Introduction
In a year, the Medical Center of West (MCW) employs a considerable number of employees according to the statistical records established from the clinic. The employees incorporated in the clinic workforce include physical therapists, social workers, advanced and registered nurses, and many others (Uhl-Bien, 2018). After the remarkable examination, it seemed that the medical centre struggles to no small extent in the provision of appropriate staffing to the employees as well as ensuring adequate support of the workforce. In the records of the clinic, most of its employees portrayed quitting their jobs due to concerns regarding their satisfaction and patient safety (Schünemann, 2019). From the insinuations presented by the employees, a splendid outcome attained establishment portraying a lack of essential leadership skills by the management.
In all organizations, change attains necessitation in the phenomenon where employee retention vividly ascertains demanding. Accordingly, business mechanisms considerably require refinement in ensuring efficacy in the administration of employee needs and consumer requirements (Uhl-Bien, 2018). External necessity and the environmental factors establish to bring considerable changes in business methodologies of execution and management processes. In the case study of MCW, the requirements for change are crucial for the realization of effectiveness in the institution's organization endeavours. Several researchers portray in their scholarly works that for the business to strive regarding their functionality, change accrues necessitation for efficacy assurance (Ellenbecker, 2017). For MCW to attempt in the business of health administration, change is mandatory. For change to take place, leadership schemes adjustments are necessary.
Communication deems as an essential element in the variety of leadership elements necessitated for enterprise success. Communications ascertain imperative in both leadership and employees (Roehrs, 2018). From the scenario of MCW, the clarity of employees communicating their concerns establishes remarkably. Consequently, the administration mandated to actualize changes following the employees' demands failed extensively in their requirements. Leadership failure in inducing changes instils from the health issues established to face the MCW institution (Bouckenooghe, 2019). For the institution to function appropriately by addressing the hidden health, change in the leadership schemes demands facilitation considerably.
The nature of working methodologies in the health care system displays the vitality of interdisciplinary team collaborations. In the scenario, a considerable team accrues presentation, which includes; physician therapist (PT), family practice physician (PCP), endocrinologists, Advanced Practice Registered Nurse (APRN), as well as a physician assistant (PA) (Schünemann, 2019). Employees in WCW establish to share a similar commonality regarding their frustrations with the management of the health institution. From the case study of MCW, it deems that all the working personnel of the institution has portrayed their concerns regarding patient care, failure of leadership in acknowledge of employee requirements, and deficient managerial responsibilities, consequently this research is aimed at devising the most efficient strategies for collaborative administration and operation of clinical institutions.
The Institute for Healthcare Improvement (IHI)
Robert Lloyd, IHI vice president, outlined the methodology of using a whiteboard to constitute an improvement of science (Schünemann, 2019). The toolkit for the method deems to be Deming's System established to represent knowledge developed divided into two parts. The parts divisions include; control charts (2 pieces), cycles of plan do study act (PDSA), Diver diagrams (2 parts), Pareto analysis, force field analysis (2 parts), flowcharts (2 pieces), and run charts (2 parts) (Perlo, 2017).
The Deming's System regarding the profound knowledge is highly regarded by this research paper, correlating with leadership and change theory synthesis (Boustani, 2020). Dr Edward Deming, established to compose the Deming's System, stated the fact that anything requiring change or improvement deems a complex idea as compared to the mechanisms of coming up with great views. In the process of inducing any kind of change, several variables attain the necessitation taken into consideration. Adjustment of one idea cannot translate into the transformation requirements for change to be perpetuated (Ellenbecker, 2017). In the mandated nature of change, consideration of system, human behaviours, theories, and variations deems necessary. The break of the aspects related to the process of inducing a change in an organization attains display from the hand hygiene mechanism in the IHI (2019).
IHI System
IHI system deems an outpatient facility with a considerable inclusion of speciality services in correlation to the MCW systems. The complexities portray a remarkable association with various aspects of MCW (Cook, 2018). The methodologies associated with the induction of change face substantial restrictions as a result of the complexities. In the case study, under consideration, the APRN working in the provision of neurology services expects the leaders to accord his/her services exceptional appreciation and thus commend his/her expertise (Boustani, 2020). Moreover, the therapist's physician implicated that he used most of his time on the analytical endeavours of hospital documents instead of administering care services to the patients. Therefore, clarity established that a variety of systems constitutes different requirements, thus inducing considerable complexities.
The case study necessities implementation of a system constituting extensive application addressing the needs of all MCW disciplinary teams. The management should affect mechanisms tailored to bring employees from different disciplines to voice their concerns (Ellenbecker, 2017). By listening to the varied nature afflicting the employees, the management is in a position to draft mechanisms tailored to offer solutions to the predicaments facing all the employees of the organization. However, in the process of addressing the credible concerns raised by the employees, the management should utilize the criterion of validity, urgency, and change requirement to offer solutions to the issues. For instance, the problem correlating with the physical therapist employee having minimal time to take care of the employees due to increased workload should attain the highest priority because it directly affects the patients (Perlo, 2017). In the endeavours of addressing the concerns of the physical therapist, employee introduction of a system constituting faster, as well as reliable operational criteria regarding documentation, should accrue establishment. The system introduced will, in turn, allow the physical therapist to spend a remarkable amount of time with the patients, essentially completing documentation mandates. Besides, in the process of a new documentation system introduction, the management should consider a diversified tentative system to guarantee the process of selection of the most efficient system in the market (Uhl-Bien, 2018). Accordingly, the utilization of a highly advanced system will considerably transform the organization leading to remarkable service delivery in the market.
Potential Variations
The second imperative element suggested by the Institute for Health Improvement (IHI) deems the aspect of variation (Bouckenooghe, 2019). According to the insinuations presented by the IHI (2019), variety exhibits remarkable elements concerning the behaviours of humans portrayed as conceptual and statistical. Therefore, it constitutes an impressive paramount aspect of the characterizations of human behaviour in any institution. Employee behaviour ascertains to be vital in the processes concerning the leadership of the institution, given the fact that it determines the methodologies crucial for the transformation of the workforce. The case scenario takes into consideration a variety of interdisciplinary teams and thus guaranteeing variation occurrence (Boustani, 2020). For instance, variation in the ages of the employees should attain a considerable focus on the provision of the leadership requirements in the organization. The fact achieves necessitation due to the phenomenon portraying varied age groups to constitute different demands. Similarly, improvement enhancement mechanisms of the current case scenario extensively correlated with the variations regarding disciplines such as physical therapy, neurology, family practice, and many more. Furthermore, the years of expertise constituted by employees in various disciplines marks another variation aspect that should attain consideration. The variation criterion correlating to age portrays high levels of importance because the nature of the employee's expertise determines the kind of operational facilities mandatory for the administration of care services to the patients (Cook, 2018). Moreover, a significant variable accrues establishment from the personal backgrounds of the employees relating to family life and their own life. These variations are also imperative, given the fact that they afflict the manner of employee performance in the workplace.
Consequently, researchers have established a crucial fact regarding variation in the workplace and its relationship to organizational improvement. Several researchers insinuated that the reduction of unwanted differences in health care systems translated into the development of outcomes in the employees' mode of conduct (Ellenbecker, 2017). Furthermore, researchers indicated that variation constituted a remarkable influence in the transformation of health care systems. Therefore, a crucial requirement for managerial consideration of various aspects attained necessitation in the effectual service delivery enhancement in the health care systems (Perlo, 2017). By considering the case study, variations in the workforce portray recognition to a large extent. Therefore, the management should utilize efficient mechanisms in the removal of unwanted changes to facilitate to enhance leadership mechanisms of the institution. In the endeavours of solving variation issues, the leaders should focus on the interventions necessary for the splendid address of the needs relating to the institution employees.
Leadership Theories
Transformational Leadership Theory
Leaders managing the endeavours of MCW institutions should instil effective mechanisms tailored to enhance the current organizational standards regarding relations by employee-employee workers. Enhancement of employees’ relationship, eradication of additional supervision requirements in the hospital will accrue realization extensively (Perlo, 2017). Hospital leaders should instil a remarkable focus on the roots inducing problems afflicting hospital practices extensively. Besides, focus on the predicaments producing problematic phenomena in the hospital setting will, in turn, allow the leaders to prevent similar situations from perpetuating themselves in the future. Furthermore, the lea...
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