|Categories:||Management Health and Social Care Nursing management Professional development|
Introduction of the Organization
Norman Knight Nursing Center for nursing and clinical development is a nursing agency that is part of the Harvard Medical School and has the main aim of providing nurses with an opportunity to further their studies and gain quality experience to perform day to day nursing activities. The organization is an affiliate of the Massachusetts general hospital that hosts the Harvard medical school. Norman Knight Nursing Center has been in existence since the year 1996. The center has provided clinical and professional development to nurses and nursing support staff since then. The center is located in the 55 Ft Boston. The center promotes learning to her staff to ensure they remain as competent as possible in the nursing field. The trained nurses serve at the Massachusetts general hospital. The Norman Knight Nursing Center conducts learning needs assessment to that is aimed at informing and shaping education programing that is helpful in application at Massachusetts general hospital community.
The services that the center offer to clients include continued registration, professional certification for nurses, cardiopulmonary resuscitation (CPR) pulse training to nurses and professionals, central embodying and administration of health stream the administration of health stream is the main practical concern of the center. The agency is made of a team that is very keen on understanding the needs of the clients and offering appropriate training to the nusses. (Thygerson, Gulli., Krohmer, 2006)The team is also keen on ensuring that the complaints of customers and all clients are properly handled on time. The center is fully accredited by the nursing board of the United States to provide nursing services and nursing training services. The agency has [participated in a number of community outreach activities and social works that has been her main means towards achieving good community- agency relationships.
Examination of the Organization
The Norman Knight Center for Clinical and Professional Development supports excellence in clinical activities and lifelong learning by facilitating, developing and actively getting involved in learning opportunities with an aim of obtaining knowledge and skills required for offering competent, secure, and compassionate patient- centered care and family-centered care.
The organizations main target is ensuring that they achieve excellence in patient- centered care and family centered care. The staff at the Norman Knight Center is very flexible and responsive to providing ongoing education for Massachusetts General Hospital staff. The team works on three philosophies:
Be responsive; this means that the agency should be as quick as possible when responding to an urgent need.
Be Nimble; this mean that the agency should be well-endowed with solutions for any problems likely to be encountered at the hospital or at the center.
Be Flexible; this is to mean that the agency should be able and willing to change their course when needed with an aim of obtaining optimum results
Organizations Administrative Structure
The administrative structure of Norman Knight Center is defined by the joint commission on accreditation of nursing practice and nursing educational centers. It includes the governing board of the center that represents the surrounding community, the executive committee that is responsible for the family care and patient acre activities, the standing committees that help in supporting the executive committee and the hospital administrative unit.
The Norman Knight Center administrative unit is made up of the chief assistant and several assistants that perform different specified duties. The Norman Knight Center also has the joint conference committee that has member from the executive committee, the board and the center administrators. The nursing staff is finally divided into departments that each assumes the responsibility of care for patients within their respective domain. The departments also oversee the awarding of certification and credentials to the qualified personnel who have undergone the Norman Knight Center nursing training (W.H.O,2013).
The organization practices the traditional organizational structure. The following breiefly represents the various components of the organizations management.
The Norman Knight Center has the board of directors that oversees its operations. This board majorly consists of the influential individuals in the field of nursing. The board of directors for Norman Knight Center mainly consists of professors from the Harvard Medical School.
They are the personalities that are responsible for ensuring that the decisions of the board are carried out. They also ensure that the day to day operations of the organization are performed successfully. The executives committee is headed by the chief executive officer. The Norman Knight Center has the chief nursing officer that ensures that all the day to day operations of the organization run as planned.
These are the people who head the specific departments of the clinic. They report directly to the management. The departments they head at Norman Knight Center include patient care department, delivery department or the emergency department.
Patient care managers
They directly oversee the well-being of the patients. These include the senior nurses and the clinical offices.
The Norman Knight Center consists of the nurses who handle the patients one on one. These are the organizations service providers.
Strengths and Limitations
Several factors have led to the exemplary performance of the Norman Knight Center. They include the efficient healthcare informatics, the highly trained personnel and the state- of- art medical equipment. The other key factor that has led to the agencys success is the specialization it has taken part in. The organization only takes part in nursing activities; training and practice. That organization is therefore able to achieve its goals effectively due to sufficient supply of qualified personnel.
This specialization at Norman Knight Center has led to an increased productivity at the organization due to the operational efficiencies. Work-related mistakes are avoided as a result of the confidence that the staff have due to proper training. The clear career path and standards set at the organization also motivates the employees to work extra hard so that they can climb the ranks. The cooperation among the various departments has also been effectively achieved in the organization.
The key weakness that has been observed at the Norman Knight Center is the poor communication among the departments. The rigid communication channel that is more of a traditional system has in most cases affected the ways and speed with which decisions are implemented. The communication channel is more bureaucratic and very inflexible. This has been the main challenge of the organizations policy implementation. Lack of innovation at Norman Knight Center has been another weakness that the organization should consider working on.
Poor inter-departmental coordination has been another weaknes that Norman Knight Center has been facing. This has in some cases caused delays and brought down the general production levels.
Care Delivery System
The care delivery system is hierarchical. The board passes the regulations that are supposed to be followed to ensure that the organizational goals for Norman Knight Center are met. The chief nursing officer ensures that the proposals and regulations passed by the board managers are fully implemented. The chief nursing officer then delegates the duties to the junior nurses who ensure that the patients are well taken care of at Norman Knight Center. There is also the customer service department that ensures that the complaints of the clients are put into consideration as required. Necessary restrictions are put in place to ensure that only licensed nurses and medical practitioners are allowed to practice at Norman Knight Center.
Outcomes and Measurements
The first patient outcome we discuss is the cardiopulmonary resuscitation (CPR). This is a lifesaving procedure that is usually very useful in most emergencies. The cases that usually require cardiopulmonary resuscitation include saving a drowning person or a person experiencing heart attack. These are cases that involve the individuals breathing stopping. It is recommended that cardiopulmonary resuscitation begin with a little chest- compressions. The American Heart Association recommends a 100 a minute chest until the paramedics arrive for the individuals who are not trained (Thygerson, Gull , Krohmer, 2007).
For trained individual, cardiopulmonary resuscitation is done by first checking airwave and doing rescue breathing. For the trained but rusty individuals who have previously worked on cardiopulmonary resuscitation, they can do the 100 a minute .chest compression. Cardiopulmonary resuscitation helps keep the blood flow oxygenated to all other important parts of the body such as the brain. It can help restore the blood flow to the heart.
It is required that you check if the person is conscious before performing CPR. Shake the person loudly asking him if he is okay. Call the doctor if the person does not respond. The Norman Knight Center has trained her staff to perform CPR in a professional way. Putting the person to rest on his/her back, kneeling next to the persons neck, placing the hands on top of the nipples thyen using the upper body to push up and down (100 compressions a minute)
Thygerson, A. L., Gulli, B., Krohmer, J. R., American Academy of Orthopaedic Surgeons., & American College of Emergency Physicians. (2007). First aid, CPR, and AED. Sudbury, Mass: Jones and Bartlett Publishers.
Bonita, R., Beaglehole, R., Kjellstrom, T., & World Health Organization. (2006). Basic epidemiology. Geneva: World Health Organization.
World Health Organization,. (2013). Handbook on health inequality monitoring: With a special focus on low- and middle-income countries.
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