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National Institute of Child Health

Muhammad Baqar

Preceptor;

Mrs. Afshan Nazli

Faculty;

Mr. Faraz siddique

Mr. Mohammad Jafar

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Objectives:

� At the end of today’s session the viewers will be able to

� Relate conceptual definition and my own understanding of strategic planning.

� Understand my personal philosophy and vision.� Understand long term and short term goals/objectives

of my career plan.� Enumerate and prioritized problems at my clinical

setup.� Integrate the change theory while bringing change in

the existing practices.

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Strategic PlanningStrategic Planning

� “The planned or actual coordination of the firms’ major goals and action, in time and space that continuously co-align firm with its environment.”

( Farjoun, 2002, p570-1)

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My understanding of strategic planning

� I understand that strategic planning is the process by which I envision my future and develop strategies, goals, objectives action plan to achieve in the future.

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Personal philosophy

� I believe that first one must decide what philosophy means . I think Shrock stated it best when she said, “philosophy is an attitude toward life and reality that evolves from each nurses beliefs …”

(Edwards, 1997, 1089). � This definition gives me the freedom to use my

own beliefs. � I believe that to be a successful nurse one must

be able to provide the “ art” of caring, and have the drive to continue to attain and apply the knowledge “science” throughout career.

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MY VISIONMY VISION

� I will achieve a transformational environmentthat leads to quality care of patients according to a

culture in which we are: Trusted by our community. Respected by our fellow employees as

important members of the team. Valued by our physicians as professional

colleagues Supported by caring relationships among nurses

that fosters professional advancement in advocacy

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My career short term goals

� Work as a staff nurse in my clinical setting (Civil Hospital Karachi ) for quality care of patients.

� I hope to be work on a medical-surgical floor and hone my skills as a graduate nurse.

� To obtain a position of assistant nursing

superintendent in my hospital with in 4 to 5 years.� To use my scientific and human relations skills as a

Nursing Supervisor.

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My career long term goals� To obtain a position of Nursing superintendent in my hospital with

in 7 to 10 years

� Hopefully within the next five years or so,

I will have a master degree of nursing and achieve excellence in my profession.

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Identified problems in my work setting at CHK

� Shortage of nursing staff� Poor communication.� Shortage of skillful staff.� Lack of experienced team leader.� Lack of coordination between Doctor and

nursing team member.� Poor working conditions.

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Identified problems in my work setting at CHK

� Lack of professional development opportunities.

� Lack of promotion opportunities.� Non involvement in decision making.� Lack of support from supervisors� Influence of Politics

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Prioritized problem

� Shortage of nursing staff

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Significance of the prioritized problem

� Worldwide, there have been many changes in hospital settings including:

nursing shortage which leads to an increased workload, dissatisfied nurses and a tendency to leave the service, which in turn reflects negatively on quality of nursing services and patients’ outcomes .

(Mrayyan, 2007).

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Literature reviewLiterature review� In addition, nursing shortage is a universal barrier that

most of the countries suffered from; there are many factors or causes that may lead to nursing shortage such as lack of work place social support, job stress, and job dissatisfaction

(AbuAlrub,2004)

� Nursing shortage is one of the barriers that need awareness and intervention from all health care parties

(AbuAlrub, 2007)..

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Literature reviewLiterature review

� Nursing practice problems; including the nursing shortages, is not stable as it matches with the locally and globally increasing changes in healthcare (Mrayyan, 2007). Although nurses provide 24 hours a day of

� patients care; without a sufficient number of nurses to staff hospitals, patient care will suffer

(AbuAlrub, 2007).

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Application of change theory

Unfreezing� Assess and analyze the factors that cause shortage of

nursing staff.� Accurately diagnose the problem.� Identify and convince a team members of eligible

persons, and share assessment result with them.� Explain the significance of staffing needs.� Discuss the benefits of change.� Support ideas with evidence-based research literature� Share own input and expectation towards change.

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Application of change theory

Moving;� Develop staffing plan, budget,, policies.� Identify the areas of support and resistance.� Include all those who can be affected by the change� Set the target dates and develop appropriate planning� Implement the change� Support and encourage other team members.� Make audit tool and policy

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Application of change theoryRefreezing;� Support others in order to maintain and integrate the new change. All of the health care provider must be work collaboratively to

improve the nurse practice environment.� Reinforce the new pattern of behaviors. increasing autonomy, increasing salaries, rewards & benefits etc.� Developing a well-established quarterly audit system. methods analysis, work measurement, workplace design. Staffing process, Staffing process results, Staffing costs, Customer

satisfaction� Ongoing evaluation of the department/employees to ensure the

sustainability of change process.� Delegate some of the tasks to other team members as required.� Modify the plan as needed

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Restraining forces

� Unwilling to change� Lack of awareness� Negligence of the administration� Increase work load on staff nurses � Lack of resources� Culture of no appreciation

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Driving forces

� Personal confidence and motivation� Team work� Interest of the head nurses, professors,

supervisors.� Administration supportiveness

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Strategies to overcome resistance

� I will give rational justification for the proposed change with the help of literature review.

� I will work in the team rather an individual.� I will develop an environment of trust,

support, and confidence.� I will arrange a counseling session for

administrative personnel to get their confidence and support.

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References:

� Dee Ann Gillies 1994, Nursing MANAGEMENT third edition W.B. Saunders Company, London

� Sharon Kay Judkins 2007, Increasing hardiness among nurse managers: A longitudinal approach

� American Association of Colleges of Nursing, 2003. Nursing Shortage Facts Sheet.

� AbuAlRub, R. (2007). Nursing Shortage in Jordan: What is the Solution, Journal of Nursing Scholarship, 23 (2): 117-120.

� Hospital Nurses, Journal of Nursing Scholarship, 36 (1): 73-78.

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Acknowledgement

Thankful gratitude to my teachers Mr. Faraz Siddique Mr. Mohammad Jafar for there valuable guidance, co-operation and encouragement. I am also grateful to Mr. Sher Ali, Mr. Arfan-ul-Haque, Mr. Laiq Baig, Nazia Nazir, Sobia Naz and all Class for their encouragement and support.

(Muhammad Baqar)

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� Thanks

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� Questions

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