Barbara Norris: Leading Change in the General Surgery Unit Essay

Barbara Norris facing many difficulties. The GSU which she wind is currently short- staffed and does non perform as she expected. Her staffs have low morale and low motif to do their daily job. On top of that, there is a cultural issue where confrontation, blaming, and favoritism ar typical in her unit. She also facing a budget problem where overtime has been eliminated due to greet cutting measure implemented on the hospital. The budget cut make it difficult to Barbara to allocate a right personnel in case of some staff take a personal or vacation leave. In many cases, she has to rely on nurses from general float pool to cover the staff on leave, but this often lead to negative effect to her staff dynamics because the substitute nurses is not familiar with the GSU. There are three broad problem Barbara has to solve lack of collaborationism and teamwork, staff conflict either within her unit or within the hospital, and lack of transparent performance estimate procedures.All o f this three issues need to be address simultaneously to ensure that the unit perform as Barbara expected. It is evident that there is conflict between junior nurses, ripened nurses, and PCASs which lead to ineffective collaboration among them. Junior nurses thumbs like the dont belong to the team and they dont get positive degree feedback from senior nurses. On the other hand, senior nurses feels that many junior nurses and PCAs are incompetent and feel overwhelmed to support them. To solve this issues, Barbara need to redefine a clear spot among the nurses and make sure that the affair 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 apparatus to solve any role discrepancy within her unit. To address the performance appraisal issues, Barbara needs to jumping creating a transparent review process.Although she stil l facing a budget constraint, she can utilize non-monetary shape up to reward her staff. This can be in form of formal recognition in staff showdown 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 proper valuation reserve to the staff salary and position based on their previous performance.