Case Study about Integrating Individual, Work Group and Organizational Factors
Background: This paper is part of a larger study of bullying in the Australian nursing workforce. While a number of studies have documented the frequency and consequences of bullying among nurses, there have been few attempts to develop integrated theoretical models that identify individual, work group and organizational factors.
Introduction: The ﬁeld of workplace bullying has developed rapidly in recent decades, with considerable work undertaken in a number of industry sectors to deﬁne the nature and extent of the problem. Nurses are considered a high-risk occupational group for exposure to workplace violence and aggression.
Abstract: During the second half of the 1990s, healthcare in Canada experienced significant downsizing and reform. One of the consequences of these reorganizations has been a reduction in the number of clinical managers and a significant increase in their span of control, to the point that often their abilities to fulfil their role as clinical managers are hindered (Altaffer 1998; Counsell et al. 2001; Pabst 1993). The first-line manager plays a critical role in the delivery of healthcare, in particular, within nursing services. Therefore, providing support for the professional practice of clinical managers should become a priority.
The recent report of the Canadian Nursing Advisory Committee (2002) recommended that reasonable and manageable span of control be examined and assessed by employers to ensure that clinical managers are able to complete assigned functions and be present to meet nurses’ and patients’ needs. It is well documented that clinical managers are experiencing a more complex work environment, including advances in technology and informatics, research, increased complexity of patient care, recruitment and retention of multidisciplinary healthcare staff and redesigns of professional practice.
Overview: The Maryland Digestive Disease Center has been providing high-quality medical care for over 25 years. Housed in three separate locations, the Center offers a full range of inpatient and outpatient services and employs a staff of over 62 doctors, nurses, and medical assistants. Efficiency and effectiveness are critical factors in the medical field, but the Center’s lack of a cohesive network was holding it back. The three branches had no interoffice data network or file sharing capabilities, and needed a more modern approach to communications that could grow with them well into the future.
The Challenge: Streamline the telecommunications functions of three separate locations into one cohesive system, and build a seamless network for data sharing across all three sitesThe Maryland Digestive Disease Center needed a centralized call center and transparent three-digit dialing across the three sites. It was also crucial to connect all the branches on a single computer network, so that data could be shared easily and quickly, reducing dependence on fax. The Center’s entire communications system had to be completely modernized and streamlined while maintaining ease of use and keeping costs at a minimum…
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“With Fujitsu’s solution, instead of spending a whole day dealing with a single request, now it can be closed within few minutes, all from one central console. The headaches we used to suffer are a thing of the past.” - Mr. Bader Al Kiyumi Deputy Director, Technical Support and Networks, Sultan Qaboos University Hospital.
The medical toolkit has come a long way since the days of the leather doctor’s bag. Just as a surgeon cannot work without his scalpel, no clinician can perform their daily role now without access to electronic data and digital tools such as MRI scans and X-rays. This is true of every department – from the emergency room to the pharmacy.
For Sultan Qaboos University Hospital, one of Oman’s leading healthcare facilities, this was really brought home when the online software it used for managing patient data, TrakCare, began to slow down. The hospital’s more than 420 physicians and nurses use the software to check, update and share information on every aspect of every patient’s treatment. Often this needs to be done in real-time, where getting the right detail on the best medication to administer, for example, can be life-saving. Patience is not a luxury they can afford. For more information on Sultan Qaboos University Hospital click here
Macmillan Cancer Support is the largest cancer care and support charity in the UK. The organisation was established in 1911 as the Society for the Prevention and Relief of Cancer, founded by a young man named Douglas Macmillan who, motivated by his father’s battle with cancer, wanted to help offer services of value to those coping with the disease. The charity was originally created to provide advice and information to all people with cancer, homes for patients at low or no cost, and voluntary nurses to attend to patients in their own homes. Today much of Douglas’ legacy lives on.
As treatments for cancer improve and patient survival rates increase, the number of people living with the disease and its aftermath is also growing and, accordingly, so grows the need for extended medical help as well as practical, emotional and financial support services for the people and families affected by this challenging disease. Today Macmillan provides assistance to patients, their caregivers, families and communities with a variety of support services… Click here to learn more aboutMacmillan Cancer Support
The DHB funds health, disability and hospital-related services in Auckland’s Counties Manukau district. It employs more than 6,000 people including doctors, nurses, aged-care workers, orderlies and cleaners.
Sandy says having a workplace literacy strategy ensures training ties into the bigger picture.”We work in an environment that is incredibly busy. You can’t expect doctors to say ‘This process would be improved if the orderly did such and such.’ You need the people who are doing the work – the people on the floor – to make suggestions for change. Click here to read more…
Gentiva Health Services employs approximately 30,000 home healthcare workers including nurses, therapists, and administrative staff. Home healthcare involves significant amounts of paperwork and record keeping—including clinical records, claims, and benefits-related forms and documentation—and Gentiva caregivers enter volumes of data manually. In addition to taking time and creating frustration for the caregiver, this situation prolongs the turnaround of important patient data and billing information. Gentiva believes the remedy may be in pen-based technology and the Tablet PC. Click here to read more…
Dundee City Council and NHS Tayside were together responsible for the care provision for older people in the city. Before decisions were made about the types of care provision that had to be provided, various assessments that involved many different agencies were required.These assessments were carried out at different times by different care professionals e.g. Social Workers and NSH nurses which resulted in duplication of information gathered, service provision delayed and resource issues.
The Council and NHS Tayside were both committed to quality care service provision and therefore wanted to explore ways in which the various agencies could provide a ‘single shared assessment’ for the benefit of its users, staff and the organisations. Click here to read more…
Controversy exists regarding whether or not nurses should act act as patient advocates. This article describes a case study in which a district nurse (DN) acted as an advocate for a patient, who was removed from his GP’s register. A structured approach using six stages of advocacy (Bateman, 1995) is applied to this case scenario. Legal, ethical and professional issues are explored to determine the DN’s position in advocacy. By acting as patient advocate the DN enhanced the therapeutic relationship with the patient and improved his access to health care. Although the extent to which a DN can act as advocate is somewhat limited, advocacy positively complimented and contributed to the role of the DN in this case study. Click here to read more…