The Contemporary Downsizing and Decentralization Strategies

The outline that will be implemented calls for the retraining of floor nurses as multi-skilled health practitioners (MSHPs). The implement of MSHPs can both enhance employee productivity and improve the approach effectiveness of health operate delivery (Fottler, 1996). An MSHP is a individual who is cross-trained to provide more(prenominal) than one function, often in more than one discipline. These combined functions can be found in a broad spectrum of health related jobs ranging in complexity from the non-professional to the professional level, including both clinical and management functions. The additional functions (skills) added to the authorized health c atomic number 18 worker's job whitethorn be of a higher, lower, or parallel level.

Lewin's Field speculation as it applies to swap is re trip uped as an appropriate model for the implementation of trade associated with the suppression of the treat department in an acute care infirmary. The possible action is referred to as "change theory" in the remainder of this review. The whiz elements change theory are force knit stitch of operation, motivators, and stages (Goad & Hough, 1993). The force field is comprised of factors that function both as driving forces and as restraining forces with revere to a specific action or phenomenon (Goad & Hough, 1993). Force field analysis also provides for a status quo wherein driving and restraining forces are in balance. Moti

Change Theory is appropriate for application overcoming the objections from nursing staff to the changes that will be required for the nursing department to comply with the downsizing strategy that will be implemented by the hospital disposal. The major strength of the theory in relation to implementing changes required by the downsizing strategy is the ease of application for an internal change agent.

The major weakness of the theory is the fact that change recommended by a change agent who a member of the hospital staff might meet substantial resistance from both(prenominal) members of the professional staff of the nursing department who might view change agent as an advocate of hospital decision maker objectives with little concern for the objectives of the professional staff in the nursing department. If the change agent is, however, a member of nursing administration at the hospital, such resistance may be ameliorated.

Hyde, J. C., & Fottler, M. D. (1995). Determinants of cracker-barrel hospital utilization of multiskilled health practitioners. Health Services guidance Review, 8(1), 64-72.

Fottler, M. D. (1996, Spring). The role and impact of multiskilled health practitioners in the health services industry. Hospital & Health Services Administration, 41(1), 55-75.

The proposed intervention associated with the downsizing political platform for the nursing department involves the retraining of floor nurses as MSHPs to carry through care quality while complying with plans to downsize the nursing department. One lucky outcome to the MSHP program may be an increased potency for the professional nursing personnel working in MSHP teams, as a professional typically may be expect to lead such teams. An unanticipated negative outcome of the persona of MSHPs may be an adverse reaction by whatsoever patients who are unprepared for a change in the vogue in which care is being delivered. This potentially negative outcome, however, may be precluded by effective patient education. Overa
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