You decide to investigate facilities near your home for possibleemployment. Each of the following institutions has a uniqueapproach to health care, offering varied employmentopportunities.
A. Hospital A is a small community facility with Magnetdesignation. As you look at the organizational chart, you note thatthere is a unit manager (UM) who reports to the division director(DD), who then reports to the director of nursing (DON). You alsonote that control over nursing resides primarily with the DON,including policies, procedures, and any changes affecting nursingpractice. You also note the participants in quality improvementinclude nurses from a variety of practice areas.
B. Hospital B is a facility with a well-known sports clinic.Athletes from all over the state travel to the clinic, which ishoused next to the hospital. Although the facility is a typicalhospital, whenever anyone mwntions Hospital B, the first thing thatcomes to mind is the sports clinic. The hospital has implemented anew policy where they only hire baccarlaureate-prepared nurses andprovide reimbursement for current nurses who return to school for abaccalaureate degree.
C. Hospital C is a medium-sized facility serving a wide range ofpatients in the surrounding communities. They have a strongrecruitment program for nurses, which includes a residency program.You note that the hospital’s organizational chart has a nurse asthe vice president of Client Care Services. You also realize thatthe unit managers report directly yo the VP and have the authorityto make decisions and create policies.
1. Which type of health care organization is represented by eachof the three hospitals?
2. How would Hospital C benefit a new highly motivated nurse whohopes to have authority?
3. How could Hospital A benefit a new nurse with no experiencein health care?
4. How are each of the hospitals implementing therecommendations from the Instsiute of Medicine’s Report on theFuture of Nursing?
5. Review current position descriptions for a registered nursein the newspaper or online. How does the description meet the IOMrecommendation that nurses to the full extent of their educationalpreparation? What suggestions would you give for supporting thisrecommendation?
