Situation Assessment and Analysis

A. Describe actual situation in terms of who, what, when, where, why, and how.

There is a critical nursing shortage in our local hospital, particularly in the Intensive Care Unit. This is predicted to grow worse with the expansion of the ICU from a 15-bed to a 25- bed unit.

B. Identify facilitating and interfering barriers or factors in the change situation, numerically rate their potential strength and then indicate strategies appropriate for managing the influences of the factors.

4. Staff desire for additional hiring

2. Survey nurse perception of patient needs

3. Survey nurse desires; provide incentives for full time work

1. Staff lack of time for more helping during shortage

2. Staff lack of interest in helping during shortages

3. Staff lack of interest in working full time

4. Lack of resources for additional hire

1. Survey staff time/management problems

2. Survey nurse interest and reasons

3. Survey nurse interests; increase interest with incentives

4. Assessment of problems, solutions, & resources from ICU Nurse Manager, Assistant Head Nurse, and Charge Nurses; proposal for hiring plans

. . .
dentification of solutions; 5) application of solutions; and 6) evaluation of solutions. For this situation, ICU nurse shortage is the problem, nurses are the primary recipients of change, nurse surveys will determine related information, and nurse management will identify, apply, and evaluate solutions. A. State at least three desired outcomes for the proposed change in specific, measurable terms. 1. Additional ICU nurses will be hired by October 15. 2. NursesÆ attitudes toward working full time will be changed due to incentives offered by October 15, to be evidenced by the number of nurses changing from part time to full time. 3. NursesÆ attitudes toward accepting changes in roles and levels of responsibility will be changed by October 15, to be evidenced by the evaluation surveys. B. State and sequence objectives in terms of specific resources, time lines, strategies, and responsible parties. 1. By August 1, the ICU Nurse Manager, Assistant Head Nurse, and Charge Nurses will meet to discuss the problem, assess the needs of each department, and construct a nurse survey. 2. By August 8, nurse surveys will have been administered, collected, and analyzed and findings will be used for a discussion involving the ICU Nurse Mana
. . .

Some common words found in the essay are:
Charge Nurses, Chin Theory, Care Unit, ICU Hiring, Evaluation Revision, Hagerman Tiffany, Outcome Summative, Additional ICU, Ongoing Process, Sochalski Sober, change process, october 15, survey nurse, nurses hired, nurse manager, nurse shortage, icu nurse, nurse survey, nurse shortages, manager assistant head, charge nurses, nurse manager assistant, icu nurse manager, assistant head nurse, nurse charge nurses,
Approximate Word count = 1522
Approximate Pages = 6 (250 words per page)

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