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      Another factor that has contributed to the high turnover rate is the lack of support that nurses receive from management. Nurses often feel that they are not valued by management and that their concerns are not being heard. This can lead to feelings of frustration and dissatisfaction. Organizational Leadership Structure and Approach The Virtual City Hospital has a traditional leadership structure. The hospital is run by a CEO, who reports to a board of directors. The CEO is responsible for overseeing all aspects of the hospital, including the nursing department. The nursing department at the Virtual City Hospital is led by a chief nursing officer (CNO). The CNO is responsible for overseeing all aspects of the nursing department, including recruitment, retention, and performance management. The Virtual City Hospital has a top-down leadership approach. This means that decisions are made by the CEO and other senior leaders and then communicated to lower-level employees. Nurses have little say in decision-making that affects their work. Metrics to Evaluate Current and Future Organizational Performance There are a number of metrics that can be used to evaluate the current and future organizational performance of the Virtual City Hospital. Some of these metrics include:

• Nurse turnover rate
• Nurse satisfaction scores
• Patient satisfaction scores
• Hospital quality scores

Organizational Impact of the Leadership Issue or Crisis The high turnover rate among nurses at the Virtual City Hospital has a number of negative consequences. One consequence is that the hospital has difficulty maintaining adequate staffing levels. This can lead to longer wait times for patients and increased workloads for nurses who remain on staff. Another consequence of the high turnover rate is that the hospital loses valuable experience and expertise. When nurses leave the hospital, they take their knowledge and skills with them. This can make it difficult for the hospital to provide high-quality care to its patients. Recommendations for Resolving the Leadership Issue or Crisis There are a number of things that the Virtual City Hospital can do to resolve the leadership issue or crisis of high nurse turnover. One thing that the hospital can do is to improve the working conditions for nurses. This includes reducing the workload on nurses and providing more support from management. Another thing that the hospital can do is to create a more inclusive leadership approach. This means giving nurses more say in decision-making that affects their work. The hospital can also create more opportunities for nurses to develop their skills and careers. Evidence-Based Strategy for Resolving the Leadership Issue or Crisis The following is an evidence-based strategy for resolving the leadership issue or crisis of high nurse turnover at the Virtual City Hospital:

1. Reduce the workload on nurses. This can be done by hiring more nurses, increasing the use of nurse assistants, and delegating more tasks to other healthcare professionals.
2. Provide more support from management. This includes creating a more supportive work environment, providing regular feedback, and recognizing and rewarding nurses for their hard work.
3. Create a more inclusive leadership approach. This can be done by giving nurses more say in decision-making that affects their work and by creating more opportunities for nurses to develop their skills and careers.

The Virtual City Hospital can implement this strategy by taking the following steps:

1. Conduct a survey of nurses to identify their concerns and suggestions. This will help the hospital to identify the specific areas where it needs to improve.
2. Develop a plan to address the concerns and suggestions of the nurses. This plan should include specific steps that the hospital will take to reduce the workload on nurses, provide more support from management, and create a more inclusive leadership approach.
3. Implement the plan and monitor the results. The hospital should track nurse turnover rates and other metrics to see if the plan is having a positive impact.

If the Virtual City Hospital takes these steps, it can resolve the leadership issue or crisis of high nurse turnover and improve the quality of care that it provides to its patients.  

Sample Solution

     

Organizational Analysis

Organization: Virtual City Hospital

Management or Leadership Issue or Crisis: High turnover rate among nurses

Historical Background

The Virtual City Hospital has experienced a high turnover rate among nurses for several years. In 2023, the turnover rate was 25%, which is significantly higher than the national average of 18%.

There are a number of factors that have contributed to the high turnover rate at the Virtual City Hospital. One factor is the high workload that nurses are expected to handle. Nurses at the Virtual City Hospital often work 12-hour shifts and are responsible for a large number of patients. This can lead to stress and burnout.