Barbara Norris: Leading Change in the General Surgery Unit Essay

Barbara Norris face up many tryingies. The GSU which she run for is currently short- facultyed and does not per pattern as she expected. Her staffs have low morale and low motive to do their daily job. On top of that, there is a pagan issue where confrontation, blaming, and favoritism be typical in her unit. She in addition facing a budget problem where overtime has been eliminated due to cost eluding measure implemented on the hospital. The budget cut leave it difficult to Barbara to allocate a right personnel in case of several(prenominal) staff take a personal or vacation leave. In many cases, she has to rely on nurses from general float pool to summit the staff on leave, but this often lead to negative yield to her staff dynamics because the substitute nurses is not familiar with the GSU. There are three broad problem Barbara has to solve drop of collaboration and teamwork, staff conflict either within her unit or within the hospital, and lack of transparent performa nce appraisal procedures.All of this three issues need to be address simultaneously to ensure that the unit perform as Barbara expected. It is illume that there is conflict between junior nurses, senior nurses, and PCASs which lead to ineffective collaboration among them. Junior nurses feels like the dont break down to the team and they dont get positive feedback from senior nurses. On the other hand, senior nurses feels that many junior nurses and PCAs are incompetent person and feel overwhelmed to support them. To solve this issues, Barbara need to redefine a clear enjoyment among the nurses and make sure that the role is properly understood by all her staff. In redefining the role, she must include advice from her staff to ensure that the role definition fit within her unit. She also need to develop a transparent communication mechanism to solve any role difference within her unit. To address the performance appraisal issues, Barbara needs to start creating a transparent re view process.Although she still facing a budget constraint, she washstand utilize non-monetary approach to reward her staff. This can be in form of formal recognition in staff meeting or announcement of monthly best-staff. Although it would not directly impacted to her staff salary, it can be a great motivational tools for the junior staff to feel recognized. Barbara should also make a system where senior nurses can have a positive feedback in performance review by helping a junior nurses. Whenever possible, Barbara should persuade the hospital director to increase her unit budget.If approved, she could make a properadjustment to the staff salary and position establish on their previous performance.