Theunit I chose to focus on is pediatric unit. It is a hospital areaused to deliver patient care to children. It is designed to meet thechildren’s needs. The unit can be conceptualized within the contextof system’s theory. As a system, the unit consists of inputs,throughputs, elements, outputs and feedback loops (Yoder-Wise, 2013).
Nursestaffing involves the kinds and numbers of personnel needed to offercare to the client. It is also the process of ascertaining theappropriate mix and number of nursing resources to address thedemands and pressures of nursing care. Children obtain quality carefrom the professional team known for their commitment and compassion.
Systemstheory considers an organization as a complex set of interconnectedelements, such as outputs, processes, inputs, the environment andfeedback loops (Meyer, & O`Brien-Palla, 2010). Inputs includeresources used in patient care, such as physical conditions andpersonnel. In the unit, the pediatric nurses use clients’information and their medical knowledge to assess and manage thehealth issues of the patient. Other inputs include care recipients,staff, money, material resources (Yoder-Wise, 2013). The unit hasplayroom, conference room and family kitchen, all of which are vitalto preserving family dynamics.
Inrelation to throughout, the nurses perform physical examination,diagnose and plan care for their patients. Nurses also take vitalsigns, share information with patients and write prescriptions basedon the diagnosis. Organizational factors refers to the form oforganization employed in providing patient care via policies andrules, the type of specialization and the level of workspecialization (Hall, 2005). The Unit offers specialized equipment,monitoring systems and special technology tailored specifically foryoung children.
Outputcomponents involve organizational outcomes, clinic outcome and humanresource outcomes. Organizational outcomes refer to the quality andquantity of health delivered, and efficient utilization of resources.Human resource outcomes include better health, and patient safety.
Workloadfactors examine the workload imposed by patients on physicalresources and personnel. Overload result from low level of staffing.Low staffing levels and patients’ chronic condition are leading tooverload. Environmental factors involve those factors which impactpatient care including medical staff’s organization and otherhospital units. Outputs concern patient outcomes like the quality andquantity of care provided. Due to positive clinical outcomes, thecommunity continues to utilize the resources of the organization.Staff retention ensures continuity in the provision of care services(Meyer, & O`Brien-Palla, 2010).
Thenurse staffing falls within the context of input component. The majorissue in the unit is the inadequate staff to meet the needs ofpatients. Appropriate staffing levels, as well as skill mix areimportant to maximize quality and safety of care delivery. The Unit’smission is to offer the psychological, developmental, and medicalneeds of patients and their parents in a safe environment (Hall,2005). However, the storage of nurses has been a barrier tofulfilling this mission.
Theobjective is to improve staffing levels necessary to improve clinicaland organizational outcomes. One strategy of improving nurse staffingis by hiring new nurses and retaining existing ones (Borkowski,2016). Another strategy is to create slack resources via looseningperformance targets like reducing the patient’s length of stay. Onits part, the organization should improve the working condition,environment and provide enough fiscal resources.
Asprofessionals, nurses have professional responsibility to plan,create, implement, as well as assess review mechanisms to protectpatients and colleagues (Dunham-Taylor, & Pinczuk, 2015). One ofthese safeguards or protections is staffing plans.
Borkowski,N. (2016). Organizationalbehavior, theory, and design in health care.Burlington, MA : Jones & Bartlett Learning
Dunham-Taylor,J., & Pinczuk, J. Z. (2015). Financialmanagement for nurse managers: Merging the heart with the dollar.Burlington, MA: Jones & Bartlett Learning
Hall,L. M. G. (2005). Qualitywork environments for nurse and patient safety.Sudbury, Mass Toronto: Jones and Bartlett Pub.
Meyer,R. M. & I`Brien-Palla, L. (2010). Nursing Services DeliveryTheory: an open system approach. Journalof Advanced Nursing, 66(12):2828–2838.
Yoder-Wise,P. S. (2013). Leadingand Managing in Nursing – Revised Reprint. London: Elsevier HealthSciences.London: Elsevier Health Sciences.