You are the administrator of a medium-sized hospital. The Director of Human Reso
ID: 348445 • Letter: Y
Question
You are the administrator of a medium-sized hospital. The Director of Human Resources has been summoned to an executive team meeting in an effort determine why an unusual number of nursing staff leaving for other employment. During the discussions, the Director of Nursing provides her thoughts regarding why the nurses may be less productive and why some are departing. She states that the primary reason is salaries/benefits. A charge nurse thinks the reason might be working conditions, especially involving patient load in the various nursing units. Overall morale is low, which is adversely affecting productivity. This has also resulted in some patient quality outcomes discovered by the Continuous Quality Improvement team. During the discussion, the Senior Director of Admissions shares some experiences she had with a former employer--that the nursing staff tended to remain longer with the employer based on good working conditions, specifically in the area of learning new skills, obtaining additional certifications, licensure, and cross-training for other areas not usually assigned. She feels that these measures result in higher retention and patient quality outcomes. After the meeting, you meet with the Director of Nursing and Human Resources Director, who is also in charge of all training and development for the hospital. As the administrator, you consider developing a small group to explore the feasibility of providing more skills development and training to your current nursing staff. Before implementing this directive, consider the following:
1. How would you determine which skills, certifications, and licensure would be effective in retaining the current nurses?
2. Is there a direct correlation between additional skills and retention and motivation of the nurses?
3. How would you determine who would be provided the skills development? Are all skills for all nurses feasible?
4. How would you determine if additional compensation would be required for trained nurses?
5. How would you quantitatively determine the cost of this initiative?
Explanation / Answer
1. How would you determine which skills, certifications, and licensure would be effective in retaining the current nurses?
Answer- To do this I will is with the head of nursing staff and try to understand with his/her experience that what kind of professional/educational training is expected by the nursing staff. In general my understanding is that those skills and certifications which enhances the nursing staff's employability must be implemented in the training. Taking help of certain senior doctors in the industry will again be very helpful.
2. Is there a direct correlation between additional skills and retention and motivation of the nurses?
Answer- Yes, of course there is a direct correlation. Basic HR practices and research always shows that in case of job becoming monotonous and routine, the employee starts getting less interested in the performance. Over the period of time if the employee does not get anything new out of the job, he/she may not remain in the organisation and attrition may be faced by the firm.
3. How would you determine who would be provided the skills development? Are all skills for all nurses feasible?
Answer-Here I would like to develop certain performance parameters and try to understand that who are the nurses which are overloaded with patient handling and other task. Besides this I will even go for a direct feedback to other staff and try to understate about the staff members who feel like quitting the job. Once getting aware about the scenario I will get the list making done about what skills may be useful for an individual.
4. How would you determine if additional compensation would be required for trained nurses?
Answer- In case if the trained nurse can provide better services to the system than of course their remuneration to be raised as per the contribution.
5. How would you quantitatively determine the cost of this initiative?
Answer- It will be as simple as we define the cost of an academic course. First of all we will have to identify the skills to be developed in the nurses and the cost of those experts who will be able to teach those skills.
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