In the article “Addressing staffing shortages in an era of reform,” Stanford point out that in a time when change is necessary because of mandated healthcare requirements, there is a shortage of nurses in the field of direct patient care, because they are offered jobs with better pay to oversee office positions. “Health system leaders recognize that these shortages threaten the quality of care they can provide to patients. As a result, competition for talent is becoming more heated in several parts of the country,” (Stanford, 2013). By nurses taking on jobs in other areas of the field, we are left to find people to replace them and when that happens, it creates a shortage on the front line of patient care.
The literature, “The Unintended Consequences of Staffing Mandates in Florida
Nursing Homes: Impacts on Indirect-Care Staff,” talk about the effect that staff shortage has on the direct care staff like the certified nurse aids, activity staff and others who see and interact with the resident on a daily bases, (Thomas, et all, 2010). By increasing the number of direct or non-licensed staff members, the work of indirect care members like housekeeping and other minor jobs feel onto the burden of the direct care staff. This created a problem as they tried to complete all task as assigned to them. Once again staffing was blamed for any problems, although this time they included the staff that was not directly involved in the care of the residents. Have less indirect care staff meant that everyone had to pick up extra job duties and the indirect care staff was left to hold the bag with less than standard quality of care.
Based on the finding of my research, a change is necessary to ensure that those who depend on long-term care facilities to help ease and relieve some of the burden when they can no longer care for themselves or their loved one. A possible way to do this may be that the licensed office personnel would need to come out to the floor and help to round on the residents assigned to the halls. Also this type of activity could help them do their work more efficiently because then they are getting a first-hand look at the resident on which they are charting instead of asking the nurse assigned to that resident about their condition and care.
Using the Lewis model of change, according to the Mind Tool website, this model involves three steps: “1. Unfreeze, 2. Change, 3, Refreeze” (Evison, n.d.). As the manager in charge, I would bring about change by following this model. My steps to change would include:
1. Unfreeze: Once all the staff and residents become aware of the problem of short staff, either by observations or direct impact on the residents care, I would propose that a change is needed. I would welcome any ideas from the staff as solution to the problem and also invite staff to become active in the proposed change. Ideally we would together to achieve a better care environment for the residents.
2. Change: I...