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The new Chief Nursing Officer at University in the Stars Medical Center, a 350 Bed State of Art Medical Center affiliated with a University Medical Center across the street from the hospital. The medical center is world renowned for having state-of-the-art treatments and research protocols. They were an industry leader in introducing the electronic medical record eight years ago and recently implemented a medication barcoding system that has improved patient safety. More than 50% of the nursing staff have a BSN or higher degree, and 62% are certified in their specialty area. They were very impressed with the intelligence of the nursing staff when interviewed and their commitment to professional excellence.

Since beginning their role two months ago, they have developed concerns about an organizational culture in their department that seems cold and uncaring. They have noticed that technical expertise is heavily valued, and most nursing management staff seem to operate from the medical model versus any nursing theoretical framework. Reviewing patient satisfaction data shows that patients seem pleased with their treatment outcomes. However, the staff consistently receives scores of less than 70% agreement in areas that involve caring about the personal well-being of patients and their families. In reviewing a profile of nursing staff, they notice that the medical center seems to be a place where new young graduates come to gain experience, but staff retention for more than 2-3 years is very low.

Determine that it is time to confront the issue of what perceive as an uncaring work environment. We are personally grounded in a Caring Nursing Philosophy and would like staff to consider implementing this as a theoretical framework for Nursing Service.

Answer the following Questions

What background information in the medical center and the department would they want to review carefully before presenting our viewpoints to their staff?
What groups or individuals would they initiate discussions with as a first step?

 

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