Gizelle Guadalupe Manager Assignment Help: How to Answer This Question

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Original Question

Gizelle Guadalupe is a new manager on the busiest medical and surgical unit in a tertiary hospital. There are 39 beds on 9 Tower, which has a high volume of diabetic and other patients with multisystemic clinical conditions requiring complex care planning. She is excited to improve the quality and outcomes on this unit. During her interview, she learned that under the previous leadership the quality was deteriorating, as reflected in the Hospital Consumer Assessment of Healthcare Providers and Systems (HCHAPS) scores, staff absenteeism, and increasing turnover rates. It was costing the unit between $42,000 to $65,000 to replace a nurse, including the cost of recruitment and temporarily filling the vacancy at premium labor costs, as well as the immeasurable costs to quality outcomes. While making rounds, Manager Guadalupe observed complaints about missed nursing care from all shifts and decided to make staff accountable for ensuring that patient care is completed. She asked a Clinical Nurse Leader (CNL) to monitor the types of patient care activities that were being omitted. After 1 week, the CNL stated that it was difficult to make that determination because everyone had a different opinion on which interventions were being omitted. Additionally, she reported that staffing was an issue. The manager’s initial response was, “What’s wrong with staffing? Why would you blame staffing for omissions in patient care?” What questions could you pose to frontline nurses to understand how their staffing experience related to missed care?

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