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Nursing Management and Professional Concepts 2e: 9.5 Spotlight Application

Nursing Management and Professional Concepts 2e
9.5 Spotlight Application
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table of contents
  1. Cover
  2. Title Page
  3. Copyright
  4. Table Of Contents
  5. Introduction
  6. Preface
  7. Standards and Conceptual Approach
  8. Chapter 1 - Overview of Management and Professional Issues
    1. 1.1 Overview
  9. Chapter 2 - Prioritization
    1. 2.1 Prioritization Introduction
    2. 2.2 Tenets of Prioritization
    3. 2.3 Tools for Prioritizing
    4. 2.4 Critical Thinking and Clinical Reasoning
    5. 2.5 Time Management
    6. 2.6 Spotlight Application
    7. 2.7 Learning Activities
    8. II Glossary
  10. Chapter 3 - Delegation and Supervision
    1. 3.1 Delegation & Supervision Introduction
    2. 3.2 Communication
    3. 3.3 Assignment
    4. 3.4 Delegation
    5. 3.5 Supervision
    6. 3.6 Spotlight Application
    7. 3.7 Learning Activities
    8. III Glossary
  11. Chapter 4 - Leadership and Management
    1. 4.1 Leadership & Management Introduction
    2. 4.2 Basic Concepts
    3. 4.3 Implementing Change
    4. 4.4 Spotlight Application
    5. 4.5 Learning Activities
    6. IV Glossary
  12. Chapter 5 - Legal Implications
    1. 5.1 Legal Implications Introduction
    2. 5.2 Understanding the Legal System
    3. 5.3 Professional Liability and Your Nursing License
    4. 5.4 Frequent Allegations and SBON Investigations
    5. 5.5 Protecting Your Nursing License
    6. 5.6 Other Legal Issues
    7. 5.7 Spotlight Application
    8. 5.8 Learning Activities
    9. V Glossary
  13. Chapter 6 - Ethical Practice
    1. 6.1 Ethical Practice Introduction
    2. 6.2 Basic Ethical Concepts
    3. 6.3 Ethical Dilemmas
    4. 6.4 Ethics Committees
    5. 6.5 Ethics and the Nursing Student
    6. 6.6 Spotlight Application
    7. 6.7 Learning Activities
    8. VI Glossary
  14. Chapter 7 - Collaboration Within the Interprofessional Team
    1. 7.1 Collaboration Within the Interprofessional Team Introduction
    2. 7.2 IPEC Core Competencies
    3. 7.3 Values and Ethics for Interprofessional Practice
    4. 7.4 Roles and Responsibililites of Health Care Professionals
    5. 7.5 Interprofessional Communication
    6. 7.6 Teams and Teamwork
    7. 7.7 Conflict Resolution
    8. 7.8 Nursing Responsibilities in Interprofessional Collaborative Practice
    9. 7.9 Spotlight Application
    10. 7.10 Learning Activities
    11. VII Glossary
  15. Chapter 8 - Health Care Economics
    1. 8.1 Health Care Economics Introduction
    2. 8.2 Trends Related to Increased Health Care Costs
    3. 8.3 Health Care Funding
    4. 8.4 Health Care Reimbursement Models
    5. 8.5 Budgets and Staffing
    6. 8.6 Resource Stewardship and Case Management
    7. 8.7 Spotlight Application
    8. 8.8 Learning Activities
    9. VIII Glossary
  16. Chapter 9 - Quality and Evidence-Based Practice
    1. 9.1 Quality and Evidence-Based Practice Introduction
    2. 9.2 Quality Care
    3. 9.3 Measuring and Improving Quality
    4. 9.4 Evidence-Based Practice and Research
    5. 9.5 Spotlight Application
    6. 9.6 Learning Activities
    7. IX Glossary
  17. Chapter 10 - Advocacy
    1. 10.1 Advocacy Introduction
    2. 10.2 Basic Advocacy Concepts
    3. 10.3 Individual and Interpersonal Advocacy
    4. 10.4 Community and Organization Advocacy
    5. 10.5 Policy Advocacy
    6. 10.6 Steps to Becoming an Advocate
    7. 10.7 QSEN: Advocating for Patient Safety and Quality Care in Nursing Education
    8. 10.8 Spotlight Application
    9. 10.9 Learning Activities
    10. X Glossary
  18. Chapter 11 - Preparation for the RN Role
    1. 11.1 Preparation for the RN Role Introduction
    2. 11.2 Preparing for the NCLEX
    3. 11.3 Obtaining Your Nursing License
    4. 11.4 Applying for a Nursing Position
    5. 11.5 Transitioning to the RN Role
    6. 11.6 Lifelong Learner
    7. 11.7 Spotlight Application
    8. 11.8 Learning Activities
    9. XI Glossary
  19. Chapter 12 - Burnout and Self-Care
    1. 12.1 Burnout & Self-Care Introduction
    2. 12.2 Stress in the Health Care System
    3. 12.3 Identifying Stress in Self
    4. 12.4 Acknowledging Stress in Others
    5. 12.5 Organizational Stress & Retention Cycle
    6. 12.6 Mitigating Stress With Self-Care
    7. 12.7 Emerging Models
    8. 12.8 Spotlight Application
    9. 12.9 Learning Activities
    10. XII Glossary
  20. Answer Keys
    1. Chapter 1
    2. Chapter 2
    3. Chapter 3
    4. Chapter 4
    5. Chapter 5
    6. Chapter 6
    7. Chapter 7
    8. Chapter 8
    9. Chapter 9
    10. Chapter 10
    11. Chapter 11
    12. Chapter 12
  21. Appendix: Classroom Activities
  22. Master Glossary

9.5 Spotlight Application

Joanne is a newly graduated nurse working on a general medical floor in a large urban teaching hospital. She is typically assigned between four and six clients during her shift depending on the acuity mix. Many of her clients are direct admit clients or are transferred from the emergency department. Joanne has recently noticed a significant delay on weekend shifts with room turnover and new client admittance.

Joanne voiced her concerns regarding the delays to her unit manager. Her manager agreed that room turnover delays on the weekend have significantly increased in recent months. She reported that she will investigate the delays further. A few weeks pass and Joanne’s manager reports back that there have been staff reductions in the organization’s environmental services staff on the weekend shifts. As a result, room cleaning has been delayed significantly. Joanne’s manager has voiced her concerns regarding the delays, but administration has been reluctant to hire additional staff. Joanne and her manager both feel strongly that investment in staff is needed.

Reflective Questions

  1. What strategies might Joanne and her manager utilize to reflect the significance of these staff shortages?
  2. How might they gather and present information to demonstrate the need for additional environmental services personnel?
  3. What stakeholders would be important to engage in this discussion?
  4. Create a PICOT question for this scenario.

When considering the impact of care delays in a health care organization, it is important to gather data to substantiate the significance of delayed care. Joanne and her manager might begin to look at organizational throughput or transfer data to determine how long clients are being held in emergency rooms or other settings during the weekend shifts compared to weekday shifts. Additionally, it would be important for the organization to determine if these delayed admits impeded the ability of the emergency department to accept clients and if the organization was subsequently placed on client divert due to an inability to care for clients in the emergency room setting. Engaging house supervisors, charge nurses, informatics specialists, etc., may be helpful in determining the significance of the delay and potential quality implications. An example PICOT question to help examine this scenario may be structured as: What is the impact of one additional environmental services FTE compared to existing staffing patterns on organizational throughput times over a three-month period?

Annotate

Next Chapter
9.6 Learning Activities
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            Nursing Management and Professional Concepts 2e Copyright © by Chippewa Valley Technical College is licensed under a Creative Commons Attribution 4.0 International License, except where otherwise noted.
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