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Nursing diagnoses represent a problem validated by major defining characteristics. There are four categories of nursing diagnoses: problem-focused, risk, health promotion or wellness, and syndrome. The anatomy of a nursing diagnosis includes three components: problem statement or diagnostic label, defining characteristics, and related factors.
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The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
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Systemic Problem Structuring in a Complex Hospital Environment using Viable System Diagnosis - Keeping the Blood

Maren Berge Vik1, Hanne Finnestrand1, Robert L Flood1

  • 1Department of Industrial Economics and Technology Management, The Norwegian University of Science and Technology (NTNU), Trondheim, Norway.

Systemic Practice and Action Research
|May 3, 2021
PubMed
Summary

Viable System Diagnosis (VSD), a systemic thinking approach, was applied to identify dysfunction in a Norwegian orthopedic surgery department. This participatory method engaged diverse stakeholders to improve organizational arrangements and patient care.

Keywords:
Complex organisationsHospitalSystemic thinkingViable System Diagnosis (VSD)Viable Systems Model (VSM)

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Area of Science:

  • Healthcare Management
  • Systems Theory
  • Organizational Psychology

Background:

  • Hospitals are complex organizations facing systemic dysfunction.
  • Orthopedic surgery departments present unique organizational challenges.
  • Previous applications of Viable System Diagnosis (VSD) show its efficacy in diagnosing organizational issues.

Purpose of the Study:

  • To apply the Viable System Diagnosis (VSD) approach within a hospital's orthopedic surgery department.
  • To explore the relevance of systemic thinking in complex healthcare settings.
  • To identify causes of systemic dysfunction and propose improvements.

Main Methods:

  • Utilized the Viable System Diagnosis (VSD) framework.
  • Employed a participatory approach involving clinicians, managers, administrators, and patients.
  • Focused on understanding organizational purpose and existing structures.

Main Results:

  • The VSD application generated a structured agenda for stakeholder discussions.
  • Identified key areas of systemic dysfunction within the department.
  • Facilitated dialogue on improving organizational arrangements and operational efficiency.

Conclusions:

  • Systemic thinking and VSD are valuable tools for diagnosing and addressing dysfunction in complex healthcare organizations.
  • Participatory diagnosis involving diverse stakeholders leads to actionable improvement plans.
  • The application provides a model for enhancing organizational effectiveness in hospital settings.