Case Study: You have just taken over the nurse manager

Case Study: You have just taken over the nurse manager job on a medical-surgical unit. The nurse manager who was previously in the position left abruptly 2 weeks ago. An alternate nurse manager from the telemetry unit next door has been filling in to help with staffing but has provided little management and supervision to the unit. When you walk around the unit throughout your first day of work and settle into reviewing the paperwork on your desk, you notice several issues that need to be addressed: The day nurses are choosing the patients for the night nurses, and the night nurses are choosing patients for the day nurses. Some nurses have extremely light loads, while others have extremely heavy loads. The nurses are choosing patients for their friends without consideration for staffing, patient load, and quality care factors. When you inquired about the prior staffing assignments system, the nurses replied, “Whatever it was, it was never enforced. So, we took over.” HCAHPS survey scores are extremely low in several categories, including “Your Care From Nurses” and “Your Experiences in this Hospital.” The supply closets on the unit are barren. Staff are using whatever they can find in patients’ rooms and sometimes in other units. Patient readmission rates are 20% higher than those of the rest of the hospital. Please answer the following questions/topics in a detailed paragraph form using scholarly resources. APA format must be used for all in-text citations. You should have a reference page in APA format as well (use references within the last 5 years). No title page is needed. 1. After reviewing the “Organizational Structures” chapter of your Yoder-Wise text, develop a definition of organizational effectiveness. 2. Elaborate on the relationship between organizational effectiveness and quality nursing care? 3. Choose a leadership/management theory that could be applied to this situation. Explain the main components of the theory and your rationale for application in this Case Study situation? 4. Provide an example of the application of the theory to one of the bulleted concerns in the Case Study?

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