A large health-care corporation recently purchased a small, 50-bed rural nursing

Question

A large health-care corporation recently purchased a small, 50-bed rural nursing home 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 philos 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. ophy is 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. 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 urse managers and staff nurses do?

Explanation / Answer

1&2.If any sudden Changes occurs in any organisation it will leads to stress,working for longer hours and becoming more stressed which will lead to some resentment by the employee towards the employer.The changes that occurred in this case study are freedom to work which is hampered by the new director.every employee has some rights and responsibilities to fulfill in their job.In any organisation ,employees should be given opportunities to fulfill their basic needs like providing leave when required.Due to these changes made nurses to take retirement early and give resignations.

3.It will always be a good idea to keep the lines of communication open with your boss ie either the nursing manager or the director directly.whether the change seems like a positive or negative sign for your career,you should check yourself,have a conversation with the employee and discuss the situation.Keep in mind unless your ready to leave the job don’t issue any untimatums about your needs.

4.most of the situation staff members will resist the change may be because of one reason,the fear of losing the job and reputation in hospital.

5.only by increasing their salaries and giving benefits to the employees .

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