Case Study: Budgeting to Enhance Professional Practice and P…

Case Study –Productivity

Jennifer Broadwater is the director of womens health for a regional nonprofit healthcare system. She has doctoral preparation in executive leadership. Prior to her current appointment, Broadwater served as a nurse manager at a small private hospital for 2 years after graduation.

Historically, Broadwaters department has run smoothly and efficiently, and it was one of the premier departments within the organization. Over the past three months, some nurses have begun requesting transfers to other departments, while others have resigned to seek employment outside the organization. The CNO is concerned and would like Broadwater to make this her top priority.

The department consists of 175 full- and part-time employees: 88 BSN RNs, 61 ADN RNs, 24 patient care technicians, and 2-unit secretaries. In the past, staff members have worked well together. Recently, nonproductive turnover has increased, resulting in additional stress among staff members and creating a negative, distrusting culture. Due to the departure of many seasoned nurses and the arrival of new nurses, staff members report feeling overwhelmed with the task of orienting new nurses and interacting with nursing students. Additionally, staff members believe that patients may not be receiving proper care.

Staffing and Resource Management

An in-depth staff analysis reveals certain nurses with a pattern of callouts. Broadwater reports to her CNO that she will need to address productivity, accountability, and productive turnover versus nonproductive turnover. Broadwater considers the best use of her staffing mix to maximize efficiency and productivity. The hospital has Magnet designation and a shared governance model, using relationship-based care as its professional practice model. Broadwater is concerned that the shared governance model and the relationship-based care model may not be translating to the day-to-day operations of patient care delivery. Broadwater is considering an alternative nursing care delivery model that might be used with the current staffing mix to enhance productivity and better meet the needs of staff members and patients.

Case Study Questions

1. Broadwaters department uses a decentralized budgeting process. Using the eight steps identified earlier in Chapter 8 in the procedures for decentralized budgeting, identify how Broadwater would use her understanding of her staffing mix, patient care needs, and shared governance model to best address department problems.
2. Using the staffing mix, how might Broadwater maximize her professional nursing capacity, considering the need to increase her BSN RN pool?

In a 3 page paper, develop a plan for improving productivity, accountability, and productive turnover versus nonproductive turnover within a unit functioning within a shared governance model. Be sure to address the case study questions noted above.Your scholarly paper should include a cover page, a narrative with an introduction, a body, a conclusion, and a reference page. Use APA format and provide examples supporting your position. Include 3-5 scholarly references within the last 5 years, unless a landmark publication, with in-text citations to enhance the credibility of your ideas, thoughts, and opinions.