Strategic Planning Assignment

Strategic Planning Assignment

Strategic Planning Assignment

Strategic planning is a process designed to achieve goals in a dynamic competitive environment through the allocation of resources. It is a continuous, systematic process of making decisions today with the greatest possible knowledge of the impact in the future. The steps in strategic planning include scanning the environment, strategic formulation, identifying strategies, implementing strategies, and strategy evaluation (George et al., 2019). The purpose of this paper is to outline a strategic plan that will address the nursing shortage in the behavioral health unit at Chelsea Hospital.

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Strategic Plan Concepts

The strategic planning process will be driven by a team that will include the Chief Nursing Officer (CNO), Director of Human Resources (DHR), Hospital administrator, the nurse-in-charge of the behavioral health unit, and two registered nurses (RNs) working in the unit. The CNO is at the top-level management of the organization’s hierarchy and is also the hospital’s vice president. The CNO was included because she will spearhead personnel management with regard to the nursing shortage, which means implementing the recruitment, hiring, and retention processes.

The DHR is also at the top-level management in the organization’s hierarchy. The DHR was included in the team because he is involved in recruiting, hiring, and retaining staff in the hospital. In addition, the hospital administrator is a top-level manager responsible for organizing and supervising the hospital’s health services and daily activities. The administrator was included because she monitors departmental and staffing budgets and develops work schedules. The nurse-in-charge is a low-level manager in the hospital. She was selected because she is responsible for managing the unit, overseeing staff management, patient care, and daily operations. Lastly, the RNs are involved in providing direct patient care and are the most affected by the nursing shortage in the unit. They were selected to provide solutions on how to best address the nursing shortage in the unit.

SWOT Analysis

Strengths	Weaknesses
·         The hospital has an effective administrative structure. ·         The hospital sponsors RNs for further training, which increases job satisfaction.  ·         Healthy working environment. ·         The hospital has reintroduced an intensive training program for nurses in behavioral health, which will help retain nurses and recruit new staff. ·         The hospital is reintroducing the Hospital Relationship Based Care Team. ·         Focus on nursing recruitment and retention.	·         Shortage of nurses specialized in behavioral health. ·         Limited autonomy is given to RNs in the behavioral health unit. ·         Aging workforce- The unit has a significant number of nurses in the baby-boomers generation. ·         Inadequate staff motivation programs. ·         Inadequate managerial support.
Opportunities	Threats
·         Increase wages and overtime pay for nurses. The hospital’s management is working on attractive and fair recruitment packages to promote the retention of existing employees. ·         The hospital is investing in the professional development of nurses to promote retention. ·         Increase nurses’ autonomy. ·         Adopt technology to ease nurses’. ·         Eliminating mandatory overtime.	·         Mandatory overtime policies in the hospital could worsen the turnover and the nursing shortage. ·         Neighboring hospitals have competitive salaries and offer nurses flexible working schedules. ·         Increased adoption of healthcare technology in other hospitals.

Priorities

The two priority solutions to addressing the nursing shortage at Chelsea Hospital are investing in the professional development of nurses and eliminating mandatory overtime. Mlambo et al. (2021) explain that staff turnover intention is imminent based on the perceptions of staff development and is closely connected to an employee’s intentions to leave. Therefore, employers can contribute to staff career development and retention by implementing organizational programs and activities aimed at career development (Hu et al., 2022). Mandatory overtime is associated with fatigue and burnout among nurses, which decreases their job morale and satisfaction and increases their intention to leave and turnover rates (Kelly et al., 2021). The nursing shortage will be addressed by eliminating mandatory overtime in the hospital, which will create a healthy work environment, especially for nurses more vulnerable to burnout. Besides, this will create a positive practice environment that acknowledges work-life balance, in which there is respect for nurses’ safety.

The priorities relate to leadership since leaders have a responsibility to help employees continuously improve their knowledge and skills through professional development programs. Leaders also have a role in empowering employees, and providing professional development opportunities will be a major way to empower them. In addition, leaders have a role in creating healthy working environments, which will be met by eliminating mandate overtime policies that cause fatigue (Hu et al., 2022). Furthermore, the priorities relate to the Person-Centered Framework by McCormack and McCance (2017) since professional development programs will promote professional competency and increase nurses’ commitment to the job. Besides, eliminating mandates over time will improve the practice environment, promote effective staff relationships, and enable nurses to be sympathetically present to patients.  

Conclusion

The strategic planning team will comprise the CNO, DHR, Hospital administrator, the nurse-in-charge of the behavioral health unit, and two RNs. Priority solutions are investing in nurses’ professional development and eliminating mandatory overtime.

Professional development programs are associated with overall job satisfaction and retention. Eliminating mandatory overtime will reduce burnout, increase job satisfaction, and reduce turnover.

References

George, B., Walker, R. M., & Monster, J. (2019). Does strategic planning improve organizational performance? A meta‐analysis. Public Administration Review, 79(6), 810-819. https://doi.org/10.1111/puar.13104

Hu, H., Wang, C., Lan, Y., & Wu, X. (2022). Nurses’ turnover intention, hope, and career identity: the mediating role of job satisfaction. BMC nursing, 21(1), 1-11. https://doi.org/10.1186/s12912-022-00821-5

Kelly, L. A., Gee, P. M., & Butler, R. J. (2021). Impact of nurse burnout on organizational and position turnover. Nursing Outlook, 69(1), 96–102. https://doi.org/10.1016/j.outlook.2020.06.008

McCormack, B., & McCance, T. (2017). Person-centered practice in nursing and health care: theory and practice. John Wiley & Sons.

Mlambo, M., Silén, C., & McGrath, C. (2021). Lifelong learning and nurses’ continuing professional development, a meta-synthesis of the literature. BMC nursing, 20(1), 1-13. https://doi.org/10.1186/s12912-021-00579-2

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Appendix A: Interview Transcript

I interviewed Cheryl Taylor who is the Chief Nursing Officer (CNO) and Vice President of Clinical Services at Saint Joseph Mercy Chelsea with a very recent rebranding name change to Chelsea Hospital.

Deanna: Cheryl, thank you for agreeing to meet with me and answer a couple of questions about healthcare, making a difference and the nursing shortage that is happening at many hospitals.

Cheryl: You are very welcome.

Deanna: How do you view your role in transforming healthcare and making a difference in the lives of patients and families?

Cheryl: Prior to becoming the CNO of the hospital, I was the director of behavioral health at St. Joseph Mercy Ann Arbor. Working with patients in behavioral health is a life changing event. You are able to help change patients coping skills, it is extremely meaningful to help people and their families. Not just in behavioral health but in the entire arena of healthcare.  My role in transforming healthcare and making a difference is to collaborate, communicate and influence.

Deanna: What priorities are you looking at for transforming healthcare in the hospital?

Cheryl: Our Operating Priorities include:

• Inpatient Medicine: Fully utilize acute care capacity and enhance access for communities served.
• Inpatient Rehab: Expand inpatient rehab capacity in collaboration with Michigan Medicine.
• Behavioral Health: Solidify optimal configuration to support safety and access.
• Surgery: Achieve optimization of expanded surgery capacity.
• Ambulatory: Grow primary and specialty providers to enhance access and provide the clinic space on campus.

We want to use what we have to full capacity to help those in the community and surrounding communities.

We are also looking a Nursing Priorities:

Our nursing priorities include:

• Focus on nursing recruitment and retention
• Restart Chelsea Hospital Patient Experience Team
• Restart Chelsea Hospital Relationship Based Care Team
• Zero Preventable Harm

Deanna: You mentioned nursing recruitment and retention, what are you plans for this?

Cheryl: We are experiencing a nursing shortage and have notice we have drooped 2% from 2020 to 2021 for BSN prepared. We continue to be in the exceptional performance category (64% or greater) but do not want to continue to down slide. We have been looking at nurse turnover rates and why. Top three reasons that have been given are personal reasons, new job, and retirement. We then broke this down into categories that included, type of employee (regular, contingent, per diem), years of service, and age. We are now working on recruitment packages that are attractive and fair along with retention of existing employees.

Deanna: I know our time is up and I would like to say Thank you again for taking the time out of your busy schedule to meet with me and answer my questions. I appreciate you and your time.

Cheryl: Anytime. I look forward to being your mentor.

Preparing the paper:
You are the nurse executive of a healthcare organization. To ensure the organization’s success, you must develop a strategic plan scenario to address the nursing shortage in an area of your choice.
Address the nursing shortage in the behavioral health unit of the hospital.

1. Clear introduction of your strategic plan in the introduction paragraph; including a sentence that states the purpose of your paper.

2. Clearly articulate key concepts of your strategic plan, which include:
a. stating whom will be involved in the strategic-planning process, their position or role within the organization, and your rationale(s) for including each member of the team.
Please make sure to include Chief Nursing Officer (CNO), all nursing staff roll up under her.

Interview one person who is currently in the role of one of the persons you would include in your strategic plan process. Ask that person how they view their role in transforming healthcare and making a difference in the lives of patients and families. Include a copy of their curriculum vitae (CV) and a transcript of your interview (not included in the 3 page limit for the assignment); include email communications from you to the person, in the event you do not receive a response. Include all information from the interview as an addendum to your assignment; and
(See information from interview after number 8 – this may or may not help with SWOT analysis approach and priorities) Please add the interview as an addendum to my assignment.

b. using a SWOT analysis approach, discuss strengths, weaknesses, opportunities, and threats you must consider internal and external to the organization. A table is acceptable if you prefer to use this format for your SWOT analysis information.
3. State your top two priorities, based on your SWOT analysis, to address the nursing shortage for your organization from your strategic plan and discuss how these priorities relate to leadership and the Person-Centred Framework by McCormack and McCance (2017).
4. Include of a minimum of three sources of scholarly, empirical evidence that support your strategic plan. All sources within last 5 years.
5. Provide concluding statements for your overall assignment content.
6. The paper will be three pages maximum, excluding title and reference page(s).
7. Title and reference page(s) must be in APA format (7th edition).
8. Use 12 Times New Roman font and one-inch margins on all sides of the paper.

Interview Transcript
I interviewed Cheryl Taylor who is the Chief Nursing Officer (CNO) and Vice President of Clinical Services at Saint Joseph Mercy Chelsea with a very recent rebranding name change to Chelsea Hospital.
Deanna: Cheryl, thank you for agreeing to meet with me and answer a couple of questions about healthcare, making a difference and the nursing shortage that is happening at many hospitals.
Cheryl: You are very welcome.
Deanna: How do you view your role in transforming healthcare and making a difference in the lives of patients and families?
Cheryl: Prior to becoming the CNO of the hospital, I was the director of behavioral health at St. Joseph Mercy Ann Arbor. Working with patients in behavioral health is a life changing event. You are able to help change patients coping skills, it is extremely meaningful to help people and their families. Not just in behavioral health but in the entire arena of healthcare. My role in transforming healthcare and making a difference is to collaborate, communicate and influence.
Deanna: What priorities are you looking at for transforming healthcare in the hospital?
Cheryl: Our Operating Priorities include:
1) Inpatient Medicine: Fully utilize acute care capacity and enhance access for communities served.
2) Inpatient Rehab: Expand inpatient rehab capacity in collaboration with Michigan Medicine.
3) Behavioral Health: Solidify optimal configuration to support safety and access.
4) Surgery: Achieve optimization of expanded surgery capacity.
5) Ambulatory: Grow primary and specialty providers to enhance access and provide the clinic space on campus.
We want to use what we have to full capacity to help those in the community and surrounding communities.
We are also looking a Nursing Priorities:
Our nursing priorities include:
1) Focus on nursing recruitment and retention
2) Restart Chelsea Hospital Patient Experience Team
3) Restart Chelsea Hospital Relationship Based Care Team
4) Zero Preventable Harm
Deanna: You mentioned nursing recruitment and retention, what are you plans for this?
Cheryl: We are experiencing a nursing shortage and have notice we have drooped 2% from 2020 to 2021 for BSN prepared. We continue to be in the exceptional performance category (64% or greater) but do not want to continue to down slide. We have been looking at nurse turnover rates and why. Top three reasons that have been given are personal reasons, new job, and retirement. We then broke this down into categories that included, type of employee (regular, contingent, per diem), years of service, and age. We are now working on recruitment packages that are attractive and fair along with retention of existing employees.
Deanna: I know our time is up and I would like to say Thank you again for taking the time out of your busy schedule to meet with me and answer my questions. I appreciate you and your time.
Cheryl: Anytime. I look forward to being your mentor.

Strategic Planning Assignment

Guidelines with Scoring Rubric

Purpose

The purposes of this assignment are to: (a) identify and articulate key concepts of your strategic plan in a clear, succinct, and scholarly manner (CO1 & CO3) and (b) provide empirical, scholarly evidence to support your proposed plan (CO5).

Course Outcomes

Through this assignment, the student will demonstrate the ability to do the following:

(CO1) Evaluate and develop organizational strategic plans (SP) in relation to patient safety, economic and quality outcomes of healthcare organizations and systems. (PO1)

(CO3) Appraise the effects of strategies to reduce costs and improve the quality and safety of healthcare. (PO1 & PO4)

(CO5) Synthesize and communicate research findings to promote quality improvement and safety in healthcare. (PO1 & PO4)

Due Date: Sunday 11:59 p.m. MT at the end of Week 3

Total Points Possible:  200

Requirements:

1. This paper will be graded on quality of information, use of citations, use of Standard English grammar, sentence structure, and organization based on the required components.
2. Create this assignment using Microsoft (MS) Word, which is the required format for all Chamberlain documents. You can tell that the document is saved as a MS Word document because it will end in “.docx.”
3. Submit to the appropriate CCN Dropbox by 11:59 p.m. MT on Sunday of the week due. Any questions about this paper may be discussed in the weekly Q & A Discussion topic.
4. The length of the paper is to be no greater than three pages, excluding title page and reference page
5. APA format (current edition) is required in this assignment, including a title page and reference page. Use APA level 1 headings for the organizational structure of this assignment. Remember that the introduction does not carry a heading that labels it as a level heading in APA format. The first part of your paper is assumed to be the introduction. See APA manual for details. See resource under Course Resources, “Guidelines for Writing Professional Papers.” Use the suggested format and headings to organize your assignment.
   1. Include introduction (do not label as a heading in APA format)
   2. Key Concepts of Strategic Plan
   3. Priorities
   4. Supporting Evidence
   5. Conclusion

Preparing the paper

You are the nurse executive of a healthcare organization. To ensure the organization’s success, you must develop a strategic plan scenario to address the nursing shortage in an area of your choice. Please ensure no identifying names are used in your scenario.

1. Clear introduction of your strategic plan in the introduction paragraph; including a sentence that states the purpose of your paper.
2. Clearly articulate key concepts of your strategic plan, which include:
3. stating whom will be involved in the strategic-planning process, their position or role within the organization, and your rationale(s) for including each member of the team.

Interview one person who is currently in the role of one of the persons you would include in your strategic plan process. Ask that person how they view their role in transforming healthcare and making a difference in the lives of patients and families. Include a copy of their curriculum vitae (CV) and a transcript of your interview (not included in the 3 page limit for the assignment); include email communications from you to the person, in the event you do not receive a response. Include all information from the interview as an addendum to your assignment; and

1. using a SWOT analysis approach, discuss strengths, weaknesses, opportunities, and threats you must consider internal and external to the organization. A table is acceptable if you prefer to use this format for your SWOT analysis information.
2. State your top two priorities, based on your SWOT analysis, to address the nursing shortage for your organization from your strategic plan and discuss how these priorities relate to leadership and the Person-Centred Framework by McCormack and McCance (2017).
3. Include of a minimum of three sources of scholarly, empirical evidence that support your strategic plan.
4. Provide concluding statements for your overall assignment content.
5. The paper will be three pages maximum, excluding title and reference page(s).
6. Title and reference page(s) must be in APA format (current edition).
7. Use 12 Times New Roman font and one-inch margins on all sides of the paper.

Category	Points	%	Description
Introduction	30	15%	Introduction clearly introduces your strategic plan and purpose of assignment.
Strategic Plan Concepts	45	22.5%	Key concepts of the strategic plan are clearly articulated.
Priorities	40	20%	Priorities to address nursing shortage are clearly articulated.
Evidence	30	15%	Minimum of three scholarly, empirical evidence sources supporting your plan.
Conclusion	30	15%	Concluding statements summarizing content are present.
Text, title page, and references are consistent with APA format	10	5%	Text, title page, and references are consistent with APA format.
Ideas and information from other sources are cited correctly	10	5%	Ideas and information from other sources are cited correctly.
Rules of grammar, word usage, and punctuation are followed	5	2.5%	Rules of grammar, word usage, and punctuation are followed.
Total	200	100	A quality assignment will meet or exceed all of the above requirements.

Grading Rubric

Assignment Criteria	Exceptional (100%) Outstanding or highest level of performance	Exceeds (88%) Very good or high level of performance	Meets (80%) Competent or satisfactory level of performance	Needs Improvement (38%) Poor or failing level of performance		Developing (0) Unsatisfactory level of performance
Content Possible Points = 175 Points
Introduction clearly introduces your strategic plan.	30 Points	26 Points	24 Points	11 Points		0 Points
	Introduction introduces your strategic plan and purpose of assignment clearly.	Introduction introduces your strategic plan and purpose of assignment with minor lack of clarity or elements.	Introduction of strategic plan and purpose of assignment lacks occasional important element or specificity.	Introduction of strategic plan and purpose of assignment has multiple instances of inaccuracies.		Introduction of strategic plan and purpose is not present.
Key concepts of strategic plan are clearly articulated.	45 Points	40 Points	36 Points	17 Points		0 Points
	Key concepts of strategic plan are articulated clearly with no inaccuracy; includes both 2a and 2b.	Key concepts of strategic plan are articulated with rare inaccuracy; includes both 2a and 2b.	Key concepts of strategic plan lack occasional important elements or specificity.	Key concepts of strategic plan have multiple instances of inaccuracies		Key concepts of strategic plan are not present.
Priorities to address nursing shortage are clearly articulated.	40 Points	35 Points	32 Points	15 Points		0 Points
	At least two priorities to address nursing shortage are clearly articulated with no inaccuracy.	Two priorities to address nursing shortage are articulated with rare inaccuracy.	Two priorities to address nursing shortage lack occasional important elements or specificity.	Two priorities to address nursing shortage have multiple instances of inaccuracies		Priorities are not present.
At least three empirical, scholarly evidence sources to support project are included.	30 Points	26 Points	24 Points	11 Points		0 Points
	At least three empirical, scholarly evidence sources supporting your plan are included.	Empirical, scholarly evidence sources supporting your plan are included with rare inaccuracy; or only two sources are included.	Empirical, scholarly evidence sources supporting your plan lack occasional important element or specificity; or fewer than two sources are included.	Empirical, scholarly evidence sources supporting your plan have multiple instances of inaccuracies.		Empirical, scholarly evidence sources supporting your plan are not present.
Concluding statements summarizing content are present.	30 Points	26 Points	24 Points	11 Points		0 Points
	Concluding statements summarizing content are present and accurate.	Concluding statements summarizing content are present with rare inaccuracy or missing elements.	Concluding statements summarizing content lack occasional important element or specificity.	Concluding statements summarizing content has multiple instances of inaccuracies.		Concluding statements summarizing  are missing.
Content Subtotal						_____ of 175 points
Format Possible Points = 20 points
Text, title page, and references are consistent with APA format.	10 points	9 points	8 points	4 points		0 points
	Text, title page, and references are consistent with APA format.	Text, title page, and references are consistent with APA format with 1-3 exceptions.	There are 4-5 APA format errors in the text, title page, and/or reference page(s).	There are frequent 6 APA format errors in the text, title page, and reference page(s).		There are 7 or more APA format errors in the text, title page, and reference page(s).
Ideas and information from other sources are cited correctly.	10 points	9 points	8 points	4 points		0 points
	Ideas and information from other sources are cited correctly.	Ideas and information from other sources are cited correctly with minimal exceptions.	Ideas and information from other sources are cited with occasional errors.	Ideas and information from other sources are cited with numerous errors.		Ideas and information from other sources are not cited.
Grammar Possible Points = 5 points
Rules of grammar, word usage, and punctuation are followed.	5 points	4 points	3 points	2 points		0 points
	Rules of grammar, word usage, and punctuation are followed.	Rules of grammar, word usage, and punctuation are followed with 1-2l exceptions.	Rules of grammar, spelling, word usage, and punctuation are consistent with formal written work with 3-4 exceptions.	Rules of grammar, spelling, word usage, and punctuation are consistent with formal written work with 5 exceptions.		Rules of grammar, spelling, words usage, and punctuation are followed with 6 or more exceptions.
Format Subtotal					_____ of 25 points
Total Points						_____ of  200 points