This Case Is About Health Care Involved In A Massive Change

Implementing change among all organizations is necessary to achieve success; within the health care industry change is constant and it is the role of management teams to assess, plan, implement and evaluate change to ensure satisfaction. Considering this among the other aspects of running a successful organization it is essential to ensure that there is minimal resistance and familiarity to change. Demands of the consumers and staff as well as regulations are continuously changing. The responsibility of managers is to successfully lead these inevitable changes.

As a result, they can affect items that are working properly, as well as, incur associated cost without the benefits (Taylor, 2015). Next, the firm should glide toward step 1, which is the redesign or the adaptation of the individual’s roles, responsibilities, and relationships (Spector, 2013, p. 42). This step allows the employee’s to discover who they need to work with, how they will benefit the company strategy, and the outcomes they wish to achieve. In this particular scenario for illustration, the team of nurses, therapist, tech, and schedulers will needs to work together, discover what they needs to do to make an impact (minimizing wasting products or ensuing they charge them out to the patient), and move from only providing quality care to providing quality, cost effective care. The importance here is that the employees devised this new concept rather than top management forcing it down the chain. This area can also present some potential problems. The team or organization can be risk adverse and fear making mistakes or failing (Recklies, 2001). For example, if 2 options are available, the person will go with the one that has lower risk instead of the one that may be more risky and provide a higher return or better outcome. Moreover, employees may be resistant to change as they are uncomfortable with it, do not see the new skills as beneficial, or they prefer the status quo. The second step, help, requests

James, I fully agree that it will be ill- advised to follow the HMH board members advocating for Mr. Longs's medical history release. The confidientiality of a patient records is to be strongly valued and release of such records are to be strictly construed in accordance with their terms. In the case called Hageman v. Southwest General Health Center the plantiff Kenneth Hageman, was recieving psychiatric treatment and during his course of treatment his wife sued him for divorce. Well, too make a long story short, Mr. Hageman gave authorization to his wife attorney for release of his medical records due to a custody battle. Therafter, his wife attorney released his records to the prosecuting attorney in his wife assult case against Mr. Hageman.

One thing is for certain, I listen and encourage the nurses’ inputs and opinions when it comes to changes regarding the department. I empower the nurses to have their voices heard and their actions be seen throughout the company and give credit where credit is due. I also encourage them to be better nurses and utilize their skills to the max, i.e. applying their rehabilitative nursing certification through trainings throughout the company.

Mindy Alternot is an administrator at Seaside Convalescent Care Center (SCCC). She has begun to have major issues at this facility and the longevity of this company is at a crossroad. Mindy was hopping that she could turn this facility around; however, it proved to be much more difficult than she thought. SCCC has a fine of $3000 a day for noncompliance because they were dined payment for a new admission. Mindy has begun to blame her nurse’s aides (NAs), because they account for more than 90% of the hands-on patient care. Mindy cannot find good NAs and is having well over a 100% a year turnover rate. She tried to motivate and improve training her NAs so that they would find new meaning and purpose for their jobs. Her intensions was

Resistance to change is an expected reaction of human nature. We are not accustomed to change, as it is possible to lead to failure; however, there are also ways to manage the resistance within the company.

Planned Organizational Change: In this situation, University Hospital underwent a significant planned organizational change. They took traditional nurses and put them into “care coordinator” positions. This planned change is defined as a process where an organization explores the need for change and possible solutions, plans for how that change is to be instituted, implements the change and disseminates information about the change, and integrates those changes into the day to day operation of the organization. It seems as if University Hospital did not implement this change in the best way possible. They seem to have thrown care coordinators into their roles without giving them much input into what their job would really entail.

I think if the VA or any government ran healthcare organization would adapt a pay-for-performance compensation program, the culture would change, because the employees would be more motivated to perform well; as a result, there will be an increase of quality of care provided to patients which, in return, would inhere to better medical outcomes.

Implementing change can evoke stress, and nurses are not immune to this stress brought on by change, or this stress might be amplified due to the fact that nurses are usually at the forefront of change. Any change that is initiated in the healthcare industry will impact how nurse perform their duty, and can negatively can affect their workflow if extra precaution is not taken. Thus, nurses are a major force in resistance to

Introduction In the article, “Facilitating Change Among Nursing Assistants in Long Term Care, Etheridge,Aubry and Couturier talk about the implementation of change in long term care organizations, a process by which new nurse assistants are informally integrated into LTCO’s in Quebec, Canada.Their goal was to identify factors inherent in nurse assistance practice in long term care organizations that can influence their involvement in changing initiatives. To collect their data,they went to different health care facilities and determined information on the workers. The health care investigators also took a set of health care workers and asked them a set of questions in order to analyze their data on changing LTCO’s Development For the study,

Instead of providing the care they thought they would be providing, they were reigning in members to a program with the promise of improved health while they felt their own health was being neglected or jeopardized due to added stress, no time for breaks or guaranteed family time. Corporate compliance was called anonymously with complaints of working conditions and a state wide meeting was held with the RN case managers to gather information. Staff was assured that their concerns were being heard and efforts would be made to improve the current state of affairs.

Westmount Nursing Inc. is a for profit chain with seven different nursing homes. It has a grown from a small few bed facility to a facility with 4 different divisions that made to help make seniors more independent. The Westmount Nursing Homes were in search for a chief executive officer and president, which was filled by Shirley Carpenter. After Shirley Carpenter came on to the company, many changes were made and implemented. Some implementations were successfully, but she was also challenged with many problems with the Union Federation of Nurses and the Board of directors regarding wages and total quality management implementation. My recommendation would be for Shirley to stop the implementation of total quality management and focus on

Anyone, especially nursing leaders, can bring about change within a healthcare system. In this week’s lesson, we discussed change theories, conflict theories, and leaders as change agents. Overall, change is based upon a variety of factors. They range from different situations to the environment. The three change theories that we discussed this week include the environmental change theory, the teleological change theory, and the life cycle change. The environmental change theory basically states that various environmental factors are the reason for change. These changes are happening for survival. Teleological change can be identified as planned change or scientific management. This type of change is purposeful and includes planning,

Suggested reasons for resistance include: loss of control, shock of new, uncertainty, inconvenience, threat to status, competence fears. It is important to try to diagnose the cause of employee resistance as this will help determine the focus of effort in trying to reduce/remove the issue.

Technical resistance is caused when employees are concerned about the capital that was invested in the technology and equipment that is currently being used. There is also cultural resistance that is difficult for employees to change values, norms, and procedures that are supported by the current culture within the organization. The final type of resistance is political resistance. This happens when decisions made in the past are now being questioned which can cause certain stakeholders to feel threatened (Van Dijk, & Van Dick, 2009).