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Planning: a cyclical and participative approach

J M Skelton-Green

    Canadian Journal of Nursing Administration
    |March 1, 1993
    PubMed
    Summary
    This summary is machine-generated.

    Nurse administrators can effectively plan and implement changes using a cost-effective, stakeholder-involved approach. This strategy fosters engagement and optimism despite challenging healthcare environments and resource constraints.

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    Area of Science:

    • Healthcare Management
    • Nursing Administration
    • Organizational Change

    Background:

    • Healthcare leaders face complex challenges in planning and executing change initiatives.
    • Limited resources often restrict the employment of dedicated planning or project personnel.
    • Hospitals must adapt to evolving demands, including service rationalization and technological integration.

    Purpose of the Study:

    • To present a cost-effective planning approach for nursing divisions.
    • To demonstrate stakeholder involvement in developing and implementing nursing initiatives.
    • To highlight the successful application of this approach in a resource-constrained environment.

    Main Methods:

    • Development and implementation of a collaborative planning model within a hospital nursing division.

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  • Active engagement of key stakeholders in the planning and execution phases.
  • Focus on aligning initiatives with stakeholder priorities and organizational goals.

    • Main Results:

    • Successful implementation of numerous progressive professional nursing initiatives within three years.
    • Maintenance of patient care commitment and staff optimism amidst significant organizational changes.
    • Demonstrated effectiveness of the approach despite challenges like service rationalization, computerization, unionization, bed closures, and budget deficits.

    Conclusions:

    • A cost-effective, stakeholder-driven planning approach enables nursing divisions to navigate complex changes successfully.
    • This model fosters sustained staff engagement, optimism, and commitment to patient care.
    • The strategy proves resilient and effective even under conditions of severe resource limitations and organizational stress.