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Original Question

Exploring the Impact of Philosophy on Management Action Susan is the supervisor of the 22-bed oncology unit at Memorial Hospital, a 150-bed hospital. Unit morale and job satisfaction are high, despite a unit occupancy rate of less than 50% in the last 6 months. Patient satisfaction on this unit is as high as or higher than that of any other unit in the hospital. Susan’s personal philosophy is that oncology patients have physical, social, and spiritual needs that are different from other patients. Both the unit and nursing service philosophy reflect this belief. Thus, nurses working in the oncology unit receive additional education, orientation, and socialization regarding their unique roles and responsibilities in working with oncology patients. 204 At this morning’s regularly scheduled department head meeting, the chief nursing officer suggests that because of extreme budget shortfalls and continuing low census, the oncology unit should be closed and its patients merged with the general medical-surgical patient population. The oncology nursing staff would be reassigned to the medical-surgical unit, with Susan as the unit’s co-supervisor. The idea receives immediate support from the medical-surgical supervisor because of the current staffing shortage on her unit. Susan, startled by the proposal, immediately voices her disapproval and asks for 2 weeks to prepare her argument. Her request is granted. ASSIGNMENT: What values or beliefs are guiding Susan, the chief nursing officer, and the medical-surgical unit supervisor? Determine an appropriate plan of action for Susan. What impact does a unit or nursing service philosophy have on the actions of management and employees?

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