Balancing the Focus Between Productivity and Relationships
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Balancing the Focus Between Productivity and Relationships
You are a top-level nursing administrator in a large, urban medical center in California. As in many acute care hospitals, your annual nursing turnover rate is more than 15%. At this point, you have many unfilled licensed nursing positions, and local recruitment efforts to fill these positions have been largely unsuccessful.
During a meeting with the chief executive officer (CEO) today, you are informed that the hospital vacancy rate for licensed nurses is expected to rise to 20% with the opening of an additional regional hospital in 3 months.
The CEO states that you must reduce turnover or increase recruitment efforts immediately or the hospital will have to consider closing units or reducing available beds when the new ratios take effect.
You consider the following “industrial leadership” paradigm options:
- You could aggressively recruit international nurses to solve at least the immediate staffing problem.
- You could increase sign-on bonuses and offer other incentives for recruiting new nurses.
- You could expand the job description for unlicensed assistive personnel and licensed vocational nurses to relieve the registered nurses of some of their duties.
- You could make newly recruited nurses sign a minimum 2-year contract upon hire.
You also consider the following “relationship leadership” paradigm options:
- You could hold informal meetings with current staff to determine major variables affecting their current satisfaction levels and attempt to increase those variables that increase worker satisfaction.
- You could develop an open-door policy in an effort to be more accessible to workers who wish to discuss concerns or issues about their work environment.
- You could implement a shared governance model to increase worker participation in decision making on the units in which they work.
- You could make daily rounds on all the units in an effort to get to know your nursing staff better on a one-to-one basis.
Assignment:
Decide which of the options you would select. Rank order them in terms of what you would do first. Then look at your list. Did it reflect more of the industrial leadership paradigm or a relationship leadership paradigm?
What inferences might you draw from your rank ordering in terms of your leadership skills? Do you think that your rank ordering might change with your age? Your experience?
Balancing the Focus Between Productivity and Relationships
RUBRIC
Excellent Quality
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Introduction 45-41 points
The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.
Literature Support
91-84 points
The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.
Methodology
58-53 points
Content is well-organized with headings for each slide and bulleted lists to group related material as needed. Use of font, color, graphics, effects, etc. to enhance readability and presentation content is excellent. Length requirements of 10 slides/pages or less is met.
Average Score
50-85%
40-38 points
More depth/detail for the background and significance is needed, or the research detail is not clear. No search history information is provided.
83-76 points
Review of relevant theoretical literature is evident, but there is little integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are included. Summary of information presented is included. Conclusion may not contain a biblical integration.
52-49 points
Content is somewhat organized, but no structure is apparent. The use of font, color, graphics, effects, etc. is occasionally detracting to the presentation content. Length requirements may not be met.
Poor Quality
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37-1 points
The background and/or significance are missing. No search history information is provided.
75-1 points
Review of relevant theoretical literature is evident, but there is no integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are not included in the summary of information presented. Conclusion does not contain a biblical integration.
48-1 points
There is no clear or logical organizational structure. No logical sequence is apparent. The use of font, color, graphics, effects etc. is often detracting to the presentation content. Length requirements may not be met
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Balancing the Focus Between Productivity and Relationships