What factors might contribute to tensions among these groups?

Assigned Readings:  Chapter 4

Answer the following questions:

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1. For a hospital to operate efficiently and effectively, the three important influences in its governance, medical staff, board of trustees, and administration, must work together in reasonable harmony. What factors might contribute to tensions among these groups?
2. As the nursing profession has expanded through advanced degrees, specialization, and clinical practice, nurses’ salaries and responsibilities have also increased. Now, hospitals substitute non-nurses for nurses to perform all but the most technical tasks. What are the implications for the nursing profession? Have nurses lost their traditional role of hands-on patient care and, if so, is that to their advantage or disadvantage?
3. The traditional management style of hospitals has been hierarchical and internally focused.  What are three important challenges that face hospitals to accommodate new payer and consumer expectations?
4. The availability of hospital insurance removed an important cost constraint from hospital services and charges. What were some positive and negative consequences of that development?
5. The organization and practices of modern hospitals reflect the promotion of specialization and sub-specialization by academic health centers. What were the advantages and disadvantages to patients of increasing the number of physicians who limit their activities to narrower fields of practice?
6. With significant oversupply of hospital beds in the U.S. what is the rationale for taxpayer support of the separate and costly hospital system of the Department of Veterans Affairs?

Sample Solution

1. Factors that might contribute to tensions among the medical staff, board of trustees, and administration in a hospital include differences in opinion on the hospital’s strategic direction, budgetary decisions, quality of patient care, allocation of resources, and conflicts of interest. For instance, the medical staff may prioritize patient care, while the administration may focus on financial sustainability, leading to tensions between the two groups. Additionally, the board of trustees, which is responsible for overseeing hospital operations, may have conflicting views with the medical staff or administration, leading to disagreements and tensions.
2. The substitution of non-nurses for nurses to perform all but the most technical tasks may have negative implications for the nursing profession. The loss of hands-on patient care can lead to a decrease in the quality of care provided to patients, which may negatively impact patient outcomes. Nurses may also feel that their expertise and knowledge are not being utilized to their full potential, leading to job dissatisfaction and a higher turnover rate. However, the increasing complexity of patient care and the need for specialized skills may require the use of non-nurses to perform certain tasks, allowing nurses to focus on more complex patient care activities.
3. Three important challenges facing hospitals to accommodate new payer and consumer expectations include the need to provide high-quality care at lower costs, the need to focus on patient…order a customized answer here

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