Page 12 - Tale of Transformation
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Steering Team Discussion:
We have studied these issues. How do we begin to take action?
Description of Current Status
Decision-Making
Staffing
Physical Environment
Organization Design
Leadership
Actions Needed
Team Assigned
ATTRIBUTES OF STAGE 1
Decision Making
• Decisions made by top managers
• Group process is not used
• Daily activities, meals and bath determined by needs of staff
Staffing
• Nursing staff are not permanently assigned • Staff rotate based on policy or need
• Staff roles are traditional and defined by departments
Physical Environment
• Large centralized dining
• Kitchen is off limits to anyone without authorization • Interior & décor is institutional like an old hospital • Building divided into nursing units
Organizational Design
• Top-Down hierarchical structure
Leadership
• Broad range of skills
• Leadership training excludes front line staff
• Administrator, DON, department heads comprise the Leadership Team
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