coordination between medicine and nursing in the inpatient medi-cal/surgical units.

Paper details:

BACKGROUND The vice president for patient care services (VP-PCS) and the vice president for medical affairs (VP-MA) at Northeast Medical Center (NMC) were very concerned about coordination between medicine and nursing in the inpatient medi-cal/surgical units. NMC was a large tertiary-care teaching hospital, affiliated with the Northeast Schools of Medicine (NSOM) and Nursing (NSON). NMC participated in a joint residency program with three other hospitals affiliated with NSOM. Most residents spent six weeks at NMC. The VPs had observed that coordination sharply decreased after restrictions on resident hours were implemented. The VP-PCS noted, “The residents rotate through our hospital so quickly that the nurses hardly get to know their names, much less establish a working relationship.” The VPs also observed that handoffs of patients from one resident team to another were problematic and had become more so, they believed, as a result of the shorter shifts worked by the residents. The VP-MA suggested expanding NMC’s hospitalist program to address the coordination problems. He argued that hospitalists would provide a consistent medical coverage that would compensate for what he called “fragmented” coverage by residents. However, the chief of medicine was opposed to this proposal. He argued that it would negatively affect the educational experience of residents by reducing their responsibilities. He was backed in this argument by the chairman of medicine at NSOM. As was common in academic centers, the chief of medicine reported to the VP-MA at NMC and also to the chairman of medicine at NSOM. CASE QUESTIONS: Is it consistent with organizational theory to expect that coordination between nurses and residents would suffer as a result of the change in resident working hours? Would the addition of hospitalists improve coordination? What other changes could improve coordination? What are counterarguments to the position held by the chief of medicine and chairman of medicine that the hospitalists would negatively affect the educational experience of residents? DELIVERABLES: There are multiple deliverables associated with the Case Study. Video Recording: Summarize your findings in 2-5 minutes video. Students can use a variety of video recording cameras and editing software (Microsoft MovieMaker, iMovie, Adobe Premiere). Prioritize recording high-quality audio. The further the microphone is from you, the worse your audio quality will be. Recording indoor in quiet spaces for capturing high-quality audio. Paper: Paper length should be 4-6 double-spaced pages not including title page, references, or illustrations and tables. NOTE: Make sure to use APA citations throughout the paper. The textbook should be cited if it is the source of information. If you are not familiar with APA citation, check out the tutorial APA Guidelines for Citing Sources at the end of the course Syllabus, course overview and reference examples. PAPER FORMAT: Use a title page. Font: Use Times New Roman, 12 point. Place your name in the upper left hand corner of the page. Each section of your paper should be headed by the bolded, capitalized item described above. Insert page numbers bottom right. Paper length should be four to six double-spaced pages not including title page, references, or illustrations and tables. Use APA citations throughout the paper. If you are not familiar with APA citation, check out the tutorial APA Guidelines for Citing Sources at the end of the course Syllabus, course overview and reference examples. Include a separate Reference page at the end of the paper. Please prepare reference page as follows: Dess, G., Lumpkin, G., & Eisner, A. (2012). Strategic Management (6e). Boston: McGraw-Hill Irwin. VIDEO RECORDING SUBMISSION: Upload your video to YouTube or Vimeo. Choose unlisted instead of private. Submit your URL to Canvas. IMPORTANT VIDEO RECORDING TIPS Do a short test video to make sure your video and audio quality is good. Save the recorded video on your desktop and make sure it works. Make sure your audio is loud and clear. Avoid pointing the camera towards bright light. If using a smartphone to record, make sure it’s in landscape (horizontal), not portrait mode (vertical). Side Notes Save your paper in the following format: Your last name, initiaagnls of your first and middle name.