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I would totally get behind that idea. It often seems like the ideas coming out of upper management are far from reality. There's a reason for that, a lot of the people involved may be educated in business schools, but they have no actual experience related to the organization's actual mission. That's something that should change, but it would require too much work from people who are comfortable with the status quo.
Rising Star
Yes absolutely. I have been part of process improvement initiatives that have required leaders to shadow front line staff and it’s been illuminating, even when it is only for an hour or 2.
Absolutely!!! I offer routinely to have leadership shadow me to allow for a reality check.
Completely agree. C-suite outside of the CNO typically have no medical care background, have never been a caregiver or practitioner at any level. They verbalize their understanding however talk is cheap. They need to be boots on the ground, experiencing the realities of day to day issues/care that occur on the units. There is little to no respect for the nursing practice In hospitals and I do believe it is due to lack of knowledge, lack of understanding and a focus only on money. If the c-suite had any background or understanding of what/who they are overseeing perhaps there would be clearer decision making being done. Perhaps always cutting the highest paid, most experienced professional RNs would not be first choice and not happening at all. Perhaps, just imagine, there would be recognition and understanding that the most expensive professional RNs are who continue to train the inexperienced, who bring safe, quality care to the bedside. Imagine what would happen if there was a higher respect of the nursing profession from the C-suite, where by nurses didn’t have to cut corners to CYA (that includes trying to protect the organization) because equipment was cut due to expenses or could never be ordered due to the expense (BTW, we’re not talking millions here, we are talking cents to dollars). Yes, we need pharmacy, and yes we need respiratory, and yes we need engineering and yes we need housekeeping. All are necessary. But there was a time when nurses mixed their own meds and they continue to be capable of mixing their own meds so we could cut pharmacy techs, and respiratory therapists are needed but nurses can deliver respiratory treatments, ie albuterol inhalers, steroid inhalers, nurses have done that care for many years. These roles don’t come cheap but these roles only care for part of the patient. Nurses are trained to care for the whole patient. Let’s put money back into caring for the whole patient, setting appropriate staffing ratios so the care is consistent, not piece mealed to accommodate professions who do not care for the whole patient. Let’s push to provide the same care that we would expect for ourselves, our family and other loved ones. Let’s have an environment where we, as a nursing profession, feel safe, respected, and supported to be able to give the best care possible without cutting corners.
Just imagine how much more trust, expertise, and quite possibly financial gain we could accomplish by improving and delivering safe quality care by: increased staffing ratios, decreasing falls, decreasing HAPI, HAI, decreasing dissatisfied patients/families because we can spend time explaining the care, explaining about what is happening and why and having shared expectations of care. This could be accomplished through protecting, supporting, respecting the nursing profession and the skill they bring to the bedside!
I couldn’t agree more. As a member of Administration, my leadership team and I are implementing a one day per month rotation across all of my departments in which we as the leaders are going to do the job of the staff for the day. The staff will spend the day catching up on required trainings and working on other low impact projects. I hope by doing this we will gain some useful insight and better connection to our staff to show that we do care and want to help support them by making informed decisions.
Yes I would totally back this idea especially where I work. Management administration is out of touch with what some
departments face and the difficulties within the job itself. I am not a front line worker but I work with many difficult providers and other admin staff that I literally want to pull my hair out some days.!
I 100% agree!!
God I would love it if they did. I swear it's the only way they'd understand how unrealistic their expectations are when we're so short staffed, and how miserable being so short staffed makes life.
Yes! I agree! Make them work on the weekend not the week!