The nurse manager refers the concern to the director of the department.
The nurse manager corrects the concern with the patient directly and does not communicate her actions to the staff.
The nurse manager meets with the staff to discuss the concern and identify solutions.
The nurse manager tells the staff that they need to correct the situation by tomorrow and leaves the meeting.
The director communicates the goal of reducing readmissions to the hospital operations team and tells them to submit their action plan by the end of the week.
The organization charters three work teams to identify solutions for the top three causes for readmissions. These teams are given full authority to implement their solution.
The director of quality develops a vision statement and action plan to achieve the goal. The director works directly with the involved departments to implement the action plan.
The CEO communicates the goal to the organizational directors and managers and states that they are entrusted to solve the problem.
"The department will deliver reliable, collaborative, and compassionate discharge planning services to all patients."
"The department will hold weekly meetings every Tuesday at 11:00 AM."
"There will be implementation of a new uniform policy so staff can be readily identified."
"Staff are encouraged to complain about difficult patients, families, and physicians."
The clinical nurse leader identifies the staff person with the most vacation and asks them to go home.
The clinical nurse leader tells the last person to show up for their shift to go home.
The clinical nurse leader decides not to send anyone home because it is too difficult to decide who should lose hours.
The clinical nurse leader asks the group if any of them would like the opportunity to go home and selects staff who volunteer.