Establishing a Caring Nursing Environment

Scenario – Establishing a Caring Nursing Environment

You are the new Chief Nursing Officer at University in the Stars Medical Center, a 350 Bed State of the Art Medical Center affiliated with a University Medical Center across the street from your hospital. The medical center is world renown 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 bar coding system that has improved patient safety. More than 50% of your nursing staff have a BSN or higher degree and 62% are certified in their specialty area. You were very impressed with the intelligence of the nursing staff when you interviewed and their commitment to professional excellence.

Since beginning in your role two months ago, you have developed concerns about an organizational culture in your department that seems cold and uncaring. You have noticed that technical expertise is heavily valued and most of your nursing management staff seem to operate from the medical model versus any nursing theoretical framework. In reviewing your patient satisfaction data, you notice that patients seem pleased with their treatment outcomes but your staff is consistently receiving 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 your nursing staff, you notice that the medical center seems to be a place where new young graduates come to gain experience but your retention of staff for more than 2-3 years is very low.

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

Answer the following Questions

What background information in your medical center and department would you want to carefully review prior to presenting your viewpoints to your staff?
What groups or individuals would you initiate discussions with as a first step?
Expectations

Length: 250 Words
A minimum of 2 references per peer post (not older than 5 years) with corresponding in text citations using APA format

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