Crisis of Low Morale in Nursing Staff

Crisis of Low Morale in Nursing Staff Introduction of Firm This case study describes Los Rayos a medical center that is in a nurse crisis not only for their high turn over rate but for their low morale among its nursing staff. Although the hospital works diligently to provide quality care to its patients it is failing in many areas due to understaffed and overworked nursing staff. Mandated to keep up government regulations, the hospital understands the importance of not compromising quality even though it has had to minimize quantity in staff. The hospital requires nurses to come up with strategies to be implemented to help improve not only working conditions and quality control but patient care and ideas to help increase personal job performance. Over the last eight years the hospital has enforced some of the changes suggested but it finds itself still with the issue of nurses who feel that they are overextending themselves. Nursing staff is still in the position of trying to keep up with the demand of continuous educational conditioning an d development while performing on the job tasks in addition to extra curricular activities. Overview of Firm Competitive Advantage In order to have a firm competitive advantage an organization has to possess something unique that its competition does not have. What makes one different from another? This question is what separates groups and classes and makes one stand out among the rest. At Los Rayos they have qualified staff just not enough of it. Partnering with another major medical facility was a good business move as it can serve the purpose of showing Los Rayos ways it can improve on its functions within the facility. A normal turnover rate for hospitals is at 14% while Los Rayos is at 21%. Changes in an industry can affect bases and balance among it (Porter, 1985). Job satisfaction will make the difference on the advantage another medical facility will gain when nurses are looking upon where they would like to settle for a career. Some nurses will take a salary cut or drive further in order to work within a medical facility that offers them more than an opportunity to use their credentials. As the medical environment is forever changing one thing that may give a hospital a firm competitive advantage would be their values. Having an expectation of learning within the organization lets nursing staff know that they will be encouraged and required to continue to advance in their field and stay current on all resources and advancements in medicine. Having a competitive advantage means that you make it more difficult for competition and shake up the level playing field. According to Michael Porter (1985), if an organization can achieve and maintain differentiation they will be an above average performer in their industry and exceed competition. In order to be successful in this strategy Los Rayos will have to identify attributes and qualities among their nursing staff that are different from their rivals who are the organizations who benefit from their high turnover rate. They need to identify the factors that contribute the turnovers and come up solutions to keep nursing staff from leavi ng and also keep staff happy on the job. Problem statement The problem with Los Rayos medical facility is management does not resourcefully use staff, which leads to a high number in turnovers. The facility is understaffed and overworked and they promoted housekeepers to health techs and provided no skill training leaving nurses to double work as they would need to perform the patient care tasks that the health techs: were promoted to do. The hospital also dropped moral amongst staff as they took away appreciation events such as the employee picnic and Christmas party that gives staff something to look forward to every year. It is highly noted that when employees feel they are appreciated on the job it reflects in their job performance. The hospital reduced its nursing staff to double patients per nurse and increased shifts from 8 hour to 12 hour. This tedious and exhausting work schedule not only creates a hostile work environment as staff are reluctant to go the extra mile or over achieve for patients and colleagues. The hospital requires a lot from its nursing staff and where a raise or an on the job leisure activity would have compensated for the tedious job detail, management has taken those tokens away. Alternative Solutions/Opportunities a.) Create a rewards system to retain staff -there should be a work environment where staff have materials and training to properly perform tasks and should be awarded for productive performance. Evaluations should be done quarterly on staff to review job performance and adhere to what can be done better but also praise what has been done successfully. During this process not only is staff being rewarded for their accomplishments but also they acquire new knowledge and education that helps expand their skill and personal development. i) Build moral in the workplace ii) Cause discord among staff b.) Regular Shifts- Staff has become overwhelmed by the hours they spend on the job. If they had shorter shifts they would have time to reprogram and detox and come back refreshed eliminating turnover and burnouts i.) Gives staff a chance to unwind from a days work and not have to report right back for duty ii) Staff may call out or take more time off with shorter shifts Decision and Support In order to create a work environment that constantly develops nurses skills so that they can efficiently perform job tasks management needs to create a rewards system to help retain staff. Management has to recognize the nurses core commitment is to provide quality care to their patients and they need to help reduce job related stress by ensuring that supporting staff such as health techs are properly trained and skilled in work related duties. Nurses need to feel important, valued, and appreciated by their organization, as they love their job and they just want working conditions to improve. Action Plan Moving to implement the rewards system and shorter shifts for staff should take place immediately to ensure that staff understands management understands their concerns and have worked to rectify their issues. To implement successful changes, management must play an active role in the entire change process. It is the managers responsibility to understand how to address and put the change into action along with properly overseeing resistance from the staff. It is the managers responsibility to understand how to address and put the change into action along with properly overseeing resistance from the staff. Identifying potential risks, anticipating risks, estimating impact of risks, and managing risks successfully are all accomplishments and work towards building moral and retention. Scundra (2016) explained the importance of leaders understanding how to deal with different people and personalities hence the importance of the quarterly evaluations so management can provide feedback to each nurse and staff member personally. Once nursing staff feels compensated for their diligent work they will be eager to preform on the job and happy to work at Los Rayos now and in the future. REFERENCES Drucker,P. (2009). Management Cases.New York, NY. Harper Collins Publisher Porter, M. E. (1985). Competitive Advantage . Creating and Sustaining Superior Performance , 1-30. Retrieved January 22, 2017. Sacndura, T. A. (2016). Essentials of Organizational Behavior. Thousand Oaks, CA: Sage Publications.

The Tragedy Of Hamlet, Prince Of Denmark :: essays research papers

The Tragedy of Hamlet, Prince of Denmark I. a) Time: Sixteenth Century b) Place: Denmark c) Preliminary situation: King Hamlet, King of Denmark is killed. Hamlet the Prince's uncle,   Ã‚  Ã‚  Ã‚  Ã‚  Claudius, receives the throne and marries Queen Gertrude. II. a) Initial Incident: A ghost appears to Marcellus and another guard who decide to inform Hamlet of   Ã‚  Ã‚  Ã‚  Ã‚  it's presence. b) Rising Action:   Ã‚  Ã‚  Ã‚  Ã‚  1.2 Claudius, the new King, is holding court and thanks his subjects for their support. He then sends an ambassador to Norway to protect from an invasion from Fortinbras, Hamlets second cousin. He gives Laertes permission to return to France but will not allow Hamlet to go to Wittenburg. Hamlet feels alone and is upset that his mother married so shortly after her husband's death. The guards arrive and tell Hamlet about the ghost and Hamlet agrees to join them that night in search of the ghost, his father.   Ã‚  Ã‚  Ã‚  Ã‚  1.3 At Polonius's room, Laertes says good-bye to his sister Ophelia and tells her not to trust Hamlet. Polonius arrives and says good-bye Laertes and offers him advice. He then talks to Ophelia about not seeing Hamlet and then orders her stay away from him.   Ã‚  Ã‚  Ã‚  Ã‚  1.4 Claudius is drinking the night and Hamlet, Horatio, and Marcellus see the ghost again. The ghost signals to Hamlet to come, but the others try and hold him back. Hamlet struggles free and moves towards the apparition.   Ã‚  Ã‚  Ã‚  Ã‚  1.5 The ghost tells Hamlet that he is the spirit of his father and that he was not poisoned, but murdered. He demands that Hamlet avenge his death by murdering the killer, King Claudius. Hamlet promises to get revenge and orders the other to swear they haven't seen anything with the help of the ghost.   Ã‚  Ã‚  Ã‚  Ã‚  2.1 Polonius sends his servant, Reynaldo, to Paris to spy and ask about Laertes. Ophelia then enters the room and tells her father that Hamlet was visiting and was completely mad. Polonius believes that Hamlet has gone crazy due to the rejection from Ophelia and rushes off to inform the king.   Ã‚  Ã‚  Ã‚  Ã‚  2.2 King and Queen send Rosencrantz and Guildenstern, old school buddies, to spy on Hamlet and determine why he has gone crazy. Polonius tells everyone that Hamlet is crazy because of unreturned love. Claudius isn't quite convinced that Hamlet really is crazy but agrees to help Polonius spy on him. Hamlet, when confronted by Rosencrantz and Guildenstern, pretends to be mad so no one will find out about the ghost and what Hamlet knows. Then, a group of touring actors enters the scene and Hamlet makes one of them recite a speech he likes. When finished, Hamlet realizes that the actor read the speech with more

Johnny Depp Film Star

Johnny Depp John Christopher  Ã¢â‚¬Å"Johnny†Ã‚  Depp II  born June 9, 1963, was born in  Owensboro, Kentucky. He was raised in  Florida as the youngest of four children. His mother was Betty Sue Palmer, a waitress, and John Christopher Depp, a  civil engineer. The family moved frequently during Depp's childhood, and he and his siblings lived in more than 20 different locations, settling in  Miramar, Florida, in 1970. In 1978, Depp's parents divorced when he was fifteen. His mother married, as her second husband, Robert Palmer, whom Depp called â€Å"an inspiration to me†.A year after his parents' divorce, Depp dropped out of high school to become a rock musician. He attempted to go back to school two weeks later, but the principal told him to follow his dream of being a musician. He played with The Kids, a band that gained local success. The Kids set out together for Los Angeles in pursuit of a record deal, changing their name to Six Gun Method, but the group split up before signing a record deal. Depp engaged in  self-harm  when he was young, due to the stress of dealing with family problems, which resulted in several self-inflicted scars.In a 1993 interview, he reflected on his self-injury by saying â€Å"My body is a journal in a way. It's like what sailors used to do, where every  tattoo  meant something, a specific time in your life when you make a mark on yourself, whether you do it yourself with a knife or with a professional tattoo artist†. (Johnny Depp Biography 1) On December 24, 1983, Depp married Lori Anne Allison, the sister of his band's bass player and singer. During Depp's marriage, his wife worked as a makeup artist, while he worked a variety of odd jobs, including a  telemarketer  for pens.His wife introduced him to actor  Nicolas Cage, who advised Depp to pursue an acting career. Depp and his wife divorced in 1985. Both Depp and his subsequent fiance  Sherilyn Fenn  auditioned for the 1986 fil m  Thrashin'  and they were both cast, with Depp being chosen by the film's director to star as the lead, which would have been Depp's second major role. Depp was later turned down by the film's producer, who rejected the director's decision. (Johnny Depp Biography & FAQ) Johnny Depp  is an American actor, film producer, and musician.He has won the  Golden Globe Award  and  Screen Actors Guild  award for Best Actor. Depp rose to prominence on the 1980s television series  21 Jump Street, becoming a  teen idol. Unhappy with that status, Depp turned to film for more challenging roles; he played the title character of the acclaimed  Edward Scissorhands  (1990) and later found box office success in films such as  Sleepy Hollow  (1999),   Charlie and the Chocolate Factory  (2005),  Alice in Wonderland  (2010),  Rango  (2011) and the  Pirates of the Caribbean  film series  (2003–present).He has collaborated with director and friend  Tim Burton  in eight films; the most recent being  Dark Shadows  (2012). Depp has gained acclaim for his portrayals of such people as  Ed Wood, in  Ed Wood,  Joseph D. Pistone  in  Donnie Brasco,  Hunter S. Thompson  in  Fear and Loathing in Las Vegas,  George Jung  in  Blow, and the bank robber  John Dillinger  in  Michael Mann's  Public Enemies. Films featuring Depp have  grossed  over $3. 1  billion at the United States box office and over $7. 6  billion worldwide.He has been nominated for top awards many times, winning the Best Actor Awards from the  Golden Globes  for  Sweeney Todd: The Demon Barber of Fleet Street  and from the  Screen Actors Guild  for  Pirates of the Caribbean: The Curse of the Black Pearl. He also has garnered a  sex symbol  status in American cinema, being twice named as the â€Å"Sexiest Man Alive† by  People  magazine  in 2003 and 2009. He has been listed in the 2012  Guinness Book of World Records  as the highest paid actor with $75 million. Johnny Depp Biography 2) Other notable random trivial facts I found about Johnny Depp on IMDB. com include Johnny in 1994, Depp was arrested and questioned by police for allegedly causing serious damage to a New York City hotel suite, he was arrested again in 1999 for brawling with paparazzi  outside a restaurant while dining in London. He adopted Goldeneye, the one-eyed Andalusian horse who played Gunpowder, Ichabod Crane's steed in  Sleepy Hollow  (1999), thereby saving him from the glue factory.Johnny has residences in multiple places including France, Los Angeles, and an island he owns in the Bahamas. He divides his time in France between Meudon, a suburb of Paris and a villa in Plan-de-la-Tour, an hour outside of St Tropez in Southern France. On November 19, 1999 Johnny received a Star on the Hollywood Walk of Fame. As a child, he was allergic to chocolate. He is the only actor to be nominated for the Oscar i n the Lead Actor category in a Disney film (Pirates of the Caribbean: The Curse of the Black Pearl  (2003)).Johnny is often found citing Captain Jack Sparrow (Pirates of the Caribbean: The Curse of the Black Pearl  (2003)) and  Edward Scissorhands  (1990) as the favorite characters that he has played. He is a godfather of  Tim Burton  son Billy Ray Burton. A few things that Johnny is scared of are clowns, spiders, and ghosts. He turned down the role of Bruce Banner in  Hulk  in 2003. Johnny Depp is the only actor to appear in 3 of the 10 films to gross $1 billion with  Pirates of the Caribbean: Dead Man's Chest  (2006),  Alice in Wonderland (2010) and  Pirates of the Caribbean: On Stranger Tides  (2011). IMDb) A complete filmogophry would be Nightmare on Elm Street (1984), Private Resort (1985), Slow Burn (1986), Platoon (1986), Cry-Baby (1990), Edwards Scissorhands (1990), Freddy’s Dead:The Final Nightmare (1991), Benny ; Joon (1993), What’s Eating Gilbert Grape (1993), Arizona Dream (1993), Ed Wood (1994), Don Juan DeMarco (1995), Dead Man (1995), Nick of Time (1995), Cannes Man (1996), Donnie Brasco (1997), The Brave (1997), Fear and Loathing in Las Vegas (1998), L. A.Without a Map (1998), The Ninth Gate (1999), Sleepy Hollow (1999), The astronaut’s Wife (1999), Chocolat (2000), Before Night Falls (2000), Blow (2001), The Man Who Cried (2001), From Hell (2001), Once Upon a Time in Mexico (2003), Pirates of the Caribbean: The Curse of the Black Pearl (2003), Happily Ever After (2004), Secret Window (2004), Finding Neverland (2004), The Libertine (2004), Charlie and the Chocolate Factory (2005) Corpse Bride (2005), Pirates of the Caribbean: Dead Man’s Chest (2006), Pirates of the Caribbean: At World’s End (2007), Sweeny Todd: The Demon Barber of Fleet Street (2007), Public Enemies (2009), The Imaginarium of Doctor Parnassus (2009), Alice in Wonderland (2010), The Tourist (2010), Rango (2011), Pirate s of the Caribbean: On Stanger Tides (2011), The Rum Diary (2011), Jack and Jill (2011), 21 Jump Street (2012), Dark Shadows (2012) , The Lone Ranger (2013), Transcendence (2014), Pirates of the Caribbean (2015). (IMDb) Sources: â€Å"Johnny Depp Biography 1. †Ã‚  Bio. com. A;E Networks Television, n. d. Web. 12 Apr. 2013. â€Å"Johnny Depp Biography 2. †Ã‚  Johnny Depp. Bio, n. d. Web. 12 Apr. 2013. â€Å"Johnny Depp Biography & FAQ. †Ã‚  Johnny Depp Biography ; FAQ. N. p. , 27 July 2011. Web. 12 Apr. 2013.

Television An Effective Job Of Depicting Real World...

Television has always been a big influence in American everyday life. From there being shows about doctors, military, or even policemen. However, not everything in these shows is a very accurate portrayal of the real world. On the other hand, some of the things are real or based on something off the real world. Shows like â€Å"First 48,† â€Å"COPS,† and the movie â€Å"End of Watch† show the audience a glimpse at what real detective work might be like. My father works for Homeland Security; which would make him a direct source of how the real world is. I believe that â€Å"First 48,† â€Å"COPS,† and â€Å"End of Watch† do an effective job of depicting real world detective/ police work. This is important because television influences many of the decisions we make in our lives. â€Å"First 48† is a show that deals with detectives that are called to crime scenes. The show documents the first hours of homicides in different cities. The ir job is to evaluate the scene; look for any clues that may be of help. This is a very important step in solving murders. They have to be on the lookout for foot prints, bullet casings, and many other things that could help solve a crime. Although the show isn’t always accurate, it catches the essence of what criminal scene investigators actual do. â€Å"First 48† depicts the parts that would intrigue an audience, rather than have the audience watch the long process of what really happens. Another show that exemplifies police work in the real world would be the show â€Å"COPS.† TheShow MoreRelatedWitness by Peter Weir Notes12043 Words   |  49 PagesIntroduction: * Engage in a detailed analysis of a text * Understanding of how the ideas, forms and language of a text interact within the text and may affect those responding to it. * Students will need an understanding of film techniques and of the police drama genre. 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