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Hospital Downsizing and Nursing, 2002.
A look at the effects of hospital downsizing on the registered nursing service.
1,099 words (approx. 4.4 pages), 12 sources, MLA, $ 38.95
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Abstract
This paper proposes a study to examine the effects of hospital downsizing on the performance of registered nurses with regard to their morale and their care of patients. It evaluates how an understanding of the effects of hospital downsizing on registered nurses' morale and patient care will assist with an understanding of how to help mitigate these effects, as well as future directions for the health care system.
Outline
Statement of the Problem
Study Purpose
Research Hypotheses
Definition of Terms
Delimitations
Assumptions
Limitations
Significance of the Study
Literature Review
Downsizing
Effects of Downsizing
Effects of Downsizing on Nurses
From the Paper
"Downsizing has been a response to cost-cutting pressures and technological advances. In the last ten years downsizing has been prevalent and it is estimated that 60% of companies plan to continue downsizing (Mishra & Spreitzer, 1998, p. 567). For example, health care plans have lost money and as a result been forced to lay off employees. Prudential HealthCare of Florida has lost over $50 million since 1995 and has cut costs by $250 to $500 million by laying off at least 161 employees statewide. Blame for financial problems is placed largely on the SeniorCare Medicare HMO benefits (Shepherd, 1997). These cuts have effected the health care system."
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Hospital Downsizing & Nursing, 1996.
Examines impact on nursing of economy- & efficiency-based changes in hospital organization & operations (cutbacks, decentralization, team care, unlicensed assistants).
1,350 words (approx. 5.4 pages), 19 sources, $ 47.95
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From the Paper
"An increasing number of hospitals, in the pursuit of goals related to both efficiency and effectiveness, are implementing reorganization schemes that frequently involve downsizing, decentralization, or some combination of downsizing and decentralization (Barrett, 1995, p. 24). Among health care professionals, nurses tend to be those most frequently displaced by the contemporary downsizing and decentralization strategies (Suderman, 1995, p. 7). This research examines some of the more important effects on the practice of nursing of the implementation of downsizing and decentralization schemes by hospitals."
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Nursing and Downsizing, 2000.
An examination of the need for and effect of retraining floor nurses as multi-skilled health professionals, using Kurt Lewin's Field Theory as applied to organizational change.
1,350 words (approx. 5.4 pages), 7 sources, $ 47.95
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From the Paper
"Retraining Floor Nurses to Cope With Downsizing: Applying Lewin's Field Theory as it Applies to Change
This research describes a planned change for the floor nurses in an acute care hospital in a small city located in a major metropolitan region. The planned change involves the retraining of floor nurses to cope with a downsizing the nursing department. Kurt Lewin's Field Theory as it applies to organizational change is applied.
An increasing number of hospitals, in the pursuit of goals related to both efficiency and effectiveness, are implementing reorganization schemes that frequently involve downsizing, decentralization, or some combination of downsizing and decentralization (Barrett, 1995). Among health care professionals, nurses tend to be those most frequently displaced by..."
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Information Management for UCLA Neuropsychiatric Hospital, 2002.
This paper develops a knowledge management strategy for the UCLA Neuropsychiatric Hospital to be implemented by the hospital IMS department.
1,785 words (approx. 7.1 pages), 14 sources, APA, $ 57.95
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Abstract
This paper states that knowledge management involves the management of data in a way that transforms data into useful knowledge. This paper declares that almost all of the information developed by a hospital organization will relate in some way to specific patients. The author provides tables which illustrate the recommended logical and designs for the information system to support the knowledge management strategy for the UCLA Neuropsychiatric Hospital.
Table of Contents
Introduction
Developing a Knowledge Management Strategy
Designing the Knowledge Management Strategy
Information Requirements
Designing the Information Technology Support System
Implementing the Knowledge Management Strategy
Evaluating the Proposed Knowledge Management Strategy
From the Paper
"The soft systems analysis framework will provide the basis for the implementation of the knowledge management strategy for the UCLA Neuropsychiatric Hospital. This framework has nine stages. The stages of the implementation will be as follows: (1) systems analysis, (2) systems design, (3) equipment selection and acquisition, (4) programming, (5) testing and conversion, (6) installation, (7) operation, (8) maintenance and enhancement, and (9) follow up evaluation. The basis for soft systems analysis framework is a standard approach to problem solving."
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Faith Community Hospital Case Study, 2002.
A discussion of the Faith Community Hospital Case Study, focusing on the problematic issues in the hospital, and illustrating the importance of a good mission statement and goal accomplishment.
1,672 words (approx. 6.7 pages), 9 sources, MLA, $ 54.95
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Abstract
This paper analyzes the Faith Community Hospital case study aka Let It Pour. The paper ties in course concepts of ambiguity, perception, individual personal values versus society legal and ethical norms, and communication processes. Included is stakeholder and brand (hospital image) concepts. The writer outlines the recommendations of the case study for the benefit of the hospital.
From the Paper
"?A good mission statement should accurately explain why the organization exists and what it hopes to achieve in the future. It articulates the organization's essential nature, its values, and its work? (Radtke, 1998, Para 2). A good mission statement is not the recipe for success in business; it is the grand global picture. To accomplish the goals identified in the organizational mission statement, identification of all stakeholders, support of key stakeholders, written policies, detailed written procedures, and effective communication are critical success factors. These critical success factors are the missing ingredients at Faith Community Hospital, the subject of this case study."
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Peach Tree Hospital, 2002.
An examination of the difficulties facing a new hospital - focusing on a case-study of Peach Tree Hospital.
719 words (approx. 2.9 pages), 1 source, MLA, $ 25.95
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Abstract
This paper discusses the challenges start-up hospital Peach Tree Hospital has been encountering. By evaluating the methods they?ve employed to date, as well as survey results from their employees and continued communication, this paper helps Peach Tree?s administrator and human resource director to clarify exactly where the problems exist. From this information they can then begin to take steps to make the changes necessary to overcome their challenges.
From the Paper
"Although the staff of Peachtree Hospital ?had spent the better part of its time recruiting and training employees? (Hellriegel et al., 2002, p. 289) the administrator of the hospital felt the organizational efforts had not been as successful as they should have been. The human resource director, although acknowledging that there were still organizational issues that needed to be addressed, wrote these off to start-up conditions, as the hospital had only been open for less than one year and would be resolved in a very short period of time. To quantify the organizational problems, a survey was administered to most of the 1,200 employees of the hospital and revealed some startling results."
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Faith Community Hospital, 2004.
This paper is a case study about Faith Community Hospital, a not-for-profit health care services organization, which is facing major challenges.
1,855 words (approx. 7.4 pages), 2 sources, APA, $ 59.95
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Abstract
The paper explains that some of the critical issues facing Faith Community Hospital, which the hospital needs to address, are basic financial problems; the conflict between the organization?s spiritual heritage and values and the ethics of the medical profession; non-compliance with government, managed care, insurance regulations, and non-adherence to hospital operational policies. The author points out that Faith Community Hospital has an organizational management problem, which needs to be thoroughly analyzed rather than tyring to solve the various problems piecemeal. The paper states that, although the mission statement of Faith Community Hospital implies a broad goal of promoting the health and well-being of the people it serves within a framework of spiritual values, it can be inferred that the organization suffers from an absence of clear-cut policies and goals that are specific, measurable, targeted, and time-specific.
Table of Contents
Introduction
Identifying the Key Issues
Organizational Mission, Culture and Processes
Organizational Goals
Defining the Problem
The Mission Statement
The Absence of Clearly Defined Organizational Goals
Alternative Strategies
Alternative 1
Alternative 2
Recommendation
Conclusion
Appendix 1: Affinity Diagram
Appendix 2: Fishbone Diagram
From the Paper
"The mission statement plays a critical role in setting direction and laying the foundation for the culture and goals of any organization. Indeed, this is clearly expressed in Hyrum Smith?s model of instructive goal setting, which is commonly referred to as Smith?s ?Success Triangle.? This model places an organization?s governing values at the base of the goal setting process and recommends that goals must be linked to specific governing values in order to be meaningful and to help the organization achieve its mission (Parker, 2003). The mission statement of Faith Community Hospital appears to adhere to the strategic principles inherent in Smith?s ?Success Triangle? to the extent that it clearly emphasizes the organization?s commitment to promoting the health and well-being of the people in the communities it serves, using its spiritual heritage and values as the foundation. However, since spiritual values can vary vastly across religions and individual beliefs, Faith?s mission statement has led to broad individual interpretations that have, in turn, led to an organizational culture, which allows too much leeway for individual decision-making. This is evident in the anecdotal cases cited by the CEO of doctors independently deciding to either treat patients pro bono or insisting on insurance coverage prior to commencement of treatment; the pharmacist filling prescriptions for uninsured patients; and the inconsistency in adhering to hospital policy in areas such as ?Do Not Resuscitate? (DNR) decisions."
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Bellevue Hospital and the World Trade Tower Collapse, 2002.
An examination of the way in which local hospitals should respond and provide support when a disaster strikes in their town, using the Bellevue Hospital and the World Trade Tower Collapse as examples.
2,030 words (approx. 8.1 pages), 7 sources, MLA, $ 64.95
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Abstract
This paper examines the elements of an Emergency Response Plan of a hospital in the event of a disaster striking. This paper specifically discusses the elements of the emergency plan for Bellevue Hospital in lower Manhattan, both before and after the attacks on the World Trade Tower. The way in which a local hospital should be concerned with protecting people, information systems, and communications is examined in this paper.
From the Paper
?The primary concern for a hospital is the protection of people. These people not only include the victims, but also management, employees, and families of the victims. It is necessary to be able to quickly assess the number and skill levels of the staffing available. In the early moments of a disaster, this may be difficult, as was the case in the World Trade Tower attacks. Bellevue Hospital in lower Manhattan received word that the trade towers were on fire. They quickly and efficiently invoked their Emergency Response Plan. They waited and prepared for a flood of victims. In this case, instead of being understaffed to handle the load, they found themselves with many willing and capable volunteers and unfortunately, no victims. This created another situation, in which, when a victim did come in they were stormed by people willing to help.?
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Community Hospital Case Study, 2006.
A case study assessing the financial viability of a community hospital.
2,839 words (approx. 11.4 pages), 5 sources, MLA, $ 84.95
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Abstract
This paper presents a financial analysis of a small community hospital that is facing a financial crunch in the near future. The paper describes the hospital's financial problems, the causes of those problems and what measures need to be taken in order to get the hospital back on track. In assessing these measures, the paper also outlines what the short-term and long-term goals of the hospital need to be and describes a strategy for implementing those goals.
Table of Contents
The Facts
The Pointers
Getting the Hospital on Track
Short-term Goals
Long-term Goals
Detailed Implementation Strategy
From the Paper
"The Community Hospital in the present case study saw its beginnings during the mid-1800s and has come a long way since then serving a population of nearly 13,000 inhabitants. Its location from the nearest large city is 15 miles which itself has four major hospitals and 40 miles from the state capital with more medical conveniences. Apart from that, the Hospital also caters to the medical needs of five very small and nearby rural towns with a net total population which is estimated to be 35,000 inhabitants. It continues to be a general hospital since inception because of the presence of many large hospitals in its vicinity. Although the hospital has good doctors in attendance, majority of them have grown old in their profession and as such the Hospital will be facing a severe shortage of doctors 10-15 years down the line. The Hospital is facing a crunch on the financial front as the minimum occupancy rates have fallen well below the break-even point needed for the Hospital to stay afloat."
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The Hospital System, 1991.
This paper discusses the hospital system: Evolution of hospital care, operations, finances, quality of care, supply and demand and problems.
1,350 words (approx. 5.4 pages), 4 sources, $ 47.95
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From the Paper
"Health care is one of the fastest-rising expenses faced by American families. Every year, health-care expenses rise faster than either consumers' incomes or the general rate of inflation. It would seem, then, that health-care providers--of which hospitals are the most conspicuous institutional component would be a highly lucrative enterprise. In fact, however, hospitals have found the late 1980s to be a difficult period, with conditions improving only slightly at the beginning of the 1990s.
To understand the economic problems and choices facing hospitals, it is useful to regard them as firms, and apply to them the general principles of microeconomics which shape the environments of all firms. However, hospitals are firms of a specialized type--not simply in terms of the services they provide, but in terms of how and by whom those services are ... "
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The Victims and Survivors of Downsizing, 2008.
A look at the negative effect on employees of downsizing.
1,230 words (approx. 4.9 pages), 6 sources, APA, $ 41.95
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Abstract
This paper takes a look at some of the problems of downsizing, a common trend among organizations all over the world since the early 80s. The paper points out that downsizing, also known as, layoffs, rightsizing, or restructuring, has many names, but has a clear meaning, which is, the loss of employment for some select employees in organizations. Mergers, acquisitions, technological changes and global competition contribute to the organization's decision to downsize which forces employees to be the survivors or the victims of this process. This paper explores the problems faced by post-downsizing victims and survivors, and how the management of an organization can help the employees work through this phase. It concludes that downsizing is a constant trend that is thought to bring in some benefits to the organizations, however, cutting back on job positions leaves a negative impact on both victims and survivors.
From the Paper
"In the post-downsizing phase, the management of an organization needs to deal with victims and survivors in a very tactful way, as employees are one of the most important elements which contribute to an organization's productivity, competitiveness, effectiveness and efficiency (Manfred et. al, 1997). When employees are faced with job insecurity, it is said that the "psychological contract" between the employer and employee has been broken. This contract ensures the employees job satisfaction and security, and when this is broken, it is very difficult for management to win back the trust of its employees. Organizations have different ways of helping the victims and survivors of downsizing, but there are a few which are more efficient than the others."
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Victoria Hospital - Mission, Vision, Strategies, 2008.
A case study of the future plans and success of the Victoria Hospital.
774 words (approx. 3.1 pages), 2 sources, APA, $ 27.95
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Abstract
This paper explains that Victoria Hospital is currently undergoing the process of organizational change and that they must highlight their future plans and courses of action. The paper then proceeds to describe how the hospital's vision and mission statement should be developed as well as some of the strategies of operation it should adopt.
Outline:
Victoria Hospital Vision Statement
Mission Statement
Victoria Hospital Strategies
From the Paper
"The mission statement takes on step further and communicates the audience the core competencies and the features on which the organization will base its actions in order to retrieve success. Furthermore, it also points out the main focuses of the organization in reaching their goals. For instance, a basic mission statement for a for-profit organization would be to offer their clients the best products and services and integrate the employees into the corporate culture, while in the same time registering profits. The mission statement is an important tool for communicating corporate objectives and commitment and it is addressed to all stakeholders, such as employees, clients, or patients in the case of Victoria Hospital, business partners or the general audience. The mission statement has to be developed by keeping in mind the corporate values and goals. For the Victoria Hospital, these are: dedicated personnel, the usage of advanced technologies and commitment to preserving and improving patient's health. However due to financial cuts, the management at Victoria Hospital desires to increase their profits, this will not be stated in the mission."
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Boosting Employee Morale After Downsizing, 2004.
An examination of different human resource theories for boosting employee morale after downsizing within an organization.
6,015 words (approx. 24.1 pages), 12 sources, MLA, $ 142.95
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Abstract
Downsizing has become a significant idea in today's economy, and maintaining the trust of employees when something like this takes place has also become very serious business. This paper examines the question of whether a company should downsize their employees and how to do the downsizing properly so that as few employees as possible are injured. It discusses and analyzes the several ways that companies can downsize that will help retain much of the loyalty of the workers that remain.
From the Paper
"Companies who downsize through attrition and buyouts, those companies that work to help downsized employees find new jobs, and companies that are willing to provide outplacement services to those individuals often end up in positions that are much better than companies that simply fire workers due to downsizing (Brockner, Konovsky, Cooper-Schneider, Folger, Martin, & Bies, 1994). These companies who show that they care about the workers that they have to remove through downsizing have a much greater chance of retaining a lot of the loyalty originally given to them by the workers that survived the downsizing (Brockner, Konovsky, Cooper-Schneider, Folger, Martin, & Bies, 1994)."
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Hospital-Acquired Pneumonia, 2005.
A review of an article discussing hospital-acquired pneumonia.
1,575 words (approx. 6.3 pages), 1 source, $ 62.95
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Abstract
This paper outlines and reviews an article on hospital acquired pneumonia from the medical journal Chest. It first gives an introduction, listing all of the article and study main points, as well as the findings. Then it looks at the hospital settings involved in the article as well as the hospital setting problems that have been found by the author and researchers. Next, the article discusses correlational statistical procedures, these being the study and comparison of different invasive and noninvasive techniques that are used by medical staff.
From the Paper
"The author first introduces the topic of hospital-acquired pneumonia, or HAP. The seriousness of this ailment has led the author to study the effectiveness and necessity of various forms of cultures that may detect and diagnose just what the cause of HAP is in any given case. Each type of HAP-diagnosing method is discussed and studied, as seen in patients on ventilators who are suffering from HAP, as well as general hospital patients who succumb to the affliction."
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Miami Valley Hospital, 2007.
This paper analyzes the operation at Miami Valley Hospital.
1,450 words (approx. 5.8 pages), 5 sources, MLA, $ 48.95
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Abstract
In this article, the writer notes that the Miami Valley Hospital (MVH) was founded in Dayton in 1890 as a 37-bed hospital in a private home and has since expanded to an 827-bed referral and specialty center with a reputation for personalized patient care and service. The writer points out that it offers a broad range of high-quality health services by a staff of sensitive and experienced doctors, nurses and employees. Further, the writer discusses that it has set the standard for the practice through its commitment to diversity in the workplace. The writer concludes that MVH is committed to the service and welfare of the diverse communities it serves and that the hospital takes into consideration Weber's view on social relationships wherein the organization's action is determined by the reaction or impact that action can have on its client and others in the community.
From the Paper
"The Hospital consistently pursues excellence. In 2002, it received the seventh consecutive Consumer Choice Award from the National Research Corporation and the fifth consecutive Joint Commission on Accreditation of Healthcare Organizations. The accreditation placed the hospital within the top 10% of all surveyed hospitals, an unmatched distinction among hospitals for receiving consecutive commendation awards. It merged with Good Samaritan Hospital to form Premier Health Partners. The partnership aims at delivering high-quality health care at the best value for the Greater Dayton."
"Miami Valley Hospital or MVH mandates each of its employees to create an inclusive environment, which respects all individuals and provides them this opportunity through many Diversity initiatives."
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