Organizational Theory and Management.

This assignment is worth 50% of your final grade. Presentation and hard copy submission of this assignment is due on December 8th, 2018.

So, the name of this course is Organizational Theory and Management. We are to incorporate a component of Organizational Behaviour into an individual research project in our department at our workplace. The component of Organizational Behaviour I chose to focus on is Workplace Communication.

SECTION 1 PROBLEM STATEMENT

Describe a problem that is related to the course content and is being experienced in an organization of your choice. Answer the questions: Who are the stakeholders and how are they affected? How do you feel about the issue/problem? What outcomes and strategic goals will the project support or affect?

Feel free to reconstruct and rephrase this problem statement to include what the above is describing and requiring. I think a bit more needs to be added to it.

Problem Statement: Ineffective workplace communication among the surgical staff (i.e. surgeons, operating theatre nurses, attendants etc) leads to delays in operating theatre start time and cancellation of surgeries.

SECTION 2 OBJECTIVES AND GOALS 

Clearly state a minimum of objectives that are concise, verifiable, feasible, and measurable. State the expected outcomes or benefits (what is the impact on the unit business processes, systems, people, the organization etc?).

I suppose you can state a minimum of three objectives.

SECTION 3 – NEEDS ASSESSMENT AND RESEARCH METHODS 

In this section, you should conduct an assessment of the organization, in order to provide a diagnosis and to validate the problem as identified under the Problem Statement section. You are free to conduct site visits/observations,and state your findings of the current situation. Show evidence of how the client system is responding to the problem. Identify disparities in perceptions, strengths, weaknesses, problem solving abilities, support systems List the human and other resources needed to complete your project successfully. You are to assume the role of a consultant and to refrain from revealing the identity of the organisation while sharing ample details of the departmental or service setting.

Feel free to include a sample questionnaire here as a means of research methods asking about the ineffective workplace communication. It can be included in the index. Maybe you can say the questionnaire was administered to approximately 50 people in the department.

Interviews with the head nurse(s) of the operating theatre and the consultant surgeons should be done.

State what you observe as well.

There is also a surgical logbook whereby every operation that is done is logged together with the patient’s name and hospital registration number. A retrospective approach or prospective approach can be used whereby, for example, you can collect data relating to the time patient was sent for, from the surgical ward to the operating theatre. Normally there is huge delay where this is concerned because many times, the staff is unsure of which surgical patient to send for first to operate on. Not because their names are first on this list means that they will always be first to operate on.

Below is just a brief outline how the surgical department is run.

I belong to the surgical department (specifically orthopaedic surgery). In my organization (public hospital), there are 2 orthopaedic surgery theatre days (Tuesday and Thursday). On those two days only orthopaedic surgeries (both urgent and elective) are performed in the operating theatres unless there is an emergency surgery is to be done by the other surgical specialities (eg. General surgery, obstetrics and gynaecology, ophthalmology etc). The emergency surgeries would take precedence over any urgent or elective orthopaedic surgery as these are life threatening. Hence, they are called emergencies.

The day before orthopaedic surgery operating days (that is the Mondays and Wednesdays), Operating Lists are created with the names of the patients due for surgery the following day. Apart from the names of the patients, the list also has their diagnosis and surgery that is going to be performed by the surgeon. Patients are to be admitted on the surgical wards on the day before the surgery, if they are not already an inpatient. They are then prepped pre-operatively (bloods, xrays, ecg, consent etc). Once these investigations are good they will fast (from both food and water) from midnight until they are called for surgery the next day. They are only allowed to eat after the surgery has been done and they have returned to the wards from the operating theatre.

On the morning of surgery, the head nurse or nurse in charge in the operating theatre, has to call for the first three patients, since there are three operating theatres. This part is entirely dependent on the surgeon. Sometimes the list is done in a particular order but the patients that are listed first in each of the three theatres are not the ones being called for first. Some reasons this happen are:

1) The junior surgeons are unsure of what cases can be done since there is lack of communication with the senior surgeons. The senior surgeons may each have a different order in which they would want to start. Hence communication is always the issue.

2) The patient may not be fully pre-operatively prepped and so prepping of the patient has to be completed by the surgical ward nurses and a check list done before they can come to theatre.

3) The nurses on the surgical wards are handing over to the other shift of nurses and so would tell the operating theatre nurses they are busy at that point in time, to call back within the next 15 minutes.

4) Sometimes an orthopaedic surgery may require an implant from the companies and the representatives from the companies bringing the implants may be late

5) Sometimes a particular instrument set for an operation has not been sterilized and has to go to be sterilized and so another case would have to be sent for. It is only found out that it is not sterilized on the day of the surgery.

Most times once delays happen and operating theatre start time is lengthened, the ultimate outcome is cancellation of cases (especially elective, non- urgent cases).

SECTION 4 ANALYSIS 

This section should represent an analysis of your findings under the Section: Needs Assessment and Research Methods (Section 3 above) and should address the problem in the context of theories and concepts covered during the course. Assumptions may be made to fill knowledge gaps; they may later prove to be incorrect but may have a significant impact on the project. List only those assumptions that have a reasonable chance of occurring. List any known constraints imposed by the environment or by management.

This will obviously also have graphs/charts etc. Make up figures that conclude, there is ineffective workplace communication, that leads to the delay in theatre start time and cancellation of cases. It is to relate back to section 2 I suppose.

SECTION 5 DESIGN TREATMENT, SOLUTION OR ACTION PLAN 

Your proposed solution to the problem and which follows from Sections 1, 2, 3 and 4. In this section, you should outline and discuss the specific strategic initiatives to be employed to problem solve the case e.g. develop an intervention / develop a training plan.

Below I have just briefly described a solution. This is just an example of something along the lines but way more is needed here. You are better at this ????. More solutions/action plans etc, the better it is.

Being a medical professional and a member of the surgical department, in my opinion it is absolutely necessary for effective workplace communication to exist. Strategies and recommendations to overcome barriers must therefore be put into place or done to ensure that the communication process is improved. Most importantly, surgical briefings between all categories of surgical staff can be done two to three times weekly to facilitate clear and effective communication, as it creates an environment for all members of the surgical team to openly address a perceived problem(s) with surgical patients. Every member of the team should actively participate to ensure the team in on the same page. It permits open communication to discuss what went well or could have been done better to avoid the delays that happened. It can facilitate discussions of how to solve problems including communication issues so that there is no delay in operating theatre start time and hence cancellation of surgeries. These briefings and debriefings can be effective through the use of a surgical checklist. Surgical checklists can therefore be employed to integrate the process items into one tool to ensure that team members communicate the necessary information with each other and perform essential safety steps for every surgical patient. Overall, these strategies would enhance communication among surgical team members, other surgical healthcare staff and the surgical patients to provide effective surgical health care for patients.

SECTION 6 BIBLIOGRAPHY 

Your project must include a bibliography

SECTION 7 APPENDICES 

These must be referenced in the body of the project and appropriately labelled.

Of course if you want to look at ineffective workplace communication in the surgical department from a different angle, feel free to change up everything according to suit. I believe you are an excellent writer and would not disappoint me. Remember everything relates back to Ineffective workplace communication in the surgical department.

The professor also stated she would like a literature review to be done with at least 6 references.

The entire paper and references used are to be done APA style.

CRITERIA TO FOLLOW

Please use the following criteria to guide your individual project:

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