthy eating and exercise. Employee recognition should be increased and employees need to feel appreciated with things such as athletic event tickets, lunch vouchers, gift cards, etc. Many things can be done that are not costly to the

In recent years, the healthcare industry has seen a significant decline in the quality of patient care it provides. This has been the result of reduced staffing levels, overworked nurses, and an extremely high nurse to patient ratio. The importance of nurse staffing in hospital settings is an issue of great controversy. Too much staff results in costs that are too great for the facility to bear, but too little staffing results in patient care that is greatly hindered. Moreover, the shaky economy has led to widespread budget cuts; this, combined with the financial pressures associated with Medicare and private insurance companies have forced facilities to make due with fewer

The current and growing shortage of nurses is posing a real threat to the ability of hospitals, long-term care facilities, and others to provide timely access to quality care. Nurse staffing shortages and nurse turn-over contributes to the growing reduction in the number of staffed patient beds available for services, increasing costs, and rising concerns about the quality of care. Health care organizations highly depend on nurse managers and leaders to reverse this trend. This paper discusses the reasons for nursing shortage and turn-over, different approaches to solve this issue, and my personal philosophy about this issue.

Nurses are crucial in providing quality care in the health care industry. It is imperative to maintain the proper staffing ratio to ensure that nurses can maintain high quality care for their patients. Studies have shown that the increasing workload of nurses can be linked to increased patient deaths, medical errors, hospital-acquired infections, longer hospital stays, and many other complications. (National Nurses United n.d. ) Leaders and managers play a vital role in developing

Understandably management has a difficult role to fulfil. They have to manage schedules, deal with call ins, and nursing shifts. Most health care facilities use mandatory overtime to correct understaffing. This can lead to multiple errors in the health care system. There are also many health risks that not only affect the nurses but the patients as well. The main health and safety issues associated with mandatory overtime are prolonged exposure to hazards, fatigue, ethical issues, and burnout. (Worthington, 2001) These issues can also put the patients that the nurses care for at risk, and have a negative impact on patient satisfaction.

understaffed and the nurses overworked. Nurse understaffing is a problem that cannot be solved by simply just adding more nurses to the profession. In order to solve the problem, you have to look at the reasoning for it. By looking at how one can make nursing more cost effective, finding areas of the hospital that need more intensive care than others, and working with nurses on the best way to do scheduling, the problem that arises because of lack of staff can be solved. These proposed ideas offer individualized solutions to nurse staffing as opposed to mandatory staffing ratios.

A continuous concern that continues to present itself within the healthcare environment is adequate staffing on nursing units. Most hospital organizations try their very best to accommodate staffing needs, though many units remain understaffed for an unspecified amount of time. Inadequate staffing can negatively affect patient outcomes, lead to nurse burnout, and decrease patient satisfaction scores. Combating this issue will require a great deal of effort, as many geographical face nursing shortages when seeking new graduates and qualified candidates. Employees may begin to feel that they are unable to pursue personal goals within a healthcare organization, due to inability to transfer as a result of staffing shortages. This often results in nursing seeking employment or career advancement outside of the organization or geographical area, which further intensifies ramification associated with inadequate staffing.

Organizational structure is definitely a must have in an organization. Organizational structure is designed to form and develop clear lines of order to control an organization getting the best use of the organizations resources. According to Mahmud Hasan, some advantages of organization structure are that is easier to control the resources and they can be rationed and allocated to different units to use them at their more productive use at a micro level. Another advantage would be that clearly defined reporting lines make it easy for employees to know whom to report to while reducing redundancies by eliminating extra or unproductive processes. Other advantages are to streamline processes by giving them more focus and adoptive nature, reduce cost because the controlling of various cost control centers are controlled at micro level. Lastly, another advantage is it will help reduce cost because the controlling of various cost control centers are collected at micro level (Hasan, 2010).