Reorganization of a Nursing Unit

TO: ADMINISTRATIVE MANAGEMENT COMMITTEE�

FROM: COORDINATOR, PRODUCTIVITY TEAM�

SUBJECT: REORGANIZATION OF THE POSTPARTUM NURSING UNIT

Pursuant to your request that this team evaluate the �

organizational structure of units within the hospital to �

recommend actions that will lead to improvements in productivity, �

the findings of the examination of the Postpartum Nursing Unit is �

submitted in this memorandum. The essence of the recommended �

structural change in the unit is the pairing of personnel in job �

Productivity has declined in the Postpartum Nursing Unit �

over the past three years. A major causal factor in this decline �

has been a deterioration in the level of job satisfaction among �

the professional staff that in turn stemmed from professional �

personnel shortages. Professional personnel shortages, together �

with the stresses associated with the contemporary practice of �

nursing, leads to an increase in the rate of burn-out among �

1P. Brenner, and J. Wrubel, "Caring Comes First, American �

Journal of Nursing, (1988): 1072-1075.

� Burn-out, in turn, is a crucial factor in �

the development of performance impairment among professional �

nurses. Burn-out is a relatively common phenomenon in many �

fields of endeavor; however, it is particularly acute in the �

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tandard 40-hour per week, eight-hour per day work week against � � organizational demands for productivity increases. A change in � � the standard work week, however, need not lead to productivity � � reductions. The effect of such a change on productivity will � � depend largely on the structure of the new system, and how well � � the characteristics of the new system meshes with organizational � � requirements. An ill considered, hasty change could, � � potentially, cause a serious deterioration in productivity to � � occur, while a well planned change in system might not only � � maintain productivity levels, but could conceivably lead to � � improvements in productivity. � �� In an historical context, the hours of work issue has been � � couched in terms of total number of hours per day worked, total � � number of hours per week worked, total number of days per week � � worked, and total number of days per year worked. What has not � been at issue in the historical context is that work time, � � whatever its duration, should generally occur in blocks of � � contiguous hours. Beginning in the late-1970s and continuing � � into the decade of the 1990s, however, flexible wor

Category: Medical - R

Common Topics

Nursing Unit, Competitive Advantage, Cuneo Maremont, Journal Nursing, � �, Compensation Benefits, Union-Management Cooperation, Stress Relief, Human Resources, �� , ��, �� , NURSING UNIT, Job Sharing, � , � ��, 3ls1 ��, 3ls1 , position sharing, flexible �, =, productivity �, flexible � �, nursing unit, = 1,

= 1575
= 6 (250 words per page)


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