A 5 page proposal discussing an organizational change to make better use of available human resources. Rosewood Hospital is a very small, rural hospital facing staff utilization difficulties. The entire maternity ward consists of only two beds, but the hospital maintains a staff of two full-time and two part-time maternity RNs. It would seem that this is quite enough, and it is in the absence of the need on the part of any maternity nurse to miss a scheduled shift. The purpose here is to propose an organizational change involving the cross training of another nurse. This solution meets maternity’s short-notice needs while yet allowing the non-maternity functions of the hospital to remain fully staffed during training. Bibliography lists 8 sources.
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Rosewood Hospital is a very small, rural hospital facing staff utilization difficulties. The entire maternity ward consists of only two beds, but the hospital maintains a staff of
two full-time and two part-time maternity RNs. It would seem that this is quite enough, and it is in the absence of the need on the part of any
maternity nurse to miss a scheduled shift. The purpose here is to propose an organizational change involving the cross training of another nurse.
This solution meets maternitys short-notice needs while yet allowing the non-maternity functions of the hospital to remain fully staffed during training. Introduction
The shortage of nurses has been and continues to be an ongoing problem in the profession. As long ago as 1990, at least one author was addressing in print
the problems that hospitals were having not only in retaining the nurses they had, but also in attracting new ones (Doering, 1990). Recruiting advertising in newspapers and nursing journals
published more than 20 years ago even then was beginning to mention sign-on bonuses and flexible schedules as enticements to specific hospitals. Today,
the problem of the nursing shortage has grown to the point that it is no longer only added stress and long hours for those nurses still active in the profession.
It is increasingly difficult for care-providing organizations to remain fully staffed; those most successful are those exhibiting creativity and shared governance (Shortell and Kaluzny, 2000). Rosewood Hospital is
fortunate in that it has such a full complement of RNs available to it. At a nurse-patient ratio of nearly 1:1, the hospital clearly is not directly suffering
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